1. (a) Applicants must submit an application form, provided by the Texas Department of Health (department), which includes the following information:

   1. (1) identification of the geographic area and types of population served by the site, along with a brief history of the site's operation;
   2. (2) a description of the types of services offered at the site, clinic hours, annual utilization rates, and number of each type of health professional staffing the site (including information on full-time equivalency);

   3. (3) adequate demonstration that the site:

      1. (A) is located in an area that has an insufficient number of physicians providing services to eligible clients of federal, state, or locally funded health care programs; or
      2. (B) serves a disproportionate number of clients eligible to participate in a federal, state, or locally funded health care program; and
   4. (4) additional information, as determined necessary by the department.
2. (b) After making a determination that a site serves a medically underserved population, the department will notify the applicant in writing and publish notice of the designation in the Texas Register, providing opportunity for public comment.
3. (c) If a site is determined ineligible based on the criteria defined in §13.33 of this title (relating to Criteria for Designating Sites Serving Medically Underserved Populations), the department will notify the applicant in writing.
4. (d) Applications should be directed to Carol S. Daniels, Chief, Bureau of State Health Data and Policy Analysis, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756-3199.

Source Note:The provisions of this §13.34 adopted to be effective November 19, 1990, 15 TexReg 6296.