Moore County Hospital District
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MCHD FINANCIAL AID

Photo of a piggybank in a lifesaver

Charity Care Program

Need help with your medical bills?  We may be able to help!


The MCHD Charity Program is a way for Moore County community members to get assistance with qualifying medical bills.  Under this program, eligible patients may receive help for emergency medical care and/or care that is medically necessary


Care must be provided at a MCHD facility, such as the 

hospital or emergency room, or by a physician clinic that is a part of the MCHD family. This includes:

  • MCHD Emergency Room
  • MCHD Inpatient Unit
  • MCHD Intermediate Care Unit
  • MCHD Women's Services Unit
  • Moore County Adult Medicine 
  • Moore County Bone & Joint 
  • Moore County Family Health Clinic
  • Moore County Foot & Ankle 
  • Moore County General Surgery 
  • Moore County Internal Medicine
  • Moore County Obstetrics & Gynecology


Who Qualifies?  General Eligibility Includes:


  • Household Income:  Patients can receive financial help if they meet certain household income levels that show a genuine need for charity resources and are currently uninsured.  A household consists of those persons living together who have a legal respon­sibility for each other.  
  • Residency:  Applicants must live in and must intend to remain in MCHD’s service area. 
  • Income: Applicants must provide information about their household finances to make certain they are eligible for charity care. 
  • Medical Care: Applicants should have received or plan to receive emergency medical care or medically necessary medical care at their discretion.
  • MCHD provides financial help on a sliding scale, based upon the federal poverty  level (“FPL”) guidelines.


Covered Services May Include:

  • Emergency Services
  • Inpatient Admissions
  • Medically necessary services prescribed by an MCHD employed or contracted physician such as:
  •           Life saving surgery
  •           Laboratory Services
  •           Imaging Services
  •           Etc.


Ineligible Services:

  • Durable medical equipment (DME) / medical supplies.
  • Dental Care
  • Vision Care
  • Ambulatory Surgical Centers
  • Prescriptions
  • Primary and preventive care services
  • Immunizations and medical screenings
  • Family planning services
  • Skilled nursing facility services
  • Etc.

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Rendering of a woman putting coins into a large piggy bank

Indigent Care Program

Moore County Hospital District provides financial assistance to qualifying patients through its Indigent Health Care program.


Patients will need to apply for the program. provide all requested documents, and be approved prior to coverage.


General Eligibility Includes:

  • Household Composition: The household consists of those persons living together who have a legal responsibility for each other.  Household members who are eligible for Medicaid are excluded from the household when determining eligibility for the Indigent program.
  • Residency:  An applicant must live in and must intend to remain in the county in which they apply.
  • Income: Regular and predictable income received in one month, and is likely to be received in the next month, or was received on a regular and predictable basis in past months, or is more than the maximum income limit for the household’s size.
  • Resources: Household resources may not exceed$2,ooo.oo (or $3,000.00 if a relative who is aged or disabled lives with the household) per month.


Covered Services May Include:

  • Up to three prescriptions a month for medications, according to indigent coverage guidelines
  • Primary and preventive care services
  • Immunizations and medical screenings
  • Inpatient and outpatient services
  • Rural health clinics
  • Laboratory (with CLIA#) and radiology/imaging services
  • Family planning services
  • Physician services
  • Skilled nursing facility services


Ineligible Services:

Services that are not covered by the Indigent Health Care program need prior Administrative approval if requested by a primary care physician based on medical necessity.  The following are typically non-covered services:

  • Durable medical equipment (DME) and medical supplies.
  • Dental Care
  • Vision Care
  • Ambulatory Surgical Centers


Determining eligibility

  • The patient will be given an Indigent Healthcare Program application to complete. Every item in the application must be completed.  After the patient returns the completed application, they will be screened by MCHD Patient Financial Services (as per State guidelines) to determine if they will either be approved or denied for indigent benefits.
  • The eligibility time frame will be determined depending on the circumstances of the applicant. A person may apply monthly if their income fluctuates, but this will cause a retro-coverage versus prior approval notification.
  • Special consideration is made through the Indigent care program to recipients that are applying for and/or appealing SSI Medicaid. All services for those recipients are only covered for benefits if the Provider supplying services signs a Provider agreement form that stated the Provider will bill Medicaid when the recipient becomes eligible.  When the retro Medicaid is billed and the provider is paid, the provider agrees to reimburse the MCHD Indigent Care Program.  Please note the provider agrees to bill the retro Medicaid within the 95 days filing time, as required by Medicaid.

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APPLY ONLINE

Apply online for financial assistance below
ENGLISHESPAÑOL

Download PROGRAM BROCHURES

2025 Charity Care Brochure (pdf)

Download

2025 Indigent Care Brochure (pdf)

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Moore County Hospital District

224 East 2nd Street, Dumas, Texas 79029, United States

8069357171

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