1. (a) The department will designate a site located in an area that has an insufficient number of physicians providing services to eligible client populations if it is determined that:

   1. (1) the ratio of population-to-primary care physicians for the site's service area is above 3,000:1; or
   2. (2) the ratio of population-to-primary care physicians is above 3,000:1 for the geographic area surrounding the site. This applies to sites that draw patients from a broad geographic area, such as an entire city or county, where the site's total service area may not have a ratio above 3,000:1 as required under paragraph (1) of this subsection, but the site may be located in an area with a shortage of primary care physicians.

2. (b) The department will designate a site serving a disproportionate number of clients within eligible client populations if it is determined that:

   1. (1) over 50% of the site's patients are from eligible client populations; or
   2. (2) the proportion of the site's patients representing eligible client populations is at least twice the proportion of persons in the site's service area who are eligible client populations.

Source Note:The provisions of this §13.33 adopted to be effective November 19, 1990, 15 TexReg 6296; amended to be effective June 10, 2001, 26 TexReg 3935; amended to be effective December 4, 2007, 32 TexReg 8827.