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Department of Human Services
 
In order to help address these needs, Health Systems Planning applies for federal health care shortage designations. These designations target millions of dollars of federal resources to improve health care in underserved areas of the state. We estimate these designations bring in over $20M per year in unmatched federal resources.


Our office applies for three types of federal designations from the Bureau of Health Professions, Shortage Designation Branch. These designations are
  • Health Care Shortage Areas (HPSA),
  • Medically Underserved Areas (MUA), and
  • Medically Underserved Populations (MUP).

View maps of Primary Care, Dental and Mental Health HPSA's in Oregon:


View maps of MUA's and MUP's in Oregon:

All subgroups of HPSA can cover a geographic area or a special population. Special populations include migrant and/or seasonal farmworker, and/or homeless and/or low income populations (below 200 percent of the Federal Poverty Level). About 48 federal programs and some state programs are tied to these designations.


Historically, MUA/MUP designations were created for funding eligibility of Community Health Center programs and HPSA designations were created for distribution National Health Service Corps (NHSC) resources. HPSA designations are updated every four years. For instance HPSAs done in 2002 are due to be updated in 2006.

A sample of programs currently related to these designations is listed below:

  • Community Health Center funding - MUA/MUP
  • National Health Service Corps - HPSA
  • Rural Health Clinic Certification - Primary Care HPSA, MUA, not MUP (this information is date sensitive)
  • Oregon Conrad Program - Primary Care HPSA, MUA, MUP and Mental Health HPSA (for psychiatrists)
  • Remote Supervision of Oregon physician assistants - HPSA, MUA or MUP

Criteria for HPSA designation include provider to population ratio and distance to the next source of care. Indicators included in MUA/P designations are percent of population under 100% FPL, percent of population over 65 years of age, the infant mortality rate and provider to population ratio.

 

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