Currently, the Primary Health Care (PHC) program supports the provision of primary health care, including preventive health services and education, to Texas residents who could not otherwise receive such care. Eligibility is limited to individuals who do not qualify for any other program or benefit that provides the same services, such as Medicaid. Services are provided through contracts with local health departments, community action programs, private non-profit organizations, Federally Qualified Health Centers (FQHCs), hospitals, and hospital districts. There are currently 57 PHC contractors operating 145 clinic sites. In funding year (FY) 2012, services were provided to 64,338 clients.
Traditional PHC contract renewals for Fiscal Year (FY) 2014 beginning September 1, 2014 are currently pending. Contractors will receive the renewal packet and amount once they are finalized. DSHS has decided to keep the traditional PHC program and the Expanded Primary Health Care (EPHC) program separate. Current contractors who are interested may apply for funding under the expansion.
The DSHS Exceptional Item - Primary Health Care Expansion proposes to increase primary, preventive and screening services to women age 18 and above whose income is at or below 200 percent of the federal poverty level (FPL). Outreach and direct services will be provided through community-based clinics under contract with DSHS. Community health workers (CHWs) will help ensure women access the preventive and screening services appropriate to them. The program will also support the integration of lactation consultants in primary health care settings.
If funded for the 2014-2015 biennium this expansion of the PHC program will:
- Expand preventive and primary care services to additional women above the age of 18.
- Allow DSHS to incentivize the use of CHWs and lactation consultants to provide outreach and direct women to services indicated as necessary for them through screening visits.
FY14 EXPANDED PRIMARY HEALTH CARE (EPHC) POLICY MANUAL:
The FY14 Expanded Primary Health Care (EPHC) Policy Manual and forms are now available for download. Click the link below to go to the Policy Manual and Forms page:
EXPANDED PRIMARY HEALTH CARE (EPHC) POLICY MANUAL AND FORMS
For questions, please contact: CHSS@dshs.state.tx.us