Texas Levels of Maternal Care Verification Program

health care provider examining a pregnant patient in a hospital setting

Request an ACOG site visit survey today!

Jump to:

Program Overview

Why Choose ACOG?

The Process

Program Overview

As part of the fight to reduce maternal mortality and morbidity, Texas law now requires all hospitals that provide maternity services receive a maternal level of care designation by Aug. 31, 2021 to receive Medicaid reimbursement for obstetrical care.

In response, ACOG launched a new program to provide survey services for Texas hospitals. We collaborated with local providers and key organizations, opened a Texas-based office; and recruited more than 130 Texas-based ob-gyns, maternal nurses, and maternal-fetal medicine specialists to serve as surveyors through the program.

Our process provides a local, confidential, and collegial survey that adheres to the Texas Administrative Code and focuses on quality and collaboration.

Frequently Asked Questions and Resources

Why Choose ACOG?

As leaders in the fight to reduce maternal mortality and morbidity, ACOG is uniquely positioned to perform site surveys. We will:

  • Perform the site survey in compliance with the Texas Administrative Code
  • Utilize a collaborative approach that is consistent, fair, and in line with the highest degree of professionalism and confidentiality
  • Provide objective and neutral documentation
  • Partner with hospital leadership throughout the process
  • Offer an optional confidential consultation at no extra charge to address any concerns expressed by the facility

“I would like to thank ACOG for the professional, respectful and honest survey that was performed. What could have been a very stressful, tense experience was rather an opportunity to show the care we provide every day and the opportunities for improvement were presented in a non-judgmental fashion with suggestions for compliance. The debriefing was very well done with both commendations and opportunities presented in an honest manner.”

- Clinical Nurse Specialist

The Process


  • Contact us for a free pre-survey consultation
  • Submit a survey application
  • Work with ACOG to select a survey date
  • Complete and submit contract, pre-assessment form, and policies and procedures


Site Visit - Day 1

  • Medical record review
  • Dinner with hospital and medical staff to hear about the maternal program and ask questions


Site Visit - Day 2

  • Interviews with staff
  • Tour of facility
  • Debriefing session to discuss findings, clarify any concerns, and provide consultation



  • Medical Record Review forms, completed site audit form, and a summary report are provided to the facility. Forms are submitted with the facility's DSHS application for designation. The summary report is retained by facility and not included with DSHS application.

"I enjoyed the preparation process and the site visit. It is an opportunity to critically reflect and demonstrate the work performed daily. This will be a meaningful process for all facilities and allows the mission to reduce maternal mortality and morbidity truly remain the daily focus of one's practice."

- Director of Nursing

Interested in becoming an ACOG Site Surveyor?
We are looking for established professionals with experience in Obstetrics/Women's Health practice who are passionate about quality and patient safety. Email txmaternalcare@acog.org.


American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998