Mercy Health Clinic accepts Medicaid!

Mercy Health Clinic is now accepting Medicaid with the following Managed Care Organizations (MCOS):

Amerigroup logoMaryland Physicians Care logoPriority Partners logo


For uninsured patients:

You may be eligible to receive medical services at Mercy Health Clinic. First,  you are required to visit the Clinic for an interview to determine that you meet the following eligibility criteria:

  • 18 years of age or older
  • resident of Montgomery County
  • no health insurance
  • low or no income (total annual income of 250% or less of the poverty level – see below for more details)

Eligibility interviews are conducted at Mercy Health Clinic each week on Tuesdays, Wednesdays and Fridays from 9:00 AM to 11:30 AM and Thursdays from 4:00 PM to 6:30 PM. Interviews are on a first come, first served basis. 

New and current patients of Mercy Health Clinic MUST re-qualify every year.

Below are the income eligibility requirements of Mercy Health Clinic. These represent 250% of the Federal Poverty Guidelines for 2018.
Please note that the federal Poverty Guidelines are determined each year by the U.S. Department of Health and Human Services and are published in the Federal Register; they are not determined by Mercy Health Clinic. 

                                       **MHC ELIGIBILITY**
# of persons 
                     annual income at                          Federal Poverty Guidelines
in the family                 250% of poverty level                      2018 poverty level
1 person:                                $37,950 or less                                 $15,180 or less
Family of 2:                           $51,450 or less                                 $20,580 or less
Family of 3:                           $64,950 or less                                 $25,980 or less
Family of 4:                           $78,450 or less                                 $31,380 or less
Family of 5:                           $91,950 or less                                 $36,780 or less
Family of 6:                          $105,450 or less                                $42,180 or less
For each additional                 $10,450                                          $4,180 
person, add:

Affordable Care Act (ACA or “ObamaCare”) and Medicaid

If we determine a person may be eligible for Medicaid, we will assist the person with the Medicaid application and enrollment process. If we determine a person may be eligible to receive a subsidy for a qualified health plan on the exchange (e.g., ACA, “ObamaCare”), we will refer the person to a Navigator who can assist with the application and enrollment process.

Existing Medicaid or ACA exchange plan patients must get approval from those organizations to be assigned to Mercy Health Clinic as patients. Eligibility  interviews are not needed if the patient is assigned Mercy Health Clinic.


Eligibility Application Forms:

FY18-Eligibility Requirement Form Spanish and English

Eligibility Screening Qualification Form 2017

Letter of Financial Support

Employment Verification Form

Suggested documentation to bring to the eligibility interview:

  • proof of residency in Montgomery County. This could include one (1) of the following: utility bill with name and address, mortgage or lease, property tax bill, school records, driver’s license with current address, Maryland State ID Card, signed federal tax return / W2 (current year), recent pay stubs with name and address, written statement on letterhead from homeless shelter, official County or State correspondence on letterhead, letter from landlord/third party host with host’s proof of residency.
  • proof of age, if possible. Picture ID is preferred. Driver’s license, birth certificate or passport will be accepted as proof of age.
  • proof of income. This could include one (1) of the following: most recent pay stubs, most recent signed federal tax return, letter from employer on company letterhead stating gross income per week or per month, disability statement/unemployment statement, social security/SSI award letter, court statements about alimony or child support, letter from a relative or friend that states the amount of support provided to the patient – letter must be signed with the address and phone number of the person writing the letter. If the applicant has no income: please bring a signed letter from the applicant, family member, professional or other that states the person has no income; or bring a letter from employer indicating termination of employment.