HRSA Counties Indexed
88
with HPSA / MUA coverage
State healthcare shortage profile
482 active HRSA Health Professional Shortage Area designations and 137 Medically Underserved Areas across Ohio.
The verdict
Ohio carries 482 active HRSA shortage designations across 88 counties, concentrated most heavily in Franklin County (33 designations) - about 19.8% of residents live in a geographic shortage county.
HRSA Counties Indexed
88
with HPSA / MUA coverage
Discipline Mix
200 / 131 / 151 PC/MH/D
Primary care · Mental health · Dental
Data Source
HRSA
Bureau of Health Workforce, HPSA Find
Reporting Year
2026
HRSA quarterly snapshot
How Ohio's 482 active HRSA designations split across the three provider categories. Ohio has adopted ACA Medicaid expansion, which broadens coverage but does not change provider-supply shortages.
Active Health Professional Shortage Area designations, by provider category.
Primary care
200 designations
Dental
151 designations
Mental health
131 designations
The 40 counties with the most active HPSA designations, of 88 in Ohio. Counts are live designated-HPSA records by care type (primary care, mental health, dental).
| # | County | Designations | Primary Care | Mental Health | Dental | MUA |
|---|---|---|---|---|---|---|
| 1 | Franklin | 33 | 14 | 9 | 10 | MUA |
| 2 | Cuyahoga | 32 | 12 | 6 | 14 | MUA |
| 3 | Hamilton | 25 | 11 | 6 | 8 | MUA |
| 4 | Lucas | 19 | 9 | 5 | 5 | MUA |
| 5 | Summit | 16 | 9 | 4 | 3 | MUA |
| 6 | Tuscarawas | 14 | 5 | 4 | 5 | MUA |
| 7 | Stark | 13 | 4 | 5 | 4 | MUA |
| 8 | Richland | 12 | 4 | 4 | 4 | MUA |
| 9 | Warren | 12 | 5 | 4 | 3 | MUA |
| 10 | Lorain | 11 | 5 | 2 | 4 | MUA |
| 11 | Montgomery | 11 | 4 | 3 | 4 | MUA |
| 12 | Ross | 11 | 4 | 3 | 4 | MUA |
| 13 | Scioto | 11 | 4 | 3 | 4 | MUA |
| 14 | Allen | 9 | 3 | 3 | 3 | MUA |
| 15 | Belmont | 9 | 3 | 3 | 3 | MUA |
| 16 | Brown | 9 | 3 | 3 | 3 | MUA |
| 17 | Columbiana | 9 | 3 | 3 | 3 | MUA |
| 18 | Fairfield | 9 | 4 | 3 | 2 | MUA |
| 19 | Lake | 9 | 5 | 2 | 2 | MUA |
| 20 | Lawrence | 9 | 3 | 3 | 3 | MUA |
| 21 | Marion | 9 | 3 | 3 | 3 | MUA |
| 22 | Erie | 8 | 3 | 2 | 3 | MUA |
| 23 | Mahoning | 8 | 3 | 2 | 3 | MUA |
| 24 | Pickaway | 8 | 3 | 3 | 2 | MUA |
| 25 | Butler | 7 | 3 | 1 | 3 | MUA |
| 26 | Madison | 7 | 3 | 2 | 2 | MUA |
| 27 | Morgan | 6 | 2 | 2 | 2 | MUA |
| 28 | Portage | 6 | 4 | 1 | 1 | MUA |
| 29 | Wood | 6 | 3 | 2 | 1 | MUA |
| 30 | Adams | 5 | 2 | 1 | 2 | MUA |
| 31 | Clark | 5 | 2 | 1 | 2 | MUA |
| 32 | Highland | 5 | 2 | 1 | 2 | MUA |
| 33 | Knox | 5 | 2 | 2 | 1 | MUA |
| 34 | Logan | 5 | 2 | 2 | 1 | MUA |
| 35 | Noble | 5 | 2 | 1 | 2 | MUA |
| 36 | Pike | 5 | 2 | 1 | 2 | MUA |
| 37 | Trumbull | 5 | 2 | 1 | 2 | MUA |
| 38 | Darke | 4 | 2 | 1 | 1 | MUA |
| 39 | Medina | 4 | 1 | 2 | 1 | MUA |
| 40 | Sandusky | 4 | 2 | 1 | 1 | MUA |
Showing 30 of 137 MUA designations (lowest MUA Index first, i.e. most underserved).
