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THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF / ALBANY, NY 12234

TO: The Honorable the Members of the Board of Regents

FROM: Douglas E. Lentivech

SUBJECT: Designation of Regents Physician Shortage Areas (RPSAs)

DATE: December 1, 2016

AUTHORIZATION(S):

SUMMARY

Issue for Consent Agenda

Should the Board of Regents approve the updates to the list of Regents Physician Shortage Areas as recommended by the Department of Health?

Reason(s) for Consideration

Required by State Statute.

Proposed Handling

This item will come before the full Board at its December 2016 meeting where it will be voted on and action taken.

Procedural History

The Department of Health annually recommends updates to the list of Regents physician shortage areas. These updates include modifications to the following: Health Professions Shortage Areas (HPSAs) – Primary Care Shortage Areas, Facility Physician Shortage Areas, State Facility Shortage Areas, and Mental Health Professions Shortage Areas.

Background Information

In 1987, the Board of Regents approved a system for identifying and designating areas of physician shortage. In September 1995, the Board made a decision to update the shortage area list once a year. In addition, at its September 1997 meeting, the Board of Regents modified the system by adding a category of Mental Health Professions Shortage Areas, along with the following categories of shortage areas:

 Health Professions Shortage Areas (HPSAs)

Federal Health Professions Shortage Areas (HPSAs) are used by the Federal government to identify areas of primary care physician shortages. The Federal government requires that all HPSA designations be updated every three years using the HPSA criteria. The basic eligibility criterion is the physician-to- population ratio; in addition, infant mortality, physician availability in contiguous areas, and other factors are also considered. The NYS Department of Health reviews and comments on all requests for Federal HPSA designation.

 County Non-Primary Care Specialty Shortage Areas

Counties where less than one-third of the recommended number of specialists in the 15 most common specialties are available.

Non-Primary Care Specialty Shortage Areas

Hospitals are designated as RPSAs for non-primary care specialties as approved by the Board of Regents in 1987. In order to receive credit toward fulfillment of a service obligation, non-primary care specialists are required to devote at least 50 percent of their practice to Medicaid recipients and/or the uninsured. The most recent data available on percentages of Medicaid and self-pay days are used to identify where service-obligated specialists may fulfill this obligation.

 State Facility Physician Shortage Areas

Facilities operated by the Office for People with Developmental Disabilities, the Office of Mental Health, and the Department of Corrections and Community Supervision are identified.

 Facilities Providing Services to Special Populations Shortage Areas

Facilities are designated as serving special populations identified by the Regents as experiencing special barriers to health care.

 Mental Health Professions Shortage Areas

Mental Health Professions Shortage Areas are counties identified as having less than one-third of the recommended number of mental health professionals and specific areas and facilities designated by the federal government.

The Department of Health has recommended the attached updates to the list of approved Regents physician shortage areas. Attachment 1 consists of those recommended amendments to the various categories of shortage areas.

Related Regents Items

Not applicable.

Recommendation

The Regents should approve the changes in the lists of designated physician shortage areas described in Attachment 1 with an effective date of January 1, 2017.

Timetable for Implementation

The changes to the list of designated physician shortage areas will be effective January 1, 2017.

REGENTS

DESIGNATED PHYSICIAN SHORTAGE AREAS

In

NEW YORK STATE

The University of the State of New York THE STATE EDUCATION DEPARTMENT Office of K-16 Initiatives and Access Programs Scholarships and Grants Administration Unit Room 967, Education Building Addition Albany, NY 12234

Effective January 1, 2017

THE UNIVERSITY OF THE STATE OF NEW YORK

Regents of The University

BETTY A. ROSA, Chancellor, B.A., M.S. in Ed., M.S. in Ed., M.Ed., Ed.D…………... Bronx T. ANDREW BROWN, Vice Chancellor, B.A., J.D...... Rochester JAMES R. TALLON, JR., B.A., M.A...... Binghamton ROGER TILLES, B.A., J.D...... Great Neck LESTER W. YOUNG, JR., B.S., M.S., Ed.D...... Beechhurst CHRISTINE D. CEA, B.A., M.A., Ph.D...... WADE S. NORWOOD, B.A...... Rochester KATHLEEN M. CASHIN, B.S., M.S., Ed.D...... JAMES E. COTTRELL, B.S., M.D...... New York JOSEPHINE VICTORIA FINN, B.A., J.D...... Monticello JUDITH CHIN, M.S. in Ed...... Little Neck BEVERLY L. OUDERKIRK, B.S. in Ed., M.S. in Ed...... Morristown CATHERINE COLLINS, R.N., N.P., B.S., M.S. in Ed., Ed.D...... Buffalo JUDITH JOHNSON, B.A., M.A., C.A.S...... New Hempstead NAN EILEEN MEAD, B.A...... ELIZABETH S. HAKANSON, A.S., M.S., C.A.S...... Syracuse LUIS O. REYES, B.A., M.A., Ph.D...... New York

Commissioner of Education President of The University of the State of New York MARYELLEN ELIA

Executive Deputy Commissioner ELIZABETH R. BERLIN

Deputy Commissioner, Office of Higher Education JOHN L. D’AGATI

Executive Director, Office of Postsecondary Access, Support, and Success STANLEY S. HANSEN, JR.

The State Education Department does not discriminate on the basis of age, color, religion, creed, disability, marital status, veteran status, national origin, race, gender, genetic predisposition or carrier status, or sexual orientation in its educational programs, services and activities. Portions of this publication can be made available in a variety of formats, including Braille, large print or audio tape, upon request. Inquiries concerning this policy of nondiscrimination should be directed to the Department’s Office for Diversity and Access, Room 530, Education Building, Albany, NY 12234.

