TPCO Frequently Asked Questions (FAQ)

Shortage Area Designation Questions:
1. What is a Health Professional Shortage Area (HPSA)?
2. What is a Medically Underserved Area (MUA) or Medically Underserved Population (MUP)?
3. Who uses shortage area designations?
4. How do I find out if my area or facility is a designated shortage area?
5. Is there a HPSA Designation Process?

Healthcare Provider Assessment Questions:
6. Who needs to complete a Healthcare Provider Assessment?
7. Why is it necessary to complete a Healthcare Provider Assessment?
8. How can I complete or submit a Healthcare Provider Assessment?
9. Provider Assessment: Why are email addresses collected?
10. Provider Assessment: What are Direct Care Hours and how are they calculated?
11. Provider Assessment: What is a Full-Time Equivalent?
12. Provider Assessment: What should I do if the provider practices at a hospital or another location?
13. Provider Assessment: Why are percentages of Medicaid/Homeless/Migrant Farmworker, etc. patients collected? 
14. Provider Assessment: What is a Sliding Fee Scale and where can I get more information?
15. Provider Assessment: Why is information about patients/visits and/or patient wait times collected?

Loan Repayment Questions:
16. Why isn’t my facility listed as a National Health Service Corps (NHSC) site?
17. How can I get my site approved for National Health Service Corps (NHSC)?
18. How does my facility meet the National Health Service Corps (NHSC) site requirement for a Sliding Fee Scale (SFS)?
19. Does Texas participate in the State Loan Repayment Program (SLRP) funded by the federal government?
20. Am I eligible to receive Student Loan Repayment?
21. What’s the status of my Loan Repayment Program (LRP) Application?
22. When am I going to get my Loan Repayment Program (LRP) funds?
23. How can I make sure that I’ll get accepted into the Loan Repayment Program (LRP)?
24. I’m going to school to be a doctor.  Are there scholarships or other financial aid I can get?
25. I’m going to school to be a dentist.  Are there scholarships or other financial aid I can get?
26. I’m going to school to be a Physician Assistant.  Are there scholarships or other financial aid I can get?
27. I ’m going to school to be a nurse.  Are there scholarships or other financial aid I can get?

General Questions:
28. I’m a physician applying for a license to practice medicine in Texas who intends to practice in a shortage area or in a rural area.  How can I get the verification documentation necessary to expedite licensing by the Texas Medical Board (TMB)?
29. I am interested in attending or hosting a presentation or training regarding Student Loan Repayment, Shortage Designation, or the J-1 Visa Waiver program.  Does the TPCO assist with presentations or training?

FAQs – National Shortage Designation Update

30. How do I find out how a particular HPSA designation will be impacted with the National Shortage Designation Update?  
31. What impact could the National Shortage Designation Update have on National Health Service Corps, Nurse Corps or State-funded Loan Repayment Programs?
32. What impact could the National Shortage Designation Update have on the Texas Conrad 30 J-1 Visa Waiver Program?
33. What impact could the National Shortage Designation Update have on CMS Physician Bonus Payments?
34. What impact could the National Shortage Designation Update have on Rural Health Clinic (RHC) certification?
35. What impact could the National Shortage Designation Update have on our Auto-HPSA Facility Designation?
36. What does it mean if a HPSA designation is ‘proposed for withdrawal’?
37. What does it mean if a HPSA score decreases?
38. What does it mean if a HPSA score increases?
39. How do I verify that the data used for a HPSA designation is current and accurate so that when the National Shortage Designation Update occurs, the most up-to-date data is used for the update?
40. The National Shortage Designation Update is complete. How do I verify that the most current and accurate data was used? If the provider data for an area was not updated/validated before the National Shortage Designation Update, can I still submit changes?



1. What is a Health Professional Shortage Area (HPSA)?

Shortage designations are used to identify areas that lack providers.  The designation serves to identify areas that are eligible to participate in programs designed to assist in recruiting providers to the area.  Originally created in 1978 to identify areas in need of physicians and other health care providers from HHS’s National Health Service
Corps (NHSC) programs, HPSA designation is now used by a variety of federal programs. 

