Designated
Health Professional Shortage Areas
Statistics






As of October 20, 2018



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 October 20, 2018
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
6,898
  
75,248,193
   
43.93 %
(4)
  
14,167
(7)
 
Undetermined
1,495
      
---
      
Geographic Area
1,304
  
30,873,199
   
57.64 %
   
4,059
  
Population Group
1,644
  
42,958,232
   
36.05 %
   
9,146
  
Facility
2,455
  
1,416,762
   
30.78 %
   
962
  
Dental HPSA Totals
5,744
  
56,775,105
   
29.22 %
(5)
  
10,444
(8)
 
Undetermined
1,497
      
---
      
Geographic Area
593
  
11,128,172
   
50.16 %
   
1,268
  
Population Group
1,759
  
43,781,261
   
24.65 %
   
8,256
  
Facility
1,895
  
1,865,672
   
26.26 %
   
920
  
Mental Health HPSA Totals
5,043
  
110,454,029
   
25.55 %
(6)
  
6,635
(9)
 
Undetermined
1,495
      
---
      
Geographic Area
1,035
  
78,160,223
   
30.37 %
   
3,581
  
Population Group
428
  
30,104,216
   
16.68 %
   
1,865
  
Facility
2,085
  
2,189,590
   
22.39 %
   
1,189
  
HRSA Data Warehouse
1 of 7
October 20, 2018
Data as of:
10/20/2018

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of October 20, 2018
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
6,898
    
75,248,193
   
14,167
  
Rural
 
4,082
 
59.18 %
  
22,078,889
   
3,823
  
Undetermined
 
491
 
7.12 %
         
Geographic Area
 
857
 
12.42 %
  
12,334,140
   
1,642
  
Population Group
 
880
 
12.76 %
  
9,058,130
   
1,729
  
Facility
 
1,854
 
26.88 %
  
686,619
   
452
  
Non-Rural
 
2,361
 
34.23 %
  
37,485,884
   
7,701
  
Undetermined
 
1,004
 
14.55 %
         
Geographic Area
 
238
 
3.45 %
  
11,692,054
   
1,608
  
Population Group
 
518
 
7.51 %
  
25,063,687
   
5,583
  
Facility
 
601
 
8.71 %
  
730,143
   
510
  
Partially Rural (11)
 
451
 
6.54 %
  
15,641,307
   
2,632
  
Geographic Area
 
205
 
2.97 %
  
6,804,892
   
798
  
Population Group
 
246
 
3.57 %
  
8,836,415
   
1,834
  
Unknown (12)
 
