TX HHS Form H1062. Birth Outcome Reminder Letter

The TX HHS Form H1062, Birth Outcome Reminder Letter, serves as a crucial tool in ensuring that individuals receive necessary benefits for their newborns. This form is typically used by expectant mothers or new parents who are receiving CHIP perinatal services to report the birth outcome of their baby.

This reminder letter highlights two essential steps that must be taken to maintain eligibility and avoid potential costs: (1) filling out Form H3038-P, CHIP Perinatal — Emergency Medical Services Certification, with a doctor after the baby's birth; and (2) submitting the completed form back to Texas Health and Human Services Commission. Failure to complete these steps may result in increased costs or loss of Medicaid coverage for the baby.

If you have questions or concerns about this process, you can contact 2-1-1 or 1-877-KIDS-NOW (toll-free) Monday to Friday, 8 a.m. to 6 p.m. Central Time. Remember to take advantage of the prepaid envelope provided with this letter to return Form H3038-P or fax it to 1-877-236-4123 (toll-free). By following these steps and utilizing this form, you can ensure a smoother experience for yourself and your newborn.

• This form is used by expectant mothers or new parents receiving CHIP perinatal services.
• Two essential steps must be taken to maintain eligibility: filling out Form H3038-P with a doctor after the baby's birth, and submitting the completed form back to Texas Health and Human Services Commission.