Designated
Health Professional Shortage Areas
Statistics






As of May 24, 2019



Bureau of Health Workforce
Health Resources and Services Administration (HRSA)
U.S. Department of Health & Human Services
Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners
Needed for Geographic Areas, Population Groups, and Facilities as of May 24, 2019
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
7,104
  
80,358,530
   
43.99 %
(4)
  
15,062
(7)
 
Geographic Area
1,335
  
31,947,494
   
58.08 %
   
4,158
  
Population Group
1,758
  
47,069,923
   
36.01 %
   
10,026
  
Facility
4,011
  
1,341,113
   
33.21 %
   
878
  
Dental Health HPSA Totals
5,872
  
58,285,401
   
29.40 %
(5)
  
10,619
(8)
 
Geographic Area
599
  
11,387,005
   
49.82 %
   
1,305
  
Population Group
1,819
  
45,238,157
   
24.44 %
   
8,553
  
Facility
3,454
  
1,660,239
   
31.77 %
   
761
  
Mental Health HPSA Totals
5,177
  
118,030,157
   
26.13 %
(6)
  
6,970
(9)
 
Geographic Area
1,053
  
80,180,757
   
30.02 %
   
3,690
  
Population Group
478
  
35,942,221
   
17.23 %
   
2,181
  
Facility
3,646
  
1,907,179
   
28.09 %
   
1,099
  
HRSA Data Warehouse
1 of 7
May 24, 2019
Data as of:
05/24/2019

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of May 24, 2019
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
7,104
    
80,358,530
   
15,062
  
Rural
 
4,195
 
59.05 %
  
23,182,242
   
3,890
  
Geographic Area
 
882
 
12.42 %
  
12,993,543
   
1,687
  
Population Group
 
929
 
13.08 %
  
9,536,991
   
1,795
  
Facility
 
2,384
 
33.56 %
  
651,708
   
408
  
Non-Rural
 
2,439
 
34.33 %
  
40,862,632
   
8,444
  
Geographic Area
 
241
 
3.39 %
  
11,914,116
   
1,645
  
Population Group
 
571
 
8.04 %
  
28,259,111
   
6,329
  
Facility
 
1,627
 
22.90 %
  
689,405
   
470
  
Partially Rural (11)
 
466
 
6.56 %
  
16,271,543
   
2,717
  
Geographic Area
 
208
 
2.93 %
  
6,997,722
   
815
  
Population Group
 
258
 
3.63 %
  
9,273,821
   
1,902
  
Unknown (12)
 
