TX HHS Form H1061. Birth Outcome Letter

The Birth Outcome Letter (Form H1061) is a crucial document that helps individuals pay for the birth of their baby. This form is typically filled out by new parents soon after their child's arrival, providing essential information about the baby's details.

This letter requires the submission of specific information, including the baby's birth date, gender, and name. The individual can choose one of three methods to provide this information: calling 2-1-1 or 1-877-KIDS-NOW, faxing a letter to 1-877-236-4123 (toll-free), or mailing it to Texas Health and Human Services Commission PO Box 149027 Austin, TX 78714-9027.

The Birth Outcome Letter also outlines the process for receiving CHIP perinatal services. In some cases, Emergency Medicaid may need to cover costs, and this form helps facilitate that process. To take advantage of these benefits, individuals must complete two steps: filling out Form H3038-P with their doctor and sending it back to Texas Health and Human Services Commission using the prepaid envelope or faxing it to 1-877-236-4123 (toll-free).

• Provides essential information about a newborn baby's details.
• Requires submission of specific information, including birth date, gender, and name.
• Helps facilitate CHIP perinatal services and Emergency Medicaid coverage.