HPSA Designation

Also see:

• HPSA Designation Criteria
• Dental HPSA Designation Criteria
• Guidelines for Primary Medical Care/Dental HPSA Designation

There are three different types of HPSA designations, each with its own designation requirements:

• Geographic Area
• Population Groups
• Facilities

Geographic Areas must

• Be rational areas for the delivery of dental services
• Meet one of the following conditions
  • Have a population to full-time-equivalent dentist ratio of at least 5,000:1
  • Have a population to full-time equivalent dentist ratio of less than 5,000:1 but greater than 4,000:1 and unusually high needs for dental services
• Dental professionals in contiguous areas are overutilized, excessively distant or inaccessible to the population

Population Groups must

• Reside in a rational service area for the delivery of dental care services
• Have access barriers that prevent the population group from use of the area's dental providers
• Have a ratio of the number of persons in the population group to the number of dentists practicing in the area and serving the population group of at least 4,000:1
• Members of Federally recognized Native American tribes are automatically designated. Other groups may be designated if the meet the basic criteria described above.

Facilities must

• Be either Federal and/or State correctional institutions or public and/or non-profit medical facilities
• Federal or State Correctional facilities must:
  • Have at least 250 inmates and
  • Have a ratio of the number of internees per year to the number of FTE dentists serving the institution of at least 1,500:1
• Public and/or non-profit private dental facilities must:
  • provide general dental care services to an area or population group designated as having a dental HPSA and
  • have insufficient capacity to meet the dental care needs of that area or population group