ARIZONA DEPARTMENT OF HEALTH SERVICES DESIGNATION OF MEDICALLY UNDERSERVED AREAS OCTOBER 2002 Arizona Department Of Health Services Catherine R. Eden, Ph.D., Director Published By Arizona Department Of Health Services Office of Health Systems Development 1740 W. Adams Street, Room 302 Phoenix, AZ 85007 Phone: (602) 542-1219 This Report Is Provided As required By Arizona Revised Statute § 36-2352(B) Arizona Department of Health Services Division of Public HealthServices Officeof HealthSystems Development Designation of Medically-Underserved Areas October 2002 Jane Dee Hull, Governor CatherineR. Eden, Director HPSA - Health Professional Shortage Area PCA - Primary Care Area Introduction The Arizona Medically Underserved Area (AzMUA) report is prepared by the Arizona Department of Health Services, as mandated by A.RS. § 36-2352. Within the Arizona Department of Health Services, Division ofPublic Health, the Officeof HealthSystems Development (HSD) is responsible foractivities associated withthe implementation of A.RS. § 36-2352. The Officeof Health Systems Development is responsible forassisting communities in obtainingboth state and federal shortage designations. Additionally, the HSD manages programs thatprovide incentives in theform ofloan repayment forprimary health care providers to work in medically underserved areas. The HSD is also responsible for the implementation of A.RS. § 36-2907.06, QualifyingCommunity Health Centers Primary Care Program, now more familiarlyknown as the Tobacco Tax Primary Care "Part B" programand A.RS. §36-2174, Rural Private Primary Care Provider Loan Repayment Program. Legislative language require thatindividuals or entities interested in participating in eitherprogram do so within designated ArizonaMedically Underserved Area boundaries. Components of the Report A.RS.§36-2352 requires that a report be produced every two years for the purposesof providing an update related to criteria and recommended changes to theprimary care index, provide a list of current designatedArizona Medically Underserved Areas and provide a summary ofresources provided to communities based on Arizona Medically Underserved Area designation. Thisreport containsthe following: • The 2002 Arizona Departmentof HealthServices, ArizonaMedically Underserved Area map and list of designated areas, see http://www.hs.state.az.us/hsd/profiles/maps.htm • Notices ofFinal Rulemakingfor Arizona Medically Underserved Area HealthServices and forLoan Repayment, see http://www.hs.state.az.us/hsd/profiles/azmuadesignation.htm • A map and list of current Tobacco Tax Primary Care "Part B" contractors, see http://www.hs.state.az.us/hsd/profiles/maps.htm • A map and list ofRural Private Primary Care Provider Loan Repayment provider work sites, see http://www.hs.state.az.us/hsd/profiles/maps.htm As authorized in A.RS. § 36-2352, the Medically Underserved Area report includes areas that are designated as a federalhealth professional shortage area (HPSA) as well as those areas with statedesi gnation. Currently, thereare 80 designated Arizona Medically Underserved Areas in the state. Ofthe 80 designated areas, 17 are within the boundaries offudian Tribal land. This is an increase of27 new designations above the number reported in the2000 Arizona Medically Underserved Area report. These additionaldesi gnations are a result of thechanges in the AdministrativeRule and an increase in communitybased organizationrequest forfederal health professional shortage designations. The Departments five-yearreview report ofArizona Administrative Code (A.AC) Title 9, Chapter 24 Medically Underserved Area Health Services, was approved by the GovernorsRegulatory Review Council as docket number F-00-0102 on January 4, 2000. The Departments revision of 9 A.AC. 24, Articles 1 through 3, became effective January 17, 2001. Repeal of 9 A.AC. 24, Article 4 ArizonaLoan RepaymentProgram, became effectiveAugust 9, HPSA - Health Professional Shortage Area PCA - Primary Care Area 2 2001. The new Loan Repayment rules, located a 9 A.A.C. 15, became effective August 9, 2001. Attached are the Arizona Administrative Register Notices ofFinal Rulemakingfor the three rulemakingactions resulting fromthe five-year review report of9 A.AC. 24. Throughthe Tobacco Tax "Part B" program contractstotaling $ 5.5 million have been awarded for theprovision of primary care services to10 CommunityHealth Centers and look-alike facilities with 24 primary care service sites. A map and list of current Tobacco Tax "Part B" Contractorsshows the distribution ofthese funds. The second map shows the distribution of providers currently participating in theRural PrivatePrimary Care Provider Loan Repayment program. A corresponding list ofprovider work sites is also enclosed. Tobacco Tax appropriation