Medically Underserved Area Mono-discipline · mental health

SD · Healthcare shortage profile

Aurora County, SD

Peak severity leads this reading: Aurora County's highest active HPSA score is 19.0, clearing HRSA's 17-point high-priority line. Population 2,747.

Active HPSAs
1
Population
2,747
Peak shortage score
19.0
MUA Index
38.6

Light-burden verdict

According to current HRSA Data Warehouse records, Aurora County carries a comparatively light shortage burden - 1 active HPSA designation, more than 2% of the 3,289 real US counties, with mental health the deepest gap.

1
Active HPSA designations
1
Mental-health shortages
19
Peak severity score (of 26)
Top 98%
US counties by volume
C
Healthcare Access Score
55/100
Aurora County, SD

Based on HRSA primary/mental/dental shortage severity, Medically Underserved Area status, and estimated unmet provider need -- not patient outcomes, insurance access, facility quality, or wait times.

Primary care A+
No active shortage
Primary care shortage severity (HPSA score)
Mental health F
19.0 of 25
Mental health shortage severity (HPSA score)
Dental A+
No active shortage
Dental shortage severity (HPSA score)
Underserved status F
IMU 38.6
Index of Medical Underservice (designated MUA)
Provider gap F
5.9 per 10K
Unmet provider need (HRSA-estimated) per 10,000 residents

Few Census ZCTAs touch Aurora County

The Census ZCTA-county crosswalk lists only 9 ZIP Code Tabulation Areas intersecting Aurora County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).

Intersecting ZCTA

4 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 Aurora 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.

  1. Peak HPSA score 19.0 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.

  2. Closing Aurora County's active designations would take about 1.6 additional clinician FTEs, with mental health the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1.6 mental health. This is the federal gap estimate, not a headcount of practising clinicians.

  3. 100% of Aurora County's 1 active designations are mental health.

    Discipline mix from designated HPSA records only: 0 primary care, 1 mental health, 0 dental (denominator 1).

Aurora County vs. every real US county

Total active HPSA designations, including counties with none

1 Top 98% higher than 2% of 3,289 real US counties

0–20: 3,115 real US counties (95%). This entry sits in this band. 20–40: 128 real US counties (4%). Above this entry. 40–60: 32 real US counties (1%). Above this entry. 60–80: 7 real US counties (0%). Above this entry. 80–100: 2 real US counties (0%). Above this entry. 100–120: 1 real US counties (0%). Above this entry. 120–140: 2 real US counties (0%). Above this entry. 140–160: 1 real US counties (0%). Above this entry. 160–180: 0 real US counties (0%). Above this entry. 180–200: 0 real US counties (0%). Above this entry. 200–220: 0 real US counties (0%). Above this entry. 220–240: 0 real US counties (0%). Above this entry. 240–260: 0 real US counties (0%). Above this entry. 260–280: 1 real US counties (0%). Above this entry. This county 0 280 every real US county, bucketed by value

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. Aurora County falls in the lower half of SD counties by active-designation volume, at rank 57 of 66. Ties share a rank; the comparison uses the same current designated records as the national chart.

Healthcare shortage designations from HRSA. FIPS: 46003. Population: 2,747.

Medically Underserved Area

MUA Designated
MUA Index: 38.6

Active HPSA scores

Mental Health 19.0 High priority

Current designated records only · mental health only on this FIPS. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?

Highest-severity HPSA designations

All 1 active (designated) HPSAs in Aurora County, ranked by HRSA shortage score.

Name Type Score
Catchment Area 4 mental_health 19.0

Light-burden reading for Aurora County

Peak severity leads this reading: Aurora County's highest active HPSA score is 19.0, clearing HRSA's 17-point high-priority line. Aurora County's severest measured gap is in mental health, scored 19.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. The county also sits inside a Medically Underserved Area, indexed at 38.6, and the lower the index, the greater the measured need.

Aurora County carries 1 active designation and sits below the national mid-pack (above 2% of counties). A light footprint still matters: a single high-score dental or mental-health record can open program geography even when the county total looks small next to heavy peers.

Aurora County falls in the lower half of SD counties by active-designation volume, at rank 57 of 66. Read the active scores and the deepest-care guide link below before collapsing this county into a "no shortage" story.

Acting on Aurora County's high-priority mental health

Aurora County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.

  • Aurora County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
  • See how the county's mental health burden compares with the rest of SD before drawing conclusions from a single score. SD 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 near Aurora County's mental score of 19.0

One peer set for this severity-led county: nearest active mental HPSA score to 19.0 (severity lead on this page is “Catchment Area 4”).

Frequently Asked Questions

Does Aurora County's MUA standing sit beside its HPSA records?
Yes - Aurora County carries an MUA designation (index 38.6; 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 Aurora County's peak score of 19.0?
"Catchment Area 4" leads the active set (score 19.0; mental health; 32,559 people in the service area; ~1.6 FTE still needed on the record; designated 05/16/1979). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 1 active rows: 0 primary care, 1 mental health, 0 dental.
What provider types does Aurora County's severity cover?
Active rows break down 0 primary care / 1 mental health / 0 dental. Closing published gaps would take about 1.6 additional clinician FTEs on this release.

Source: HRSA Data Warehouse. FIPS: 46003. This county’s designations come from BCD_HPSA_FCT_DET_MH.csv (mental health) — 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 46003 (Aurora County, SD), vintage 2026-08-15. Active designation count 1; peak score 19.0; signature peak score 19.0. This profile is reference material, not professional advice; see methodology.