Regents - Designated Physician Shortage Areas (RPSAs)

Table of Contents

Page

General Information regarding the Regents-Designated Service Shortage Areas, Counties, and Census Tracts in New York State ...... 1

Primary Care Regents Physician Shortage Areas by County ...... 3

Facilities Eligible for Primary Care and Mental Health Shortage Area Designation by County ...... 16

New York State Operated Facilities Designated as Regents Physician Shortage Areas for Primary Care Physicians and Psychiatrists ...... 21

Other Facilities Eligible for Primary Care Shortage Area Designation Only, by County……………………………………………………..………………...... 24

Additional Facilities Designated as Primary and Non-Primary Care Shortage Areas for Service to a Special Population ...... 25

Non-Primary Care Shortage Areas by County ...... 26

Hospitals Eligible for Primary Care and Non-Primary Care Shortage Area Designation ...... 29

Mental Health Regents Physician Shortage Areas ...... 34

Facilities and Sub-County Areas Eligible for Mental Health Shortage Area Designation only by County …….……………………………………………………………35

GENERAL INFORMATION REGARDING REGENTS-DESIGNATED SERVICE SHORTAGE AREAS (RPSAs), COUNTIES, AND CENSUS TRACTS IN NEW YORK STATE

How to use the Regents Physician Shortage Area (RPSA) Listing

Primary Care Regents Physician Shortage Areas by County: This section, one of several within the book applicable for primary care physicians, is applicable to primary care physicians only, and lists shortage areas by Service Area and Population Group within the indicated county.

Examples: To be eligible for any program for which Regents shortage areas pertain:

1. A primary care physician working in Bronx County (Borough) and practicing in Medicaid Eligible - Morris Heights would have to be working in a census tract (C.T.) (e.g., 53, 235.01, 237.03, etc.) listed in this section. To identify the C.T. of a practice site address, you can go to the following website: http://www.ffiec.gov/Geocode/default.aspx. Enter the address of the site. Click on “search” and note the “Tract Code.” If the address is located in an underserved area, the C.T. number will be listed in one of the Service Areas or Population Groups in the appropriate county.

2. A primary care physician working in Chautauqua County would have to work within the Service Area specified towns or census tracts (C.Ts) of Rural Chautauqua SA in the towns of Arkwright, Charlotte, Chautauqua, Cherry Creek, etc., for example, or provide services to a Low-Income population group in the towns of Busti, Carroll, Ellicott, Kiantone, Poland or the City of Jamestown.

3. A primary care physician could also work in listed facilities (e.g., Metropolitan Correctional Center in New York county), which are applicable for primary care physicians only, as indicated within the appropriate counties.

Facilities Eligible for Primary Care and Mental Health Shortage Area Designation by County: This section lists individual facilities, by county, applicable for either primary care or mental health physicians.

NY State Operated Facilities Designated as Regents Physician Shortage Areas for Primary Care Physicians and Psychiatrists: This section lists New York State facilities applicable for either primary care physicians or psychiatrists.

Additional Facilities Designated as Primary and Non-Primary Care Shortage Areas for Service to a Special Population: This section is applicable to both primary and non- primary care physicians.

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Non-Primary Care Shortage Areas by County: This section is applicable only to non- primary (specialist) physicians who have incurred, and seek to repay, obligated service under the Doctors Across New York Loan Repayment or Practice Support Programs.

Hospitals Eligible for Primary Care and Non-Primary Care Shortage Area Designation: This section is applicable to both primary and non-primary (specialist) physicians who have incurred, and seek to repay, obligated service under New York State Regents Physician Loan Forgiveness Award Program.

Regents Psychiatric Shortage Areas: This section is applicable to psychiatrists who have incurred, and seek to repay, obligated service under New York State Regents Physician Loan Forgiveness Award Program.

NOTE TO PRIMARY CARE PRACTITIONERS AND PROVIDERS

The National Health Service Corps loan repayment program is available to primary care physicians, nurse practitioners, physician assistants and midwives interested in serving in federally designated underserved communities in New York State. For more information about the National Health Service Corps, call 1-800-221-9393, or visit the following website: http://nhsc.hrsa.gov/

For information about federally designated shortage areas eligible for federal scholarship and loan repayment programs, visit the following websites:

http://hpsafind.hrsa.gov/ http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesignationAdvisor.aspx

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Note: Entries that are double-underlined are proposed additions; and strikeouts indicate proposed deletions for 2017. Entries that are underlined indicate a change to existing entries.

Primary Care Regents Physician Shortage Areas by County

Allegany Service Area/Parts: Entire County

Bronx Population Group: Medicaid Eligible - Fordham/Norwood Parts: C.T. 261, 263, 265, 267.01, 267.02, 269, 399.01, 401, 403.02, 403.03, 403.04, 405.01, 405.02, 407.02, 407.01, 409, 411, 413, 415, 419, 421,423, 425, 429.01, 429.02, 431

Population Group: Medicaid Eligible - Highbridge Parts: C.T. 63, 189, 193, 195, 197, 199, 201, 205.01, 205.02, 209, 211, 213.01, 213.02, 215.01, 215.02, 217, 219, 221.01, 221.02, 223, 227.01, 227.02, 233.01

Population Group: Medicaid Eligible - Hunts Point/Mott Haven Parts: C.T.19, 23, 25, 27.01, 27.02, 31, 33, 35, 37, 39, 41, 43, 51, 59.02, 61,65, 67, 69, 71, 73, 75, 77, 79, 83, 85, 87, 89, 93, 115.02, 117, 119, 121.02, 159

Population Group: Medicaid Eligible - Morris Heights Parts: C.T. 53, 235.01, 237.03, 237.04, 239, 241, 243, 245.01, 245.02, 247, 249, 251, 253, 255, 257

Population Group: Medicaid Eligible - Morrisania Parts; C.T. 121.01, 125, 127.01, 129.01, 131, 133, 135, 141, 143, 145, 147.01, 147.02, 149, 151, 153, 155, 157, 161, 163, 165, 167, 169, 171, 173, 175, 177.01, 177.02,179.01, 179.02, 181.01, 181.02, 183.01, 183.02, 185, 225, 227.03, 229.02, 367, 369.02

Population Group: Medicaid Eligible - Parkchester/Throgs Neck Parts: C.T. 92, 96, 110, 118, 130, 132, 138, 144, 152, 158, 160, 162,164, 166, 184, 194, 200, 202, 204, 206.01, 208, 210.01, 210.02, 212, 222, 224.01, 224.03, 224.04,, 228, 230, 232, 238, 244, 246, 248, 250, 252, 254, 256, 264, 266.01, 266.02, 274.01, 274.02, 276, 284, 286, 288, 296, 300

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Population Group: Medicaid Eligible – Soundview/West Farms Parts: C.T. 2, 4, 16, 20, 24, 28, 38, 40.01, 42, 44, 46, 48, 50.01, 50.02, 52, 54, 56, 60, 62, 64, 68, 70, 72, 74, 76, 78, 84, 86, 90, 98, 123, 216.01, 216.02, 218, 220, 236, 240, 359, 361, 363