4
 
0.06 %
  
42,113
   
11
  
Geographic Area
 
4
 
0.06 %
  
42,113
   
11
  
Dental Health HPSA Totals
 
5,872
    
58,285,401
   
10,619
  
Rural
 
3,471
 
59.11 %
  
19,496,689
   
3,521
  
Geographic Area
 
464
 
7.90 %
  
6,500,762
   
784
  
Population Group
 
1,061
 
18.07 %
  
12,157,296
   
2,372
  
Facility
 
1,946
 
33.14 %
  
838,631
   
365
  
Non-Rural
 
2,055
 
35.00 %
  
26,832,398
   
4,976
  
Geographic Area
 
66
 
1.12 %
  
2,813,651
   
284
  
Population Group
 
481
 
8.19 %
  
23,197,139
   
4,296
  
Facility
 
1,508
 
25.68 %
  
821,608
   
396
  
Partially Rural
 
341
 
5.81 %
  
11,882,638
   
2,109
  
Geographic Area
 
66
 
1.12 %
  
2,025,273
   
229
  
Population Group
 
275
 
4.68 %
  
9,857,365
   
1,880
  
Unknown
 
5
 
0.09 %
  
73,676
   
13
  
Geographic Area
 
3
 
0.05 %
  
47,319
   
8
  
Population Group
 
2
 
0.03 %
  
26,357
   
5
  
Mental Health HPSA Totals
 
5,177
    
118,030,157
   
6,970
  
Rural
 
2,738
 
52.89 %
  
26,141,890
   
1,866
  
Geographic Area
 
627
 
12.11 %
  
22,809,036
   
1,278
  
Population Group
 
111
 
2.14 %
  
2,413,966
   
185
  
Facility
 
2,000
 
38.63 %
  
918,888
   
403
  
Non-Rural
 
1,995
 
38.54 %
  
39,845,325
   
2,612
  
Geographic Area
 
137
 
2.65 %
  
18,516,792
   
721
  
Population Group
 
212
 
4.10 %
  
20,340,242
   
1,195
  
Facility
 
1,646
 
31.79 %
  
988,291
   
696
  
Partially Rural
 
441
 
8.52 %
  
51,802,698
   
2,477
  
Geographic Area
 
287
 
5.54 %
  
38,809,662
   
1,689
  
Population Group
 
154
 
2.97 %
  
12,993,036
   
788
  
Unknown
 
3
 
0.06 %
  
240,244
   
15
  
Geographic Area
 
2
 
0.04 %
  
45,267
   
2
  
Population Group
 
1
 
0.02 %
  
194,977
   
13
  
HRSA Data Warehouse
2 of 7
May 24, 2019
Data as of:
05/24/2019

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
May 24, 2019
Data as of:
05/24/2019

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of May 24, 2019
              
Primary Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(3)
Designation
(6)
HPSA Total
7,104
  