Shortage designations are based on the ratio of providers to population, plus additional criteria and guidelines specific to each of the three types of designations:

  • Primary Care
  • Dental Health
  • Mental Health

Within each discipline for HPSAs, there are three types of designation status:

  • Geographic Area
  • Population (or Demographic)
  • Facility (or Institutional)

More information on HPSA criteria, application process and scoring can be found here:  https://bhw.hrsa.gov/shortage-designation/hpsa-process
   
2. What is a Medically Underserved Area (MUA) or Medically Underserved Population (MUP)?

Medically Underserved Areas/Populations (MUA/P) are areas or populations designated by the HRSA as having:  too few primary care providers, high infant mortality, high poverty and/or high elderly population. 
More information on MUA/P criteria can be found here:  https://bhw.hrsa.gov/shortage-designation/muap-process

3. Who uses shortage area designations?

Health Professional Shortage Areas (HPSA) and Medically Underserved Areas/Populations (MUA/P) are used to identify areas that lack providers or services.  The designations serve to identify areas that are eligible to participate in programs designed to improve access to healthcare.  Below are some of the federal programs that use designation as eligibility criteria and the required designation status. 

Program Benefit Required Designation
National Health Service Corps Scholarship, loan repayment HPSA
Nurse Corp Scholarship, loan repayment HPSA
State-funded Loan Repayment Programs Loan Repayment HPSA
Medicare Incentive Program 10% bonus on Medicare Part B Geographic HPSA
Certification as a Rural Health Clinic (RHC) Cost-based reimbursement HPSA or MUA
Federal Health Center program (FQHC) Federal grant funding, Cost-based reimbursement MUA/P
J-1 Visa Waiver/National Interest Waiver Physicians Recruitment of physicians HPSA or MUA

 

Please note: the designation is required for eligibility to apply; in most cases additional applications are required.  Contact the TPCO for more information on how to apply for participation in these programs.

4. How do I find out if my area or facility is a designated shortage area?

The HRSA data warehouse shows the current status for all shortage designated areas.  The list of shortage areas is available on-line and is the official source for updates regarding shortage designation status.
https://data.hrsa.gov/tools/shortage-area/hpsa-find 
https://data.hrsa.gov/tools/shortage-area/mua-find 

5. Is there a HPSA Designation Process?

Population and Geographic HPSA Designation
The TPCO submits applications for all the geographic and population shortage designations in the state.  TPCO also submits HPSA updates and responds to requests for new designations. Once the TPCO has completed the necessary data collection and analysis, if an area is determined to meet HPSA criteria, the request is submitted to the federal agency.  The federal agency reviews all HPSA designation application requests before the designation is made final.  This process can take up to six months.  If you have questions about a shortage designation update or a new designation, contact the TPCO.
Facility HPSA Designation
Facility designations follow a slightly different process and it varies by facility type.  If you have questions about a facility designation, contact the TPCO.

6. Who needs to complete a Healthcare Provider Assessment?

The Health Resources and Services Administration (HRSA) of the Bureau of Health Workforce (BHW) requires the Primary Care Office to regularly evaluate all primary care, mental health, and dental health providers to assess whether there is adequate primary medical, dental, or mental health care available statewide.  The following physicians, psychiatrists, and dentists should fill out an assessment:

  • Primary Care Physicians (MD or DO)
    • Family/General Practice
    • Internal Medicine
    • OB/GYN
    • Pediatrics
  • Psychiatrists (MD or DO)
    • Psychology
    • Clinical Psychology
    • Marriage & Family Therapist
    • Pediatric Nurse Specialist
    • Clinical Social Work
  • Dentists (DDS or DMD)
    • General Dentistry
    • Pediatric Dentistry

7. Why is it necessary to complete a Healthcare Provider Assessment?

The information obtained from the Healthcare Provider Assessment is used to obtain an accurate Full-Time Equivalent (FTE) provider count, which is a very important component of the Health Professional Shortage Area (HPSA) request or update process.  

The Provider Assessment should take approximately 5-10 minutes to complete, but may offer many benefits if your area meets designation criteria.  This may include programs to recruit healthcare workers to those areas, help with loan repayment, and increased Medicare and Medicaid reimbursements among others.

