In 2013, House Bill 15 was passed during the 83rd Legislature, Regular Session. The purpose of the bill was to develop initial rules for level of care designations for hospitals that provide maternal services. The hospital level of care designations for maternal care rules went into effect on March 1, 2018.
The Texas Department of State Health Services (DSHS) has the authority to designate facilities. The EMS/Trauma Systems Section of DSHS works with hospitals, Perinatal Care Regions (PCRs) and the Perinatal Advisory Council (PAC) to:
- Improve maternal patient care and outcomes,
- Develop hospital requirements for facility designation, and
- Establish regional coordination of maternal care.
Statewide Perinatal Designation Meeting
For stakeholders in the Texas perinatal designation process.
Perinatal QAPI Training Registration
Click the day and time you want to attend.
Maternal Levels of Care Development
- Perinatal Advisory Council (PAC)
Created by House Bill 15 of the 83rd Texas Legislature (Regular Session), the PAC examines utilization trends in neonatal and maternal care and recommends ways to improve neonatal and maternal outcomes.
Maternal Levels of Care Designation
- Applications and Forms
- DSHS Designation Program: Facility Program Contact Update Form
Use our online verification system to verify your current contact information (instructions).
The non-refundable maternal application fees for a three-year designation period are as follows:
- Level I maternal facility application fees are as follows:
- <=100 licensed beds fee is $250.00; or
- >100 licensed beds fee is $750.00.
- Level II maternal facility application fee is $1,500.00.
- Level III maternal facility application fee is $2,000.00.
- Level IV maternal facility application fee is $2,500.00.
The following tools may be used to evaluate your facility's compliance according to the Maternal Level of Care you are seeking.
Perinatal Quality Assessment Performance Improvement, Patient Safety Overview
November 2023 training to establish a consistent structure and processes for the Maternal and Neonatal Quality Assessment, Performance Improvement, and Patient Safety Plan.
Get In Touch
Texas Department of State Health Services EMS/Trauma Systems
Attn: Maternal Designation Program
PO Box 149347 MC 1876
Austin, TX 78714-9347