HRSA Counties Indexed
55
with HPSA / MUA coverage
State healthcare shortage profile
361 active HRSA Health Professional Shortage Area designations and 62 Medically Underserved Areas across West Virginia.
The verdict
West Virginia carries 361 active HRSA shortage designations across 55 counties, concentrated most heavily in McDowell County (21 designations) - about 19.3% of residents live in a geographic shortage county.
HRSA Counties Indexed
55
with HPSA / MUA coverage
Discipline Mix
123 / 119 / 119 PC/MH/D
Primary care · Mental health · Dental
Data Source
HRSA
Bureau of Health Workforce, HPSA Find
Reporting Year
2026
HRSA quarterly snapshot
How West Virginia's 361 active HRSA designations split across the three provider categories. West Virginia 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
123 designations
Mental health
119 designations
Dental
119 designations
The 40 counties with the most active HPSA designations, of 55 in West Virginia. Counts are live designated-HPSA records by care type (primary care, mental health, dental).
| # | County | Designations | Primary Care | Mental Health | Dental | MUA |
|---|---|---|---|---|---|---|
| 1 | McDowell | 21 | 7 | 7 | 7 | MUA |
| 2 | Roane | 18 | 6 | 6 | 6 | MUA |
| 3 | Boone | 15 | 5 | 5 | 5 | MUA |
| 4 | Logan | 15 | 5 | 5 | 5 | MUA |
| 5 | Upshur | 12 | 4 | 4 | 4 | MUA |
| 6 | Wyoming | 12 | 4 | 4 | 4 | MUA |
| 7 | Mingo | 11 | 4 | 3 | 4 | MUA |
| 8 | Greenbrier | 9 | 3 | 3 | 3 | MUA |
| 9 | Monongalia | 9 | 3 | 3 | 3 | MUA |
| 10 | Monroe | 9 | 3 | 3 | 3 | MUA |
| 11 | Morgan | 9 | 3 | 3 | 3 | MUA |
| 12 | Raleigh | 9 | 3 | 3 | 3 | MUA |
| 13 | Taylor | 9 | 3 | 3 | 3 | MUA |
| 14 | Tyler | 9 | 3 | 3 | 3 | MUA |
| 15 | Randolph | 8 | 3 | 3 | 2 | MUA |
| 16 | Fayette | 7 | 3 | 2 | 2 | MUA |
| 17 | Barbour | 6 | 2 | 2 | 2 | MUA |
| 18 | Berkeley | 6 | 2 | 2 | 2 | - |
| 19 | Cabell | 6 | 2 | 2 | 2 | MUA |
| 20 | Calhoun | 6 | 2 | 2 | 2 | MUA |
| 21 | Gilmer | 6 | 2 | 2 | 2 | MUA |
| 22 | Hampshire | 6 | 2 | 2 | 2 | MUA |
| 23 | Hancock | 6 | 2 | 2 | 2 | MUA |
| 24 | Jackson | 6 | 2 | 2 | 2 | MUA |
| 25 | Kanawha | 6 | 2 | 2 | 2 | MUA |
| 26 | Lincoln | 6 | 2 | 2 | 2 | MUA |
| 27 | Marion | 6 | 2 | 2 | 2 | MUA |
| 28 | Mercer | 6 | 2 | 2 | 2 | MUA |
| 29 | Pleasants | 6 | 2 | 2 | 2 | MUA |
| 30 | Preston | 6 | 2 | 2 | 2 | MUA |
| 31 | Ritchie | 6 | 2 | 2 | 2 | MUA |
| 32 | Summers | 6 | 2 | 2 | 2 | MUA |
| 33 | Tucker | 6 | 2 | 2 | 2 | MUA |
| 34 | Webster | 6 | 2 | 2 | 2 | MUA |
| 35 | Wirt | 6 | 2 | 2 | 2 | MUA |
| 36 | Hardy | 5 | 2 | 1 | 2 | MUA |
| 37 | Mason | 5 | 2 | 2 | 1 | MUA |
| 38 | Pendleton | 5 | 2 | 1 | 2 | MUA |
| 39 | Lewis | 4 | 1 | 2 | 1 | MUA |
| 40 | Marshall | 4 | 1 | 2 | 1 | MUA |
Showing 30 of 62 MUA designations (lowest MUA Index first, i.e. most underserved).
| Name | MUA Index |
|---|---|
| Williamsburg District - County | 0.0 |
| Falling Springs District - County | 0.0 |
| Anthony Creek District - County | 0.0 |
| LEWIS SERVICE AREA | 33.9 |
| LINCOLN SERVICE AREA | 39.4 |
| PRESTON SERVICE AREA | 45.1 |
| MASON SERVICE AREA | 45.7 |
| Summers County | 46.4 |
| Jefferson Service Area | 47.4 |
| PUTNAM SERVICE AREA | 48.7 |
| West Cabell County | 48.9 |
| Kanawha Service Area | 49.2 |
| HARDY SERVICE AREA | 49.9 |
| WAYNE SERVICE AREA | 50.1 |
| UPSHUR SERVICE AREA | 51.2 |
| Hampshire County | 52.0 |
| Ohio Service Area | 52.3 |
| Cabell Service Area | 53.1 |
| TAYLOR SERVICE AREA | 53.2 |
| Grant District | 53.8 |
| CALHOUN SERVICE AREA | 55.0 |
| Low Inc - Mercer County | 55.3 |
| NICHOLAS SERVICE AREA | 55.6 |
| West Augusta Service Area | 55.7 |
| Clear Fork District | 56.6 |
| Kanawha Service Area | 56.7 |
| McDowell | 56.8 |
| LOGAN SERVICE AREA | 57.0 |
| Low Income - Wetzel County | 57.1 |
| Clay County | 57.3 |
West Virginia currently carries 361 active Health Professional Shortage Area designations in the HRSA Data Warehouse, split across 123 primary-care HPSAs, 119 mental-health HPSAs, and 119 dental HPSAs. Roughly 19.3% of the state's population, about 346,236 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, West Virginia shows 62 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 55 counties listed above show where these shortages land geographically inside West Virginia, 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 West Virginia: 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 West Virginia'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.