The purpose of the Maternal Levels of Care Designation is to implement 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 maternal levels of care designation rule became effective on March 1, 2018 and the designation for maternal level of care is an eligibility requirement for Medicaid reimbursement beginning September 1, 2020.
Applications
Maternal Facility Designation
Rules
The maternal designation rule, effective March 1, 2018 is found at the
Texas Administrative Code, Title 25, Chapter 133, Subchapter K.
Related Programs
Survey Organizations
American College of Obstetricians and Gynecologists
Texas Perinatal Services
Advisory Council
Perinatal Advisory Council
The Perinatal Advisory Council, created by House Bill 15 of the 83rd Texas Legislature (Regular Session), develops and recommends criteria for designating levels of neonatal and maternal care, including specifying the minimum requirements to qualify for each level designation and a process for the assignment of levels of care to a hospital, makes recommendations for dividing the state into neonatal and maternal care regions, examines utilization trends in neonatal and maternal care, and recommends ways to improve neonatal and maternal outcomes.
Maternal Levels of Care Designation
Resource Documents
Comparison Document for Maternal Levels II, III and IV Requirements
These tools may be used to evaluate your facilities compliance with the Maternal Level of Care that you will be applying for.
The complete self-assessment tool for Level I facilities with the specific documents to be submitted in the application packet will be posted on June 1, 2018 with the application for designation.
Level I Maternal – Self-Assessment
Level II Maternal – Self-Assessment
Level III Maternal – Self-Assessment
Level IV Maternal – Self-Assessment
Obstetric Care Consensus
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 – March 22, 2018
Level II Designation – March 27, 2018
Level III Designation – March 28, 2018
Level IV Designation – March 29, 2018
PowerPoint presentations from webinars:
Level I PowerPoint presentation
Level II PowerPoint presentation
Level III PowerPoint presentation
Level IV PowerPoint presentation
Contact Us
Email:
DSHS.EMS-TRAUMA@dshs.texas.gov
Staff Contacts
For technical assistance, call or email the Designation Program Specialist:
Shyriece Norris- (512) 231-5748
Shyriece.Norris@dshs.texas.gov
For process or rule clarification, please contact the following:
Perinatal Designation Coordinators
Debbie Lightfoot, RN – (512) 231-5614
Debra.Lightfoot@DSHS.texas.gov
Alisha Wilkin, RN – (512) 834-6743
Alisha.Wilkin@DSHS.texas.gov
Danielle Vargas, R.N. – (737) 218-7069
Danielle.Vargas@DSHS.texas.gov
Vicki Gloria, R.N. – (737) 218-7079
Vicki.Gloria@DSHS.texas.gov
Designation Program Manager
Elizabeth Stevenson, RN – (512) 834-6794
elizabeth.stevenson@dshs.texas.gov