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Arizona Medically Underserved Areas Arizona Department of Health Services Division of Public Health Services Bureau of Health Systems Development Designation of Arizona Medically Underserved Areas October 2014 Janice K. Brewer, Governor Will Humble, Director http://www.azdhs.gov/hsd/data/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2014 Page 1 of 19 INTRODUCTION The Arizona Medically Underserved Area (AzMUA) report is prepared bi ennially 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 Services, 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. 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 2014 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/hsd/data/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2014 Page 2 of 19 SUMMARY Currently, Arizona has 98 AzMUAs; 12 of these AzMUAs lie within the boundaries of Indian Tribal land. This is an increase of 4 AzMUAs since the last biennial report, published in 2012. 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 services, 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/hsd/data/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2014 Page 3 of 19 Arizona Medically Underserved Areas (AzMUAs)* October 2014 AzMUA Name Census Tracts Other Places in Area HPSA - Primary Care Health Professional Shortage Area PCA - Primary Care Area Ahwatukee 040131167.07, 040131167.08, 040131167.09, Ahwatukee, Alta Mira, Burgundy Hill, HPSA 040131167.10, 040131167.11, 040131167.12, Cambridge Heights, Corona Village, Gila Range, 040131167.13, 040131167.14, 040131167.15, Kyrene, Kyrene Gin, Ma Ha Tuak Range, 040131167.17, 040131167.18, 040131167.19, Orangetree, Parkside, Pepperwood, Prado Del 040131167.20, 040131167.21, 040131167.25, Sol, Raintree, Renaissance, Suncrest Villas 040131167.27, 040131167.28, 040131167.29, Chandler, West Chandler 040131167.30, 040131167.31, 040131167.32, 040131167.33, 040133199.05, 040133199.06, 040133199.07, 040133199.08, 040133199.09, 040133199.10, 040133200.01, 040138100.00, 040138101.00, 040138102.00, 040138104.00, 040138105.00, 040138106.00, 040138107.00, 040138109.00, 040138110.00, 040138111.00, 040139804.00 Ajo 040194704.00 Ajo, Chico Shunie, Childs, Gibson, Gunsight, HPSA John The Baptist, Lukeville, Mexican Town, Quitobaquito, Rowood, The Adobe, Why Apache Junction 040134201.10, 040134201.11, 040134201.12, Apache Junction, Apache Junction, Bluebird HPSA 040134201.15, 040134201.16, 040134226.28, Mine, Bulldog Mine, Gold Canyon Ranch, 040134226.29, 040210003.07, 040210003.08, Goldfield, Goldfield Mine, Kings Ranch, Palm 040210003.09, 040210003.10, 040210003.11, Springs, Youngberg 040210003.12, 040210003.13, 040210003.14, 040210003.15, 040210003.16, 040210003.17, 040210003.18, 040210003.19 Arivaca 040190043.13, 040190043.16, 040190043.23, Amado, Arivaca, Arivaca Junction, Arivaca King HPSA 040190043.24, 040190043.25, 040190043.26, Mine, Continental, Duval, Elkhorn Ranch, 040190043.27, 040190043.28, 040190043.29, Golden Star Mine, La Canada Ranch, Las Guijas, 040199409.00 Old Sopori School, Pima Spur, Pino Blanco Ranch, Puertocito, Punta Del Agua, Rancho De La Osa, Rancho Seco, Roades Ranch, Robles Junction, Sahuarita, San Xavier, San Xavier Indian Res, Sandwash Mill, Sasabe, Secundino, Silver Coin Mine, Three Points, Twin Buttes Mine Ash Fork 040250021.00 Ash Fork, Audley, Chino Station, Crookton, HPSA Lake Mary, Nelson, Pica, Seligman, Yampai http://www.azdhs.gov/hsd/data/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2014 Page 4 of 19 AzMUA Name Census Tracts Other Places in Area HPSA - Primary Care Health Professional Shortage Area PCA - Primary Care Area Avondale/Tolleson 040130610.09, 040130610.12, 040130610.13, Avondale, Cashion, Goodyear, Griggs, Litchfield HPSA 040130610.14, 040130610.15, 040130610.16, Junction, McMicken, Tolleson 040130610.17, 040130610.18, 040130610.19, 040130610.22, 040130610.23, 040130610.24, 040130612.00, 040130613.00, 040130614.01, 040130614.02, 040130822.03, 040130822.04, 040130822.05, 040130822.06, 040130822.07, 040130822.08, 040130822.09, 040130822.10, 040130822.11, 040130830.00 Benson 040030003.01, 040030003.02, 040030003.03 Benson, Bradberry, Cascabel, Chamiso, Curtiss, HPSA Dragoon, Fenner, Hookers Hot Springs, Johnson, Land, Mescal, Pomerene, Saint David, Sibyl, Tully Bisbee 040030010.00, 040030011.00, 040030012.00, Bakerville, Bisbee, Bisbee Junction, Black Gap, HPSA 040030020.01, 040030020.02, 040030021.00 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 El Encinar, Saginaw, San Pedro, Sierra Vista Southeast, South Bisbee, Stark, Sunnyside, Tintown, Warren Bonita/Klondyke 040099616.00 Angle Orchard, Aravaipa, Artesia, Bonita, Crook HPSA National Forest, Eureka Springs, Fort Grant, Fort Grant Vista Point, Gillespie, Gold Gulch Corral, Hanks Corral, Horse Camp Corral, Klondyke, Powers Garden, Red Corral, Sierra Bonita Ranch, Sunset, Swift Trail Junction, Webb Corral Buckeye 040130506.03, 040130506.04, 040130506.05, Agua Caliente, Allenville, Arlington, Buckeye, HPSA 040130506.06, 040130506.07, 040130506.08, Camel, Conger, Crag, Dixie, Gila Bend Indian 040130506.09, 040130506.10, 040130506.11, Reservation, Gillespie, Harqua, Hassayampa, 040130507.01, 040130507.02 Liberty, Montezuma, Palo Verde, Papago, Perryville, Saddle, Sundad, Tonopah, Valencia, Wintersburg Chino Valley 040250002.02, 040250002.03, 040250002.04, Camp Wood, Camp Wood Ranger Guard Station, HPSA 040250012.00 Chino Valley, Del Rio, Drake, Eddy Place, Fair Oaks, Grand View, Granite, Hillside, Mint, Paulden, Prescott National Forest, Simmons, Skull Valley, Stringfield, Williamson, Willow Spring, Wood Trap, Yava Colorado River Indian 040129403.00 Colorado River Indian Reservation, Poston Community HPSA http://www.azdhs.gov/hsd/data/reports.htm BUREAU OF HEALTH SYSTEMS DEVELOPMENT, Arizona Department of Health Services October 2014 Page 5 of 19 AzMUA Name Census Tracts Other Places in Area HPSA - Primary
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