1,335
1,758
4,011
80,358,530
43.99 %
 
15,062
 
Region I
255
  
21
51
183
1,311,651
31.02 %
 
311
 
Connecticut
43
  
0
22
21
442,392
0.24 %
 
149
 
Maine
66
  
12
8
46
79,195
36.88 %
 
16
 
Massachusetts
67
  
4
9
54
503,473
37.65 %
 
108
 
New Hampshire
30
  
2
6
22
96,317
59.46 %
 
14
 
Rhode Island
14
  
1
3
10
167,510
65.94 %
 
21
 
Vermont
35
  
2
3
30
22,764
61.80 %
 
3
 
Region II
280
  
12
102
166
7,832,523
21.58 %
 
2,069
 
New Jersey
38
  
0
0
38
31,747
20.79 %
 
25
 
New York
198
  
9
85
104
6,004,903
26.46 %
 
1,475
 
Puerto Rico
39
  
0
17
22
1,690,276
1.92 %
 
554
 
U.S. Virgin Islands
5
  
3
0
2
105,597
58.13 %
 
15
 
Region III
486
  
82
122
282
4,451,035
48.45 %
 
806
 
Delaware
15
  
2
4
9
237,967
32.40 %
 
58
 
District of Columbia
15
  
3
3
9
247,613
27.86 %
 
63
 
Maryland
64
  
7
32
25
1,213,054
43.92 %
 
255
 
Pennsylvania
158
  
16
25
117
532,342
44.98 %
 
119
 
Virginia
111
  
48
17
46
1,579,466
61.19 %
 
194
 
West Virginia
123
  
6
41
76
640,593
46.39 %
 
117
 
Region IV
1,372
  
282
486
604
21,738,447
44.97 %
 
4,030
 
Alabama
119
  
44
30
45
2,557,267
58.75 %
 
354
 
Florida
280
  
17
125
138
6,263,307
22.11 %
 
1,687
 
Georgia
238
  
56
97
85
3,239,479
43.14 %
 
625
 
Kentucky
184
  
49
46
89
1,289,561
55.08 %
 
187
 
Mississippi
119
  
53
26
40
1,744,855
41.30 %
 
340
 
North Carolina
189
  
23
66
100
2,020,404
46.67 %
 
341
 
South Carolina
92
  
14
29
49
1,927,094
68.99 %
 
204
 
Tennessee
151
  
26
67
58
2,696,480
67.67 %
 
292
 
Region V
1,151
  
193
244
714
11,875,429
55.19 %
 
1,746
 
Illinois
232
  
40
77
115
3,321,396
55.48 %
 
480
 
Indiana
133
  
32
35
66
2,155,278
76.55 %
 
169
 
Michigan
366
  
25
61
280
3,272,342
40.40 %
 
647
 
Minnesota
126
  
30
22
74
511,888
48.32 %
 
86
 
Ohio
161
  
41
21
99
1,465,014
55.56 %
 
211
 
Wisconsin
133
  
25
28
80
1,149,511
58.95 %
 
153
 
Region VI
994
  
248
218
528
10,877,600
54.32 %
 
1,656
 
Arkansas
91
  
14
42
35
524,329
53.42 %
 
84
 
Louisiana
145
  
44
29
72
2,350,856
66.28 %
 
258
 
New Mexico
105
  
30
10
65
1,088,121
22.98 %
 
270
 
Oklahoma
184
  
13
62
109
1,276,291
57.11 %
 
194
 
Texas
469
  
147
75
247
5,638,003
54.75 %
 
850
 
Region VII
601
  
64
195
342
3,365,811
28.96 %
 
787
 
Iowa
130
  
29
32
69
651,570
55.33 %
 
95
 
Kansas
158
  
18
65
75
995,681
44.63 %
 
180
 
Missouri
207
  
8
98
101
1,696,769
10.07 %
 
508
 
Nebraska
106
  
9
0
97
21,791
36.62 %
 
4
 
Region VIII
510
  
162
103
245
2,879,734
42.69 %
 
554
 
Colorado
122
  
24
37
61
1,107,244
34.48 %
 
263
 
Montana
118
  
25
31
62
412,474
35.28 %
 
85
 
North Dakota
76
  
44
3
29
188,627
33.35 %
 
37
 
South Dakota
92
  
35
14
43
238,804
41.54 %
 
45
 
Utah
58
  
15
13
30
744,682
59.87 %
 
100
 
Wyoming
44
  
19
5
20
187,903
53.81 %
 
24
 
Region IX
981
  
203
143
635
12,311,687
43.48 %
 
2,330
 
Arizona
201
  
53
41
107
2,970,118
41.74 %
 
577
 
California
651
  
121
86
444
7,751,024
43.26 %
 
1,476
 
Hawaii
28
  
5
2
21
188,754
73.57 %
 
14
 
Nevada
82
  
16
13
53
949,520
47.76 %
 
170
 
American Samoa
2
  
1
0
1
55,009
5.45 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
101,519
0.00 %
 
34
 
Guam
2
  
1
0
1
178,457
72.28 %
 
16
 
Marshall Islands
2
  
1
0
1
53,158
0.00 %
 
18
 
Northern Mariana Islands
3
  
1
0
2
53,366
72.13 %
 
4
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
4
 
Region X
474
  
68
94
312
3,714,613
35.24 %
 
773
 
Alaska
86
  
15
0
71
105,032
26.34 %
 
24
 
Idaho
99
  
14
29
56
490,174
49.24 %
 
81
 
Oregon
125
  
12
33
80
909,657
51.36 %
 
150
 
Washington
164
  
27
32
105
2,209,750
25.22 %
 
518
 
HRSA Data Warehouse
4 of 7
May 24, 2019
Data as of:
05/24/2019

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of May 24, 2019
              
Dental Health
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(4)
Designation
(7)
HPSA Total
5,872
  
599
1,819
3,454
58,285,401
29.40 %
 
10,619
 
Region I
237
  
18
52
167
1,254,889
37.33 %
 
203
 
Connecticut
37
  
0
19
18
395,968
0.00 %
 
101
 
Maine
74
  
13
21
40
295,798
40.10 %
 
40
 
Massachusetts
59
  
3
4
52
325,244
76.12 %
 
21
 
New Hampshire
24
  
0
3
21
29,796
40.46 %
 
5
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
29
  
2
1
26
29,428
53.66 %
 
2
 
Region II
224
  
6
49
169
2,751,592
24.35 %
 
561
 
New Jersey
40
  
0
0
40
51,911
36.36 %
 
24
 
New York
155
  
2
49
104
2,580,740
23.48 %
 
515
 
Puerto Rico
24
  
1
0
23
12,965
16.56 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
105,976
32.39 %
 
