SD · Healthcare shortage profile
Minnehaha County, SD
Peak severity leads this reading: Minnehaha County's highest active HPSA score is 24.0, clearing HRSA's 17-point high-priority line. Population 197,214.
- Active HPSAs
- 11
- Population
- 197,214
- Peak shortage score
- 24.0
- MUA Index
- 49.1
Heavy-burden verdict
According to current HRSA Data Warehouse records, Minnehaha County ranks among the most underserved counties in the country - 11 active HPSA designations, more than 84% of the 3,289 real US counties, with mental health the deepest gap.
- 11
- Active HPSA designations
- 4
- Dental shortages
- 24
- Peak severity score (of 26)
- Top 16%
- US counties by volume
Dense ZCTA lattice over Minnehaha County
Minnehaha County intersects 23 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
11 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 Minnehaha County, SD 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 24.0 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 Minnehaha County's active designations would take about 9.4 additional clinician FTEs, with dental the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.5 primary care, 3.7 mental health, 5.2 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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36.4% of Minnehaha County's 11 active designations are mental health.
Discipline mix from designated HPSA records only: 3 primary care, 4 mental health, 4 dental (denominator 11).
Corpus placement
Active-designation volume placement
According to current HRSA Data Warehouse records, Minnehaha County carries 11 active designations, above 84% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Minnehaha County falls in the upper quarter of SD counties by active-designation volume, at rank 6 of 66. 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: 46099. Population: 197,214.
Medically Underserved Area
Peak severity 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 11 active (designated) HPSAs in Minnehaha County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| South Dakota Urban Indian Health, Inc. | dental | 24.0 |
| City OF Sioux Falls | dental | 23.0 |
| City OF Sioux Falls | mental_health | 19.0 |
| South Dakota Urban Indian Health, Inc. | mental_health | 19.0 |
| City OF Sioux Falls | primary_care | 18.0 |
| LI-South Eastern Behavioral Healthcare | mental_health | 17.0 |
| Low Income- Central Sioux Falls | dental | 15.0 |
| South Dakota State Penitentiary | mental_health | 12.0 |
| South Dakota Urban Indian Health, Inc. | primary_care | 11.0 |
| South Dakota State Penitentiary | dental | 6.0 |
| South Dakota State Penitentiary | primary_care | 3.0 |
Heavy-burden reading for Minnehaha County
Peak severity leads this reading: Minnehaha County's highest active HPSA score is 24.0, clearing HRSA's 17-point high-priority line. Dental care carries Minnehaha County's deepest shortage reading, 24.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 18.0 of 25; Mental health reads 19.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 49.1, and the lower the index, the greater the measured need.
Volume places Minnehaha County above 84% of real US counties (11 active designations: 3 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 24.0. 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.
Minnehaha County falls in the upper quarter of SD counties by active-designation volume, at rank 6 of 66. 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.
Minnehaha County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Mental health
Mental health
4 designations
- Dental
Dental
4 designations
- Primary care
Primary care
3 designations
Heavy-volume FTE gap in Minnehaha County
HRSA providers_needed summed once per HPSA id for Minnehaha County's active designations: about 9.4 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 Minnehaha County, SD · 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 a heavy-burden county
Minnehaha County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Minnehaha County's 11 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 mental health burden compares with the rest of SD before you draw conclusions from a single score. SD 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 With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Minnehaha County's 24.0. This compares the designation score only, not local appointment availability or care quality. Start with El Paso County, CO and Jackson County, OR.
Showing 6 of 2744 counties nationally with an active designation this severe.
Counties near Minnehaha County's dental score of 24.0
One peer set for this severity-led county: nearest active dental HPSA score to 24.0 (severity lead on this page is “South Dakota Urban Indian Health, Inc.”).
El Paso County, CO
24.0 dental score · 730,395 pop.
Jackson County, OR
24.0 dental score · 223,259 pop.
Cecil County, MD
24.0 dental score · 103,725 pop.
Crittenden County, AR
24.0 dental score · 48,163 pop.
Scotts Bluff County, NE
24.0 dental score · 36,084 pop.
Del Norte County, CA
24.0 dental score · 27,743 pop.
Frequently Asked Questions
- Does Minnehaha County's MUA standing sit beside its HPSA records?
- Yes - Minnehaha County carries an MUA designation (index 49.1; 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 Minnehaha County's peak score of 24.0?
- "South Dakota Urban Indian Health, Inc." leads the active set (score 24.0; dental; 11,084 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 11 active rows: 3 primary care, 4 mental health, 4 dental.
- Which other active designations sit under Minnehaha County's severity reading?
- After "South Dakota Urban Indian Health, Inc.", the next active names on this release are "South Dakota Urban Indian Health, Inc.", "CITY OF SIOUX FALLS", "CITY OF SIOUX FALLS" and "South Dakota Urban Indian Health, Inc.". Provider need (id-de-duped) totals ~9.4 FTE across disciplines that still carry a gap.
- Which federal pathways follow Minnehaha County's high-severity geography?
- Minnehaha County's 11 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 "South Dakota Urban Indian Health, Inc.".
- How does Minnehaha County's peak severity sit inside SD?
- Minnehaha County holds 11 active HPSA rows with peak 24.0. Minnehaha County falls in the upper quarter of SD counties by active-designation volume, at rank 6 of 66. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include El Paso County, CO and Jackson County, OR.
Source: HRSA Data Warehouse. FIPS: 46099. 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 46099 (Minnehaha County, SD), vintage 2026-08-15. Active designation count 11; peak score 24.0; signature peak score 24.0. This profile is reference material, not professional advice; see methodology.