In 2013, House Bill 15 was passed during the 83rd Legislature, Regular Session. The purpose of the bill was to create level of care designations for hospitals that provide neonatal and maternal services. During the 84th Legislature, Regular Session, 2015, House Bill 3433 amended Health and Safety Code, Chapter 241. The purpose of the bill was to develop initial rules for neonatal/maternal level of care designation. The hospital level of care designations for neonatal and maternal care rules went into effect on June 9, 2016.
The Texas Department of State Health Services (DSHS) has the authority to designate facilities. The Office of EMS/Trauma Systems Section of DSHS works with hospitals, survey organizations, and the Perinatal Advisory Council (PAC) to:
- Develop facility designation protocols,
- Develop policies, and
- Designate facilities in the state.
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.
Neonatal System Development
Advisory Council and Subcommittee
- 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.
- The Centers of Excellence for Fetal Diagnosis and Therapy
The Centers of Excellence for Fetal Diagnosis and Therapy subcommittee advises the PAC and the Texas Health and Human Services Commission in the development of rules to establish the criteria a health care entity or program in the state of Texas will have to meet to receive designation as a Center of Excellence for Fetal Diagnosis and Therapy
Neonatal Facility Designation
- Applications and Forms
- Frequently Asked Questions from Neonatal (NICU) Designated Facilities
- DSHS Designation Program: Facility Program Contact Update Form
Use our online verification system to verify your current contact information (instructions).
The non-refundable neonatal application fees for a three-year designation period are as follows:
- Level I neonatal facility application fees are as follows:
- <=100 licensed beds fee is $250.00; or
- >100 licensed beds fee is $750.00.
- Level II neonatal facility application fee is $1,500.00.
- Level III neonatal facility application fee is $2,000.00.
- Level IV neonatal facility application fee is $2,500.00.
These tools may be used to evaluate your facility's compliance with the Neonatal Level of Care you will apply for.
- Level II Neonatal – Self-Assessment
- Level III Neonatal – Self-Assessment
- Level IV Neonatal – Self-Assessment
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: Neonatal Designation Program
PO Box 149347 MC 1876
Austin, TX 78714-9347