18
 
Region III
453
  
44
167
242
5,549,846
35.91 %
 
910
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
82,914
2.41 %
 
21
 
Maryland
59
  
11
28
20
1,248,023
17.76 %
 
241
 
Pennsylvania
166
  
2
56
108
2,008,468
47.91 %
 
285
 
Virginia
92
  
22
38
32
1,301,884
43.36 %
 
177
 
West Virginia
115
  
9
40
66
730,433
29.35 %
 
136
 
Region IV
1,153
  
140
479
534
18,388,459
24.73 %
 
3,555
 
Alabama
76
  
0
43
33
1,828,616
20.57 %
 
376
 
Florida
241
  
3
111
127
5,574,335
13.32 %
 
1,264
 
Georgia
196
  
41
83
72
2,057,577
23.19 %
 
409
 
Kentucky
127
  
14
33
80
633,113
49.19 %
 
78
 
Mississippi
112
  
56
23
33
1,801,422
45.83 %
 
248
 
North Carolina
165
  
3
75
87
2,474,835
19.22 %
 
506
 
South Carolina
85
  
20
18
47
1,650,619
40.95 %
 
248
 
Tennessee
151
  
3
93
55
2,367,942
29.34 %
 
426
 
Region V
1,030
  
18
422
590
9,935,710
26.37 %
 
1,884
 
Illinois
171
  
4
78
89
2,358,299
37.35 %
 
376
 
Indiana
104
  
2
53
49
1,346,130
30.57 %
 
246
 
Michigan
345
  
1
116
228
2,469,547
5.56 %
 
598
 
Minnesota
126
  
9
56
61
708,959
15.69 %
 
151
 
Ohio
155
  
2
69
84
1,824,747
34.32 %
 
306
 
Wisconsin
129
  
0
50
79
1,228,028
36.12 %
 
207
 
Region VI
756
  
148
157
451
6,690,735
42.65 %
 
1,024
 
Arkansas
84
  
8
50
26
641,228
37.13 %
 
100
 
Louisiana
124
  
35
25
64
2,190,516
53.44 %
 
258
 
New Mexico
84
  
21
16
47
891,071
21.44 %
 
174
 
Oklahoma
164
  
6
57
101
894,393
35.52 %
 
166
 
Texas
300
  
78
9
213
2,073,527
45.20 %
 
326
 
Region VII
494
  
41
194
259
2,862,135
19.40 %
 
570
 
Iowa
121
  
8
54
59
534,250
35.36 %
 
92
 
Kansas
123
  
22
54
47
594,586
24.49 %
 
103
 
Missouri
173
  
11
84
78
1,730,257
12.54 %
 
375
 
Nebraska
77
  
0
2
75
3,042
60.53 %
 
0
 
Region VIII
381
  
80
96
205
2,182,317
42.47 %
 
323
 
Colorado
100
  
20
29
51
862,703
36.87 %
 
146
 
Montana
98
  
10
31
57
351,150
31.98 %
 
61
 
North Dakota
42
  
23
0
19
98,871
33.66 %
 
12
 
South Dakota
61
  
18
11
32
143,923
27.12 %
 
29
 
Utah
52
  
5
21
26
676,020
59.09 %
 
70
 
Wyoming
28
  
4
4
20
49,650
51.72 %
 
5
 
Region IX
750
  
69
108
573
4,998,541
31.12 %
 
920
 
Arizona
184
  
38
48
98
2,418,151
33.18 %
 
421
 
California
452
  
14
41
397
1,209,590
32.02 %
 
244
 
Hawaii
23
  
1
2
20
107,328
56.49 %
 
11
 
Nevada
71
  
7
16
48
877,695
32.99 %
 
152
 
American Samoa
2
  
1
0
1
55,009
0.00 %
 
14
 
Federated States of Micronesia
8
  
4
0
4
102,843
0.00 %
 
26
 
Guam
2
  
0
1
1
82,842
5.79 %
 
20
 
Marshall Islands
3
  
2
0
1
80,955
0.00 %
 
18
 
Northern Mariana Islands
3
  
1
0
2
53,366
0.00 %
 
11
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
3
 
Region X
394
  
35
95
264
3,671,177
24.31 %
 
669
 
Alaska
70
  
13
0
57
115,203
32.97 %
 
18
 
Idaho
95
  
6
36
53
498,559
45.25 %
 
67
 
Oregon
105
  
1
36
68
1,134,788
20.37 %
 
229
 
Washington
124
  
15
23
86
1,922,627
20.46 %
 
355
 
HRSA Data Warehouse
5 of 7
May 24, 2019
Data as of:
05/24/2019

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of May 24, 2019
              
Mental Health Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(5)
Designation
(8)
HPSA Total
5,177
  
