TX HHS Form 1028. Medically Fragile Group Criteria Certification

The TX HHS Form 1028, Medically Fragile Group Criteria Certification, is a crucial document that helps solve the problem of identifying individuals who require specialized care. This form is typically used in situations where an applicant's medical condition requires continuous monitoring and treatment. The form is usually filled out by healthcare professionals or caregivers on behalf of the patient.

The form requires specific information about the applicant, including their name, date of birth, Medicaid number, and primary medical diagnosis. Additionally, it asks questions about the applicant's medical history, such as whether they have had a change in condition from the previous year. The form also includes clinical criteria that must be met for an individual to be considered medically fragile, including conditions like tracheostomy, ventilator use, and continuous positive airway pressure.

The Medically Fragile Group Criteria Certification is essential for ensuring that individuals receive the necessary care and support. Key features of this form include the requirement for specific clinical criteria to be met, as well as the need for healthcare professionals or caregivers to provide detailed information about the applicant's medical history and current condition. By completing this form, healthcare providers can ensure that patients receive the appropriate level of care and support.

• The TX HHS Form 1028 is used to identify individuals who require specialized care due to their medically fragile condition.
• The form requires specific information about the applicant's medical history and current condition.
• The clinical criteria outlined in the form must be met for an individual to be considered medically fragile.