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Arizona Department of Health Services Division of Public Health Services Bureau of Health Systems Development

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Arizona Department of Health Services Division of Public Health Services Bureau of Health Systems Development Arizona Department of Health Services Division of Public Health Services Bureau of Health Systems Development Designation of Arizona Medically Underserved Areas October 2016 Douglas A. Ducey, Governor Cara M. Christ, Director http://www.azdhs.gov/prevention/health-systems-development/data-reports-maps/index.php#reports BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2016 Page 1 of 25 INTRODUCTION The Arizona Medically Underserved Area (AzMUA) report is prepared by the Arizona Department of Health Services, as mandated by A.R.S. § 36-2352. Within the Arizona Department of Health Services, Division of Public Health, the Bureau of Health Systems Development (HSD) is responsible for activities associated with the implementation of A.R.S. § 36-2352. HSD is responsible for assisting communities in obtaining both state and federal shortage designations. Additionally, HSD manages the Arizona Loan Repayment Programs established by A.R.S. § 36-2172 and A.R.S. § 36-2174. The Arizona Loan Repayment Programs provide incentives in the form of loan repayment for primary health care providers to work in medically underserved areas. The Arizona Rural Private Practice Loan Repayment Program utilizes AzMUA designation as a criteria. Non-Department programs that require AzMUA designation include: the Arizona Medical Student Loan Program under A.R.S. Title 15, Chapter 13, Article 7, and priority consideration by the University of Arizona School of Medicine under A.R.S. § 15-1751 for applicants who demonstrate a willingness to practice in the state's underserved areas and the establishment of health service districts pursuant to A.R.S. Title 48, Chapter 16, Article 1. CRITERIA The AzMUA designation is used for planning the delivery of primary care services. The process for AzMUA designation began with the identification of rational service areas in Arizona which reflect demographics, political subdivisions, and primary care utilization patterns. The rational service areas, called Primary Care Areas (PCAs), were revised in 2014 with a repeatable methodology that can be implemented each decade to reflect the most recent decennial census. The new PCAs have size limits, both in area and population, which make them conducive to small area statistical analysis. The Primary Care Index is used to assign points to each PCA based on data gathered from state and federal agencies. PCAs scoring in the top 25% or having a score greater than 55 (out of a possible 121) on the Primary Care Index are designated as AzMUAs. Additionally, by Arizona Statute, all federally designated Primary Care Health Professional Shortage Areas (HPSAs) are also considered AzMUAs. AzMUA designations are valid for two years. Because of a transition to a new shortage designation application system at the federal level, HPSAs have not yet been updated to the newest PCA boundaries. For this report, any PCA with at least one of its census tracts currently designated as a HPSA is considered an AzMUA. It is anticipated that HPSA boundaries will align with current PCA boundaries by 2018. REPORT COMPONENTS In accordance with A.R.S. § 36-2352, this Biennial AzMUA Report contains a list and map of currently designated Primary Care Areas, as well as a summary of resources provided to communities based on the AzMUA designation. This includes a listing and map of current Arizona State Loan Repayment Program sites. The full 2016 AzMUA Report includes a list of Census Tract identifiers for designated areas. Please reference the following rules for additional information: -- The Arizona Medically Underserved Areas Health Services rule can be found in Title 9A.A.C. Chapter 24. -- The administrative rules for the Primary Care Provider Loan Repayment Program and the Rural Private Primary Care Provider Loan Repayment Program can be found here. http://www.azdhs.gov/prevention/health-systems-development/data-reports-maps/index.php#reports BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2016 Page 2 of 25 SUMMARY Currently, Arizona has 98 AzMUAs; 12 of these AzMUAs lie within the boundaries of Indian Tribal land. There is no change in total number of AzMUAs since the last biennial report, published in 2014. Through the use of AzMUA designations, resources can be targeted to those communities facing the greatest challenges in the provision of primary care services. The Department continues to work closely with communities and organizations in exploring appropriate designation, supporting expansion of primary health care servies, and improving access to primary health care through workforce