4
 
0.06 %
  
42,113
   
11
  
Geographic Area
 
4
 
0.06 %
  
42,113
   
11
  
Dental HPSA Totals
 
5,744
    
56,775,105
   
10,444
  
Rural
 
3,402
 
59.23 %
  
19,048,925
   
3,490
  
Undetermined
 
492
 
8.57 %
         
Geographic Area
 
460
 
8.01 %
  
6,375,833
   
755
  
Population Group
 
1,030
 
17.93 %
  
11,751,198
   
2,300
  
Facility
 
1,420
 
24.72 %
  
921,894
   
435
  
Non-Rural
 
2,003
 
34.87 %
  
25,947,990
   
4,866
  
Undetermined
 
1,005
 
17.50 %
         
Geographic Area
 
64
 
1.11 %
  
2,680,471
   
280
  
Population Group
 
459
 
7.99 %
  
22,323,741
   
4,101
  
Facility
 
475
 
8.27 %
  
943,778
   
485
  
Partially Rural
 
334
 
5.81 %
  
11,704,514
   
2,075
  
Geographic Area
 
66
 
1.15 %
  
2,024,549
   
225
  
Population Group
 
268
 
4.67 %
  
9,679,965
   
1,850
  
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
 
5,043
    
110,454,029
   
6,635
  
Rural
 
2,692
 
53.38 %
  
25,793,216
   
1,865
  
Undetermined
 
488
 
9.68 %
         
Geographic Area
 
623
 
12.35 %
  
22,546,458
   
1,245
  
Population Group
 
102
 
2.02 %
  
2,204,826
   
171
  
Facility
 
1,479
 
29.33 %
  
1,041,932
   
449
  
Non-Rural
 
1,925
 
38.17 %
  
34,476,753
   
2,349
  
Undetermined
 
1,007
 
19.97 %
         
Geographic Area
 
131
 
2.60 %
  
17,997,419
   
690
  
Population Group
 
181
 
3.59 %
  
15,331,676
   
919
  
Facility
 
606
 
12.02 %
  
1,147,658
   
740
  
Partially Rural
 
423
 
8.39 %
  
49,943,816
   
2,406
  
Geographic Area
 
279
 
5.53 %
  
37,571,079
   
1,644
  
Population Group
 
144
 
2.86 %
  
12,372,737
   
762
  
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
October 20, 2018
Data as of:
10/20/2018

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
October 20, 2018
Data as of:
10/20/2018

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of October 20, 2018
              
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
6,898
  
1,304
1,644
3,950
75,248,193
43.93 %
 
14,167
 
Region I
253
  
21
49
183
1,301,333
30.37 %
 
312
 
Connecticut
43
  
0
22
21
442,392
0.24 %
 
149
 
Maine
66
  
12
8
46
78,132
35.53 %
 
16
 
Massachusetts
67
  
4
9
54
504,948
36.88 %
 
110
 
New Hampshire
30
  
2
6
22
96,029
60.01 %
 
14
 
Rhode Island
14
  
1
3
10
167,510
65.94 %
 
21
 
Vermont
33
  
2
1
30
12,322
53.56 %
 
2
 
Region II
259
  
12
89
158
6,288,922
22.53 %
 
1,640
 
New Jersey
35
  
0
0
35
28,823
54.90 %
 
13
 
New York
180
  
9
72
99
4,462,511
29.78 %
 
1,044
 
Puerto Rico
39
  
0
17
22
1,690,470
1.92 %
 
554
 
U.S. Virgin Islands
5
  
3
0
2
107,118
18.86 %
 
29
 
Region III
472
  
82
108
282
4,197,547
47.78 %
 
775
 
Delaware
15
  
2
4
9
237,967
32.40 %
 
58
 
District of Columbia
15
  
3
3
9
248,519
27.16 %
 
64
 
Maryland
52
  
7
20
25
975,941
42.45 %
 
218
 
Pennsylvania
158
  
16
25
117
539,557
43.19 %
 
123
 
Virginia
111
  
48
17
46
1,579,909
61.18 %
 
195
 
West Virginia
121
  
6
39
76
615,654
44.75 %
 
117
 
Region IV
1,315
  
268
456
591
20,480,254
44.49 %
 
3,843
 
Alabama
113
  
41
28
44
2,279,225
55.56 %
 
341
 
Florida
264
  
15
112
137
5,843,332
22.01 %
 
1,585
 
Georgia
235
  
55
97
83
3,217,771
42.70 %
 
627
 
Kentucky
175
  
48
38
89
1,131,223
54.71 %
 
166
 
Mississippi
117
  
53
26
38
1,746,844
41.16 %
 
341
 
North Carolina
182
  
20
62
100
1,873,279
46.04 %
 
323
 
South Carolina
92
  
14
29
49
1,928,557
68.76 %
 
206
 
Tennessee
137
  
22
64
51
2,460,023
69.20 %
 
254
 
Region V
1,126
  
190
233
703
11,395,125
55.39 %
 
1,673
 
Illinois
225
  
40
75
110
3,264,455
53.43 %
 
494
 
Indiana
127
  
30
35
62
2,118,245
76.79 %
 
164
 
Michigan
365
  
25
58
282
3,006,918
42.15 %
 
577
 
Minnesota
123
  
29
20
74
445,707
46.42 %
 
78
 
Ohio
153
  
41
17
95
1,411,273
55.74 %
 
207
 
Wisconsin
133
  
25
28
80
1,148,527
58.96 %
 
153
 
Region VI
960
  
239
198
523
9,931,759
53.09 %
 
1,559
 
Arkansas
89
  
14
40
35
503,091
50.92 %
 
87
 
Louisiana
139
  
41
26
72
2,215,039
64.85 %
 
253
 
New Mexico
104
  
29
10
65
1,048,498
23.00 %
 
261
 
Oklahoma
183
  
13
62
108
1,274,833
56.51 %
 
196
 
Texas
445
  
142
60
243
4,890,298
53.48 %
 
762
 
Region VII
589
  
61
187
341
3,124,164
27.51 %
 
746
 
Iowa
126
  
28
29
69
626,490
54.77 %
 
91
 
Kansas
151
  
17
60
74
786,579
44.78 %
 
142
 
Missouri
207
  
8
98
101
1,697,303
10.06 %
 
509
 
Nebraska
105
  
8
0
97
13,792
20.40 %
 
4
 
Region VIII
500
  
161
97
242
2,686,441
41.71 %
 
527
 
Colorado
120
  
24
36
60
1,085,993
34.23 %
 
260
 
Montana
117
  
25
31
61
412,474
35.28 %
 
85
 
North Dakota
74
  
44
1
29
182,572
33.34 %
 
36
 
South Dakota
91
  
35
13
43
236,885
41.59 %
 
45
 
Utah
56
  
14
13
29
590,565
59.94 %
 
79
 
Wyoming
42
  
19
3
20
177,952
54.65 %
 
22
 
Region IX
953
  
202
133
618
12,127,782
43.31 %
 
2,319
 
Arizona
191
  
53
37
101
2,971,289
40.56 %
 
603
 
California
635
  
121
81
433
7,574,394
43.51 %
 
1,440
 
Hawaii
27
  
4
2
21
183,754
72.90 %
 
14
 
Nevada
81
  
16
12
53
946,585
47.62 %
 
170
 
American Samoa
2
  
1
0
1
55,009
5.45 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
103,528
0.00 %
 
