TX HHS Form H3038. Emergency Medical Services Certification

The TX HHS Form H3038, Emergency Medical Services Certification, is a crucial document that helps healthcare practitioners certify emergency medical conditions for patients seeking Medicaid coverage. This form should be used when a patient requires emergency services due to a sudden and severe medical condition.

This certification form requires the attending practitioner or other familiar practitioner to review the patient's medical records and attest, under penalty of perjury, that the patient had an emergency medical condition as defined by the Texas Health and Human Services Commission (HHSC). The form also asks for specific information about the patient's condition, including the dates it began and stabilized. Practitioners must certify whether the emergency condition was related to childbirth or a miscarriage/stillbirth.

The TX HHS Form H3038 is an essential tool for healthcare providers seeking to document emergency medical conditions that warrant Medicaid coverage. By completing this form, practitioners can ensure that patients receive necessary care and services without delay. The form's certification process also helps HHSC determine whether a patient's condition warranted emergency services.