Health Professional Shortage Area (HPSA) Designation
One major responsibility of the Alaska Primary Care Office is to recommend to the Bureau of Health Professions, Shortage Designation Branch areas and/or populations within the state that are considered to be Health Professional Shortage Areas (HPSAs). HPSAs are geographic areas and/or populations which have unmet needs for primary care, dental, and/or behavioral health services
HPSA designations have an impact on eligibility determinations for primary care grants, special payments to providers for seeing Medicare and Medicaid beneficiaries, securing assistance from the National Health Service Corps (NHSC), as well as many other federal and state programs. (See Federal HPSA programs for a list of federal programs using HPSA designation status in some manner.)
PCO staff develop HPSA applications based upon a provider to population ratios, poverty levels, geographic, and other barriers to care in contiguous areas, and several health status measures. Staff collect data, analyze the data, write-up report results, and then send the applications to the Shortage Designation Branch for their review and action, on behalf of communities in need.
Community Health Centers with Section 330 funding are automatically designated as HPSAs although "scoring" of the degree of shortage has not yet been fully implemented. For the most current list of HPSA designations, go to the Shortage Designation Branch. Periodically, PC/RHO staff post updated lists at the following links: