The State of Maryland recognizes 18 of its 24 jurisdictions as rural. Maryland’s rural counties include:
Allegany, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Kent, Queen Anne’s, Somerset, St. Mary’s, Talbot, Washington, Wicomico, and Worcester.
25% of Maryland's residents live in rural Maryland. Maryland's rural communities face unique healthcare concerns that include a lack of healthcare providers and difficulty accessing those providers due to transportation and technology barriers. Rural hospitals and health care providers, which frequently are the economic backbone of the communities they serve, deserve special consideration so that they can continue to provide high-quality services and meet the needs of rural residents.