MT · Healthcare shortage profile
Madison County, MT
Designation volume is the standout signal for Madison County: 10 active HPSA records, above 83% of real US counties. Population 8,623.
- Active HPSAs
- 10
- Population
- 8,623
- Peak shortage score
- 16.0
- MUA Index
- 53.3
Heavy-burden verdict
According to current HRSA Data Warehouse records, Madison County ranks among the most underserved counties in the country - 10 active HPSA designations, more than 83% of the 3,289 real US counties, with mental health the deepest gap.
- 10
- Active HPSA designations
- 4
- Mental-health shortages
- 16
- Peak severity score (of 26)
- Top 17%
- 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, MT 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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Closing Madison County's active designations would take about 0.6 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.6 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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40% of Madison County's 10 active designations are mental health.
Discipline mix from designated HPSA records only: 3 primary care, 4 mental health, 3 dental (denominator 10).
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Peak HPSA score 16.0 sits below HRSA's 17-point high-priority line.
Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Madison County carries 10 active designations, above 83% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.
State peer position. Madison County falls in the upper quarter of MT counties by active-designation volume, at rank 11 of 56. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 30057. Population: 8,623.
Below high-priority line
Madison County is designated, but no active score clears 17
10 active designations sit on this FIPS (3 primary care, 4 mental health, 3 dental), and the peak severity is 16.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 10 active (designated) HPSAs in Madison County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Ruby Valley Medical Clinic | primary_care | 16.0 |
| Madison Valley Clinic | primary_care | 16.0 |
| Twin Bridges Medical Clinic | primary_care | 16.0 |
| Madison County | mental_health | 16.0 |
| Ruby Valley Medical Clinic | dental | 15.0 |
| Madison Valley Clinic | dental | 15.0 |
| Twin Bridges Medical Clinic | dental | 15.0 |
| Madison Valley Clinic | mental_health | 14.0 |
| Twin Bridges Medical Clinic | mental_health | 14.0 |
| Ruby Valley Medical Clinic | mental_health | 13.0 |
Heavy-burden reading for Madison County
Designation volume is the standout signal for Madison County: 10 active HPSA records, above 83% of real US counties. Madison County's shortage runs equally deep in primary care and mental health: both scored 16.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 53.3, and the lower the index, the greater the measured need.
Volume places Madison County above 83% of real US counties (10 active designations: 3 primary care, 4 mental health, 3 dental). Peak severity on the current designated set is 16.0. 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 MT counties by active-designation volume, at rank 11 of 56. 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.
High-volume peers of Madison County (10 active)
One peer set for this volume-led county: nearest active designation count to 10 across the national corpus.
Frequently Asked Questions
- Does Madison County's MUA standing sit beside its HPSA records?
- Yes - Madison County carries an MUA designation (index 53.3; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Madison County's 10 active HPSA designations?
- 10 Designated rows (3 primary care, 4 mental health, 3 dental). Highest-scored name on this release: "RUBY VALLEY MEDICAL CLINIC" (score 16.0; primary care; 5,596 people in the service area; designated 10/05/2023). Also active: "MADISON VALLEY CLINIC", "TWIN BRIDGES MEDICAL CLINIC", "Madison County". Above 83% of real US counties by volume.
- What does volume-plus-score look like for Madison County?
- Peak active score 16.0 in primary care and mental health stays under the 17-point line while volume sits at 10 rows.
- What clinician need sits behind Madison County's designation volume?
- Closing published gaps would take about 0.6 additional clinician FTEs (id-de-duped providers_needed). "RUBY VALLEY MEDICAL CLINIC" is the severity lead inside that inventory.
- Which federal programs follow Madison County's designation volume?
- 10 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Madison County's volume compare inside MT?
- 10 active HPSA rows · peak 16.0. Madison County falls in the upper quarter of MT counties by active-designation volume, at rank 11 of 56. Score-nearest counties on this release include Jefferson County, MO and Carroll County, MD.
Source: HRSA Data Warehouse. FIPS: 30057. 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 30057 (Madison County, MT), vintage 2026-08-15. Active designation count 10; peak score 16.0; signature 10 active designations. This profile is reference material, not professional advice; see methodology.