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Office ofthe Director th Arizona 150 North 18 Avenue, Suite 500 JANET NAPOLITANO, GOVERNOR Department of Phoenix, Arizona 85007-2670 JANUARY CONTRERAS, ACTING DIRECTOR Health Services (602) 542-1025 (602) 542-1062 FAX SEP 2.92008 The Honorable Timothy Bee President t)n ]', Arizona State Senate State Capitol OFFICE OF THE PRESIDENT 1700 West Washington Street Phoenix, Arizona 85007 Dear President Bee: In accordance with the provisions ofA.R.S. § 36-2352, the Arizona Department ofHealth Services hereby submits the Designation ofMedically Underserved Area report. The report provides an overview and description ofresources that have been utilized in the development and implementation ofA.R.S. § 36-2352. For further information about this report, please contact Ms. Patricia Tarango, Bureau Chief, Bureau ofHealth Systems Development and Oral Health at 602-542-1436 or by email at [email protected]. PT Arizona Department of Health Services Division of Public Health Services Bureau of Health Systems Development and Oral Health Designation of Arizona Medically Underserved Areas October 2008 Janet Napolitano, Governor January Contreras, Acting Director Condensed Version For list of block identifiers see Complete Report at http://www.azdhs.gov/hsd/profiles/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT AND ORAL HEALTH, Arizona Department of Health Services 9/17/2008 Page loftS 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 and Oral Health (HSDOH) is responsible for activities associated with the implementation of A.R.S. § 36-2352. HSDOH is responsible for assisting communities in obtaining both state and federal shortage designations. Additionally, HSDOH 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. Non-Department programs that require AzMUA designation include: the Arizona Medical Student Loan Program under A.R.S. Title 15, Chapter 13, Article 7; 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; use of health crisis fund monies under A.R.S. § 36-797 for "basic health services delivery disruptions, caused by unforeseen circumstances"; and the establishment of health services districts under A.R.S § 48-2201. Report Components The 2008 AzMUA Report is being provided in two versions, a condensed version and a complete version. The condensed version of the 2008 AzMUA Report provides the name of the geographic designated medically underserved area and lists the towns, places and communities that comprise the area. The complete version of the 2008 AzMUA Report provides the information listed above and additional detail by listing block identifiers that compose the given designated medically underserved area. Both versions contain the same narrative and can be found at http://www.azdhs.gov/hsd/profiles/reports.htm A.R.S. § 36-2352 requires that a report be produced every two years for the purposes of providing an update related to criteria and recommended changes to the primary care index, a list of current designated Arizona Medically Underserved Areas, and a summary of resources provided to communities based on the Arizona Medically Underserved Area designation. For list of block identifiers see Complete Report at http://www.azdhs.gov/hsd/profiles/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT AND ORAL HEALTH. Arizona Department of Health Services 9/17/2008 Page 2 of 15 The 2008 AzMUA reports contain: -- The 2008 Arizona Department of Health Services, Arizona Medically Underserved Area list and map of designated areas http://www.azdhs.gov/hsd/profiles/reports.htm -- A listing of current sites for the Arizona Loan Repayment Programs -- 2008 AzMUA map with Arizona Loan Repayment Program sites -- A listing of current Primary Care Program Contractor sites -- AzMUA map with Primary Care Program Contractor sites -- Arizona Medically Underserved Area Health Services rules in Title 9A.A.C. Chapter 24 http://www.azsos.gov/public_serviceslTitle_09/9-24.htm -- Primary Care Provider Loan Repayment rules in the A.A.C. R9-15-101 and R9-15-201 through R9-15-218 http://www.azsos.gov/public_serviceslTitle_09/9-15.htm As authorized in A.R.S. § 36-2352, the Medically Underserved Area report includes federal designated primary care health professional shortage areas (HPSA) as well as state designated areas. Currently, Arizona has 88 AzMUAs; 18 of these AzMUAs lie within the boundaries