Population Group: Medicaid Eligible - Tremont Parts C.T. 229.01, 231, 233.02, 235.02, 237.02, 334, 365.01, 365.02, 369.01, 371, 373, 375.04, 379, 381, 383.01, 383.02, 385, 387, 389, 391, 393, 395, 397, 399.02

Broome Service Area: Deposit Parts: Towns of: Colesville, Sanford, Windsor

Population Group: Medicaid Population - Greater Binghamton Service Area Parts: Towns of: Barker, Binghamton, Chenango, Conklin, Dickinson, Fenton, Kirkwood, Lisle, Maine, Nanticoke, Triangle, Union, Vestal City of: Binghamton Cattaraugus

Service Area: Olean SA Towns of: Allegany, Carrollton, Coldspring, Conewango, Ellicottville, Franklinville, Great Valley, Hinsdale, Humphrey, Ischua, Little Valley, Lyndon, Mansfield, Napoli, New Albion, Olean, Portville, Randolph, Red House, Salamanca, South Valley Cities of: Salamanca and Olean

Service Area: Rural Chautauqua SA Parts: Towns of: Dayton, Leon, Otto, Perrysburg, Persia

Cayuga Service Area: Aurora Parts: Towns of: Genoa, Ledyard, Scipio, Springport, Venice

Population Group: Medicaid Eligible - Auburn Primary Care Service Area

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Parts: Towns of: Aurelius, Brutus, Fleming, Mentz, Montezuma, Owasco, Sennett, Throop City of: Auburn

Population Group: Medicaid Eligible - Oswego SA Parts: Town of: Sterling

Population Group: Medicaid Eligible - Southern Cayuga Service Area Parts: Towns of: Locke, Moravia, Niles, Sempronius, Summerhill

Chautauqua Service Area: Rural Chautauqua SA Parts: Towns of: Arkwright, Charlotte, Chautauqua, Cherry Creek, Clymer, Dunkirk, Ellery, Ellington, French Creek, Gerry, Hanover, Harmony, Mina, North Harmony, Pomfret (Fredonia), Portland, Ripley, Sheridan, Sherman, Stockton, Villenova, Westfield City of: Dunkirk

Population Group: Low Income - Jamestown Parts: Towns of: Busti, Carroll, Ellicott, Kiantone, Poland City of: Jamestown

Chenango Population Group: Medicaid Eligible - Chenango County Parts: Entire County

Clinton Service Area: Medicaid Eligible - Clinton County Parts: Entire County

Cortland Population Group: Medicaid-Eligible - Cortland Parts: Entire County

Delaware

Service Area: Middletown/Margaretville/Andes Parts: Towns of: Andes, Middletown, Roxbury

Service Area: Northeast Delaware County SA

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Parts: Towns of: Bovina, Davenport, Delhi, Harpersfield, Kortright, Meredith, Stanford

Population Group: Low Income - Walton SA Parts: Towns of: Colchester, Franklin, Hamden. Walton

Population Group: Medicaid- Eligible Deposit Parts: Towns of: Deposit, Hancock, Tompkins

Population Group: Medicaid Eligible - Masonville/Sidney/Unadilla Parts: Towns of: Masonville, Sidney

Erie Service Area: Buffalo N.Y. Service Area - Erie County Parts: C.T.5, 14.02, 15, 16, 17, 23, 24, 25.02, 27.02, 28, 29, 30, 31, 33.01, 33.02, 34, 35, 36, 37, 38, 39.01, 40.01, 41, 42, 43, 44.01, 44.02, 46.01, 46.02, 47, 52.01, 52.02, 53, 54, 55, 56, 57, 58.01, 58.02, 59, 61, 62.01, 63.01, 63.02, 65.01, 66.01, 66.02, 67.01, 67.02, 68, 69.01, 69.02, 70, 71.01, 71.02, 72.01, 72.02, 163-171 Essex Population Group: Low Income - Central Adirondack Parts: Town of: Newcomb

Population Group: Medicaid Eligible - East Central Essex Parts: Towns of: Elizabethtown, Essex, Keene, Lewis, Moriah, North Hudson, Westport, Willsboro

Population Group: Medicaid Eligible - Northern Essex Service Area Parts; Towns of: Chesterfield, Jay, North Elba, St. Armand, Wilmington

Population Group: Medicaid Eligible - Schroon-Ticonderoga Parts: Towns of: Crown Point, Schroon, Ticonderoga

Population Group: Medicaid-Eligible – Warrensburg Service Area Parts: Town of: Minerva

Franklin

Population Group: Medicaid Eligible - Canton-Potsdam Parts: Towns of: Tupper Lake, Waverly

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Population Group: Medicaid Eligible - Eastern Franklin County Parts: Towns of: Bellmont, Brighton, Burke, Chateugay, Constable, Duane, Franklin, Malone, Santa Clara, Westville

Population Group: Medicaid Eligible - Northern Essex Service Area Parts: Town of: Harrietstown

Population Group: Medicaid Eligible - Northwest Franklin County Parts: Towns of: Bangor, Bombay, Brandon, Dickinson, Fort Covington, Moira

Fulton Population Group: Medicaid Eligible – Fulton County Parts: Entire County

Genesee Population Group: Medicaid Eligible - Genesee County Parts: Entire County

Population Group: Tonawanda Seneca Nation

Greene Population Group: Medicaid Eligible - Greene County Parts: Entire County

Hamilton

Service Area: South Hamilton Parts: Towns of: Arietta, Benson, Hope, Lake Pleasant, Morehouse, Wells

Population Group: Low Income - Central Adirondack Parts: Towns of: Indian Lake, Long Lake

Herkimer Population Group: Medicaid Eligible - Herkimer County Parts: Entire County

Jefferson Service Area: Alexandria Bay Parts: Towns of: Alexandria, Cape Vincent, Clayton, Lyme, Orleans, Philadelphia, Theresa

Population Group: Medicaid Eligible - Gouverneur Parts: Town of: Antwerp

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Population Group: Medicaid Eligible – Lowville Service Area Parts: Towns of: Champion, Wilna

Population Group: Medicaid Eligible - Watertown Parts: Towns of: Brownville, Hounsfield, LeRay, Pamelia, Rutland, Watertown City of: Watertown

