About HPSA and MUA/P

How are HPSAs and MUA/Ps designated?

The Office of Rural Health and Primary Care (ORHPC) identifies Health Professional Shortage Areas (HPSA) and Medically Underserved Areas/Populations (MUA/P) for Minnesota. Through these shortage area designations, high-need sites can meet eligibility criteria for a number of federal and state assistance programs.

ORHPC works with the Shortage Designation Branch (SDB) of the federal Bureau of Health Professions to establish HPSA designations.

In addition, ORHPC works with the SDB to establish the MUA/P designation, which is a prerequisite to requesting grant awards to plan, develop and operate a community health center under section 330 of the Public Health Service Act.

MUA/P designation involves the calculation of an Index of Medical Underservice (IMU) based on four variables:

  • Ratio of primary medical care physicians per 1,000 population,
  • Infant mortality rate,
  • % of the population with incomes below the poverty level, and
  • % of the population age 65 or over.

The value of each of these variables for the service area is converted to a weighted value, according to established criteria. The four values are summed to obtain the area, IMU score.

Health Professional Shortage Area (HPSA)

Shortage Designations Types and Benefits National Health Service Corp (NHSC) Program Federally Qualified Health Center Program (FQHC) CMS Medicare 10% Incentive Payment CMS Rural Health Clinic Program J-1 Visa Physicians Waiver Program (Conrad 30)

Primary Care: Geographic

X   X X X

Primary Care: Low Income

X     X X

Dental Care: Geographic

X        

Dental Care: Low Income

X        

Mental Health: Geographic

X   X   X

Mental Health: Low Income

X       X

Facility: Primary care, dental care, mental health

X       X
Note: 30+ other agencies and programs use HPSA designation as a criteria for benefits

Medically Underserved Areas of Populations (MUA/P) Primary Care Only

Shortage Designations Types and Benefits National Health Service Corp (NHSC) Program Federally Qualified Health Center Program (FQHC) CMS Medicare 10% Incentive Payment CMS Rural Health Clinic Program J-1 Visa Physicians Waiver Program (Conrad 30)
MUA   X   X X
MUP   X     X
Governor's Exceptional MUP   X     X

Governor's Requested/Secretary Certified Designation for Rural Health Clinic

Shortage Designations Types and Benefits National Health Service Corp (NHSC) Program Federally Qualified Health Center Program (FQHC) CMS Medicare 10% Incentive Payment CMS Rural Health Clinic Program J-1 Visa Physicians Waiver Program (Conrad 30)
Primary Care       X  
          June 2014

The federal Bureau of Health Professions has more information about HPSA and MUA/P criteria as well as a searchable database of federally designated HPSA and MUA/P.

Contact

For more information:
Keisha Shaw
Shortage Designation Coordinator & Grant Program Manager
Phone: 651-201-3860

Updated Sunday, January 08, 2017 at 10:33PM