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Federal Office of Rural Health Policy Rural Designation

Rurality
Description: The Federal Office of Rural Health Policy Rural Designation combines Rural-Urban Commuting Area (RUCA) codes and the Road Ruggedness Scale (RRS) to create a binary rural classification.
Time Frame: Year; 2025
Spatial Scale: County, Census Tract, and ZIP Code approximations
Format: Excel
Source: Health Resources & Services Administration (HRSA)
Original Repository: 2025
Living Atlas: N/A

HRSA defines rural as the following:

  • Non-metropolitan counties
  • Outlying metropolitan counties with no population from an urban area of 50,000 or more people
  • Census tracts with RUCA codes 4-10 in metropolitan counties
  • Census tracts of at least 400 square miles in area with population density of 35 or fewer people per square mile with RUCA codes 2-3 in metropolitan counties
  • Census tracts with RRS 5 and RUCA codes 2-3 that are at least 20 square miles in area in metropolitan counties

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