A Medicaid application must be completed by the patient and his/her primary care physician in order to participate. The physician should fill out Part B of the application, certifying the patient's medical diagnosis, and mail it to the address on application. The medicaid application may be obtained from the Medicaid office located at 101 Monroe Street, 5th Floor, Rockville, MD between the hours of 8:00 AM - 4:30 PM. or from the website referenced below. For additional information, please call 240.777.5890.