Texas Primary Care Office (TPCO) - Federally Qualified Health Centers


Federally Qualified Health Centers (FQHCs) provide comprehensive health care services to underserved communities.  Many of the Texans they serve are indigent, uninsured and underserved.  Some FQHCs offer additional services, such as dental, mental health or substance abuse treatment. FQHCs are community organizations with defined target populations and service areas.  Services are provided to Medicare, Medicaid, CHIP, Insured and Uninsured individuals.  Patients may be eligible for services based on their family income and on a sliding fee schedule.

FQHCs receive federal grant funds directly from the Bureau of Primary Health Care (BPHC) at Health Resources and Services Administration (HRSA) to support the operation and services of the health center through the Health Center Program.  Additionally, they receive cost-based (or enhanced) payment for services to Medicaid and Medicare patients, Federal Tort Claim coverage, 340b drug pricing, and can participate in the National Health Service Corps (NHSC).

Other support for FQHCs comes from additional state and federal grants, local support including foundations and community funding, as well as patient self-payments or insurance.  Federal grants from HRSA provide about 30% of health center revenue.

The Texas FQHC Incubator Program

The Texas FQHC Incubator Program funding ended in 2012.  Even though the grant program is no longer funded, TPCO continues to work with communities to develop sites in underserved areas that are committed to improving access to comprehensive, quality, community-based health care.

FQHCs in Texas

There are 73 FQHCs serving patients in Texas, operating more than 500 sites.  There are also 2 FQHC-Lookalikes; they offer FQHC-like services, but do not receive all of the benefits of FQHC status.  To find an FQHC near you go to the HRSA Find a Health Center page.

Resources for FQHC Development:

Bureau of Primary Health Care Program Requirements

Bureau of Primary Care Website

Additional Support Resources-FQHC Membership Associations

Texas Association of Community Health Centers (TACHC)

National Association of Community Health Centers (NACHC)

Definitions for commonly used terms and acronyms are on the TPCO Definitions page

Last updated June 30, 2020