recruitment and retention programs. Further information regarding the designation of medically underserved areas is available from the Arizona Department of Health Services, Bureau of Health Systems Development, 602-542-1219 or electronically here. http://www.azdhs.gov/prevention/health-systems-development/data-reports-maps/index.php#reports BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2016 Page 3 of 25 Arizona Medically Underserved Areas (AzMUAs)* October 2016 AzMUA Name Census Tracts Other Places in Area HPSA - Primary Care Health Professional Shortage Area PCA - Primary Care Area Ahwatukee Foothills 0131167.07, 0131167.08, 0131167.09, 0131167.10, Ahwatukee, Burgundy Hill, Cambridge Heights, Village 0131167.11, 0131167.12, 0131167.13, 0131167.14, Gila Range, Ma Ha Tuak Range, Parkside 0131167.15, 0131167.17, 0131167.18, 0131167.19, 0131167.20, 0131167.21, 0131167.25, 0131167.27, 0131167.28, 0131167.29, 0131167.30, 0131167.31, 0131167.33 Ajo 0194704.00 Ajo, Chico Shunie, Childs, Gibson, Gunsight, John The Baptist, Lukeville, Mexican Town, Quitobaquito, Rowood, The Adobe, Why Alhambra Village0131058.00, 0131059.00, 0131060.01, 0131060.02, Alhambra 0131060.03, 0131061.00, 0131062.00, 0131066.00, 0131067.01, 0131067.02, 0131067.03, 0131068.01, 0131068.02, 0131069.00, 0131070.00, 0131071.01, 0131071.02, 0131072.01, 0131072.02, 0131073.00, 0131074.00, 0131075.00, 0131088.02, 0131089.02, 0131090.01, 0131090.02, 0131090.03, 0131091.01, 0131091.02, 0131092.00, 0131169.00 Apache Junction0134201.16, 0210003.07, 0210003.08, 0210003.09, Apache Junction, Apache Junction, Bluebird 0210003.10, 0210003.11, 0210003.12, 0210003.13, Mine, Bulldog Mine, Goldfield, Goldfield Mine, 0210003.14, 0210003.15, 0210003.17, 0210003.18 Palm Springs, Youngberg Avondale0130610.13, 0130610.14, 0130610.15, 0130610.21, Avondale, Cashion 0130612.00, 0130614.01, 0130614.02, 0130820.19, 0130820.20, 0130820.21, 0130820.22, 0130820.23, 0130820.24, 0130820.25, 0130820.26, 0130820.27, 0130822.08, 0130822.09, 0130822.10, 0130822.11 Benson 0030003.01, 0030003.02, 0030003.03 Benson, Bradberry, Cascabel, Chamiso, Fenner, Curtiss, Dragoon, Hookers Hot Springs, Johnson, Land, Mescal, Pomerene, Saint David, Sibyl, Tully Bisbee 0030010.00, 0030011.00, 0030012.00, 0030020.01, Bakerville, Bisbee, Bisbee Junction, Black Gap, 0030020.02, 0030021.00 Bledsoe, Briggs, Forrest, Copper Queen, Corta Junction, Don Luis, Galena, Hereford, Highland Park, Huachuca Terrace, Lowell, Miracle Valley, Naco, Neff, Nicksville, Palominas, Paul Spur, Ramsey, Rancho De Hannon, Rancho Del Rio, Rileys B Encinar, Rileys El Encinar, Saginaw, San Pedro, Sierra Vista Southeast, South Bisbee, Stark, Sunnyside, Tintown, Warren http://www.azdhs.gov/prevention/health-systems-development/data-reports-maps/index.php#reports BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2016 Page 4 of 25 AzMUA Name Census Tracts Other Places in Area HPSA - Primary Care Health Professional Shortage Area PCA - Primary Care Area Black Canyon City0250014.01, 0250014.02, 0250015.00 Arcosanti, Big Reef Mill, Black Canyon City, Black Rock Mine, Bradshaw City, Briggs, Bumble Bee, Burro John, Button Mine, Casa Rosa, Castle Hot Springs, Champie Ranch, Chilean Mill, Cedar Mill, East Fort, Fort Misery, Cleator, Columbia, Congress, Constellation, Copperopolis, Cordes, Cordes Junction, Cordes Lakes, Crown King, Dandrea, Dugas, Fort Tule, French Lilly Mine, Gillette, Gold Bar Mine, Goodwin, Hazlett Hollow Campground, Hooper, Horsethief Basin, Humburg, Kentuck Spring Campground, Lancaster, Lapham, Lehman Mill, Mayer, Minnehaha, Octave, Packer, Poland Junction Substation, Rock Springs, Shelley, South Fort, Spring Valley, Stanton, Turney Gluch Campground, Wagoner, Walnut Grove, Wilhoit Buckeye0130405.16, 0130506.03, 0130506.04, 0130506.05, Agua Caliente, Allenville, Alpha, Arlington, Big 0130506.06, 0130506.07, 0130506.08, 0130506.09, Horn, Black Gap, Bosque, Buckeye, Camel, 0130506.10, 0130506.11, 0130507.01, 0130507.02, Estrella, Coledon, Conger, Cotton Center, Crag, 0137233.05, 0137233.06, 0139801.00 Desert Station, Dixie, Freeman, Gila Bend, Gila Bend AFB, Gila Bend Indian Reservation, Gillespie, Halfway Corral, Harqua, Hassayampa, Kenyon Station, Liberty, Midway, Midway Station, Mobile, Montezuma, Palo Verde, Papago, Perryville, Piedra, Point of Rocks, Powers Butte Farms, Rocky Point, Saddle, San Lucy Village, Sentinel, Shawmut, Sil Murk, Smurr, Stanwix, Sundad, Tartron, Tertron, Theba, Tonopah, Valencia, Wintersburg Bullhead City0159405.01, 0159514.01, 0159514.02, 0159515.01, Beals Crossing, Bullhead City, Catfish Paradise, 0159515.02, 0159516.01, 0159516.02, 0159517.00, Fort Mohave, Fort Mojave Indian Reservation, 0159518.00, 0159519.00, 0159520.01, 0159520.02, Golden Shores, Hardyville, Mesquite Creek, 0159520.03, 0159520.04, 0159550.00 Mohave Valley, Mojave City, Riviera, Topock
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