Medically underserved areas & HPSA profile

Medically Underserved Areas in Virginia

108 Medically Underserved Areas and 440 active HRSA Health Professional Shortage Area designations across Virginia.

MUAs
108
Total HPSAs
440
Primary care
160
Mental health
123
Dental
157

Lower-middle density verdict

Virginia sits in the lower-middle quarter by active designations per resident. According to current HRSA Data Warehouse records, its 133 counties carry 440 active shortage designations; King William County has the largest county count at 14, while about 27.0% of residents live in a geographic shortage county.

440
Active HPSA designations
160
Primary-care shortages
108
Medically underserved areas
27.0%
Residents in a shortage county

Key findings

What the HRSA Data Warehouse does not surface for Virginia 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. Closing Virginia's active designations would take about 669 additional clinician FTEs, led by dental.

    HRSA providers_needed summed once per HPSA id across the state: 262 primary care, 145 mental health, 263 dental. Federal gap estimate, not a practising-clinician headcount.

  2. 36.4% of Virginia's active designations are primary care.

    Discipline mix from state aggregates: 160 primary care, 123 mental health, 157 dental (denominator 440).

  3. King William County holds 3.2% of Virginia's 440 active designations (14 of 440).

    133 of 133 counties in this profile carry at least one active record; the remainder are zero-active on this release.

HRSA state registry desk

Virginia designation file stamps

HPSA-VOL
440
MUA-COUNT
108
PC/MH/DH
160/123/157
RANK
40/56
DENSITY
MID-LOW
BOOK
133 counties

Lead discipline: primary-care. Photo-finish peer: Iowa (447HPSAs).

Corpus placement

Where Virginia sits among all 56 states and territories

At 5.1 designations per 100,000 residents, built from 440 active HPSA records over 8,631,393 people, Virginia lands at rank 40 of 56, trailing the 7.3 median but still ahead of 29% of the field.

90 of those are county-wide geographic designations; the remainder are facility-, population- or clinic-based, which is why the county map and the designation count answer different questions.

Designation density tracks rural geography as much as unmet need: AK records 134.7 designations per 100,000 residents and NJ 1.5, because a sparsely-settled state accumulates more separate designations to cover the same population. Designations also overlap, so this counts designations, not people. Counted as distinct HRSA designation IDs, the same unit as the totals above. Computed from the designation records and county populations behind this page; states without county population data are given no placement rather than an estimated one.

Medically Underserved Areas
108
Residents in Geographic Shortage Areas
2,328,624
% Residents in Geographic Shortage
27.0%

HRSA Counties Indexed

133

with HPSA / MUA coverage

Discipline Mix

160 / 123 / 157 PC/MH/D

Primary care · Mental health · Dental

% Residents in Geographic Shortage-Designated Counties 27.0%

Virginia Shortage Designations by Care Type

How Virginia's 440 active HRSA designations split across the three provider categories. According to KFF's May 2026 tracker, Virginia has adopted ACA Medicaid expansion. That policy context does not measure provider supply, appointment availability, or care quality.

Virginia HPSA designations by type

Active Health Professional Shortage Area designations, by provider category.

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

Virginia HPSA Counties by Care Type

County lists for the three HRSA shortage disciplines searchers ask for by name (dental, primary care, mental health). Counts are live designated-HPSA records in this release, not provider headcounts.

Dental HPSA counties in Virginia

112 counties with at least one active dental designation ; led by King William (4). Full list (designation count in parentheses): King William (4) , Page (4) , Richmond City (4) , Shenandoah (4) , Warren (4) , Bland (3) , Buckingham (3) , Franklin (3) , Lee (3) , Lexington City (3) , Lunenburg (3) , Lynchburg City (3) , Martinsville City (3) , Nottoway (3) , Southampton (3) , Sussex (3) , Tazewell (3) , Wise (3) , Accomack (2) , Amherst (2) ; plus 92 more in the table below.

Primary-care HPSA counties in Virginia

106 counties with at least one active primary-care designation ; led by King William (5). Full list: King William (5) , Page (4) , Richmond City (4) , Shenandoah (4) , Sussex (4) , Warren (4) , Bland (3) , Buckingham (3) , Fairfax (3) , Franklin (3) , Lee (3) , Lexington City (3) , Lunenburg (3) , Lynchburg City (3) , Martinsville City (3) , Southampton (3) , Tazewell (3) , Wise (3) , Accomack (2) , Amherst (2) ; plus 86 more in the table below.

Mental-health HPSA counties in Virginia

133 counties with at least one active mental-health designation ; led by King William (5). Full list: King William (5) , Buckingham (4) , Page (4) , Richmond City (4) , Shenandoah (4) , Sussex (4) , Warren (4) , Bland (3) , Chesapeake City (3) , Fairfax (3) , Franklin (3) , Lee (3) , Lexington City (3) , Lunenburg (3) , Lynchburg City (3) , Martinsville City (3) , Southampton (3) , Tazewell (3) , Wise (3) , Accomack (2) ; plus 113 more in the table below.

