HRSA designation data Public-data reference Medically Underserved Area

HI · Healthcare shortage profile

Honolulu County, HI

Home to 1,016,508 residents, with 40 active HRSA shortage designations.

Active HPSAs
40
Population
1,016,508
Peak shortage score
26.0
MUA Index
0.0

Healthcare shortage designations from HRSA. FIPS: 15003. Population: 1,016,508.

Honolulu County, HI (population 1,016,508) has 14 primary care, 13 mental health, and 13 dental Health Professional Shortage Area designations active according to HRSA. The county is also designated a Medically Underserved Area (MUA) with an MUA Index of 0.0. Shortage severity scores and individual HPSA designations are detailed below.

14
Primary Care HPSAs
13
Mental Health HPSAs
13
Dental HPSAs

HPSA Scores

Primary Care 21.0
Mental Health 24.0
Dental 26.0

Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.

Medically Underserved Area

MUA Designated
MUA Index: 0.0

Highest-severity HPSA designations

All 40 active (designated) HPSAs in Honolulu County, ranked by HRSA shortage score.

Name Type Score
KO'OLAULOA HEALTH CENTER dental 26.0
KALIHI PALAMA HEALTH CENTER dental 26.0
Kokua Kalihi Valley (Comprehensive Family Services) dental 26.0
Kokua Kalihi Valley (Comprehensive Family Services) mental_health 24.0
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED dental 24.0
WAHIAWA CENTER FOR COMMUNITY HEALTH, THE mental_health 22.0
WAIMANALO HEALTH CENTER mental_health 22.0
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED mental_health 22.0
WAIKIKI HEALTH dental 22.0
WAHIAWA CENTER FOR COMMUNITY HEALTH, THE dental 22.0
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED primary_care 21.0
Kokua Kalihi Valley (Comprehensive Family Services) primary_care 21.0
WAHIAWA CENTER FOR COMMUNITY HEALTH, THE primary_care 20.0
WAIMANALO HEALTH CENTER dental 20.0
KO'OLAULOA HEALTH CENTER mental_health 19.0
KO'OLAULOA HEALTH CENTER primary_care 18.0
KALIHI PALAMA HEALTH CENTER mental_health 18.0
LI - Kalihi-Palama dental 18.0
CASTLE HEALTH CLINIC OF LAIE mental_health 17.0
THE CLINIC AT KAHUKU MEDICAL CENTER mental_health 17.0
CASTLE HEALTH CLINIC OF LAIE dental 16.0
WAIKIKI HEALTH mental_health 15.0
THE CLINIC AT KAHUKU MEDICAL CENTER dental 15.0
Oahu Akau primary_care 14.0
LI - Honolulu County mental_health 14.0
THE CLINIC AT KAHUKU MEDICAL CENTER primary_care 13.0
CASTLE HEALTH CLINIC OF LAIE primary_care 13.0
Oahu Community Correctional Center primary_care 12.0
FDC - Honolulu mental_health 12.0
Halawa Correctional Facility dental 12.0
Oahu Community Correctional Center dental 12.0
FDC-Honolulu dental 12.0
WAIMANALO HEALTH CENTER primary_care 7.0
WAIKIKI HEALTH primary_care 6.0
FDC - Honolulu primary_care 6.0
KALIHI PALAMA HEALTH CENTER primary_care 6.0
Oahu Community Correctional Center mental_health 6.0
Halawa Correctional Facility mental_health 6.0
Womens Community Correctional Center primary_care 3.0
Halawa Correctional Facility primary_care 3.0

What the HRSA Data Shows for Honolulu County

Honolulu County, HI — population 1,016,508 carries 40 active Health Professional Shortage Area designations in the HRSA Data Warehouse: 14 in primary care, 13 in mental health, and 13 in dental. The county is also flagged as a Medically Underserved Area, scoring 0.0 on the MUA Index (lower scores indicate greater need). These three HPSA categories are evaluated independently by HRSA, so a county can show heavy pressure on one axis — for example mental-health access — while remaining closer to the provider ratio threshold for primary care.

The county's highest shortage-severity score across the three categories is 26.0, which crosses the 17-point threshold HRSA uses to flag high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare reimbursement. Primary-care scoring reached 21.0 (0–25 scale). Mental-health scoring reached 24.0 (0–25 scale). Dental scoring reached 26.0 (0–26 scale). HPSA scores weight the provider-to-population ratio, poverty rate, travel time to the nearest source of care, and — for dental — water fluoridation status. They are recalculated as HRSA updates its quarterly designation cycle.

HRSA lists 40 active (designated) HPSA records tied to Honolulu County, covering the specific facilities, geographies, and population groups that received the designation; the table above shows the most severe. This designation data is the basis for more than thirty federal programs — loan repayment through the National Health Service Corps, Medicare bonus payments, Community Health Center grants, and J-1 visa waivers — which together channel billions of dollars annually to recruit providers into HPSAs. These figures describe structural access to care only; they are not a substitute for medical advice, and patients searching for a specific appointment should contact a provider directly or consult their insurance network.

Honolulu County designations by care type

Active Health Professional Shortage Area designations in the county, by provider category.

designations
Source HRSA Data Warehouse — designated HPSAs As of 2025

Source: HRSA Data Warehouse — Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Honolulu County, HI · 2024 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.

Frequently Asked Questions

How many healthcare shortage areas does Honolulu County have?

Honolulu County, HI has 40 Health Professional Shortage Area designations: 14 in primary care, 13 in mental health, and 13 in dental care, according to HRSA data.

Is Honolulu County a Medically Underserved Area?

Yes, Honolulu County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 0.0. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.

What does an HPSA score mean?

HPSA scores range from 0 to 25 for primary care and mental health (0 to 26 for dental). Higher scores indicate greater shortage severity. Areas with scores of 17 or above are considered high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare/Medicaid reimbursement.

What healthcare providers are needed in Honolulu County?

Based on HRSA shortage designations, Honolulu County needs additional providers in primary care (family physicians, internists, pediatricians), mental health (psychiatrists, psychologists, clinical social workers), and dental care (dentists, dental hygienists). The National Health Service Corps offers loan repayment and scholarship programs for providers who serve in designated shortage areas.

How are HPSA designations used by federal programs?

HPSA designations determine eligibility for over 30 federal programs, including National Health Service Corps placements, Community Health Center grants, Medicare bonus payments (10% for physicians in HPSAs), J-1 visa waiver programs for international medical graduates, and Rural Health Clinic certification. These programs channel billions of dollars annually to underserved communities.

How does Honolulu County compare to other counties in HI?

Honolulu County has 40 total HPSA designations with a peak shortage score of 26.0. You can compare shortage levels across all counties in HI on the state overview page, or view national county rankings to see where Honolulu County stands relative to the rest of the country.

Source: HRSA Data Warehouse. FIPS: 15003. PlainHealthAccess is not affiliated with HRSA or any government agency.

Related

Disclaimer: This information is provided for informational purposes only and does not constitute professional advice. Data is sourced from the HRSA Data Warehouse. Consult a qualified professional before making decisions based on this data.

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