forthis program is $112,000 annually. Summary The 2002 Arizona Departmentof Health Services, Arizona Medically-Underserved Report shows an increase in the total number ofdesi gnated areas from the previous report. This is a direct result of increased request from communities and fromchanges in the rules. Through theuse of Arizona Medically Underserved Area designations, resources are specifically targeted to those communities thatface greater challenges in the provision ofprimary care services. The Arizona Departmentof Health Services continues to work closely with communities in exploring appropriate designation, coordinatingthe delivery and expansion ofprimary care services and thedistribution of primary care providers. Furtherinformation regarding the desi gnation ofmedically underserved areas is available forthe Arizona Department of Health Services, Officeof Health Systems Development, 602-542-1219 or electronically at http://www.hs.state.az.us/hsd/. HPSA - Health Professional Shortage Area PCA - Primary Care Area 3 Division of Public Health Services Office of Health Systems Development 1740 W Adams St Room 302 JANE DEE HULL, GOVERNOR Phoenix, AZ 85007-2670 CATHERINE R. EDEN, DIRECTOR (602) 542-1219 (602) 542-2011 FAX Arizona Medically Underserved Areas (AzMUA)* September 30, 2002 Block Groups (1990) Other Places in Area Ajo HPSA 190049.001, 190050.001, Ajo, Chico Shunie, Childs, Gibson, Gunsight, 190050.002, 190050.003, John The Baptist, Lukeville, Mexican Town, 190050.004 Quitobaquito, Rowood, The Adobe, Why Arivaca HPSA 190043.051, 190043.052, Arivaca, Arivaca Junction, Arivaca King Mine, 190043.053, 190043.054, Duval, Elkhorn Ranch, Golden Star Mine, La 190043.055, 190043.056, Canada Ranch, Las Guijas, Old Sopori 190043.057, 190043.058 School, Pima Spur, Pino Blanco Ranch, Puertocito, Punta Del Agua, Rancho De La Osa, Rancho Seco, Roades Ranch Ash Fork HPSA 250001.001, 250001.002 Ash Fork, Audley, Chino Station, Crookton, Lake Mary, Nelson, Pica, Seligman, Yampai AvondalefTolleson HPSA 130610.031, 130610.032, Avondale, Cashion, Goodyear, Griggs, 130610.033, 130610.034, Litchfield Junction, McMicken, Tolleson 130610.041, 130610.042, 130610.043, 130610.051, 130610.052, 130610.053, 130610.054, 130612.001, 130612.003, 130612.004, 130613.001, 130614.001, 130614.002, 130614.003, 130821.001, 130821.002 Bisbee HPSA 030010.001, 030010.002, Bakerville, Bisbee, Bisbee Junction, Black 030010.003, 030010.004, Gap, Bledsoe, Briggs, Copper Queen, Corta 030010.005, 030010.006, Junction, Don Luis, Forrest, Galena, Hereford, 030011.001, 030011.002, Highland Park, Huachuca Terrace, Lowell, 030011.003, 030011.004, Miracle Valley, Naco, Neff, Nicksville, 030012.001, 030012.002, Palominas, Paul Spur, Stark 030012.003, 030020.001, 030020.002, 030021.001, 030021.002, 030021.003 Bowie/Willcox HPSA 030001.001, 030001.002, Bowie, Bowie Junction, Buckeye Mill, 030001.003, 030002.001, Chiricahua Indian Reservation, Cochise, Dos 030002.002, 030002.003, Cabezas, Kansas Settlement, Luzena, HPSA - Health Professional Shortage Area PCA - Primary Care Area 4 Area Block Groups (1990) Other Places in Area 030002.004, 030002.005, Manzoro, Mineral Park, Olga, Pearce, Rancho 030002.006 Sacatal, Raso, San Simon, Sunizona, Sunsites, Vanar, Wheeler Place, Willcox Buckeye HPSA 130506.001, 130506.002, Agua Caliente, Allenville, Arlington, Buckeye, 130506.003, 130506.004, Camel, Conger, Crag, Dixie, Gillespie, 130506.005, 130506.006, Harqua, Hassayampa, Liberty, Montezuma, 130507.001, 130507.002, Palo Verde, Papago, Perryville, Saddle, 130507.003, 130507.004 Sundad, Tonopah, Valencia, Wintersburg Central/West Pinal HPSA 210008.002, 210008.003, Adamsville, Ak-Chin Indian Reservation, 210008.004, 210009.001, Arizola, Arizona City, Avra, Blue Water, Bon, 210009.002, 210010.001, Barree Corner, Boy Farms, Cactus Forest, 210010.002, 210010.003, Casa Grande, Casa Grande Valley, Central 210010.004, 210011.001, Arizona College, Coolidge, Deep Well Ranch, 210011.002, 210011.003, Eleven Mile Corner, Eloy 210011.004, 210012.001, 210012.002, 210013.001, 210013.002, 210013.003, 210013.004, 210013.005 Chinle HPSA 019772.001, 019772.002, Black Mountain Trading Post, Black Pinnacle 019772.003, 019772.004, Campground, Blue Gap, Canyon De Chelly 019773.001, 019773.002, National Monument, Chinle, Chinle Valley 019773.003, 019773.004, Store, Copper Mine, Cottonwood, Cove, 019773.005, 019774.001, Coyote Springs, Del Muerto, Dinnebito, 019774.002, 019774.003, Emmanuel Mission, Flat Rock, Lukachukai 019774.004, 019774.005, 019775.001, 019775.002, 019775.003, 019775.004, 019775.005, 019775.006 Continental HPSA 190041.021, 190041.022, Camp Cameron, Continental, Corona de 190041.023, 190041.024, Tucson, Empire Ranch, Fish Well Corral, 190041.025, 190041.026 Franco Ranch,