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 that a patient has received emergency medical services. This form helps solve the problem of verifying the emergency nature of a patient's condition, which is essential for Medicaid coverage in Texas.

This certification requires the attending practitioner or other familiar practitioner to review the patient's medical records and attest that the patient had an emergency medical condition as defined by the form. The practitioner must also provide specific dates for when the emergency condition began and stabilized. Additionally, the form asks about the relationship of the emergency condition to childbirth or miscarriage/stillbirth.

The TX HHS Form H3038-P should be used in situations where a patient has received emergency medical services due to an acute condition that required immediate attention. The form is specifically designed for non-immigrants, undocumented aliens, and certain legal permanent resident aliens seeking Medicaid coverage for emergency services through the Texas Health and Human Services Commission.