Hospitals that provide neonatal care must have a Level I, II, III or IV designation from the Texas Department of State Health Services by Sept. 1, 2018 in order to receive Medicaid reimbursement.

House Bill 15, 83rd Legislature, requires the development of initial rules to create neonatal and maternal level of care designation. TDSHS neonatal level of care designation rules have been adopted and are effective as of June 9, 2016.

Deadlines for Achieving Designation

  • May 1, 2018 – Surveys must be completed.
  • June 1, 2018 – Completed application packet for designation must be received by TDSHS’ EMS and Trauma Systems Coordination Office. Please note that application packets must be received no later than 120 days following survey date or self-survey/self-attestation date.
  • August 31, 2018 – Designation approved by the Executive Commissioner.

Maternal Rules Stakeholder Meetings

  • Wednesday, May 17
    TSA B, BRAC, Lubbock
    Covenant Children’s
    Arnett Room (6th Floor)
    4015 22nd Place
    Lubbock, Texas 79410
    10 AM – 4 PM
  • Friday, May 19
    TSA I, Border RAC, El Paso
    Border RAC Field Operations Building
    6805 A Boeing
    El Paso, Texas
    10 AM – 4 PM
  • Tuesday, May 23
    TSA O, CATRAC, Austin
    St. David’s Medical Center
    Medical Office Building, Classroom B
    919 E. 32nd Street
    Austin, Texas 78705
    10 AM – 4 PM
  • Wednesday, May 24
    TSA Q, SETRAC, Houston
    Memorial Herman Southwest
    Wilson Turner Auditorium (updated)
    7600 Beechnut St.
    Houston, Texas 77074
    10 AM – 4 PM
  • Thursday, May 25
    TSA P, STRAC, San Antonio
    STRAC Offices/AT&T Building
    7500 US Hwy 90 West
    San Antonio, Texas 78227
    10 AM – 4 PM
  • Friday, May 26
    TSA U, Coastal Bend RAC, Corpus Christi
    Corpus Christi Medical Center
    Doctor’s Regional Conference Center
    3315 S. Alameda Street
    Corpus Christi, Texas 78411
    10 AM – 4 PM
  • Tuesday, May 30
    Texas Health Presbyterian Dallas
    Fogelson Auditorium
    8200 Walnut Hill Lane
    Dallas, Texas 75231
    10 AM – 4 PM
  • Wednesday, May 31
    TSA G, Piney Woods RAC, Tyler
    The Tyler Rose Garden
    420 Rose Park Drive
    Tyler, Texas 75702

    10 AM – 4 PM
  • Thursday, June 1
    TSA M, Heart of Texas RAC, Waco
    Providence Health Center Auditorium (updated)
    6901 Medical Parkway
    Waco, Texas 76712
    10 AM – 4 PM

Neonatal Designation Q&A sessions:

  • Thursday, May 18
    TSA J, Texas J RAC, Odessa
    Odessa Regional Medical Center
    West Auditorium
    520 E. 6th Street
    Odessa, Texas 79761
    2 PM – 4 PM
  • Monday, May 22
    TSA U, Coastal Bend RAC, Corpus Christi
    Driscoll Children’s Hospital
    3533 S. Alameda Street
    Corpus Christi, Texas 78411
    12 Noon – 3 PM

Applications and additional information is available from TDSHS’ Neonatal System Development Web page.

Please contact TDSHS’ Neonatal Designation Coordinators with questions or for further assistance.

Debbie Lightfoot, RN
512-834-6700 ext. 2032

Alisha Wilkin, RN

HB 15 (83rd Legislature) – Relating to level of care designations for hospitals that provide neonatal and maternal services. Read more


Jennifer Banda, J.D., vice president, advocacy, public policy and HOSPAC, 512/465-1046

Carrie Kroll, vice president, advocacy, quality and public health, 512/465-1043