TX HHS Form H1061. Birth Outcome Letter

TX HHS Form H1061. Birth Outcome Letter

The TX HHS Form H1061, Birth Outcome Letter, is a crucial document that helps new parents report their baby's birth details to the Texas Health and Human Services (HHS) agency. This form should be used soon after the baby's birth, when parents need to provide essential information about their newborn.

The key features of this form include required fields such as the baby's birth date, gender, and name. Parents can submit this information through one of three methods: by calling 2-1-1 or 1-877-KIDS-NOW, faxing a letter to 1-877-236-4123 (toll-free), or mailing it to PO Box 149027 Austin, TX 78714-9027. Additionally, this form is used in conjunction with the CHIP Perinatal — Emergency Medical Services Certification (Form H3038-P) to facilitate payment for labor and delivery costs.

This form is essential for parents who receive CHIP perinatal services but need to pay some costs through Emergency Medicaid due to their case. By completing this form, parents can ensure that their baby receives Medicaid coverage from birth to the first birthday, potentially saving them money. The prepaid envelope provided with this letter makes it easy to return the completed Form H3038-P to the Texas Health and Human Services Commission.

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