8. How can I complete or submit a Healthcare Provider Assessment?

We offer multiple ways to fill out and/or submit a Provider Assessment.  We offer an online survey, a fillable PDF form, and a printable/faxed form.  You can either submit the completed form online, email to the TPCO email box, or return by fax.  Recommended methods:

Option 1:  Complete and submit an assessment online (preferred method):

Healthcare Provider Assessment:  https://www.surveymonkey.com/r/TPCOHealthcareProviderAssessment
Healthcare Provider Assessment – Geographic High Needs:   https://www.surveymonkey.com/r/HealthcareProviderAssessmentHighNeeds

Option 2:  Complete and submit a fillable form via email (second best method):

Complete the Healthcare Provider Assessment fillable PDF form and click the “Submit by Email” button at the bottom of the form to submit the form directly to the Texas Primary Care email box:  TexasPCO@dshs.state.tx.us.  

Option 3:  Complete and submit by fax:

Complete the Healthcare Provider Assessment (either fill out the fillable PDF or print the form and fill out manually) and submit the form to the TPCO by fax: (512) 519-2228.

9. Provider Assessment: Why are email addresses collected?

In the future, we hope to notify providers by email when the Healthcare Provider Assessment needs to be reviewed or updated.  You should expect a notification usually once every 2 years, unless a review of your county/area is requested prior to that time.  Email addresses will be stored in a private TPCO database and will not be shared.

10. Provider Assessment: What are Direct Care Hours and how are they calculated?

Direct patient care time is determined to be face-to-face patient time in office and activities such as interpreting lab test, X-rays and consultations with other physicians.  It excludes inpatient care, administration, teaching or research time.  This total should include direct care hours by the provider ONLY.  Patient care time seen by an MA, PA, CNP, RN, etc. should not be included.  The maximum number of hours cannot exceed 40 hours.  This total is used to calculate a Full-Time Equivalent.

11. Provider Assessment: What is a Full-Time Equivalent?

This is a count of the number of full-time equivalent (FTE) non-Federal providers available to offer patient care to the area or population group.  Federal employees and obligated-service members of the National Health Service Corps are excluded from the count.  Detailed information on how the FTE is calculated and other criteria can be found on HRSA’s HPSA Designation Criteria webpage.

12. Provider Assessment: What should I do if the provider practices at a hospital or another location?

Of the provider practices at a hospital, exclude any hours providing inpatient care from the weekly hours total in the ‘Direct Care Hours’ section.  Select “Hospitalist” under the ‘Physician Status’ section of the Healthcare Provider Assessment.  Next, enter the percentage of the provider’s practice time providing inpatient care.  

If the provider practices at multiple outpatient locations, please fill out a separate Provider Assessment for each location.  Calculate and enter Direct Care Hours for each location, not to exceed 40 hours overall.

13. Provider Assessment: Why are percentages of Medicaid/Homeless/Migrant Farmworker, etc. patients collected?

This information is collected to determine whether a population group in the specific geographic area qualifies for shortage designation.  More information about the criteria on HRSA’s HPSA Designation Criteria webpage.

14. Provider Assessment: What is a Sliding Fee Scale (SFS) and where can I get more information?

Sliding Fee Scale (SFS) is a policy to provide health services regardless of the patient's ability to pay, or method of payment.  Service is provided for free or a nominal charge if annual income is at or below the federal poverty level for their family size.  A discount/sliding fee schedule is provided to patients whose annual income is up 200% of the federal poverty level for their family size.  Signage must be visibly posted stating that patients will not be denied services based on inability to pay and that discounts are available based on family size and income.  The Federal Poverty Guidelines (FPG) are updated annually, at the end of January, and can be found at https://aspe.hhs.gov/poverty-guidelines.  Click here for an information on Developing a Sliding Fee Scale (SFS) with examples. 

15. Provider Assessment: Why is information about patients/visits and/or patient wait times collected?

This information is collected to calculate if there is an insufficient capacity in your area.  If the area does not qualify for a Geographic HPSA, it may qualify for a Geographic High Needs HPSA if there is evidence of unusually high needs of the population or insufficient capacity of health care resources in the area.  The high needs factors for primary care, dental and mental health, and the insufficient capacity factors for existing primary care and dental providers, are detailed in the criteria on HRSA’s HPSA Designation Criteria webpage.

16. Why isn’t my facility listed as a National Health Service Corps (NHSC) site?

There are a few possible reasons:  

  • The site may not be located in a Health Professional Shortage Area (HPSA).  The name and physical address of the site is needed to verify whether or not it’s located in a HPSA.
  • The site does not meet all of the NHSC Site Requirements
  • The site owner/administrator may not have submitted a NHSC site application. 
  • The site approval expired and has not been recertified by the site owner/administrator.

To determine site eligibility or to get more information on the site approval or recertification process, the site owner/administrator should contact the TPCO.


17. How can I get my site approved for National Health Service Corps (NHSC)?

The site owner/administrator needs to contact the TPCO to determine site eligibility and get information on the site approval process.  Note: Clinicians employed by the site can have no role in the site approval process.

18. How does my facility meet the National Health Service Corps (NHSC) site requirement for a Sliding Fee Scale (SFS)?

Sliding Fee Scales are required to cover up to 200% of the current Federal Poverty Guidelines (FPG) which are updated annually, at the end of January, and can be found at https://aspe.hhs.gov/poverty-guidelines.  Please make sure you are using the current FPG for your SFS when you apply.  Click here for an information on Developing a Sliding Fee Scale (SFS) with examples 

19. Does Texas participate in the State Loan Repayment Program (SLRP) funded by the federal government?

exas no longer participates in the State Loan Repayment Program (SLRP) that provides federal funding to match awards given through funded student loan repayment programs funded through non-federal sources.  However, Texas does have state and locally-funded student loan repayment programs which are administered by the Texas Higher Education Coordination Board (THECB) and the State Office of Rural Health (SORH).  See the TPCO Loan Repayment Program page for more information.

20. Am I eligible to receive Student Loan Repayment?

There are multiple programs with different eligibility requirements and application procedures.  See the TPCO Loan Repayment Program page for a list of programs and who to contact for information.  If you still have questions contact the TPCO to help determine which program(s) you may be eligible for.

21. What’s the status of my Loan Repayment Program (LRP) Application?

The TPCO does not process the applications for any of the LRPs.  For National Health Service Corps (NHSC), you can get information through the Customer Service Portal.  For other programs, you will need to contact the correct program office. See the TPCO Loan Repayment Program page for a list of programs and who to contact for information.

22. When am I going to get my Loan Repayment Program (LRP) funds?

The TPCO does not process payments for any of the LRPs and does not have access to those records.  For National Health Service Corps (NHSC), you can get information through the Customer Service Portal.  For other programs, you will need to contact the correct program office.  See the TPCO Loan Repayment Program page for a list of programs and who to contact for information.

23. How can I make sure that I’ll get accepted into the Loan Repayment Program (LRP)?

Working at an eligible site makes you eligible to apply for LRP, but acceptance is not guaranteed for any of the LRPs. Eligibility and acceptance into a LRP cannot be determined prior to submitting an application.   

24. I’m going to school to be a doctor.  Are there scholarships or other financial aid I can get?

If you will be going into a Primary Care specialty (Family Practice, Family Practice with OB, General Internal Medicine, Geriatrics, Ob/Gyn, Pediatrics, or Psychiatry), and commit to working in a high needs underserved area, the National Health Service Corps (NHSC) has a Scholarship Program you may be eligible for.  NHSC also has the Student to Service Loan Repayment Program for students in their last year of medical school that provides funds to repay student loans during residency.  Additionally there are Student Loan Repayment Programs you may be eligible for if you work in a Health Professional Shortage Area (HPSA) after residency.  If you will be attending medical school in Texas, you may also find additional financial aid at http://www.hhloans.com/.

25. I’m going to school to be a dentist.  Are there scholarships or other financial aid I can get?

If you will be going into General or Pediatric Dentistry, and commit to working in a high needs underserved area, the National Health Service Corps (NHSC) has a Scholarship Program you may be eligible for.  Additionally there are Student Loan Repayment Programs you may be eligible for if you work in a Dental Health Professional Shortage Area (DHPSA) after training.  If you will be attending dental school in Texas, you may also find additional financial aid at http://www.hhloans.com/


26. I’m going to school to be a Physician Assistant.  Are there scholarships or other financial aid I can get?

If you will be going into a Primary Care specialty, and commit to working in a high needs underserved area, the National Health Service Corps (NHSC) has a Scholarship Program you may be eligible for.  Additionally there are Student Loan Repayment Programs you may be eligible for if you work in a Health Professional Shortage Area (HPSA) after training.  If you will be attending PA school in Texas, you may also find additional financial aid at http://www.hhloans.com/

27. I’m going to school to be a nurse.  Are there scholarships or other financial aid I can get?

If you are studying to be an Advanced Nurse Practitioner (NP), going into a Primary Care specialty (Family Practice, Family Practice with OB, General Internal Medicine, Geriatrics, Ob/Gyn, Pediatrics, or Psychiatry), or a Certified Nurse Midwife (CNM), and commit to working in a high needs underserved area, the National Health Service Corps (NHSC) has a Scholarship Program you may be eligible for.  

The NURSE Corps, also has a Scholarship Program that includes NPs if you will commit to working at a Critical Shortage Facility located in a high needs Primary Care of Mental HPSA.  

There are also Student Loan Repayment Programs NPs or CNMs may be eligible for if you work in a HPSA after training. 

If you are studying to be Registered Nurse (RN), the NURSE Corps, has a Scholarship Program that you may qualify for if you will commit to working at a Critical Shortage Facility located in a high needs Primary Care of Mental HPSA.  

Additionally NURSE Corps has a Loan Repayment Program RNs may be eligible for if you work at a Critical Shortage Facility located in a high needs Primary Care of Mental HPSA.

If you will be attending a nursing school in Texas, you may also find additional financial aid at http://www.hhloans.com/

28. I’m a physician applying for a license to practice medicine in Texas who intends to practice in a shortage area or in a rural area.  How can I get the verification documentation necessary to expedite licensing by the Texas Medical Board (TMB)?

To request that the Texas Primary Care Office (TPCO) verify the status of an intended practice, or an intent to provide services in a health professional shortage or medically underserved area, or a rural area, contact the TPCO with:

  • Either a complete physical address if the practice location is already known
  • Or a statement that you intend to work in an underserved area if you do not yet have a practice location 

If the status inquiry does not come directly from the physician, then written authorization from the physician must accompany the request in order to be processed.  The TPCO will respond to your request and forward the information to TMB within 3 business days.

29. I am interested in attending or hosting a presentation or training regarding Student Loan Repayment, Shortage Designation, or the J-1 Visa Waiver program.  Does the TPCO assist with presentations or training?

The Texas Primary Care Office assists with presentations and/or training events annually for various health organizations or programs.  To request a presentation or training for your organization, contact the TPCO.

FAQs – National Shortage Designation Update 

30. How do I find out how a particular HPSA designation will be impacted with the National Shortage Designation Update? 

If you would like to know how a particular HPSA designation will be impacted by the National Shortage Designation Update, please email us at TexasPCO@dshs.texas.gov.  

Please include the current Designation ID, county name or facility address in your email.  

Please note, as we are continually updating provider data between now and the National Shortage Designation Update, impact on a given area is subject to change before the National Shortage Designation Update is begins.  

31. What impact could the National Shortage Designation Update have on National Health Service Corps, Nurse Corps or State-funded Loan Repayment Programs? 

As with any update to a HPSA designation, site and participant eligibility for National Health Service Corp (NHSC) Nurse Corps and the State-funded Loan Repayment Programs may be impacted.  

A HPSA score that decreases will impact:

  • NHSC and Nurse Corps site eligibility for Scholarship & Student to Service recipients (particularly if the score falls below 14).
  • Initial awards 

A HPSA score that decreases will not impact:

  • Contract extensions for current participants.

A HPSA that is proposed for withdrawal will impact:

  • NHSC and Nurse Corps site eligibility
  • Contract extensions for current participants

For information on the State-funded Loan Repayment Programs contact either the TX Higher Education Coordinating Board or the State Office of Rural Health.  

32. What impact could the National Shortage Designation Update have on the Texas Conrad 30 J-1 Visa Waiver Program? 

As with any update to a HPSA designation, site/sponsor and participant eligibility for the Texas Conrad 30 J-1 Visa waiver program may be impacted.  

A HPSA score that decreases will impact:

  • Future program participants may be impacted by decreases in HPSA scores as the score may be taken into consideration if more than 30 applications are received in a cycle.  

A HPSA score that decreases will not impact:

  • Current program participants  

33. What impact could the National Shortage Designation Update have on CMS Physician Bonus Payments? 

As with any update to a HPSA designation, CMS Physician Bonus Payments may be impacted.  

Bonus payments will not be impacted by decreases in HPSA scores.

However, CMS Bonus payments will be impacted beginning January 2019 for geographic primary care or mental health HPSAs that are withdrawn (July 2018).  

For more questions regarding CMS Bonus Payments, please email CMS.  