Kings

Service Area: East New York – Brooklyn Parts: C.T. 982, 984, 986, 988, 1012, 1014, 1016, 1018, 1020, 1022, 1034, 1058.01, 1058.04, 1070, 1078, 1104, 1106, 1110, 1116, 1118, 1120, 1122, 1124, 1126, 1128, 1130, 1132, 1134, 1144, 1146, 1150, 1152, 1156, 1158, 1160, 1162, 1164, 1166, 1168, 1170, 1172.01, 1172.02, 1174, 1176.01, 1176.02, 1178, 1182.01, 1182.02, 1184, 1186, 1188, 1190, 1192, 1194, 1196, 1198, 1200, 1210

Population Group: Medicaid Eligible – Coney Island/Gravesend Parts: C.T. 308, 326, 328, 330, 336, 340, 342, 348, 350, 352, 354, 356.01, 356.02, 360.01, 360.02, 362, 364, 366, 370, 374.01, 374.02, 382, 386, 388, 390, 392, 394, 396, 398, 400, 402, 404, 406, 408, 410, 412, 414.01, 414.02, 416, 418, 420, 422, 424, 426, 428, 548, 550, 552, 554, 556, 558, 560, 562, 564, 566, 568, 570, 572, 574, 576, 578, 580, 582, 584, 586, 588, 590, 592, 594.01, 594.02, 596, 598, 600, 606, 608, 610.02, 610.03, 610.04, 612, 616, 620, 622, 626, 628, 632, 638, 640, 642

Population Group: Medicaid Eligible - Crown Heights Parts: C.T. 506, 508.01, 508.03, 508.04, 510.01, 510.02, 512, 514, 516.01, 516.02, 518, 520, 790, 792, 794, 796.01, 796.02, 798.01, 798.02, 800, 802, 804, 806, 810, 814, 816, 818, 820, 822, 824, 826, 828, 830, 856, 858, 860, 862, 864, 866, 868, 870, 872, 874.01, 876, 878, 880, 882, 884, 886, 888, 890, 892, 894, 896, 898, 900, 902, 928, 930, 934, 938

Population Group: Medicaid Eligible - Bedford-Stuyvesant Parts: C.T. 1, 3.01, 5.01, 5.02, 7, 9, 11, 13, 15, 21, 23, 29.01, 31, 33, 35, 37, 39, 41, 43, 45, 49, 67, 69, 71, 75, 127, 129.01, 129.02, 161, 163, 179, 181, 183, 185.01, 187, 191, 193, 195, 197, 199, 201, 203, 205, 207, 211, 213, 215, 217, 219, 221, 227, 229, 231, 233, 235, 241, 243, 245, 247, 249, 251, 253, 255, 257, 259.01, 259.02, 261, 263, 265, 267, 269, 271, 273, 275, 277, 279, 281, 283, 285.01, 285.02, 287, 289, 291, 293, 8

295, 297, 299, 301, 303, 305, 307, 309, 311, 313, 315, 317.01, 317.02, 319, 321, 323, 325, 327, 329, 331, 333, 335, 337, 339, 341, 343, 345, 347, 349, 351, 353, 355, 357, 359, 361, 363, 365.01, 365.02, 367, 369, 371, 373, 375, 377, 379, 381, 383, 385, 387, 543, 1237

Population Group: Medicaid Eligible - Bushwick Parts: C.T. 389, 391, 393, 395, 397, 399, 401, 403, 405, 407, 409, 411, 413, 415, 417, 419, 421, 423, 425, 427, 429, 431, 433, 435, 437, 439, 441, 443, 445, 447, 449, 453, 477, 481, 485, 489, 491, 493, 495, 497, 501, 503, 505, 511, 513, 527, 1142.01, 1142.02

Population Group: Medicaid Eligible - Midwood Parts: C.T. 438, 440, 442, 444, 448, 450, 452, 454, 456, 458, 460462.01, 462.02 480, 482, 528, 530, 532, 534, 538, 542, 544, 546, 732, 734, 736, 738, 740, 742, 744, 746, 748, 750, 752, 754, 756, 758, 760, 762, 764, 766, 770, 772, 774, 776, 780, 782, 784, 786, 788

Population Group: Medicaid Eligible - Sunset Park Parts: C.T. 72, 74, 76, 78, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 101, 102, 104, 106, 108, 110, 112, 114, 116, 118, 122, 175, 192, 214, 216, 218, 220, 222, 224, 226, 228, 230, 232, 234, 236, 238, 240, 242, 244, 246, 248, 254, 436, 446, 464, 468, 470, 472, 474, 476, 478, 484, 486, 488, 490, 492, 494, 496, 498, 500, 502.02, 504, 526, 1502, 1522

Population Group: Medicaid Eligible – Williamsburg Service Area Parts: C.T. 499, 507, 509, 515, 517, 519, 523, 525, 529, 531, 533, 535, 537, 539, 545, 547, 549, 551, 553, 555, 557, 561, 563, 565, 569, 571, 573, 575, 579, 589, 591, 593

Lewis Population Group: Medicaid Eligible - Lowville Service Area Parts: Towns of: Croghan, Denmark, Diana, Harrisburg, Lowville, Martinsburg, Montague, New Bremen, Osceola, Pinckney, Watson

Population Group: Medicaid Eligible - Boonville Parts: Towns of: Greig, Lewis, Leyden, Lyonsdale, Turin, West Turin

Livingston

Service Area: Livingston County Parts: Entire County

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Madison Population Group: Medicaid Eligible - Hamilton Parts: Towns of: Brookfield, Eaton, Georgetown, Hamilton, Lebanon, Madison

Monroe Service Area: Brockport Parts: C.T. 148.02, 148.03, 148.04, 149.01, 149.03, 149.05, 149.06, 151.01, 151.02, 152, 153.01, 153.03, 153.04, 154

Service Area: Westside (Rochester) Parts: C.T. 2, 22, 23, 24, 27, 40, 41, 62-71, 75, 87.01, 87.02, 88, 94, 95, 96.01, 96.02, 96.03, 96.04

Population Group: Low Income - Jordan Parts: C.T. 7, 10, 13, 15, 29, 31, 39, 46.02, 47.01, 47.02, 48-59, 79- 82, 83.01, 84, 92, 93.01, 93.02