of Indian Tribal land. Summary 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, coordinating the delivery and expansion of primary care services. Further information regarding the designation of medically underserved areas is available from the Arizona Department of Health Services, Bureau of Health Systems Development and Oral Health, 602-542-1219 or electronically at http://www.azdhs.gov/hsd/. For list of block identifiers see Complete Report at http://www.azdhs.gov/hsd/profiles/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT AND ORAL HEALTH, Arizona Department of Health Services 9/17/2008 Page 3 of15 Arizona Medically Underserved Areas (AzMUAs)* October 2008 AzMUA Name BlocksOO Other Places in Area HPSA· Primary Care Health Professional Shortage Area PCA • Primary Care Area Ajo Ajo, Chico Shunie, Childs, Gibson, Gunsight, HPSA John The Baptist, Lukeville, Mexican Town, Quitobaquito, Rowood, The Adobe, Why Ak-Chin Indian Ak-Chin Village Community PCA Apache Junction Apache Junction, Apache Junction, Bluebird HPSA Mine, Bulldog Mine, Goldfield, Goldfield Mine, Kings Ranch, Palm Springs, Youngberg Arivaca Amado, Arivaca, Arivaca Junction, Arivaca HPSA King Mine, Elkhorn Ranch, Golden Star Mine, La Canada Ranch, Las Guijas, Old Sopori School, Pima Spur, Pino Blanco Ranch, Presumido Store, Puertocito, Punta Del Agua, Rancho De La Osa, Rancho Seco, Roades Ranch, Robles Junction, Sahuarita, San Xavier, Sandwash Mill, Sasabe, Secundino, Silver Coin Mine, Three Points, Twin Buttes Mine Ash Fork Ash Fork, Audley, Chino Station, Crookton, HPSA Lake Mary, Nelson, Pica, Seligman, Yampai Avondale/Tolleson Avondale, Cashion, Goodyear, Griggs, HPSA Litchfield Junction, McMicken, Perryville, Tolleson Benson Benson, Bradberry, Cascabel, Chamiso, Curtiss, HPSA Dragoon, Fenner, Hookers Hot Springs, Johnson, Land, Mescal, Pomerene, Saint David, Sibyl, Tully For list of block identifiers see Complete Report at http://www.azdhs.gov/hsd/profiles/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT AND ORAL HEALTH, Arizona Department of Health Services 9/1712008 Page 4 ofl5 AzMUA Name BlocksOO Other Places in Area HPSA - Primary Care Health Professional Shortage Area PCA - Primary Care Area Bisbee Bakerville, Bisbee, Bisbee Junction, Black Gap, HPSA Bledsoe, Briggs, Copper Queen, Corta Junction, Don Luis, Forrest, 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 EI Encinar, Saginaw, San Pedro, Sierra Vista Southeast, South Bisbee, Stark, Sunnyside, Tintown, Warren Buckeye Agua Caliente, Allenville, Arlington, Buckeye, HPSA Camel, Conger, Crag, Dixie, Gila Bend Indian Reservation, Gillespie, Harqua, Hassayampa, Liberty, Montezuma, Palo Verde, Papago, Saddle, Sundad, Tonopah, Valencia, Wintersburg Bullhead City Bullhead City, Riviera HPSA Chandler HPSA Chino Valley Arizona State University, Camp Wood, Camp HPSA Wood Ranger Guard Station, Chino Valley, Del Rio, Drake, Eddy Place, Fair Oaks, Grand View, Granite, Hillside, Mint, Paulden, Prescott National Forest, Simmons, Skull Valley, Stringfield, Willow Spring, Wood Trap, Yava Continental Camp Cameron, Continental, Corona, Corona HPSA de Tucson, Duval, Empire Ranch, Fish Well Corral, Franco Ranch, Greaterville, Helvetia, Madera Canyon, New Tucson, Rosemont Junction, Sahuarita Heights, Vail Coolidge Borree Comer, Central Arizona College, HPSA Coolidge, Eleven Mile Comer, La Palma, Randolph Cordes Junction Arcosanti, Cedar Mill, Cordes Junction, Cordes HPSA Lakes, Dandrea, Dugas, Lancaster, Mayer, Poland Junction Substation For list of block identifiers see Complete Report at http://www.azdhs.govlhsdlprofileslreports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT AND ORAL HEALTH, Arizona Department of Health Services 9/17/2008 Page 5 0£15 AzMUA Name BlocksOO Other Places in Area HPSA - Primary Care Health Professional Shortage Area PCA - Primary Care Area Dolan Springs Antares, Archibald Corral, Bonelli Landing, HPSA Cerbat, Chloride, Cyclopic, Dolan Springs, Fry Mine, Gold Chain Mine, Grasshopper Junction, Hualapai Valley Joshua Trees, Katherine, Lake Mohave Resort, Meadview, Mineral Park, Mohave Crossing, Patterson Corral, Pearce Ferry, Ray Place, Santa Claus, South Cove, Stockton, Temple Bar Marina, Truxton, Valentine, White Hills, Willow Beach Douglas Bernardino, Calumet, Cazador, Douglas, Hood HPSA Hafassienda, Pirtleville,
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