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 Health Resources and Services Administration (HRSA) to support the operation and services of the health center. 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.

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 Number of FQHCs in Texas

There are 69 FQHCs serving patients in Texas, operating more than 300 sites. There are also two FQHC-Look Alikes offering services.

(Look Alikes offer FQHC-like services but do not receive all of the benefits of FQHC status)

The Texas FQHC Incubator Program

In response to a federal program to expand FQHCs nationwide, in 2002 Governor Perry proposed that Texas work to increase the number in Texas.

In 2003, the Legislature adopted SB 610, authored by Senator Jane Nelson, to create the Texas FQHC Incubator program.  The Legislature also appropriated $5 million a year for this program.  This program is designed to offer grants to organizations in order to help them qualify for FQHC funding or site/service expansions.  In 2009, SB 526, also by Senator Nelson, re-authorized the program.

Since the beginning of the President’s Initiative to Expand FQHCs, the number of FQHCs in Texas has more than doubled, from 32 in 2002 to 69 in 2012.

The Incubator program has granted funding to 60 FQHCs and two Look-Alikes to become certified or create a new site or service.

Of the 69 FQHCs in Texas, 28 became FQHCs through Incubator Grant funds.

The 69 FQHCs in Texas are:

To find an FQHC search the interactive locator map, or download one of the printable (PDF) lists below.

For more information about Federally Qualified Health Centers or to update the listings in this directory, please call the Texas Primary Care Office at: (512) 776-7518, or by email: TexasPCO@dshs.state.tx.us

All FQHCs by Alphabetical Listing
(183Kb, PDF, Viewing Information)