MO · Healthcare shortage profile
Livingston County, MO
Peak severity leads this reading: Livingston County's highest active HPSA score is 19.0, clearing HRSA's 17-point high-priority line. Population 14,557.
- Active HPSAs
- 9
- Population
- 14,557
- Peak shortage score
- 19.0
- MUA Index
- -
Heavy-burden verdict
According to current HRSA Data Warehouse records, Livingston County carries a heavier shortage burden than most US counties - 9 active HPSA designations, more than 75% of the 3,289 real US counties, with primary care the deepest gap.
- 9
- Active HPSA designations
- 3
- Mental-health shortages
- 19
- Peak severity score (of 26)
- Top 25%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Livingston County, MO 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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Peak HPSA score 19.0 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.
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Closing Livingston County's active designations would take about 9.9 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3 primary care, 4.7 mental health, 2.3 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Livingston County's 9 active designations are primary care.
Discipline mix from designated HPSA records only: 3 primary care, 3 mental health, 3 dental (denominator 9).
Livingston County's mid-pack ZIP footprint
12 Census ZCTAs intersect Livingston 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
4 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.
Livingston County vs. every real US county
Total active HPSA designations, including counties with none
9 Top 25% higher than 75% of 3,289 real US counties
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. Livingston County falls in the upper half of MO counties by active-designation volume, at rank 41 of 115. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 29117. Population: 14,557.
Single high-priority discipline
Livingston County's only high-priority (≥17) footprint is mental health
Current HRSA Data Warehouse rows attribute 3 active mental health designations to Livingston County , with a peak score of 19.0. Other care categories may still be designated here, but none of them clear HRSA's high-priority score line of 17 on the current release, NHSC and related instruments concentrate on the mental health records.
Peak severity scores
Current designated records only. No Medically Underserved Area designation covers Livingston County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 9 active (designated) HPSAs in Livingston County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Mhca 13 - Chillicothe Service Area | mental_health | 19.0 |
| Hedrick Medical Center | mental_health | 17.0 |
| LI - Carroll/Livingston Counties | primary_care | 16.0 |
| LI-Livingston and Carroll Counties | dental | 16.0 |
| Hedrick Medical Center | primary_care | 15.0 |
| CF-Chillicothe Correctional Center | mental_health | 15.0 |
| Hedrick Medical Center | dental | 15.0 |
| CF-Chillicothe Correctional Facility | primary_care | 3.0 |
| CF-Chillicothe Correctional Center | dental | 3.0 |
Heavy-burden reading for Livingston County
Peak severity leads this reading: Livingston County's highest active HPSA score is 19.0, clearing HRSA's 17-point high-priority line. Livingston County's severest measured gap is in mental health, scored 19.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 16.0 of 25; Dental care reads 16.0 of 26. No Medically Underserved Area designation covers Livingston County, so federal support here runs through the HPSA route alone.
Volume places Livingston County above 75% of real US counties (9 active designations: 3 primary care, 3 mental health, 3 dental). Peak severity on the current designated set is 19.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Livingston County falls in the upper half of MO counties by active-designation volume, at rank 41 of 115. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Heavy-volume FTE gap in Livingston County
HRSA providers_needed summed once per HPSA id for Livingston County's active designations: about 9.9 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Livingston County's high-priority mental health
Livingston County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Livingston County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's mental health burden compares with the rest of MO before drawing conclusions from a single score. MO overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. 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 With a Similar Mental Health Shortage Score
Other U.S. counties whose active HRSA mental-health HPSA score is closest to Livingston County's 19.0. This compares the designation score only, not local appointment availability or care quality. Start with Lake County, IN and Hamilton County, IN.
Showing 6 of 3081 counties nationally with an active designation this severe.
Counties near Livingston County's mental score of 19.0
One peer set for this severity-led county: nearest active mental HPSA score to 19.0 (severity lead on this page is “MHCA 13 - Chillicothe Service Area”).
Lake County, IN
19.0 mental score · 498,700 pop.
Hamilton County, IN
19.0 mental score · 347,467 pop.
Calcasieu County, LA
19.0 mental score · 216,785 pop.
Saginaw County, MI
19.0 mental score · 190,124 pop.
Black Hawk County, IA
19.0 mental score · 131,144 pop.
Dubuque County, IA
19.0 mental score · 99,266 pop.
Frequently Asked Questions
- Which record sets Livingston County's peak score of 19.0?
- "MHCA 13 - Chillicothe Service Area" leads the active set (score 19.0; mental health; 10,500 people in the service area; ~4.3 FTE still needed on the record; designated 02/02/2022). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 9 active rows: 3 primary care, 3 mental health, 3 dental.
- Why is Livingston County not listed as a Medically Underserved Area?
- Livingston County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
- Which other active designations sit under Livingston County's severity reading?
- After "MHCA 13 - Chillicothe Service Area", the next active names on this release are "MHCA 13 - Chillicothe Service Area", "HEDRICK MEDICAL CENTER", "LI - Carroll/Livingston Counties" and "LI-Livingston and Carroll Counties". Provider need (id-de-duped) totals ~9.9 FTE across disciplines that still carry a gap.
- Which federal pathways follow Livingston County's high-severity geography?
- Livingston County's 9 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "MHCA 13 - Chillicothe Service Area".
- How does Livingston County's peak severity sit inside MO?
- Livingston County holds 9 active HPSA rows with peak 19.0. Livingston County falls in the upper half of MO counties by active-designation volume, at rank 41 of 115. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include Lake County, IN and Hamilton County, IN.
Source: HRSA Data Warehouse. FIPS: 29117. 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 29117 (Livingston County, MO), vintage 2026-08-15. Active designation count 9; peak score 19.0; signature peak score 19.0. This profile is reference material, not professional advice; see methodology.