IN · Healthcare shortage profile
Madison County, IN
The clinician FTE gap is the sharpest number here: closing Madison County's active designations would take about 25 additional FTEs on HRSA's providers_needed estimate. Population 130,129.
- Active HPSAs
- 9
- Population
- 130,129
- Peak shortage score
- 17.0
- MUA Index
- -
Heavy-burden verdict
According to current HRSA Data Warehouse records, Madison County carries a heavier shortage burden than most US counties - 9 active HPSA designations, more than 75% of the 3,289 real US counties, with primary care the deepest gap.
- 9
- Active HPSA designations
- 3
- Primary-care shortages
- 17
- Peak severity score (of 26)
- Top 25%
- US counties by volume
Dense ZCTA lattice over Madison County
Madison County intersects 18 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
6 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, IN 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 17.0 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 25 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 13 primary care, 3.8 mental health, 8.6 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Madison County's 9 active designations are primary care.
Discipline mix from designated HPSA records only: 3 primary care, 3 mental health, 3 dental (denominator 9).
Madison County vs. every real US county
Total active HPSA designations, including counties with none
9 Top 25% higher than 75% 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 upper quarter of IN counties by active-designation volume, at rank 8 of 92. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 18095. Population: 130,129.
Single high-priority discipline
Madison County's only high-priority (≥17) footprint is primary care
Current HRSA Data Warehouse rows attribute 3 active primary care designations to Madison County , with a peak score of 17.0. 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.
Peak severity scores
Current designated records only. No Medically Underserved Area designation covers Madison County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 9 active (designated) HPSAs in Madison County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI - Madison County | primary_care | 17.0 |
| Mhca 3: Madison | mental_health | 16.0 |
| LI - Madison County | dental | 15.0 |
| Correctional Industrial Facility | mental_health | 12.0 |
| Pendleton Correctional Facility | mental_health | 12.0 |
| Correctional Industrial Facility | primary_care | 3.0 |
| Pendleton Correctional Facility | primary_care | 3.0 |
| Pendleton Correctional Facility | dental | 3.0 |
| Correctional Industrial Facility | dental | 3.0 |
Heavy-burden reading for Madison County
The clinician FTE gap is the sharpest number here: closing Madison County's active designations would take about 25 additional FTEs on HRSA's providers_needed estimate. Primary care is where Madison County is stretched thinnest: HRSA scores it 17.0 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 15.0 of 26. No Medically Underserved Area designation covers Madison County, so federal support here runs through the HPSA route alone.
Volume places Madison County above 75% of real US counties (9 active designations: 3 primary care, 3 mental health, 3 dental). Peak severity on the current designated set is 17.0. 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.
Madison County falls in the upper quarter of IN counties by active-designation volume, at rank 8 of 92. 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.
Heavy-volume FTE gap in Madison County
Signature reading: HRSA providers_needed sums to about 25 FTE across Madison County's active designations (once per HPSA id), a federal gap estimate, not practising headcount.
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 IN before drawing conclusions from a single score. IN 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.
Counties With a Similar Primary Care Shortage Score
Other U.S. counties whose active HRSA primary-care HPSA score is closest to Madison County's 17.0. This compares the designation score only, not local appointment availability or care quality. Start with Black Hawk County, IA and Providence County, RI.
Showing 6 of 2932 counties nationally with an active designation this severe.
Counties with a matching designation count to Madison County's 9
One peer set for this FTE-led county: nearest active designation count to 9 - the inventory behind the ~25 FTE published need.
Frequently Asked Questions
- Where is the largest clinician FTE gap inside Madison County?
- Id-de-duped providers_needed across active HPSAs totals ~25 FTE, with primary care the largest slice (13). "LI - Madison County" is the highest-scored active row (score 17.0; primary care; 5,275 people in the service area; ~12 FTE still needed on the record; designated 05/11/2012). This is HRSA's published gap, not a headcount of practising clinicians.
- Why is Madison County not listed as a Medically Underserved Area?
- Madison County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
- Which named designations drive Madison County's FTE reading?
- Active names on this release include "LI - Madison County", "MHCA 3: Madison", "LI - Madison County" and "Correctional Industrial Facility". Discipline counts: 3 primary care, 3 mental health, 3 dental across 9 designated rows.
- Do Madison County's FTE gaps unlock federal programs?
- Yes where an ACTIVE designation exists, NHSC, CHC grants, Medicare bonus and J-1 waivers follow the designated geography and provider type. A published FTE gap without an active row does not, by itself, open those pathways.
- How does Madison County's FTE burden compare inside IN?
- 9 active designations and ~25 FTE published need. Madison County falls in the upper quarter of IN counties by active-designation volume, at rank 8 of 92. Score-nearest counties on this release include Black Hawk County, IA and Providence County, RI.
Source: HRSA Data Warehouse. FIPS: 18095. 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 18095 (Madison County, IN), vintage 2026-08-15. Active designation count 9; peak score 17.0; signature 25 FTE gap. This profile is reference material, not professional advice; see methodology.