34
 
Guam
2
  
1
0
1
178,457
72.28 %
 
16
 
Marshall Islands
2
  
1
0
1
50,638
0.00 %
 
17
 
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
471
  
68
94
309
3,714,866
35.23 %
 
773
 
Alaska
84
  
15
0
69
105,032
26.34 %
 
24
 
Idaho
99
  
14
29
56
489,987
49.30 %
 
81
 
Oregon
125
  
12
33
80
909,657
51.36 %
 
150
 
Washington
163
  
27
32
104
2,210,190
25.21 %
 
518
 
HRSA Data Warehouse
4 of 7
October 20, 2018
Data as of:
10/20/2018

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of October 20, 2018
              
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
5,744
  
593
1,759
3,392
56,775,105
29.22 %
 
10,444
 
Region I
237
  
18
52
167
1,275,874
35.84 %
 
216
 
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
345,672
66.17 %
 
34
 
New Hampshire
24
  
0
3
21
30,353
40.40 %
 
5
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
29
  
2
1
26
29,428
53.66 %
 
2
 
Region II
210
  
6
36
168
2,487,360
23.99 %
 
515
 
New Jersey
40
  
0
0
40
45,705
25.96 %
 
23
 
New York
141
  
2
36
103
2,324,001
23.20 %
 
473
 
Puerto Rico
24
  
1
0
23
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
104,495
42.11 %
 
15
 
Region III
436
  
43
154
239
5,242,803
36.51 %
 
860
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
83,820
9.30 %
 
20
 
Maryland
46
  
10
16
20
927,014
19.02 %
 
175
 
Pennsylvania
163
  
2
56
105
2,021,477
46.20 %
 
298
 
Virginia
91
  
22
37
32
1,294,150
43.54 %
 
176
 
West Virginia
115
  
9
40
66
738,218
28.41 %
 
141
 
Region IV
1,131
  
139
471
521
18,239,162
24.45 %
 
3,558
 
Alabama
73
  
0
43
30
1,827,739
20.59 %
 
375
 
Florida
235
  
2
108
125
5,454,485
12.88 %
 
1,249
 
Georgia
195
  
41
82
72
2,071,643
22.75 %
 
421
 
Kentucky
124
  
14
30
80
620,601
49.12 %
 
76
 
Mississippi
110
  
56
23
31
1,805,889
45.53 %
 
251
 
North Carolina
164
  
3
74
87
2,447,039
19.07 %
 
511
 
South Carolina
85
  
20
18
47
1,656,370
40.57 %
 
251
 
Tennessee
145
  
3
93
49
2,355,396
28.74 %
 
424
 
Region V
994
  
18
405
571
9,651,851
26.94 %
 
1,818
 
Illinois
166
  
4
78
84
2,384,772
41.53 %
 
356
 
Indiana
87
  
2
40
45
1,125,483
30.15 %
 
210
 
Michigan
343
  
1
115
227
2,454,698
5.36 %
 
596
 
Minnesota
124
  
9
56
59
710,585
15.60 %
 
152
 
Ohio
145
  
2
67
76
1,764,676
32.82 %
 
300
 
Wisconsin
129
  
0
49
80
1,211,637
36.33 %
 
204
 
Region VI
742
  
146
152
444
6,248,876
42.53 %
 
969
 
Arkansas
84
  
8
50
26
648,937
36.02 %
 
105
 
Louisiana
118
  
33
21
64
1,892,833
54.20 %
 
223
 
New Mexico
82
  
21
16
45
891,071
21.44 %
 
174
 
Oklahoma
163
  
6
57
100
890,503
34.63 %
 
167
 
Texas
295
  
78
8
209
1,925,532
46.32 %
 
300
 
Region VII
494
  
41
194
259
2,865,644
19.45 %
 
571
 
Iowa
121
  
8
54
59
535,912
35.66 %
 
92
 
Kansas
123
  
22
54
47
594,586
24.49 %
 
103
 
Missouri
173
  
11
84
78
1,732,104
12.50 %
 
376
 
Nebraska
77
  
0
2
75
3,042
60.53 %
 
0
 
Region VIII
375
  
79
94
202
2,123,488
42.68 %
 
314
 
Colorado
98
  
20
28
50
808,368
37.28 %
 
137
 
Montana
97
  
10
31
56
351,605
31.58 %
 
62
 
North Dakota
41
  
22
0
19
96,632
34.38 %
 
12
 
South Dakota
61
  
18
11
32
143,923
27.12 %
 
29
 
Utah
50
  
5
20
25
673,310
59.06 %
 
69
 
Wyoming
28
  
4
4
20
49,650
51.72 %
 
5
 
Region IX
734
  
68
106
560
4,968,717
30.06 %
 
952
 
Arizona
183
  
38
47
98
2,454,477
30.92 %
 
455
 
California
438
  
14
40
384
1,193,697
31.25 %
 
251
 
Hawaii
23
  
1
2
20
110,229
52.63 %
 
13
 
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
2
  
1
0
1
27,797
0.00 %
 
7
 
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
391
  
35
95
261
3,671,330
24.19 %
 
671
 
Alaska
69
  
13
0
56
115,246
31.32 %
 
19
 
Idaho
95
  
6
36
53
498,559
45.25 %
 
67
 
Oregon
105
  
1
36
68
1,134,788
20.37 %
 
