Support for Medical Home Services in Texas


The Statewide Association for Regional Medical Home AdvanCement (STARMHAC) is a HRSA funded project that is a partnership with Texas Children’s Health Plan, Texas Parent to Parent, Texas Pediatric Society, and Title V to build infrastructure for maternal and child health in Texas.  STARMHAC promotes:

  • Family/professional partnerships at all levels of decision making
  • Access to coordinated ongoing comprehensive care within a medical home
  • Access to adequate insurance and financing to pay for needed services
  • Early and continuous screening for special health needs
  • Organization of community services for easy use
  • Youth transition to adult health care, work, and independence

STARMHAC works to provide technical assistance and training to community partners. They are currently recruiting teams across the state to use quality improvement techniques to increase medical home.  If you are interested in becoming a regional collaborative or would like more information on STARMHAC, please contact Carl Tapia MD, MPH at or Ekiria Collins at

Texas Early Childhood Comprehensive Systems (TECCS) – Raising Texas

“Raising Texas” is an effort to strengthen Texas’ system of services so that all children enter school healthy and ready to learn. There are four work groups that collaborate on this effort:

  1. Access to Insurance and Medical Home
  2. Social Emotional Development and Mental Health
  3. Early Care and Education
  4. Parent Education/Family Support

Each work group includes content expert staff, family members, and others. There is a Steering Committee that reviews policy recommendations and provides guidance for coordinating services across agencies.

The Raising Texas Initiative and Healthy Child Care Texas work with Texas Parent to Parent to include Medical Home Toolkit materials for Child Care Health Consultants training.

For more information, go to the Raising Texas Website.

Family-to-Family Health Information Centers

Family-to-Family Health Information Centers are non-profit organizations that help families of children and youth with special health care needs and the professionals who serve them. Because the health care needs are chronic and complex, patents and caregivers are often challenged with finding the resources to provide and finance health care for their children. The Centers understand the issues that families face, provide advice, offer a multitude of resources, and tap into a network of other families and professionals for support and information.

The Health Resources and Services Administration’s Maternal Child Heath Bureau (MCHB) provides the primary finding support for the Centers. Funding is authorized by the Family Opportunity Act, legislation signed into law in 2006 (as a part of the Deficit Reduction Act). This funding currently supports Centers in all states and the District of Columbia. Prior to the passage of the Act, funding from the Centers for Medicare and Medicaid Services and MCHB supported Centers in many states. A few other family organizations obtained state funding to conduct support and information activities.

The Texas Family-to-Family Health Information Center is Texas Parent to Parent, 512-458-8600, 866-896-6001.
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Medical Education Projects

Texas Parent-to-Parent Medical Education Program

More and more children with chronic illness and developmental disabilities are living at home. They actively participate in their communities. The Texas Parent to Parent (TxP2P) program offers a medical residency opportunity. It provides Pediatric and Family Practice Residents and other medical professionals a comprehensive understanding of life with a child who has a chronic illness or disabilities. TxP2P widens the resident’s perspectives from hospital or office to home and community. TxP2P presents the benefit of a partnership between the physician and family to improve the quality of life for the families and communities, and the educational opportunities for children with disabilities and special health care needs.

This TxP2P program has had nine successful years of working with residents with the pediatric residents at Children’s Hospital of Austin/Dell Children’s Medical Center and the family practice residents at Blackstock Family Clinic in Austin. It has worked for eight years with Scott and White Hospital in Temple and Texas Scottish Rite Hospital for Children in Dallas. It has worked for two years in Amarillo, working with the Texas Tech Health Science Center.

For more information, go to Texas Parent to Parent.

Project DOCC (Delivery of Chronic Care)

Project DOCC is an innovative national program for new physicians. The program’s mission is

  • to provide pediatric residents with a comprehensive understanding of life with a child who has a chronic illness or disability. It trains families to be teachers, and in the process widens a doctor's perspective from the clinical setting to the home and community setting.
  • to illustrate the need for "chronic care" planning through an alliance between physicians and parents in order to improve the quality of life and educational opportunities for these children.
  • to empower parents and care givers of children with special needs to become skillful family and community advocates in order to affect the health care system and health care professionals.

Project DOCC Houston is a family faculty program at Baylor College of Medicine in partnership with Texas Children’s Hospital that educates 52 first-year pediatric residents a year.

For more information, go to Project DOCC.

External links to other sites 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.

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External email links are provided to you as a courtesy. Please be advised that you are not emailing the Texas Department of Health State Health Services (DSHS) and DSHS policies do not apply should you choose to correspond.

email CSHCN Services Program

Last updated September 16, 2015