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Bureau of Health Systems Development
Federal Medically Underserved Areas and Populations
 
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Purpose: The federal Medically Underserved Area/Population (MUA/MUP) designation identifies areas or populations as having a need for medical services on the basis of demographic data. These designations are  important when seeking a Community and Migrant Health Center or Federally Qualified Health Center status. Link to Health Systems Development PCA Profile Page
  
Requirements:    Designation is based on an area having an Index of Medical Underservice (IMU) score less than or equal to 62.0 points.  The IMU is a weighted score derived from four criteria:
  • ratio of primary medical care physicians per 1,000 population
     
  • infant mortality rate
     
  • percentage of population below the federal poverty level
     
  • percentage of the population 65 years and older 
  
Eligibility: Geographic areas that are rational areas for delivery of services and meet the IMU score requirement are eligible for a federal MUA/MUP designation.  Designation is not a competitive process.  Any person or organization may apply on behalf of an area.
  
Benefits: Benefits include:
  • enhanced federal grant eligibility
     
  • eligibility to apply for federal funding to develop and operate Community Health Centers, Migrant Health Centers, health care for the homeless, Federally Qualified Health Centers (FQHCs) and FQHC Look-A-Likes.
     
  • eligibility for enhanced reimbursement for Rural Health Clinics 

The cost-based reimbursement of these programs is designed to enhance access to primary health care in medically underserved areas.

As of September 5, 2006, 46 areas in Arizona have federal MUA/MUP designations.

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