HPSA/MUA Process
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HPSA/MUA Process

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HPSA/MUA Process Presentation Transcript

  • 1. Shortage Designations
    • HPSA Health Professional Shortage Area
    • MUA/P Medically Underserved Area/Population
    • What are they:
    • A way to identify areas of greatest health needs so limited resources can be prioritized and given to those most in need of primary health services
    • General Information on designations:
    • HRSA/Shortage Designation Branch:
    • http://bhpr.hrsa.gov/shortage/index.htm
    • HPSA Health Professional Shortage Area
    • MUA/P Medically Underserved Area/Population
    • What are they:
    • A way to identify areas of greatest health needs so limited resources can be prioritized and given to those most in need of primary health services
    • General Information on designations:
    • HRSA/Shortage Designation Branch:
    • http://bhpr.hrsa.gov/shortage/index.htm
    • HPSA Health Professional Shortage Area
    • MUA/P Medically Underserved Area/Population
    • What are they:
    • A way to identify areas of greatest health needs so limited resources can be prioritized and given to those most in need of primary health services
    • General Information on designations:
    • HRSA/Shortage Designation Branch:
    • http://bhpr.hrsa.gov/shortage/index.htm
    • HPSA Health Professional Shortage Area
    • MUA/P Medically Underserved Area/Population
    • What are they:
  • 2. Designation Needed for Selected Federal Programs HPSA Subtypes X X Governor’s Exceptional MUP X X Medically Underserved Population (MUP) X Indiana MUAs too old to qualify for RHC X Medically Underserved Area (MUA) X X Facility HPSA X X X Population HPSA X X X X Geographic HPSA X X Geographic only, ask CMS X Mental Health HPSA X Dental Care HPSA X X HPSA not older than 3 years X Geographic HPSA only X Primary Care HPSA J-1 Visa Waiver CMS Rural Health Clinic Program CMS Medicare Incentive Payment Federally Qualified Health Center Programs National Health Service Corps Shortage Designations Options
  • 3.
    • HPSA/MUA Process
    • 1. Contact Indiana Primary Health Care Association (IPHCA) on what to do.
    • 2. Due to demand there may be a waiting list.
    • 3. You may need to put together a list of primary care physicians for your area.
    • 4. Very possibly the physicians will need to be surveyed to determine Full Time Equivalent (FTE) number available.
    • 5. Neighboring areas within 25 miles need to be examined to see if there is a shortage of physicians.
  • 4.
    • When there is enough information, the HPSA staff at IPHCA will see if area appears to qualify. The designation information will be entered into ASAPS (the on line designation program). The ISDH Primary Care Office will review the documentation and forward the information to the US Department of Health & Human Services Shortage Designation Branch for a final determination.
  • 5. For inquiries contact
    • Natalie Brown, MPH
    • Shortage Designations and National Health Service Corps Program Director
    • Indiana Primary Health Care Association
    • 1006 E. Washington Street, Suite 200
    • Indianapolis, IN 46202
    • Ph: (317) 630-0845 / Fax: (317) 630-0849
    • [email_address]
    • http://www.indianapca.org
    Natalie Brown, MPH Shortage Designations and National Health Service Corps Program Director Indiana Primary Health Care Association 1006 E. Washington Street, Suite 200 Indianapolis, IN 46202 Ph: (317) 630-0845 / Fax: (317) 630-0849 [email_address] http://www.indianapca.org Natalie Brown, MPH Shortage Designations and National Health Service Corps Program Director Indiana Primary Health Care Association 1006 E. Washington Street, Suite 200 Indianapolis, IN 46202 Ph: (317) 630-0845 / Fax: (317) 630-0849 [email_address] http://www.indianapca.org Natalie Brown, MPH Shortage Designations and National Health Service Corps Program Director Indiana Primary Health Care Association 1006 E. Washington Street, Suite 200 Indianapolis, IN 46202 Ph: (317) 630-0845 / Fax: (317) 630-0849 [email_address] http://www.indianapca.org
  • 6. Types of HPSAs
    • Primary Care
    • Dental
    • Mental Health
    • Subgroups
    • Geographic
    • Low Income (30% of population at 200% of poverty)
  • 7.
    • Providers HPSAs consider Primary Care
    • Primary Care Physicians:
    • Family/General Practice
    • General Internal Medicine
    • General Pediatric Medicine
    • General OB/GYN
    • Geriatric Medicine
    • Dentistry, General & Pediatric
    • Mental Health
    • Psychiatrists or
    • Psychiatrists and Core Mental Health Providers
  • 8. Provider Ratios for Shortages
    • Primary Care
    • Geographic 3500 pop to 1 FTE
    • Low income 3000 pop to 1 FTE
    • (30% of population at 200% of poverty)
    • All Contiguous areas 2000 pop to 1 FTE
    • Dental
    • Geographic 5000 pop to 1 FTE
    • Contiguous areas 3000 pop to 1 FTE
    • Mental Health
    • Geographic 30,000 pop to 1 FTE psychiatrists
    • or 9,000 pop to Core Mental Health Professionals and psychiatrists.
  • 9.
      • Eligible for National Health Service Corps loan repayment or scholar.
      • Prerequisite for Rural Health Clinic if designation is less than 3 years old.
      • Geographic HPSAs get 10% Medicare Incentive Benefits.
      • You can seek a J1 Visa Physician.
    HPSA Benefits
  • 10. Most if not all Indiana counties will not qualify for a new MUA today
    • MUAs are based on a point system based on
    • 100% of poverty
    • Percent of population age 65+
    • Infant Mortality Rates
    • Primary Care Physicians per 1000 population
    • All Indiana MUAs are older than 3 years and do not qualify for new Rural Health Clinics.
  • 11. MUA/P Benefits
    • Prerequisite for Federally Qualified Health Centers (FQHC). (Federally funded clinics)
    • Eligible for a J1 Visa Waiver Physician.
    • Indiana MUAs are older than 3 years and thereby do not qualify for Rural Health Clinics. MUPs also do not qualify for Rural Health Clinics.