Montgomery

Population Group: Medicaid Eligible - Montgomery County Parts: Entire County

Nassau Population Group: Medicaid Eligible – Rockaway Parts: C.T. 4110, 4111

New York

Population Group: Medicaid Eligible - Alphabet City/Lower East Side Parts: C.T. 2.01, 2.02, 6, 8, 10.01, 10.02, 12, 14.01, 14.02, 16, 18, 20, 22.01, 22.02, 24, 25, 26.01, 26.02, 27, 28, 29, 30.01, 30.02, 32, 34, 36.01, 36.02, 38, 40, 41, 43

Population Group: Medicaid Eligible - East Harlem Parts: C.T. 156.02, 158.02, 160.02, 162, 164, 166, 168, 170, 172,174.01, 174.02, 178, 180, 182, 184, 188, 192, 194, 196, 198, 206, 210, 240, 242

Population Group: Medicaid Eligible - Washington Heights/Inwood Parts: C.T. 223.01, 223.02, 225, 229, 233, 237, 241, 243.01, 245, 247, 249, 251, 253, 255, 261, 263, 265, 267, 269, 271, 273,

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275, 277, 279, 281, 283, 285, 287, 291, 293, 295, 297, 299, 303, 307, 311

Population Group: Medicaid Eligible - West Central Harlem Parts: C.T. 186, 190, 197.02, 200, 201.02, 208, 209.01, 211, 212, 213.03, 214, 215, 216, 217.03, 218, 219, 220, 221.02, 222, 223.01, 223.02, 224-234, 235.01, 235.02, 236, 237, 239, 241, 243.02, 257, 259

Niagara Service Area: Newfane Parts: Towns of: Hartland, Newfane, Somerset, Wilson

Service Area: Niagara Falls Parts: C.T. 202, 203, 204, 205, 206, 207, 209, 210, 211, 212, 213, 214, 217

Population Group: Tuscarora Nation: Tuscarora Reservation

Oneida

Service Area: Camden Parts: Towns of: Annsville, Camden, Florence, Vienna

Population Group: Medicaid Eligible - Boonville Parts: Towns of: Ava, Boonville, Forestport

Population Group: Medicaid Eligible - Hamilton Parts: Town of: Sangerfield

Population Group: Medicaid Eligible - Rome Primary Care Service Area Parts: Towns of: Floyd, Lee, Verona, Western ...... City of: Rome

Population Group: Medicaid Eligible - Utica Parts: C.T. 201.02, 203, 207.05, 208.02, 208.03, 209, 210, 211.01, 211.02, 211.03, 212.01, 212.02, 213.01, 213.02, 213.03, 214.01, 214.02, 215, 216.01, 216.02, 217.01, 217.02, 264, 265, 9800.02, 9800.03

Onondaga Service Area: Onondaga Nation of New York Parts: Entire Native American Tribe

Population Group: Medicaid Eligible - Syracuse

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Parts: C.T. 5.01, 6, 7, 14, 15, 16, 21.01, 23, 24, 29.01, 30, 32, 34, 35, 36.01, 38, 39, 40, 42, 43.01, 43.02, 44, 45, 51, 52, 53, 54, 55, 57, 58, 59, 61.01, 61.02

Ontario Population Group: Low Income - Finger Lakes Tri-County Parts: Towns of: Geneva, Gorham, Hopewell, Manchester, Phelps, Seneca City of: Geneva

Orange Population Group: Medicaid Eligible - Newburgh City Parts: C.T. 1- 4, 5.01, 5.02, 6

Orleans Population Group: Medicaid Population - Orleans Parts: Entire County

Oswego Population Group: Medicaid Eligible - Oswego County Parts: Entire County

Otsego Service Area: Northern Otsego Parts: Towns of: Burlington, Cherry Valley, Decatur, Edmeston, Exeter, Hartwick, Middlefield, New Lisbon, Otsego, Pittsfield, Plainfield, Richfield, Roseboom, Springfield, Westford

Population Group: Medicaid Eligible - Masonville/Sidney/Unadilla Parts: Town of: Unadilla

Population Group: Low Income – Southern Otsego County Parts: Towns of: Butternuts, Laurens, Maryland, Milford, Morris, Oneonta, Otego, Worcester

Queens Population Group: Medicaid Eligible - Rockaway Parts: C.T. 916.01, 916.02, 918, 922, 928, 934.01, 934.02, 938, 942.01, 942.02, 942.03, 954, 964, 972.02, 972.03, 972.04, 992, 998.01, 998.02 1008.01, 1008.02, 1010.01, 1010.02, 1032.01, 1032.02

Population Group: Medicaid Eligible - Elmhurst C.T. 269.01, 269.02, 271, 273, 275, 277, 279, 281, 283, 285, 287, 289, 291, 309.02, 309.03, 309.04, 327, 329, 337, 339, 347, 351, 353, 357, 361, 363, 365, 367, 371, 373, 375, 377, 379, 381, 383.01, 383.02, 399, 401, 403, 405, 407, 409, 411, 12

413, 415, 427, 437.01, 437.02, 439, 443.01, 443.02, 455, 457, 459, 461, 463, 465, 467, 469, 471, 473, 683

Population Group: Medicaid Eligible – Long Island City Parts: C.T. 1, 7, 19, 25, 31, 33, 37, 39, 43, 45, 47, 51, 53, 55, 57, 59, 61, 63, 65.01, 65.02, 69, 71, 73, 75, 77, 79, 81, 83, 85, 87, 91, 95, 97, 99, 101, 103, 105, 111, 113, 115, 117, 119, 121, 123.01, 125, 135, 137, 141, 143, 145, 147, 149, 151, 153, 155, 157, 159, 161, 163, 169, 171, 179, 181.01, 181.02, 183, 185.01, 185.02, 187, 189, 199, 205, 229, 235, 243, 245, 247, 249, 251, 253.01, 253.02, 255, 257, 259, 261, 263, 265, 267, 293, 295, 297, 299, 317, 475, 479, 481, 483, 485, 489, 493.01, 493.02, 497, 499, 511, 513, 515

Population Group: Medicaid Eligible – South Jamaica Parts: C.T. 190, 196, 198, 202, 204, 206, 208, 212, 214, 220.01, 220.02, 230, 232, 236, 238, 240, 246, 254, 258, 260, 262, 264, 266, 270, 272, 274, 276, 278, 280, 414, 440, 444, 446.01, 446.02, 448, 450, 452, 454, 456, 458, 460, 462, 468, 470, 779.05, 1265, 1267

