I live in a state which just recently became legal for CPMs. When I started apprenticing, ther were no CPMs in my area, so I started working with local underground DEMs. For those of us in illegal states - I saw a poster from Chicago -, getting your CPM is still a possibility. You must have a CPM or a legal preceptor to attend a distance MEAC school. There was a homebirth doctor in my area who was precepting a NCM student for example. Or, you may do the PEP process without attending a MEAC - or any other - school. Your preceptor must have been primary w/o supervision for a minimum of 50 births.
Its a difficult and piecemeal process - what has helped me is involvement with my local and statewide midwifery organizations. Everyone is scrambling to get their CPM and the support is really helpful.
I am closing in on my CPM now through a combo of low-volume apprenticeship, Casa internship, some community college classes, AAMI (which I do not love) and about a million reading and research hours. I really do wish I could have attended a MEAC school. I fear that MEAC will be a requirement for liscencure either federally or in my state and after all this time I would hate to start over! I also am also one who thinks some educational standardization and accountability would not be a bad thing.