TX HHS Form 1028. Medically Fragile Group Criteria Certification

The TX HHS Form 1028, Medically Fragile Group Criteria Certification, is a crucial document for healthcare providers in Texas. Issued by the Texas Health and Human Services (HHS), this form serves as a certification tool for medically fragile group criteria, providing essential information about patients with complex medical needs.

This form is designed for healthcare professionals to submit initial or annual reassessment certifications for patients who require specialized care. The applicant must provide personal and Medicaid information, as well as details on the patient's primary medical diagnosis and any changes in their medical condition since the previous certification period. The form also includes clinical criteria for various medical conditions, such as tracheostomy, ventilation, and respiratory support.

The TX HHS Form 1028 is an essential tool for healthcare providers to demonstrate compliance with medically fragile group criteria, ensuring that patients receive the necessary care and support. By completing this form, healthcare professionals can provide critical information about their patients' medical needs, facilitating effective communication and coordination of care among healthcare providers and payers.