Medically Underserved Area Two high-priority disciplines

KY · Healthcare shortage profile

Franklin County, KY

Peak severity leads this reading: Franklin County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. Population 51,541.

Active HPSAs
3
Population
51,541
Peak shortage score
18.0
MUA Index
58.0

Light-burden verdict

According to current HRSA Data Warehouse records, Franklin County carries a comparatively light shortage burden - 3 active HPSA designations, more than 20% of the 3,289 real US counties, with primary care the deepest gap.

3
Active HPSA designations
1
Mental-health shortages
18
Peak severity score (of 26)
Top 80%
US counties by volume
C
Healthcare Access Score
58/100
Franklin County, KY

Based on HRSA primary/mental/dental shortage severity, Medically Underserved Area status, and estimated unmet provider need -- not patient outcomes, insurance access, facility quality, or wait times.

Primary care D
17.0 of 25
Primary care shortage severity (HPSA score)
Mental health C-
18.0 of 25
Mental health shortage severity (HPSA score)
Dental B+
15.0 of 26
Dental shortage severity (HPSA score)
Underserved status B-
IMU 58.0
Index of Medical Underservice (designated MUA)
Provider gap C+
1.9 per 10K
Unmet provider need (HRSA-estimated) per 10,000 residents

Few Census ZCTAs touch Franklin County

The Census ZCTA-county crosswalk lists only 5 ZIP Code Tabulation Areas intersecting Franklin County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).

Intersecting ZCTA

Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.

Key findings

What the HRSA Data Warehouse does not surface for Franklin County, KY 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.

  1. Peak HPSA score 18.0 clears HRSA's 17-point high-priority line.

    Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.

  2. Closing Franklin County's active designations would take about 9.7 additional clinician FTEs, with primary care the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 5 primary care, 1.1 mental health, 3.6 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  3. 33.3% of Franklin County's 3 active designations are primary care.

    Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 1 dental (denominator 3).

Franklin County vs. every real US county

Total active HPSA designations, including counties with none

3 Top 80% higher than 20% of 3,289 real US counties

0–20: 3,115 real US counties (95%). This entry sits in this band. 20–40: 128 real US counties (4%). Above this entry. 40–60: 32 real US counties (1%). Above this entry. 60–80: 7 real US counties (0%). Above this entry. 80–100: 2 real US counties (0%). Above this entry. 100–120: 1 real US counties (0%). Above this entry. 120–140: 2 real US counties (0%). Above this entry. 140–160: 1 real US counties (0%). Above this entry. 160–180: 0 real US counties (0%). Above this entry. 180–200: 0 real US counties (0%). Above this entry. 200–220: 0 real US counties (0%). Above this entry. 220–240: 0 real US counties (0%). Above this entry. 240–260: 0 real US counties (0%). Above this entry. 260–280: 1 real US counties (0%). Above this entry. This county 0 280 every real US county, bucketed by value

Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source HRSA Data Warehouse, designated HPSAs · 2026

State peer position. Franklin County falls in the lower half of KY counties by active-designation volume, at rank 68 of 120. Ties share a rank; the comparison uses the same current designated records as the national chart.

Healthcare shortage designations from HRSA. FIPS: 21073. Population: 51,541.

Medically Underserved Area

MUA Designated
MUA Index: 58.0

Active HPSA scores

Primary Care 17.0 High priority
Mental Health 18.0 High priority
Dental 15.0 Below priority line

Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?

Highest-severity HPSA designations

All 3 active (designated) HPSAs in Franklin County, ranked by HRSA shortage score.

Name Type Score
LI-Franklin County mental_health 18.0
LI-Franklin County primary_care 17.0
LI-Franklin County dental 15.0

Light-burden reading for Franklin County

Peak severity leads this reading: Franklin County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. Franklin County's severest measured gap is in mental health, scored 18.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 17.0 of 25; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 58.0, and the lower the index, the greater the measured need.

Franklin County carries 3 active designations and sits below the national mid-pack (above 20% of counties). A light footprint still matters: a single high-score dental or mental-health record can open program geography even when the county total looks small next to heavy peers.

Franklin County falls in the lower half of KY counties by active-designation volume, at rank 68 of 120. Read the active scores and the deepest-care guide link below before collapsing this county into a "no shortage" story.

Light-volume FTE gap for Franklin County

HRSA providers_needed summed once per HPSA id for Franklin County's active designations: about 9.7 FTE, a federal gap estimate, not a headcount of practising clinicians.

Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Franklin County, KY · 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.

Acting on Franklin County's designations

Franklin County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.

  • Franklin County's 3 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
  • See how the county's primary care burden compares with the rest of KY before you draw conclusions from a single score. KY overview
  • Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup

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.

Counties near Franklin County's mental score of 18.0

One peer set for this severity-led county: nearest active mental HPSA score to 18.0 (severity lead on this page is “LI-Franklin County”).

Frequently Asked Questions

Does Franklin County's MUA standing sit beside its HPSA records?
Yes - Franklin County carries an MUA designation (index 58.0; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
Which record sets Franklin County's peak score of 18.0?
"LI-Franklin County" leads the active set (score 18.0; mental health; 15,836 people in the service area; ~1.1 FTE still needed on the record; designated 10/24/2025). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 3 active rows: 1 primary care, 1 mental health, 1 dental.
Which other active designations sit under Franklin County's severity reading?
After "LI-Franklin County", the next active names on this release are "LI-Franklin County", "LI-Franklin County" and "LI-Franklin County". Provider need (id-de-duped) totals ~9.7 FTE across disciplines that still carry a gap.

Source: HRSA Data Warehouse. FIPS: 21073. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.

HRSA Data Warehouse HPSA + MUA/P records for FIPS 21073 (Franklin County, KY), vintage 2026-08-15. Active designation count 3; peak score 18.0; signature peak score 18.0. This profile is reference material, not professional advice; see methodology.