34. What impact could the National Shortage Designation Update have on Rural Health Clinic (RHC) certification? 

As with any update to a HPSA designation, Rural Health Clinic (RHC) certification may be impacted.  

RHC certification and re-certification will not be impacted by decreases in HPSA scores, or HPSAs that are in “proposed for withdrawal” status.  

However, RHC certification and re-certification may be impacted when a HPSA is officially withdrawn with the publication of the Annual Federal Register Notice (July 2018).  

For more questions regarding RHC Certification, please email CMS.  

35. What impact could the National Shortage Designation Update have on our Auto-HPSA Facility Designation? 

If the area has an intersecting geographic or population HPSA that is proposed for withdrawal, the loss of the intersecting geographic or population designation may lower your Facility HPSA score the next time it is rescored.  

36. What does it mean if a HPSA designation is ‘proposed for withdrawal’? 

A HPSA that is ‘proposed for withdrawal’ indicates that the area no longer meets the federal criteria necessary to be designated a shortage area. HPSAs that are first proposed for withdrawal, and then are officially de-designated with the annual publication of a Federal Register Notice.  

HPSAs that are proposed for withdrawal with the National Shortage Designation Update will be officially de-designated with the publication of the annual Federal Register Notice on July 1, 2018.

37. What does it mean if a HPSA score decreases? 

A HPSA score that decreases indicates that there is less of a need for health professionals in the given area, but still enough of a need to qualify as a designated HPSA.

38. What does it mean if a HPSA score increases? 

A HPSA score that increases indicates that there is a greater need for health professionals in the given area.

39. How do I verify that the data used for a HPSA designation is current and accurate so that when the National Shortage Designation Update occurs, the most up-to-date data is used for the update?

TPCO contacts healthcare facilities and providers, primarily by phone or fax to validate provider NPI data on an ongoing basis. Provider data is critical to designations and their scores, but we are only able to validate the provider NPI data for which we receive a response. Contact our office to verify whether or not the provider NPI data for the HPSA in question has been validated, or if we are still waiting on a response from providers in the area.

Email: TexasPCO@dshs.texas.gov

Phone: (512) 776-7518

If we have not received responses for provider data in your area - help us! If you are a primary care provider, psychiatrist, dentist or an administrator who works with these types of providers, please visit the Healthcare Provider Assessment page to submit updated provider/practice information. The Healthcare Provider Assessment will take approximately 5-10 minutes to complete and is available in several formats.  The information provided will notbe distributed and will only be used to evaluate and/or apply for the HPSA designation.  Have you, or has a provider you work with moved to a different location? Retired? Working more hours? Working fewer hours? Let us know so we can better understand the primary care, mental and dental health access for your community!

40. The National Shortage Designation Update is complete. How do I verify that the most current and accurate data was used? If the provider data for an area was not updated/validated before the National Shortage Designation Update, can I still submit changes?

TPCO contacts healthcare facilities and providers, primarily by phone or fax to conduct validate provider NPI on an ongoing basis. Provider data is critical to designation and their scores, but we are only able to validate the provider NPI data for which we receive a response. Contact our office to verify whether or not the provider NPI data for the HPSA in question has been validated, or if we are still waiting on a response from providers in the area.

Email: TexasPCO@dshs.texas.gov

Phone: (512) 776-7518

If we have not received responses for provider data in your area - help us! If you are a primary care provider, psychiatrist, dentist or an administrator who works with these types of providers, please visit the Healthcare Provider Assessment page to submit updated provider/practice information. The Healthcare Provider Assessment will take approximately 5-10 minutes to complete and is available in several formats.  The information provided will notbe distributed and will only be used to evaluate and/or apply for the HPSA designation.

Have you, or has a provider you work with moved to a different location? Retired? Working more hours? Working fewer hours? Let us know so we can better understand the primary care, mental and dental health access for your community!

Yes, you can still submit provider/practice updates after the National Shortage Designation Update is complete. Scores may be impacted and updated by the receipt of this data. Updates are important to ensuring an accurate picture of health access needs for a given area.

Questions and Concerns
Frequently Asked Questions (FAQs)  

Texas Primary Care Office
Email: TexasPCO@dshs.texas.gov
Phone: (512) 776-7518  

HRSA Shortage Designation Branch
Email: SDB@hrsa.gov

Last updated June 26, 2019