1,053
478
3,646
118,030,157
26.13 %
 
6,970
 
Region I
202
  
21
11
170
2,161,243
29.20 %
 
144
 
Connecticut
35
  
3
5
27
1,090,301
14.07 %
 
79
 
Maine
51
  
12
0
39
261,782
33.58 %
 
29
 
Massachusetts
58
  
1
5
52
274,388
33.44 %
 
17
 
New Hampshire
21
  
3
0
18
92,600
45.19 %
 
3
 
Rhode Island
13
  
2
1
10
442,172
57.16 %
 
16
 
Vermont
24
  
0
0
24
 
---
   
Region II
294
  
14
76
204
8,090,161
21.00 %
 
579
 
New Jersey
41
  
0
0
41
55,401
48.52 %
 
15
 
New York
204
  
10
63
131
6,269,034
19.34 %
 
457
 
Puerto Rico
44
  
1
13
30
1,661,225
14.57 %
 
98
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
413
  
60
66
287
6,510,139
30.24 %
 
504
 
Delaware
15
  
0
1
14
94,672
16.27 %
 
18
 
District of Columbia
10
  
1
0
9
133,945
5.31 %
 
28
 
Maryland
61
  
10
19
32
1,617,985
27.61 %
 
106
 
Pennsylvania
127
  
23
2
102
1,725,287
38.88 %
 
104
 
Virginia
83
  
17
9
57
2,223,679
40.10 %
 
120
 
West Virginia
117
  
9
35
73
714,571
17.09 %
 
128
 
Region IV
810
  
132
141
537
27,797,754
23.36 %
 
1,872
 
Alabama
57
  
14
7
36
2,931,685
24.06 %
 
158
 
Florida
183
  
17
41
125
6,261,413
16.43 %
 
400
 
Georgia
99
  
18
8
73
4,815,508
39.21 %
 
189
 
Kentucky
107
  
23
5
79
2,153,975
30.13 %
 
116
 
Mississippi
52
  
16
0
36
2,805,221
24.32 %
 
385
 
North Carolina
168
  
24
52
92
2,551,061
14.84 %
 
139
 
South Carolina
72
  
10
14
48
2,880,235
36.87 %
 
129
 
Tennessee
72
  
10
14
48
3,398,656
11.69 %
 
356
 
Region V
823
  
181
35
607
19,754,607
27.02 %
 
1,064
 
Illinois
130
  
32
4
94
4,842,920
23.43 %
 
221
 
Indiana
80
  
22
0
58
3,738,073
34.60 %
 
160
 
Minnesota
68
  
9
0
59
1,999,163
33.39 %
 
79
 
Michigan
283
  
48
15
220
4,270,475
23.22 %
 
221
 
Ohio
123
  
20
11
92
2,575,843
36.64 %
 
124
 
Wisconsin
139
  
50
5
84
2,328,133
19.66 %
 
259
 
Region VI
803
  
284
44
475
19,946,072
30.77 %
 
989
 
Arkansas
47
  
5
10
32
1,258,483
33.15 %
 
61
 
Louisiana
129
  
54
11
64
3,456,459
23.90 %
 
169
 
New Mexico
73
  
16
2
55
1,251,275
12.30 %
 
75
 
Oklahoma
119
  
4
9
106
1,563,013
23.23 %
 
96
 
Texas
435
  
205
12
218
12,416,842
34.93 %
 
588
 
Region VII
335
  
42
23
270
5,991,693
24.64 %
 
305
 
Iowa
72
  
15
0
57
1,610,233
39.24 %
 
53
 
Kansas
72
  
19
3
50
1,395,358
31.79 %
 
55
 
Missouri
110
  
3
20
87
1,947,108
7.24 %
 
171
 
Nebraska
81
  
5
0
76
1,038,994
50.82 %
 
26
 
Region VIII
343
  
91
17
235
7,741,631
32.21 %
 
389
 
Colorado
93
  
11
8
74
2,664,404
29.98 %
 
132
 
Montana
83
  
21
7
55
601,906
12.94 %
 
72
 
North Dakota
51
  
26
0
25
291,463
18.75 %
 
20
 
South Dakota
51
  
14
1
36
456,245
11.63 %
 
43
 
Utah
41
  
14
1
26
3,166,426
49.72 %
 
97
 
Wyoming
24
  
5
0
19
561,187
31.46 %
 
25
 
Region IX
787
  
154
50
583
14,114,395
25.61 %
 
811
 
Arizona
177
  
64
15
98
2,865,520
11.57 %
 
181
 
California
503
  
67
31
405
8,077,374
30.60 %
 
426
 
Hawaii
28
  
5
2
21
188,665
19.71 %
 
7
 
Nevada
58
  
8
1
49
2,445,591
29.40 %
 
146
 
American Samoa
2
  
1
0
1
55,009
0.00 %
 
12
 
Federated States of Micronesia
8
  
4
0
4
102,843
0.00 %
 
23
 
Guam
3
  
1
1
1
242,200
35.80 %
 
8
 
Marshall Islands
2
  
1
0
1
53,158
0.00 %
 
3
 
Northern Mariana Islands
3
  
1
0
2
53,366
0.00 %
 
3
 
Republic of Palau
3
  
2
0
1
30,669
0.00 %
 
2
 
Region X
367
  
74
15
278
5,922,462
17.60 %
 
313
 
Alaska
76
  
18
0
58
276,673
22.98 %
 
10
 
Idaho
62
  
6
1
55
1,276,991
24.03 %
 
56
 
Oregon
95
  
15
8
72
1,528,647
22.97 %
 
82
 
Washington
134
  
35
6
93
2,840,151
11.26 %
 
165
 
HRSA Data Warehouse
6 of 7
May 24, 2019
Data as of:
05/24/2019

Designated
Health Professional Shortage Areas
Statistics
 
Endnotes
 
(1)
The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N). Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.
 
(2)
The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number of internees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for Mental Health reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census for state and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, the Population of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities. These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographic or population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations were potentially double counted.
 
(3)
The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet National Health Service Corps (NHSC) site requirements.
 
(4)
The percent of need met is computed by dividing the number of primary care physicians available to serve the population of the area, group, or facility by the number of primary care physicians that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population to provider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas with unusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(5)
The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, or facility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designations or geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, the threshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(6)
The percent of need met is computed by dividing the number of mental health providers available to serve the population of the area, group, or facility by the number of mental health providers that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based on the population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatrist and core mental health provider ratios. For mental health geographic designations based on the ratio of population to psychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations based on the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental health geographic designations based on the ratios of both population to psychiatrist and population to core mental health providers, the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while for population designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1 (psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed. For state mental hospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and the number and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider type counted.
 
(7)
The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below the thresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation. The formula used to designate primary care HPSAs does not take into account the availability of additional primary care services provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(8)
The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary for designation in all designated dental HPSAs that would result in their removal from designation. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(9)
The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholds necessary for designation in all designated mental health HPSAs that would result in their removal from designation. While the regulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental health provider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on the psychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does not take into account the availability of additional mental health services provided by other mental health providers in the area, such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(10)
Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for the specified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due to decimal rounding, percentage totals may not equal exactly 100%.
 
(11)
Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
 
(12)
Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e. geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
   
HRSA Data Warehouse
7 of 7
May 24, 2019
Data as of:
05/24/2019