TX HHS Form H3038-P. CHIP Perinatal - Emergency Medical Services Certification

The TX HHS Form H3038-P, CHIP Perinatal - Emergency Medical Services Certification, is a crucial document for healthcare practitioners to certify emergency medical conditions in patients. This form helps solve the problem of verifying the necessity of emergency services provided to patients who are non-immigrants, undocumented aliens, and certain legal permanent resident aliens.

The form requires the attending practitioner or other practitioner familiar with the patient's case to certify that the patient had an emergency medical condition as described in the document. The practitioner must provide specific information, including the date the emergency condition began and stabilized, as well as mark the box that applies if the emergency was related to the birth of a child or due to a miscarriage or stillbirth.

The certification does not guarantee coverage by the Texas Medical Assistance Program, but rather serves as a record of the patient's emergency medical condition. The form is typically completed by healthcare practitioners and returned in the provided envelope. Key points to note include:

• The form is used to certify emergency medical conditions for patients who are non-immigrants, undocumented aliens, and certain legal permanent resident aliens.
• The practitioner must provide specific information about the patient's condition, including the date it began and stabilized.
• The certification does not guarantee coverage by the Texas Medical Assistance Program.