Richmond

Service Area: St. George Parts: C.T. 3, 7, 9, 11, 17, 21, 27, 29, 33, 39, 40, 47, 75, 77, 81

Population Group: Medicaid Eligible – Port Richmond Parts: C.T. 97, 105, 125, 133.01, 133.02, 141, 207, 213, 223, 231, 239, 247, 303.01, 303.02, 319.01, 319.02, 323

Rockland Population Group: Medicaid Eligible - Monsey/New Square Parts: C.T. 115.04, 115.05, 115.06, 121.01, 121.02, 121.03, 121.05, 121.06, 122.02, 122.03, 122.04, 123.00, 124.01, 124.02

St. Lawrence Service Area: Alexandria Bay Parts: Town of: Hammond

Service Area: Star Lake Parts: Towns of: Clare, Clifton, Fine, Pitcairn, Russell

Population Group: Medicaid Eligible - Canton-Potsdam Parts: Towns of: Canton, Colton, Hermon, Hopkinton, Madrid, Parishville, Piercefield, Pierrepont, Potsdam,Stockholm

13

Population Group: Medicaid Eligible Gouverneur Service Area Parts: Towns of: De Kalb, Edwards, Fowler, Gouverneur, Macomb, Rossie

Population Group: Medicaid Eligible - Massena Parts: Towns of: Brasher, Lawrence, Louisville, Massena, Norfolk

Population Group: Medicaid Eligible - Ogdensburg Parts: Towns of: DePeyster, Lisbon, Morristown, Oswegatchie, Waddington City of: Ogdensburg

Schenectady Population Group: Medicaid Eligible - Hamilton Hill/Mt. Pleasant Parts: C.T. 207-209, 210.01, 210.02, 214, 215, 217

Schoharie Service Area: Entire County

Schuyler Population Group: Medicaid Eligible - Schuyler County Parts: Entire County

Seneca Population Group: Low Income - Finger Lakes Tri-County Parts: Entire County

Steuben Service Area: Elkland (PA/NY) Parts: Towns of: Tuscarora, Woodhull

Service Area: Westfield Service Area Parts: Towns of: Troupsburg, West Union

Population Group: Medicaid Eligible - Greater Steuben Parts: Towns of: Addison, Avoca, Bath, Bradford, Cameron, Campbell, Canisteo, Caton, Cohocton, Corning, Dansville, Erwin, Fremont, Greenwood, Hartsville, Hornby, Hornellsville, Howard, Jasper, Lindley, Prattsburgh, Pulteney, Rathbone, Thurston, Urbana, Wayland, Wayne, Wheeler Cities of: Corning, Hornell

Suffolk Population Group: Shinnecock Indian Nation Parts: Entire Native American Tribe

14

Sullivan Service Area: Cochecton Parts: Towns of: Callicoon, Cochecton, Delaware, Fremont, Highland, Tusten

Service Area: Wawarsing/Fallsburg Parts: Town of: Fallsburg

Population Group: Medicaid Eligible- Liberty Service Area Parts: Towns of: Bethel, Liberty, Neversink, Rockland, Thompson Tioga Population Group: Medicaid Eligible - Tioga County Parts: Entire County

Tompkins Population Group: Medicaid Eligible - Tompkins County Parts: Entire County

Ulster Service Area: Wawarsing/Fallsburg Parts: Towns of: Rochester, Wawarsing

Warren Population Group: Medicaid Eligible - Schroon-Ticonderoga Parts: Town of: Hague

Population Group: Medicaid Eligible - Warrensburg Parts: Towns of: Chester, Horicon, Johnsburg, Stony Creek, Thurman, Warrensburg Washington Population Group: Medicaid Eligible - Schroon-Ticonderoga Parts: Towns of: Dresden, Putnam

Wayne Service Area: Entire County

Wyoming Population Group: Medicaid Eligible - Wyoming County Parts: Entire County

Yates Population Group: Low Income - Finger Lakes Tri-County Parts: Entire County

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Facilities Eligible for Primary Care and Mental Health Shortage Area Designation by County

County Facility Albany Whitney M. Young, Jr. Community Health Center Bronx Bronx Community Health Network, Inc. Bronx-Lebanon Integrated Services System Care for the Homeless Community Healthcare Network Comprehensive Community Development Corporation

Help/Psi Services Corporation

Hunts Point Multi-Service Center, Inc. Institute for Urban Family Health Montefiore Medical Center Morris Heights Health Center

The Urban Health Plan, Inc. Union Community Health Center Cattaraugus Lionel R. John IR Health Center

Southern Tier Community Health Center Network

Cayuga East Hill Family Medical, Inc. Family Health Network Of Central New York, Inc. Finger Lakes Migrant Health Project Chautauqua Cattaraugus Indian Reservation Health Center

Finger Lakes Migrant Health Project

The Chautauqua Center

Columbia Hudson River Health Care Cortland Family Health Network Of Central New York, Inc. Dutchess Hudson River Health Care Institute for Urban Family Health Erie Community Health Center of Buffalo, Inc.

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County Facility Northwest Buffalo Community Health Center Essex Association of Community Action of Northeast Adirondack Region Hudson Headwaters Health Network

Franklin Cerebral Palsy Association Of The North Country

St. Regis Mohawk Health Services

Genesee Tonawanda Seneca Nation Greene Greenville Family Health Center

Hamilton Hudson Headwaters Health Network

Jefferson North Country Children’s Clinic

Kings Bedford Stuyvesant Family Health Center, Inc. Brooklyn Plaza Medical Center, Inc. Brownsville Community Development Center Care for the Homeless Community Healthcare Network Ezra Medical Center Harlem United Community AIDS Center

Housing Works, Inc.

Institute for Family Health Icl Healthcare Choices, Inc. Montefiore Medical Center ODA Primary Care Health Center

Sunset Park Health Council, Inc, DBA Lutheran Family Health Centers The Floating Hospital Livingston Finger Lakes Migrant Health Project Madison Family Health Network Of Central New York, Inc. Monroe Anthony Jordan Health Center

Oak Orchard Community Health Center, Inc.

