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Types of Designations. Current HPSAAreaPopulationAutomaticNative AmericanCHC granteeOld MUAAreaPopulationGovernor's. Proposed HPSA/MUAAreaTier1Tier 2PopulationTier 1Tier 2Health Safety Net FacilityGovernor's. Core Designation Ratio . Under current HPSA methods:3500:1 for most areas3000:1 for high needs areasUnder proposed methodology:3000:1 baseline ratioAdjusted downward using:Population adjustmentSpecial needs indicators.
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