229
 
Washington
122
  
15
23
84
1,922,737
20.33 %
 
356
 
HRSA Data Warehouse
5 of 7
October 20, 2018
Data as of:
10/20/2018

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of October 20, 2018
              
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
5,043
  
1,035
428
3,580
110,454,029
25.55 %
 
6,635
 
Region I
201
  
21
11
169
2,176,268
28.58 %
 
151
 
Connecticut
34
  
3
5
26
1,084,864
15.02 %
 
76
 
Maine
51
  
12
0
39
261,782
33.58 %
 
29
 
Massachusetts
58
  
1
5
52
294,816
25.27 %
 
27
 
New Hampshire
21
  
3
0
18
92,634
45.04 %
 
3
 
Rhode Island
13
  
2
1
10
442,172
57.16 %
 
16
 
Vermont
24
  
0
0
24
 
---
   
Region II
267
  
14
55
198
5,425,227
19.13 %
 
378
 
New Jersey
38
  
0
0
38
32,755
71.51 %
 
4
 
New York
182
  
10
44
128
3,836,012
15.32 %
 
276
 
Puerto Rico
42
  
1
11
30
1,451,959
13.32 %
 
89
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
400
  
59
58
283
6,163,036
29.14 %
 
486
 
Delaware
15
  
0
1
14
94,481
6.52 %
 
18
 
District of Columbia
10
  
1
0
9
133,945
5.31 %
 
28
 
Maryland
54
  
9
13
32
1,356,453
28.85 %
 
88
 
Pennsylvania
122
  
23
1
98
1,660,052
35.13 %
 
103
 
Virginia
82
  
17
8
57
2,198,881
39.79 %
 
119
 
West Virginia
117
  
9
35
73
719,224
16.83 %
 
130
 
Region IV
796
  
129
137
530
26,936,831
22.95 %
 
1,865
 
Alabama
56
  
14
7
35
2,932,221
24.03 %
 
159
 
Florida
180
  
17
41
122
6,286,508
16.07 %
 
408
 
Georgia
99
  
18
8
73
4,834,543
38.05 %
 
199
 
Kentucky
107
  
23
5
79
2,160,036
29.59 %
 
120
 
Mississippi
47
  
13
0
34
2,381,982
24.49 %
 
366
 
North Carolina
167
  
24
51
92
2,522,692
13.90 %
 
149
 
South Carolina
69
  
10
11
48
2,418,422
37.54 %
 
108
 
Tennessee
71
  
10
14
47
3,400,427
11.66 %
 
356
 
Region V
792
  
178
26
588
19,062,897
26.70 %
 
1,024
 
Illinois
123
  
32
4
87
4,871,763
25.54 %
 
216
 
Indiana
76
  
22
0
54
3,738,068
34.74 %
 
159
 
Minnesota
67
  
9
0
58
2,000,050
33.27 %
 
79
 
Michigan
278
  
48
13
217
4,132,859
23.94 %
 
212
 
Ohio
114
  
19
7
88
2,235,622
30.83 %
 
111
 
Wisconsin
134
  
48
2
84
2,084,535
19.23 %
 
247
 
Region VI
785
  
277
41
467
17,335,925
30.11 %
 
891
 
Arkansas
47
  
5
10
32
1,266,192
31.82 %
 
65
 
Louisiana
126
  
51
11
64
3,143,641
21.96 %
 
162
 
New Mexico
71
  
16
2
53
1,251,275
12.30 %
 
75
 
Oklahoma
118
  
4
9
105
1,556,785
20.65 %
 
95
 
Texas
423
  
201
9
213
10,118,032
35.47 %
 
494
 
Region VII
333
  
42
22
269
5,985,690
24.53 %
 
305
 
Iowa
72
  
15
0
57
1,610,233
39.24 %
 
53
 
Kansas
70
  
19
2
49
1,387,508
31.58 %
 
55
 
Missouri
110
  
3
20
87
1,948,955
7.20 %
 
171
 
Nebraska
81
  
5
0
76
1,038,994
50.82 %
 
26
 
Region VIII
340
  
91
17
232
7,742,007
32.26 %
 
384
 
Colorado
92
  
11
8
73
2,665,379
29.80 %
 
131
 
Montana
82
  
21
7
54
602,361
13.27 %
 
71
 
North Dakota
51
  
26
0
25
291,463
18.75 %
 
20
 
South Dakota
51
  
14
1
36
456,245
11.63 %
 
43
 
Utah
40
  
14
1
25
3,165,372
50.20 %
 
94
 
Wyoming
24
  
5
0
19
561,187
31.46 %
 
25
 
Region IX
767
  
151
47
569
13,742,861
24.40 %
 
838
 
Arizona
176
  
64
15
97
2,968,874
7.95 %
 
235
 
California
485
  
64
29
392
7,678,250
30.32 %
 
419
 
Hawaii
28
  
5
2
21
191,566
17.54 %
 
9
 
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
107,020
0.00 %
 
6
 
Guam
2
  
1
0
1
159,358
58.97 %
 
3
 
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
362
  
73
14
275
5,883,287
16.64 %
 
313
 
Alaska
75
  
18
0
57
276,716
20.71 %
 
10
 
Idaho
62
  
6
1
55
1,276,767
21.08 %
 
57
 
Oregon
93
  
14
7
72
1,490,882
23.52 %
 
80
 
Washington
132
  
35
6
91
2,838,922
10.48 %
 
166
 
HRSA Data Warehouse
6 of 7
October 20, 2018
Data as of:
10/20/2018

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
October 20, 2018
Data as of:
10/20/2018