TX HHS Form 7484. Hospital Report for Newborn Child or Children

TX HHS Form 7484: Hospital Report for Newborn Child or Children is a mandatory document used by hospitals to report the birth of a child whose mother is currently eligible under the Texas Medicaid Program. This form helps solve the problem of timely reporting and processing of newborn children's Medicaid claims, ensuring that hospitals receive notice of the assigned client number promptly.

The form requires completion of all data items, including the mother's and child's names, dates of birth, medical record numbers, mailing addresses, and sex. Important sections include the mother's relinquishment of rights to the newborn child, if applicable, as well as the hospital's contact information. The form should be completed within five days after the birth of the child and submitted to Texas Health and Human Services Commission (HHSC) to avoid delay in receiving notice of the Medicaid Recipient number.

This form is essential for hospitals to submit newborn children's Medicaid claims promptly, using the newly assigned client number. Hospitals must retain all Medicaid claims until they receive a client number for the child to avoid processing delays. The TX HHS Form 7484: Hospital Report for Newborn Child or Children is a crucial document that facilitates efficient and accurate reporting of newborn children's Medicaid claims.