| Name | MUA Index |
|---|---|
| Cuyahoga Service Area | 28.5 |
| Cuyahoga Service Area | 33.1 |
| Cuyahoga Service Area | 37.4 |
| Youngstown Service Area | 41.5 |
| Summit Service Area | 42.3 |
| Cuyahoga Service Area | 42.4 |
| Cuyahoga Service Area | 42.4 |
| Jefferson Service Area | 43.7 |
| Southside Lima | 44.2 |
| Cuyahoga Service Area | 45.3 |
| Millvale Service Area | 45.3 |
| East Columbus | 45.6 |
| Lucas Service Area | 46.1 |
| Southeast Akron Service Area | 46.7 |
| Lucas Service Area | 46.7 |
| Cuyahoga Service Area | 47.4 |
| ADAMS SERVICE AREA | 47.9 |
| Lucas Service Area | 47.9 |
| Lucas Service Area | 48.6 |
| Franklin Service Area | 50.6 |
| VINTON SERVICE AREA | 50.6 |
| East Cleveland Service Area | 51.0 |
| Aurelius Service Area | 51.1 |
| East Canton Service Area | 51.2 |
| Franklin Service Area | 51.5 |
| Northeast Alliance | 52.0 |
| Spencer Service Area | 52.1 |
| Cuyahoga Service Area | 52.2 |
| Cuyahoga Service Area | 52.7 |
| West Dayton | 52.8 |
Ohio currently carries 482 active Health Professional Shortage Area designations in the HRSA Data Warehouse, split across 200 primary-care HPSAs, 131 mental-health HPSAs, and 151 dental HPSAs. Roughly 19.8% of the state's population, about 2,331,555 residents, lives in a county that HRSA has designated as a geographic (whole-community) shortage area. Population-group and facility designations (rural health clinics, FQHCs, low-income groups) cover additional residents and are counted separately, since a single county can hold several designation types without their service populations overlapping cleanly.
Beyond the HPSA counts, Ohio shows 137 Medically Underserved Areas, a separate HRSA classification that weights four population-level factors: the primary-care provider ratio, the infant mortality rate, the percent of residents below poverty, and the percent of residents aged 65 and over. Counties can appear on the HPSA list, the MUA list, or both, the designations serve different federal-program eligibility purposes. The 88 counties listed above show where these shortages land geographically inside Ohio, with mental-health gaps typically running the highest in severity scores because HRSA's mental-health provider-to-population ratio threshold (30,000:1) is roughly ten times wider than primary care (3,500:1).
These designations are the gating criterion for more than thirty federal programs that target underserved communities in Ohio: National Health Service Corps scholarships and loan-repayment awards (up to $50,000 per year), Community Health Center (FQHC) operating grants, a 10% Medicare bonus for physicians practicing inside a HPSA, Rural Health Clinic certification, and J-1 visa waivers for international medical graduates who commit to serving in designated areas. HRSA reviews designations quarterly, so the counts shown above shift as new areas qualify and previously designated areas fall off. The data here describes the structural supply of providers only; it does not evaluate the quality of care offered or substitute for medical advice, and residents seeking a specific appointment should contact a provider directly or use their insurance network.
Dig deeper into the federal shortage designations behind Ohio's numbers.
Source: HRSA Data Warehouse HRSA Data Warehouse Not affiliated with HRSA
Read our methodology - how this data is sourced, computed, and verified.
Verify with U.S. Census Bureau →
Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page aggregates every county-level HPSA and MUA designation on record for the state. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026.