Contact Leigh Joos, RN Program Coordinator Email 350 Montevue Ln. Frederick, MD 21702 Ph: (301) 788-8592 Fx: (866) 430-9751 Hours Monday - Friday 8:00 am - 5:00 pm

Frederick County Health Access Program (FCHAP) Overview

• FCHAP connects low-income uninsured Frederick County residents with primary and specialty care providers and provides care coordination services for enrollees.
• This program was initiated by the Frederick County Health Department in partnership with the Frederick County Health Care Coalition.
• The program is supported by grants from Kaiser Permanente of the Mid-Atlantic States and the Community Foundation of Frederick County's Joseph D. Byrd Fund.

FCHAP Providers

• Health care providers agree to see a limited number of enrollees for a reduced fee.
• Case management is provided by the program to assist members with obtaining follow-up diagnostic tests, referrals, and prescriptions.
• Provider Information
• Provider Interest Form
• Provider Agreement
• Office Manager Information
• Enrollment Referral Form
• Specialty Referral Form

Who can apply?

• Frederick County residents, infants through adults, with limited family incomes who have no health insurance and are not eligible for public insurance programs (Medical Assistance, MCHP, etc.).
• See the Informational Flyer (En Espanol) for more details.

What are the benefits of FCHAP?
The program provides enrollees with assistance in obtaining care, which includes:

• Assistance with obtaining prescription medicine
• Interpretation services as needed
• Limited labs, x-rays and medical diagnostic tests
• Referrals to community resource
• Transportation assistance
• Visits with a participating primary care provider or specialist for a $15 visit fee

How do I apply?

• Contact the Program Coordinator at (301) 788-8592 for more information and to schedule an appointment to complete an application.
• The instructions / application (En Espanol) may be printed and completed prior to meeting with the Coordinator.
• Confidentiality and Release of Information Form (En Espanol)
• Patient Requirements and Responsibilities Form (En Espanol)
• Notice of Privacy Practices Form (En Espanol)

Donations - How can I support FCHAP?

• The Frederick County Health Care Coalition Fund with the Community Foundation of Frederick County accepts tax-deductible donations for the purpose of improving the availability and accessibility of quality health care in Frederick County.
• Please contact the Community Foundation at (301) 695-7660 for more information about contributions.