MO · Healthcare shortage profile
Madison County, MO
Peak severity leads this reading: Madison County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. Population 12,626.
- Active HPSAs
- 6
- Population
- 12,626
- Peak shortage score
- 18.0
- MUA Index
- 60.3
Mid-burden verdict
According to current HRSA Data Warehouse records, Madison County holds a moderate federal shortage burden - 6 active HPSA designations, more than 54% of the 3,289 real US counties, with primary care the deepest gap.
- 6
- Active HPSA designations
- 2
- Primary-care shortages
- 18
- Peak severity score (of 26)
- Top 46%
- US counties by volume
Few Census ZCTAs touch Madison County
The Census ZCTA-county crosswalk lists only 7 ZIP Code Tabulation Areas intersecting Madison County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
2 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.
Key findings
What the HRSA Data Warehouse does not surface for Madison 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 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.
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Closing Madison County's active designations would take about 5.2 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1.4 primary care, 2.9 mental health, 1 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Madison County's 6 active designations are primary care.
Discipline mix from designated HPSA records only: 2 primary care, 2 mental health, 2 dental (denominator 6).
Madison County vs. every real US county
Total active HPSA designations, including counties with none
6 Top 46% higher than 54% 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. Madison County falls in the lower half of MO counties by active-designation volume, at rank 58 of 115. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 29123. Population: 12,626.
Single high-priority discipline
Madison County's only high-priority (≥17) footprint is primary care
Current HRSA Data Warehouse rows attribute 2 active primary care designations to Madison County , with a peak score of 18.0. 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 primary care records.
Medically Underserved Area
Active HPSA scores
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 6 active (designated) HPSAs in Madison County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Madison Medical Center Rhc | primary_care | 18.0 |
| LI-Madison County | primary_care | 18.0 |
| Madison Medical Center Rhc | mental_health | 16.0 |
| LI - Bollinger/Cape Girardeau/Madison/Perry/Ste Genevieve Counties | mental_health | 16.0 |
| LI - Madison County | dental | 16.0 |
| Madison Medical Center Rhc | dental | 15.0 |
Moderate-burden reading for Madison County
Peak severity leads this reading: Madison County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. Primary care is where Madison County is stretched thinnest: HRSA scores it 18.0 of 25, the county's highest severity reading and past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Mental health reads 16.0 of 25; Dental care reads 16.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 60.3, and the lower the index, the greater the measured need.
Madison County sits in the middle of the national designation-volume distribution (above 54% of counties) with 6 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (2/2/2) before assuming every care category is equally short.
Madison County falls in the lower half of MO counties by active-designation volume, at rank 58 of 115. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Mid-pack clinician FTE gap for Madison County
HRSA providers_needed summed once per HPSA id for Madison County's active designations: about 5.2 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Madison County's high-priority primary care
Madison County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Madison County's high-priority primary care designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's primary care 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.
Nearby primary-care score peers
Closest U.S. counties on active primary-care HPSA score to Madison County's 18.0. Open Placer County, CA or Boulder County, CO next.
Showing 3 of 2932 counties nationally with an active designation this severe.
Counties near Madison County's primary score of 18.0
One peer set for this severity-led county: nearest active primary HPSA score to 18.0 (severity lead on this page is “MADISON MEDICAL CENTER RHC”).
Placer County, CA
18.0 primary score · 404,739 pop.
Boulder County, CO
18.0 primary score · 330,758 pop.
Canyon County, ID
18.0 primary score · 231,105 pop.
Shasta County, CA
18.0 primary score · 182,155 pop.
Scott County, MN
18.0 primary score · 150,928 pop.
Westchester County, NY
18.0 primary score · 1,004,457 pop.
Frequently Asked Questions
- Does Madison County's MUA standing sit beside its HPSA records?
- Yes - Madison County carries an MUA designation (index 60.3; 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 Madison County's peak score of 18.0?
- "MADISON MEDICAL CENTER RHC" leads the active set (score 18.0; primary care; 41,434 people in the service area; designated 08/18/2019). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 6 active rows: 2 primary care, 2 mental health, 2 dental.
- Which other active designations sit under Madison County's severity reading?
- After "MADISON MEDICAL CENTER RHC", the next active names on this release are "MADISON MEDICAL CENTER RHC", "LI-Madison County", "MADISON MEDICAL CENTER RHC" and "LI - Bollinger/Cape Girardeau/Madison/Perry/Ste Genevieve Counties". Provider need (id-de-duped) totals ~5.2 FTE across disciplines that still carry a gap.
- Which federal pathways follow Madison County's high-severity geography?
- Madison County's 6 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 "MADISON MEDICAL CENTER RHC".
Source: HRSA Data Warehouse. FIPS: 29123. 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 29123 (Madison County, MO), vintage 2026-08-15. Active designation count 6; peak score 18.0; signature peak score 18.0. This profile is reference material, not professional advice; see methodology.