Services and Prescriptions

Services Covered

Clients on the program may receive basic health care services such as: Physician services, annual physical examinations, immunizations, medical screening services (blood pressure, blood sugar, and cholesterol screening) laboratory and x-ray services, family planning, skilled nursing facility services, prescription drugs, rural health clinic services, inpatient hospital services, and outpatient hospital services.

In addition to basic services, clients may receive extended heath care services such as: Advanced practice nurse services, ambulatory surgical center (freestanding) services, catastrophic oncology services, colostomy medical supplies, diabetic medical supplies and equipment, durable medical equipment (DME), emergency medical services (EMS), home and community health care services (in special circumstances with authorization), mental health counseling services, physician assistant services, and federally qualified health center services (FQHC).

Participating Providers

For a list of physicians and providers, please click here: Provider List (Updated 10-20-11)

HCAP Client Benefits Guide (Updated 7-1-2011)

HCAP created a Benefits Guide for all current HCAP clients to answer frequently asked quetions about their benefits and program operation. The guide can be accessed by clicking here.

Prescriptions

Prescriptions are currently filled at most major chain pharmacies and many local pharmacies in the area.

For a list of pharmacies, please click here: Participating Pharmacies for HCAP (updated 1-1-11)

$4 & $5 Generic Prescription List at Wal-Mart, Kroger, Target, and HEB stores. Compare prescription drug cost and quantity by store!  

For a list of covered prescriptions, please click here: MCHD HCAP 2011 Formulary (PDF)

Copayments

Co-payments for medical services and appointments are based on income but do not exceed $20. Prescription Co-payments are $7.50 for generic medications and $12.50 for brand named medications per prescription per month.