TX HHS Form H3037. Report of Pregnancy

The TX HHS Form H3037, Report of Pregnancy, is a vital tool for healthcare providers and pregnant women seeking cash assistance and/or Medicaid coverage. This form helps administrators determine eligibility for these programs by gathering essential information about the pregnancy.

This report requires specific details, including the month and date when pregnancy began, whether multiple births are anticipated, and the expected delivery date. Additionally, it asks if the patient should be exempt from working due to their condition. The form must be completed by a qualified medical professional, such as a physician, advanced nurse practitioner, or registered nurse under a physician's orders.

To complete this form, healthcare providers must verify the information and return the white copy in the provided postage-paid envelope. It is essential to note that the department cannot pay for completing this form. By filling out this report, medical professionals play a crucial role in ensuring pregnant women receive the necessary support and care. Key points to consider:

• This form is used by healthcare providers to report pregnancies and determine eligibility for cash assistance and/or Medicaid coverage.
• The form requires specific information about the pregnancy, including the month and date it began, expected delivery date, and whether multiple births are anticipated.
• The form must be completed by a qualified medical professional under a physician's orders.