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Virginia’s Rural Communities

Virginia’s RHT Program uses the definition of rural established by the Health Resources and Services Administration (HRSA) Federal Office of Rural Health Policy.

  • 76 localities across the Commonwealth are designated as rural under this definition
  • All RHT-funded programs are designed to serve individuals and communities within these areas

Virginia’s application to CMS in 2025 used the Health Resources and Services Administration (HRSA)’s Federal Office of Rural Health Policy (FORHP) definition of rurality to define eligible localities. More information on this definition can be found here.

Virginia Beach City — Non-ruralNorfolk City — Non-ruralPortsmouth City — Non-ruralSuffolk City — Non-ruralIsle of Wight County — Non-ruralSurry County — Southside region (rural)Prince George County — Non-ruralHopewell City — Non-ruralChesterfield County — Non-ruralCharles City County — Eastern Shore and Northern Neck region (rural)James City County — Non-ruralNewport News City — Non-ruralHampton City — Non-ruralPoquoson City — Non-ruralYork County — Non-ruralNew Kent County — Eastern Shore and Northern Neck region (rural)King William County — Eastern Shore and Northern Neck region (rural)King and Queen County — Eastern Shore and Northern Neck region (rural)Gloucester County — Eastern Shore and Northern Neck region (non-rural)Mathews County — Eastern Shore and Northern Neck region (rural)Middlesex County — Eastern Shore and Northern Neck region (rural)Essex County — Eastern Shore and Northern Neck region (rural)Caroline County — Eastern Shore and Northern Neck region (rural)King George County — Eastern Shore and Northern Neck region (rural)Westmoreland County — Eastern Shore and Northern Neck region (rural)Richmond County — Eastern Shore and Northern Neck region (rural)Lancaster County — Eastern Shore and Northern Neck region (rural)Northumberland County — Eastern Shore and Northern Neck region (rural)Stafford County — Non-ruralPrince William County — Non-ruralFairfax County — Non-ruralAlexandria City — Non-ruralArlington County — Non-ruralAccomack County — Eastern Shore and Northern Neck region (rural)Northampton County — Eastern Shore and Northern Neck region (rural)Buchanan County — Southwest region (rural)Dickenson County — Southwest region (rural)Wise County — Southwest region (rural)Lee County — Southwest region (rural)Washington County — Southwest region (non-rural)Scott County — Southwest region (non-rural)Bristol City — Southwest region (non-rural)Frederick County — Shenandoah Valley region (non-rural)Clarke County — Shenandoah Valley region (rural)Shenandoah County — Shenandoah Valley region (rural)Loudoun County — Non-ruralRockingham County — Shenandoah Valley region (non-rural)Augusta County — Shenandoah Valley region (non-rural)Highland County — Shenandoah Valley region (rural)Giles County — Southwest region (rural)Craig County — Roanoke/Alleghany region (rural)Alleghany County — Roanoke/Alleghany region (rural)Bath County — Shenandoah Valley region (rural)Tazewell County — Southwest region (rural)Bland County — Southwest region (rural)Patrick County — Southside region (rural)Carroll County — Southwest region (rural)Grayson County — Southwest region (rural)Chesapeake City — Non-ruralSouthampton County — Southside region (rural)Greensville County — Southside region (rural)Brunswick County — Southside region (rural)Mecklenburg County — Southside region (rural)Halifax County — Southside region (rural)Pittsylvania County — Southside region (rural)Danville City — Southside region (rural)Henry County — Southside region (rural)Amelia County — Southside region (rural)Dinwiddie County — Southside region (non-rural)Nottoway County — Southside region (rural)Prince Edward County — Southside region (rural)Cumberland County — Southside region (rural)Powhatan County — Non-ruralAmherst County — Non-ruralAppomattox County — Southside region (rural)Campbell County — Southside region (non-rural)Lynchburg City — Non-ruralBedford County — Non-ruralRockbridge County — Shenandoah Valley region (rural)Nelson County — Northern Piedmont region (rural)Charlotte County — Southside region (rural)Buckingham County — Southside region (rural)Pulaski County — Southwest region (rural)Wythe County — Southwest region (rural)Smyth County — Southwest region (rural)Botetourt County — Roanoke/Alleghany region (non-rural)Roanoke County — Roanoke/Alleghany region (non-rural)Lunenburg County — Southside region (rural)Russell County — Southwest region (rural)Albemarle County — Northern Piedmont region (non-rural)Fluvanna County — Northern Piedmont region (rural)Hanover County — Non-ruralSpotsylvania County — Non-ruralGalax City — Southwest region (rural)Floyd County — Roanoke/Alleghany region (rural)Henrico County — Non-ruralRichmond City — Non-ruralPetersburg City — Non-ruralColonial Heights City — Non-ruralFauquier County — Northern Piedmont region (rural)Warren County — Shenandoah Valley region (rural)Montgomery County — Roanoke/Alleghany region (non-rural)Culpeper County — Northern Piedmont region (rural)Orange County — Northern Piedmont region (rural)Madison County — Northern Piedmont region (rural)Rappahannock County — Northern Piedmont region (rural)Goochland County — Non-ruralSussex County — Southside region (rural)Franklin County — Roanoke/Alleghany region (rural)Louisa County — Northern Piedmont region (rural)Greene County — Northern Piedmont region (rural)Page County — Shenandoah Valley region (rural)Franklin City — Southside region (rural)Williamsburg City — Non-ruralRadford City — Roanoke/Alleghany region (rural)Fredericksburg City — Non-ruralBuena Vista City — Shenandoah Valley region (rural)Charlottesville City — Northern Piedmont region (non-rural)Covington City — Roanoke/Alleghany region (rural)Emporia City — Southside region (rural)Fairfax City — Non-ruralFalls Church City — Non-ruralHarrisonburg City — Shenandoah Valley region (non-rural)Manassas City — Non-ruralManassas Park City — Non-ruralMartinsville City — Southside region (rural)Norton City — Southwest region (rural)Roanoke City — Roanoke/Alleghany region (non-rural)Salem City — Roanoke/Alleghany region (non-rural)Staunton City — Shenandoah Valley region (non-rural)Waynesboro City — Shenandoah Valley region (non-rural)Winchester City — Shenandoah Valley region (non-rural)Lexington City — Shenandoah Valley region (rural)Virginia's Rural Regionsper Virginia DMAS / FORHP designationsRegionRuralNon-ruralEastern Shore and Northern NeckNorthern PiedmontRoanoke/AlleghanyShenandoah ValleySouthsideSouthwestNon-rural (outside rural regions)Hover for details · click to pin