Health Care Assistance Program (HCAP)

  

HCAP is designed to provide covered healthcare services to eligible, low income residents of Montgomery County who have no other public or private health care benefits. MCHD contracts for services with local physicians, hospitals and other providers as well as offering services at our  Public Health Clinic.

healthcare services

Eligibility Criteria:

  1. Residence – Must live in Montgomery County
  2. Income – May not exceed the minimum established Federal Poverty Income Level of 133%
  3. Resources – May not exceed $2,000 per month (or $3,000 if aged or disabled)
  4. Citizenship – US Citizens or Resident Aliens
  5. Medical Need – Must have a medical need of some kind

 

HCAP

1400 S. Loop 336 West

Conroe, Texas 77304

HOURS: M-Thur 7:30AM-11:30AM & 1PM-4:30PM

    Friday 7:30AM-11:30AM

PHONE: (936) 523-5100

 

 If you think you might meet the above criteria, please fill out the HCAP Application below or contact us at for more information.

 

HCAP Application

 

Forms

 

2014 List of Providers

List of Providers 

 

Domicile Verification Form

Domicile Verification Form 10-2-13

 

Affidavit of Separation

Affidavit of Separation 10-2-13

 

Provider Information Form

(8) MCHD Provider Information Form 11082011

 

MCHD Employer Verification Form

Employer Verification Form

 

Self-Employment Verificaton Form

Self-Employment Verification Form

 

 Handbooks 

NEXT MAP HandbookFINAL

NEXT MCICP Handbook

 

Community Paramedicine Program

The Montgomery County Hospital District Community Paramedicine program has been established to bring preventative health care services to an underserved and at-risk population. Clients that may benefit from this program may be those that use the 911 system regularly, those that are at-risk for hospital readmission, those who do not qualify for home health services, and chronically ill patients that require additional support in the home.

Our Community Paramedicine Programs have the goal of improving the patients overall quality of life. We look forward to working with our patients and families to provide a positive impact in their daily health care and to show you how we can make a difference in your life.

For further information or to make a referral please contact:

 

Andrew Karrer

Community Paramedicine Coordinator

Montgomery County Hospital District

akarrer@mchd-tx.org

936-523-5009

 

We are proud to announce services for our HCAP patients at our

Public Health Clinic.

 

public_health_img

 

Public Health Clinic located at

1300 S. Loop 336 West, Conroe, Texas 77304. 

Please make your appointment today by calling

(936) 523-5020. 

 

To learn more about our Public Health Clinic please click here.