Texas OB-GYN credentialing is shaped by the state's large Medicaid maternity population, complex hospital privilege requirements, and the regulatory changes following abortion-related legislation that have affected practice scope and malpractice exposure calculations. OB-GYNs entering Texas must credential at hospital systems with Level I through IV birthing centers, with privilege levels corresponding to the acuity of obstetric care the provider is qualified to deliver. The Texas Medicaid Obstetrical and Gynecological Program covers maternity care for TMHP fee-for-service and managed care beneficiaries, and OB-GYNs must enroll in TMHP and credential with relevant MCOs to serve this population. BCBS TX requires ABOG board certification and hospital delivery privileges. Texas has seen physician shortages in OB-GYN following recent legislative changes, which has created panel openings at previously closed payer networks. OB-GYN practices with certified nurse midwives must credential CNMs separately, which involves both the Texas Board of Nursing and individual payer applications.
Texas Medical Board
OB/GYN Requirements in Texas
Estimated Timeline
Top Payers for OB/GYN in Texas
Frequently Asked Questions
How does the Texas Medicaid Obstetrical Program work for OB-GYN billing?
Texas Medicaid provides comprehensive maternity coverage including prenatal visits, delivery, and postpartum care. OB-GYNs must enroll in TMHP and, for managed care patients, credential with the patient's MCO. Global obstetric billing applies for TMHP fee-for-service deliveries.
What hospital privilege levels are required for OB-GYN credentialing in Texas?
Texas hospital systems designate birthing center levels I–IV per state regulations. OB-GYNs must hold privileges appropriate to the level of care they provide, with Level III and IV facilities requiring additional documentation for maternal-fetal medicine scope.
Can CNMs in Texas credential independently with payers for obstetric services?
Yes. Texas allows certified nurse midwives to credential independently with most commercial payers and TMHP for midwifery and maternity services. CNMs must hold active Texas Board of Nursing APRN authorization and a Collaborative Practice Agreement with an OB-GYN or physician.
Reviewed by Arctic Health Team , Credentialing Specialists
Last reviewed: September 2026
Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.