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-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

Provider Directory

HCAP Provider Directory updated December 9th

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 

Map Handbook 2014

Indigent Care Plan Handbook 2014

Public Health Clinic

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.