Health Center Program – FY2024 Behavioral Health Service Expansion HRSA-24-078
Primary Health Care, Inc. 1200 University Ave., Ste. 200, Des Moines, IA 50314
Kelly Huntsman, CEO Phone: 515-248-1441; Fax: 515-248-1440 khuntsman@phcinc.net www.phciowa.org Iowa
Congressional Districts: 3
Funding Request: $600,000
Primary Health Care, Inc. (PHC) has been providing HRSA supported medical, dental and behavioral health services to the underserved in Central Iowa since 1981. PHC currently operates five full-time medical clinics, two dental clinics and an in-house pharmacy in Des Moines, Iowa (Polk County). Services were expanded to Marshalltown, Iowa (Marshall County) in 2001, with services currently being offered at one integrated medical/dental/behavioral site. In 2014, PHC expanded to Ames, Iowa (Story County) and is currently offering services in one co-located medical/dental/behavioral site. Additionally, PHC operates a mobile health unit, which serves PHC’s entire service area. PHC is a Health Care for the Homeless grantee providing health care, case management, housing navigation and advocacy for individuals experiencing homelessness. PHC also provides HIV care as a Ryan White Part C grantee as well as Part B case management and prevention services. Integrated primary care/behavioral health services are available onsite at each of our full-time clinic locations. PHC began offering school-based health services at Des Moines Public Schools in 2017 and currently provides services at three part-time Des Moines Public School sites.
The target population for PHC is the low-income, uninsured and underinsured individuals, especially those living in medically underserved areas or designated as medically underserved populations, in Polk, Marshall and Story County. Our services have been designed to meet the major health care needs of the communities we serve including family practice, internal medicine, pediatrics, prenatal, obstetrical and family planning, HIV, substance abuse, behavioral health, oral medicine, pharmacy, lab, and x-ray. PHC patients have access to specialty and inpatient care through a network of safety-net providers. Enabling services are available to help patients with entitlements, case management, transportation, translation, and patient education. PHC employs a total of 70 FTE physicians, dentists, physician assistants, nurse practitioners, dental hygienists, and licensed social workers. In 2023, PHC provided 150,025 encounters and served 39,393 patients.
With this application, PHC proposes to increase access to behavioral health and substance use services for patients in our service areas with the following additions: increase psychiatric coverage by 0.5 FTE, increase access to family practice/MAT services by 0.4 FTE, add a 1.0 behavioral health therapist that will work primarily with our medication assisted treatment team, and add a 1.0 peer recovery support position to round out our integrated team. We currently have 1 FT MAT physician and a number of family practice clinicians who provide MAT services alongside their primary care practice. We have implemented telehealth services for behavioral health, psychiatry and MAT services. With this expansion, PHC expects to serve an additional 550 patients and provide approximately 3,200 psychiatric, behavioral health and MAT services.