Rochester Primary Care Network

17

County Facility St. Mary's Hospital of the Sisters Unity Health System

Nassau Hudson River Healthcare

New York AHRC NYC American Indian Community House Asian and Pacific Islander Coalition (Apicha)

Betances Health Center Bowery Residents Community Boriken Neighborhood Care for the Homeless Charles B. Wang Community Health Center, Inc. Community Healthcare Network Covenant House East Harlem Council For Human Services, Inc. Health Care for the Homeless Heritage Health And Housing, Inc. Institute for Family Health Montefiore Medical Center

New York Children's Health Project Project Renewal, Inc.

Settlement Health And Medical Services Sunset Park Health Council, Inc The Floating Hospital

Upper Room AIDS Ministry, Inc.

William F. Ryan Community Health Center, Inc. Niagara Finger Lakes Migrant Health Project Oneida Rochester Primary Care Network Onondaga Syracuse Community Health Center Ontario Finger Lakes Migrant Health Project Orange Cornerstone Family Healthcare, Inc.

18

County Facility

Ezras Cholim Health Center, Inc.

Hudson River Health Care Middletown Community Health Center Open Door Family Medical Center, Inc.

Orleans Oak Orchard Community Health Center, Inc. Oswego Finger Lakes Migrant Health Project Northern Oswego County Health Services, Inc. Putnam Hudson River Health Care Care for the Homeless Charles B. Wang Community Health Center, Inc. Community Healthcare Network Joseph P. Addabbo Family Health Center Montefiore Medical Center Project Samaritan Health Services, Inc.

Sunset Park Health Council, Inc The Floating Hospital Rensselaer Whitney M. Young, Jr. Community Health Center

Richmond Beacon Christian Community Health Center Community Health Center of Richmond

Sunset Park Health Council, Inc Rockland Hudson River Health Care Refuah Health Center Schenectady Hometown Health Centers St. Lawrence Cerebral Palsy Association of The North Country

Suffolk Hudson River Health Care

Sullivan Hudson River Health Care Mount Vernon Neighborhood Health Center

19

County Facility Refuah Health Center Ulster Hudson River Health Care Institute for Urban Family Health Warren Hudson Headwaters Health Network Washington Hudson Headwaters Health Network Wayne Finger Lakes Migrant Health Project Westchester Hudson River Health Care Mount Vernon Neighborhood Health Center Open Door Family Medical Center, Inc. Yates Finger Lakes Migrant Health Project Rochester Primary Care Network

20

NY STATE OPERATED FACILITIES DESIGNATED AS REGENTS PHYSICIAN SHORTAGE AREAS FOR PRIMARY CARE PHYSICIANS AND PSYCHIATRISTS

OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES DEVELOPMENTAL DISABILITIES SERVICES OFFICES (DDSO)

Bernard Fineson DDSO, Queens Village (Queens County) Brooklyn DDSO, Brooklyn (Kings County) Broome DDSO, Binghamton (Broome County) Capital District DDSO, Schenectady (Schenectady County) Central New York DDSO, Rome (Oneida County) Finger Lakes DDSO, Rochester (Monroe County) Hudson Valley DDSO, Thiells (Rockland County) Long Island DDSO, Commack (Suffolk County) Metro New York DDSO, Manhattan (New York County) Staten Island DDSO, Staten Island (Richmond County) Sunmount DDSO, Tupper Lake (Franklin County Taconic DDSO, Wassaic (Dutchess County) Western New York DDSO, West Seneca (Erie County)

OFFICE OF MENTAL HEALTH

Bronx Psychiatric Center, Bronx (Bronx County) Buffalo Psychiatric Center, Buffalo (Erie County) Capital District Psychiatric Center, Albany (Albany County) Central New York Psychiatric Center, Marcy (Oneida County) Creedmoor Psychiatric Center, Queens Village (Queens County) Elmira Psychiatric Center, Elmira (Chemung County) Greater Binghamton Health Center, Binghamton (Broome County) Hutchings Psychiatric Center, Syracuse (Onondaga County) Kingsboro Psychiatric Center, Brooklyn (Kings County) Kirby Forensic Psychiatric Center, Wards Island, Manhattan (New York County) Manhattan Psychiatric Center, Wards Island, Manhattan (New York County) Mid-Hudson Forensic Psychiatric Center, New Hampton (Orange County) Mohawk Valley Psychiatric Center, Utica (Oneida County) Nathan S. Kline Institute, Orangeburg (Rockland County) Children’s Center, New York (New York County) New York Psychiatric Institute, New York (New York County) Pilgrim Psychiatric Center, West Brentwood (Suffolk County) Rochester Psychiatric Center, Rochester (Monroe County) Rockland Children's Psychiatric Center, Orangeburg (Rockland County) Rockland Psychiatric Center, Orangeburg (Rockland County)

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OFFICE OF MENTAL HEALTH (cont.)

Sagamore Children's Psychiatric Center, Dix Hills (Suffolk County) St. Lawrence Psychiatric Center, Ogdensburg, (St. Lawrence County) South Beach Psychiatric Center, Staten Island (Richmond County) Western New York Children's Psychiatric Center, West Seneca (Erie County)

DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION

Adirondack Correctional Facility, Ray Brook (Essex County) Albion Correctional Facility, Albion (Orleans County) Altona Correctional Facility, Altona (Clinton County) Attica Correctional Facility, Attica (Wyoming County) Auburn Correctional Facility, Auburn (Cayuga County) Bare Hill Correctional Facility, Malone (Franklin County) Bedford Hills Correctional Facility, Bedford Hills (Westchester County) Cape Vincent Correctional Facility, Cape Vincent (Jefferson County) Cayuga Correctional Facility, Moravia (Cayuga County) Clinton Correctional Facility, Dannemora (Clinton County) Collins Correctional Facility, Collins (Erie County) Coxsackie Correctional Facility, Coxsackie (Greene County) Downstate Correctional Facility, Fishkill (Dutchess County) Eastern New York Correctional Facility, Napanoch (Ulster County) Elmira Correctional Facility, Elmira (Chemung County) Fishkill Correctional Facility, Beacon (Dutchess County) Five Points Correctional Facility, Romulus (Seneca County) Franklin Correctional Facility, Malone (Franklin County) Gouverneur Correctional Facility, Gouverneur (St. Lawrence County) Gowanda Correctional Facility, Gowanda (Erie County) Great Meadow Correctional Facility, Comstock (Washington County) Greene Correctional Facility, Coxsackie (Greene County) Green Haven Correctional Facility, Stormville (Dutchess County) Groveland Correctional Facility, Sonyea (Livingston County) Hale Creek ASACTC Correctional Facility, Johnstown (Fulton County) Hudson Correctional Facility, Hudson (Columbia County) Lakeview Shock Incarceration Correctional Facility, Brocton (Chautauqua County) Livingston Correctional Facility, Sonyea (Livingston County) Marcy Correctional Facility, Marcy (Oneida County) Mid-State Correctional Facility, Marcy (Oneida County) Mohawk Correctional Facility, Rome (Oneida County) Ogdensburg Correctional Facility, Ogdensburg (St. Lawrence County)

22

DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION(cont.)

