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Health Care Shortage

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.

2014

2013

2012

HPSA and MUA Designations

Below is a list of documents that describe Health Professional Shortage Area (HPSA) and Medically Underserved Area (MUA) designations:

The Health Professional Shortage Area (HPSA) Fact Sheet (March 2010) 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 more information about HPSA and MUA designations go to the Health Services and Resources Administration's Bureau of Health Professions website.

For specific Medicare regulations governing the Rural Health Clinic program see the National Association of Rural Health Clinic's Interpretive Guidelines, or visit our Rural Health Clinics page.

If you have questions about HPSA and MUA designated places in Oregon, please contact Oregon Health Policy and Research

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:

  1. All primary care service areas within a frontier county will automatically be designated Governor’s Health Care Shortage Areas
  2. 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
  3. 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:
    1. 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
    2. At least two of the following three conditions are met:
      1. The service area is defined by the Office of Rural Health as an Area of Unmet Health Care Need;
      2. 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;
      3. 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.

Here is map showing the most current Governor’s Designation.

The original document that outlines the request and criteria for eligibility.