Health Care Shortage
Federal and State Designations of Health Care Shortage/Underservice by ORH Service Area Report: HPSA, MUA and Unmet Need Areas
Jump to the sections on this page below:
Unmet Need Designation
Each year the Oregon Office of Rural Health, using multiple criteria, assesses the unmet health care needs for rural Oregon communities. The formula and its results are below.
2017 Areas of Unmet Health Care Need in Oregon — a report of the Unmet Needs determination in Oregon for 2017. The Unmet Need designation was revised this year, using nine variables, to focus on physical, mental and oral primary care access needs. Total scores as well as details and maps for each Unmet Need Variable are available in the report.
- Ratios and Scores of the Areas of Unmet Medical Need in rural Oregon
- Unmet Health Care Needs Map
- Ambulatory Care Sensitive Conditions Ratio
- Low Birth Weight
- Mortality Ratio
- Primary Care Needs Met
- Travel Time
HPSA and MUA Designations
Below is a list of documents that describe Health Professional Shortage Area (HPSA) and Medically Underserved Area (MUA) designations:
- , and what each one makes you eligible to apply for funding.
- Oregon Map of MUAs
- Oregon Mental Health HPSA Map
- Oregon Dental HPSA Map
The Health Professional Shortage Area (HPSA) Fact Sheet is now available in downloadable format from the Centers for Medicare & Medicaid Services’ Medicare Learning Network on the CMS website. This fact sheet provides general requirements and an overview of the Health Professional Shortage Area (HPSA) payment system.
For specific Medicare regulations governing the Rural Health Clinic program see the Rural Health Clinics page., or visit our
If you have questions about HPSA and MUA designated places in Oregon, please contact
Oregon Governor’s Health Care Shortage Area Designation
The Oregon Governor’s Health Care Shortage Area Designation was created in 2006 to address the fragile health care situation in Oregon’s rural areas that do not meet HPSA or MUA designation criteria. It specifically targets the most remote and least dense locations of the state and expands eligibility of Rural Health Clinic certification in these areas.
Areas may qualify for a Governor’s Health Care Shortage Area designation in one of the following three ways:
- All primary care service areas within a frontier county will automatically be designated Governor’s Health Care Shortage Areas
- If the primary care service area does not meet the level one criterion, but the area has a population-to-physician ratio equal to or greater than 2,400:1 (where the physician full time equivalency (FTE) is calculated with one physician FTE subtracted), the area will automatically be designated a Governor’s Health Care Shortage Area
- If the primary care service area does not meet the level one or level two criteria, the service area will be eligible for designation as a Governor’s Health Care Shortage Area if:
- The area has a population-to-physician ratio equal to or greater than 1500:1 (where the physician FTE is calculated with one physician FTE subtracted); and
- At least two of the following three conditions are met:
- The service area is defined by the Office of Rural Health as an Area of Unmet Health Care Need;
- The area contains a population of people age 65 and older that is at least 20% greater than the rate of the State of Oregon;
- The area contains a population with incomes at or below 200% federal poverty level that is 30% or higher than the rate of the State of Oregon.