Neonatal System Development

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The purpose of the Neonatal Levels of Care Designation is to comply with House Bill 15, 83rd Legislature, Regular Session, 2013, which added Health and Safety Code, Subchapter H, Hospital Level of Care Designations for Neonatal and Maternal Care, Sections 241.181 - 241.187. House Bill 3433, 84th Legislature, Regular Session, 2015 amended Health and Safety Code, Chapter 241 and requires the development of initial rules to create the neonatal/maternal level of care designation by March 1, 2018. The neonatal levels of care designation rule became effective on June 9, 2016 and the designation for neonatal level of care is an eligibility requirement for Medicaid reimbursement beginning September 1, 2018. The Perinatal Advisory Council (PAC) is developing recommendations for the maternal rules.

Neonatal Designation Applications Now Available


The neonatal designation rule, effective June 9, 2016 is found at the Texas Administrative Code, Title 25, Chapter 133, Subchapter J

Related Programs

Survey Sites

American Academy of Pediatrics NICU Verification Program

TETAF NICU Services and Consultation

Resource Documents

Provider training webinars: Introduction and review of the new requirements. Recordings of the training are listed below. Each link will take you to a page where you must enter your name and email address to access the video. 

Webinar recordings:
Level I Designation – June 13, 2016
Level II Designation – June 14, 2016
Level III and IV Designation – June 16, 2016
Level III and IV Designation – June 20, 2016
Level I Designation – June 21, 2016
Level II Designation – June 24, 2016

Neonatal Application Packet Submission and Completion of the Self Audit Tool- September 14, 2016
View System Requirements

PowerPoint presentations from webinars:
Level I PowerPoint presentation
Level II PowerPoint presentation 
Level III PowerPoint presentation

Last updated September 20, 2016