All counties in Virginia, by total shortage volume

The 40 counties with the most active HPSA designations, of 133 in Virginia. Columns split primary care, mental health, and dental. On a narrow screen, this list keeps each county’s total and MUA status visible; the care-type split is available on wider screens.

#CountyDesignationsMUA
1King William14MUA
2Page12MUA
3Richmond City12MUA
4Shenandoah12MUA
5Warren12-
6Sussex11MUA
7Buckingham10MUA
8Bland9MUA
9Franklin9MUA
10Lee9MUA
11Lexington City9-
12Lunenburg9MUA
13Lynchburg City9MUA
14Martinsville City9MUA
15Southampton9-
16Tazewell9MUA
17Wise9MUA
18Fairfax8MUA
19Chesapeake City7MUA
20Nottoway7MUA
21Accomack6MUA
22Amherst6MUA
23Brunswick6MUA
24Buchanan6MUA
25Carroll6MUA
26Culpeper6MUA
27Danville City6-
28Frederick6-
29Galax City6-
30Giles6MUA
31Grayson6MUA
32Greensville6-
33Harrisonburg City6MUA
34King and Queen6MUA
35Mecklenburg6MUA
36Montgomery6MUA
37Nelson6MUA
38Newport News City6MUA
39Patrick6MUA
40Pittsylvania6MUA

Medically Underserved Areas in Virginia

Showing 30 of 108 MUA designations (lowest MUA Index first, i.e. most underserved).

Name MUA Index
Low Inc - Arlandria 0.0
Cedar Mountain Division Service Area 42.3
Isle OF Wight Service Area 42.9
Lee County 44.0
Grayson County 45.0
Northumberland County 46.0
Dickenson County 46.0
Buchanan County 46.8
Westmoreland County 48.0
King and Queen County 48.0
Mathews County 49.0
Russell County 49.0
Carroll County 49.0
Patrick County 49.0
Brunswick County 49.4
Low Inc - Williamsburg Service Area 49.6
Highland County 50.0
Charles City County 50.0
Bath County 50.0
LI - Alleghany Area 50.0
Accomack County 50.5
Charlottesville 50.8
Radford City 50.9
Scott County 51.0
Halifax County 51.0
LI - Washington County 51.0
Middlesex County 51.0
Charlotte County 51.0
Lunenburg County 52.0
Tazewell County 52.0

Lower-middle density reading for Virginia

Virginia sits below the national mid-pack by designations per resident with 440 active records across 133 counties. A moderate footprint still matters: a single high-score dental or mental-health record can open program geography even when the state total looks small next to denser peers.

About 27.0% of residents live in a geographic shortage county. Use the county ranking below to see which localities drive that share.

Nationwide states with similar HRSA shortage footprints

Two peer sets for Virginia: total active HPSA designations and Medically Underserved Area counts, ranked against every other state and territory.

Frequently Asked Questions

How many Medically Underserved Areas are in Virginia?
Virginia has 108 Medically Underserved Areas (MUAs). About 2,328,624 residents (27.0% of the state) live in a county with a geographic HRSA shortage designation. MUA-designated areas qualify for enhanced federal funding and Community Health Center grants.
Which counties in Virginia have dental HPSA designations?
112 Virginia counties carry at least one active dental Health Professional Shortage Area in the current HRSA release: King William (4), Page (4), Richmond City (4), Shenandoah (4), Warren (4), Bland (3), Buckingham (3), Franklin (3), Lee (3), Lexington City (3), Lunenburg (3), Lynchburg City (3), Martinsville City (3), Nottoway (3), Southampton (3), Sussex (3), Tazewell (3), Wise (3), Accomack (2), Amherst (2); plus 92 more on the table below. Counts are designated dental HPSA records per county, not a dentist headcount.
Are there doctor shortages in Virginia?
Yes. Virginia has 440 Health Professional Shortage Areas (HPSAs), including 160 in primary care, 123 in mental health, and 157 in dental care. About 27.0% of Virginia residents live in a county that HRSA has designated as a geographic (whole-community) shortage area; additional residents are covered by population-group and facility designations counted separately.

Source: HRSA Data Warehouse Not affiliated with HRSA

Choose the next comparison

Use Virginia's designation totals as a starting point, then move to the comparison that answers the next decision without treating a shortage designation as a personal care outcome.

  • Compare Virginia's primary-care shortage record with every other state before drawing conclusions from a raw total; population and geography affect designation counts. Compare states
  • King William County has the most active HPSA designations in this state profile. Open its county record to inspect the local primary-care, mental-health, and dental breakdown. Open county profile
  • Use the national statistics reference for the source vintage, aggregate context, and methodology behind these state-level figures. Read national context

HRSA designations describe structural provider-shortage criteria and federal-program eligibility. They do not measure appointment availability, insurance coverage, care quality, or an individual patient’s access to care.

Verify with U.S. Census Bureau →

Verify with CMS →

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 Virginia (VA) and ranks the state's per-capita designation density among all states and territories. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026.