IA · Healthcare shortage profile
Madison County, IA
Madison County currently lists no active HPSA designations in the retained HRSA mirror, a federal status reading, not a local clinician census. Population 16,548.
- Active HPSAs
- 0
- Population
- 16,548
- Peak shortage score
- -
- MUA Index
- -
Zero-designation verdict
According to current HRSA Data Warehouse records, Madison County, IA has no active shortage designations, placing it in the lowest-volume tier with 70 of 3,289 real US counties.
Key findings
What the HRSA Data Warehouse does not surface for Madison County, IA on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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Madison County currently carries zero active HPSA designations in the retained HRSA mirror.
That is a statement about federal designation status on this release, not a count of clinicians practising in the county. Neighbouring service areas can still be designated.
Madison County's mid-pack ZIP footprint
15 Census ZCTAs intersect Madison County, between the 9 and 15 ZIP cuts across published counties: neither a postage-stamp footprint nor a metro-scale lattice.
Largest land-share ZCTAs
7 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Corpus placement
Lowest active-designation volume tier
According to current HRSA Data Warehouse records, Madison County is tied with 70 of 3,289 real US counties at zero active HPSA designations. This is a count placement, not evidence that local access is adequate; facility and population-group designations can cross county lines, and designation status changes over time.
State peer position. Madison County falls in the lower half of IA counties by active-designation volume, at rank 97 of 99. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 19121. Population: 16,548.
Medically Underserved Area
This county does not have an active MUA designation, and it also holds no active HPSA records in the current HRSA release.
What zero active HPSAs means for Madison County
Madison County currently lists no active HPSA designations in the retained HRSA mirror, a federal status reading, not a local clinician census. No active HRSA designation carries a severity score for Madison County today. The county's former primary care designation, since withdrawn, was last scored 15.0. That is history rather than a current reading, and it confers no present National Health Service Corps or Medicare eligibility. No Medically Underserved Area designation covers Madison County, so federal support here runs through the HPSA route alone.
Among 3,289 real US counties in the current HRSA release, 70 share this zero-active tier with Madison County. That count placement is not a finding that local access is adequate: facility and population-group designations can cross county lines, neighbouring service areas can remain designated, and the warehouse refreshes quarterly. Use HRSA's own shortage-area tools before treating today's empty county row as a settled access verdict.
Madison County falls in the lower half of IA counties by active-designation volume, at rank 97 of 99. The practical next check for a zero-active county is the IA state overview, where other counties may still carry primary-care, mental-health, or dental designations that affect regional staffing and program eligibility.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Madison County, IA · 2026 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.
Reading a zero-HPSA county
No active designation here today, here is how to confirm the current status and look wider.
- Madison County holds no active HRSA designation today, but designations change every quarter, verify the current status directly with HRSA's official finder. How designations work
- Compare Madison County against the rest of IA, where other counties may carry active shortages. IA overview
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Light-volume peers of Madison County (0 active)
One peer set for this volume-led county: nearest active designation count to 0 across the national corpus.
Frequently Asked Questions
- Why does Madison County show zero active HPSA designations?
- HRSA's retained mirror lists no active (Designated) HPSA for Madison County on vintage 2026-08-15. That is a federal status reading, not a census of clinicians practising here, designations lapse and renew, and a neighbouring service area can still be designated.
- Why is Madison County not listed as a Medically Underserved Area?
- Madison County has no MUA designation on this release. Federal shortage support here would require an active HPSA or a neighbouring designated service area.
- Can a facility in Madison County still reach NHSC or related programs?
- Programs that require an ACTIVE designation cannot open on Madison County's own FIPS today. A neighbouring designated service area or a population-group designation can still qualify a facility that sits inside that geography.
Source: HRSA Data Warehouse. FIPS: 19121. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 19121 (Madison County, IA), vintage 2026-08-15. Active designation count 0; peak score n/a; signature zero-active. This profile is reference material, not professional advice; see methodology.