Practice Sites Serving Medically Underserved Populations (Practice-MUPs)
The Texas Administrative Code, Chapter 13, Subchapter C, outlines the rules and criteria for the Designation of Sites Serving Medically Underserved Populations (Practice-MUPs also known as Site-MUPs).
The Texas Occupations Code, §157.051(11), outlines the definitions of a “practice serving a medically underserved population.” Practices that meet the criteria set forth under Texas Occupations Code, §157.051(11)(F) are elegible to receive the Practice-MUP designation.
Practices that qualify under other definitions, (A) – (E) and (G), are not eligible for designation as Practice-MUPs.
Criteria for Designating Practice-MUPS:
- Category A: A practice located in an area that has an insufficient number of primary care physicians providing services to patients eligible for federal, state or locally funded health care programs.
- Criterion A-1: The ratio of population-to-primary care physicians for the practice's service area is above 3,000:1.
- Criterion A-2: The ratio of population-to-primary care physicians is above 3,000:1 for the geographic area surrounding the practice. This applies to practices that draw patients from a broad geographic area, such as an entire city or county, where the practice's total service areas may not have a ratio above 3,000:1 as required under paragraph (1) of this subsection, but the practice may be located in an area with a shortage of primary care physicians.
- Category B: A practice that serves a disproportionate number of patients eligible for federal, state or locally funded health care programs.
- Criterion B-1: Over 50% of the practice's patients are from eligible client populations.
- Criterion B-2: The proportion of the practice's patients representing eligible client populations is at least twice the proportion of persons in the practice's service area who are eligible client populations.
Applicants for Practice-MUP designation must select one eligibility criterion which best describes their practice.
Frequently Asked Questions
The following practice sites do not need a Practice-MUP designation.
- A practice in a health professional shortage area (HPSA).
- A clinic designated as a rural health clinic under 42 U.S.C. Section 1395(x)(aa).
- A public health clinic or a family planning clinic under contract with the Health and Human Services Commission or the Department of State Health Services.
- A clinic designated as a federally qualified health center under 42 U.S.C. Section 1396d(l)(2)(B).
- A county, state, or federal correctional facility.
- A practice at which a physician was delegating prescriptive authority to an advanced practice registered nurse or physician assistant on or before March 1, 2013, based on the practice qualifying as a site serving a medically underserved population.
Residents in the service area meeting the eligibility criteria for participation in any of the following programs:
- (A) federally funded health care programs, including, but not limited to: AIDS (health care delivery programs); community and migrant health centers (Public Health Service Act, §§329 and 330 grantees); family planning; homeless (including Public Health Service Act, §340 grantees); Medicaid; or Medicare;
- (B) state funded health care programs, including, but not limited to: AIDS (health care delivery programs); children with special health care needs (CSHCN); Medicaid; state primary health care; or student health centers (state funded colleges and universities); or
- (C) locally funded health care programs, including, but not limited to: locally supported nonprofit health care programs; programs funded by city or county governmental entities; or programs funded by hospital districts.
- Contact information of the practice site.
- Name of the practice
- Address
- Hours of operation
- Phone number
- Fax
- Email address
- Name of Director or Administrator
- Site information.
- Office Hours
- Practice Start Date: date the practice started providing services.
- Utilization data.
- The unduplicated count of patients served by the practice in the most recent 90 days of operation.
- The total number of patient encounters (visits) in the most recent 90 days of operations.
- The time period for which statistics are being reported.
- Staffing data.
- Number of direct patient care providers on the practice payroll by type and full-time equivalency (FTE) based on 40 hours per week.
- Identification of the geographic area served by the practice.
- For example, a map of the area where the majority of the practice’s patients reside.
- For practices that draw patients from a broad geographic area, such as an entire city or county, the map of the geographic area surrounding the practice.
- Description and proportion of eligible client populations served by the practice.
- For example, those enrolled in:
- Federally funded health care programs: AIDS health care programs, PHS-funded Community & Migrant Health Centers, Family Planning, Homeless including Section 340 grants, Medicaid, and Medicare.
- State funded health care programs: AIDS, Children With Special Health Care Needs, Medicaid, state primary care (HHS-funded), student health centers.
- Locally funded health care programs: locally supported non-profit health care programs, programs funded by city/county governmental entities, programs funded by hospital districts, school-based clinics established by the school district.
- Any other eligible programs.
- For example, those enrolled in:
- Proof of services provided to eligible client populations by the practice.
- Description of the types of services offered by the practice.
- For applicants under Category A:
- Total population of the practice’s service area. Include data source and year.
- For practices drawing patients from a broad geographic area, the total population of the geographic area immediately surrounding the practice.
- Total number and FTE of primary care physicians in the practice’s service area. Include data source and year.
- For practices drawing patients from a broad geographic area, the total number and FTE of primary care physicians in the geographic area immediately surrounding the practice.
- Total population of the practice’s service area. Include data source and year.
Email HPRC@dshs.texas.gov to receive a PDF copy of the Practice-MUP application form.
HPRC maintains a list of designated Practice-MUPs. Contact us at HPRC@dshs.texas.gov for more information.
Use the Health Resources and Services Administration search tool: https://data.hrsa.gov/tools/shortage-area
*External links are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may also not be accessible to people with disabilities.
Book traversal links for Practice Sites Serving Medically Underserved Populations (Practice-MUPs)
Health Professions Resource Center (HPRC)
- Data Methods and Comments
- Frequently Asked Questions
- Health Care Workforce Visualizations
- Practice Sites Serving Medically Underserved Populations (Practice-MUPs)
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Get In Touch
Get In Touch
Health Professions Resource Center, Center for Health Statistics, Texas Department of State Health Services
Mail Code 1898
P.O. Box 149347
Austin , TX 78714-9347
United States
HPRC does not handle licensing of or complaints against health providers.
Please refer to their licensing board.