Orleans Correctional Facility, Albion (Orleans County) Otisville Correctional Facility, Otisville (Orange County) Riverview Correctional Facility, Ogdensburg (St. Lawrence County) Shawangunk Correctional Facility, Wallkill (Ulster County) Sing Sing Correctional Facility, Ossining (Westchester County) Southport Correctional Facility, Pine City (Chemung County) Sullivan Correctional Facility, Fallsburg (Sullivan County) Taconic Correctional Facility, Bedford Hills (Westchester County) Ulster Correctional Facility, Napanoch (Ulster County) Upstate Correctional Facility, Malone (Franklin County) Wallkill Correctional Facility, Wallkill (Ulster County) Washington Correctional Facility, Comstock (Washington County) Watertown Correctional Facility, Watertown (Jefferson County) Wende Correctional Facility, Alden (Erie County) Willard Drug Treatment Center, Willard (Seneca County) Woodbourne Correctional Facility, Woodbourne (Sullivan County) Wyoming Correctional Facility, Attica (Wyoming County)

23

OTHER FACILITIES ELIGIBLE FOR PRIMARY CARE SHORTAGE AREA DESIGNATION ONLY, BY COUNTY

Erie Monroe Hertel-Elmwood Health Center Women’s Health Center of Lionel R. John Health Center – Lattimore (URMC) Buffalo Program Office New York Essex American Indian Community FCI Raybrook House Metropolitan Correctional Center Franklin Morningside Clinic Saint Regis Mohawk Health Mount Sinai Adolescent Health Services Center

Genesee Orange Immigration and Customs FCI-Otisville Enforcement (ICE) Medical Phoenix House Facility – Batavia Greene Onondaga Greenville Family Health Center Oneida Nation of New York Health Program Kings Metropolitan Detention Center – Suffolk Brooklyn Phoenix House

24

ADDITIONAL FACILITIES DESIGNATED AS PRIMARY AND NON-PRIMARY CARE SHORTAGE AREAS FOR SERVICE TO A SPECIAL POPULATION

Facility Special Population

Albert Einstein College of Medicine, Substance abusers Division of Substance Abuse, Bronx (22 health facilities)

Community Health Network, Rochester AIDS/HIV infected individuals

Comprehensive Pediatrics (Ozone Park) Medicaid eligible and medically indigent

Finger Lakes Community Health Network AIDS/HIV infected individuals

Hari Shukla, MD, P.C. Medicaid eligible and medically indigent children and adolescents

Hillside Polymedic Clinic PC (Jamaica) Medicaid eligible and medically indigent

Mid-Manhattan Physician Services, P.C. Medicaid eligible and medically indigent

Poughkeepsie Mental Health Clinic Medicaid eligible and medically indigent

Rochester General Hospital Medicaid eligible and medically indigent

Ulster County Mental Health Department Children with psychiatric disorders

25

NON-PRIMARY CARE SHORTAGE AREAS BY COUNTY

ANESTHESIOLOGY Allegany Delaware Lewis Saratoga Chenango Essex Livingston Schoharie Columbia Greene Orleans Tioga Cortland Hamilton Oswego

CARDIOLOGY Allegany Greene Madison Seneca Chenango Hamilton Orleans Sullivan Delaware Herkimer Oswego Tioga Essex Jefferson St. Lawrence Washington Franklin Lewis Schoharie Yates Fulton Livingston Schuyler

DERMATOLOGY Allegany Fulton Montgomery Steuben Chautauqua Greene Orleans Tioga Chenango Hamilton Oswego Washington Columbia Herkimer Rensselaer Wayne Cortland Jefferson St. Lawrence Wyoming Delaware Lewis Schoharie Yates Essex Livingston Schuyler Franklin Madison Seneca

EMERGENCY MEDICINE Essex Seneca Greene Tioga Livingston

GASTROENTEROLOGY Allegany Delaware Lewis Schoharie Cayuga Essex Livingston Schuyler Chautauqua Fulton Madison Seneca Chenango Greene Niagara Tioga Clinton Hamilton Orleans Washington Columbia Herkimer Oswego Wayne Cortland Jefferson Saratoga Yates

GENERAL SURGERY Columbia Herkimer Schoharie Tioga Essex Livingston Seneca Washington Greene Saratoga Sullivan Wyoming Hamilton

26

NEUROLOGY Allegany Fulton Montgomery Seneca Chautauqua Genesee Orange Tioga Chenango Greene Orleans Washington Columbia Hamilton Oswego Wayne Cortland Lewis Schoharie Wyoming Delaware Madison Schuyler Yates Essex

OBSTETRICS/GYNECOLOGY Allegany Essex Livingston Sullivan Columbia Greene Schoharie Tioga Cortland Hamilton Seneca

OPHTHALMOLOGY Delaware Herkimer Schoharie Tioga Essex Lewis Schuyler Washington Greene Livingston Seneca Yates Hamilton Madison Sullivan

ORTHOPEDIC SURGERY Allegany Franklin Jefferson Schoharie Cattaraugus Fulton Livingston Seneca Columbia Greene Orleans Tioga Delaware Hamilton Oswego Washington Dutchess Herkimer Richmond Yates

OTOLARYNGOLOGY Allegany Hamilton St. Lawrence Steuben Cayuga Herkimer Saratoga Tioga Columbia Lewis Schoharie Washington Delaware Niagara Schuyler Wyoming Essex Queens Seneca Yates Fulton

PATHOLOGY Chenango Hamilton Oswego Tioga Delaware Herkimer Putnam Tompkins Essex Jefferson Saratoga Ulster Fulton Lewis Schoharie Washington Genesee Livingston Schuyler Wayne Greene Madison Seneca

PHYSICAL AND REHABILITATIVE MEDICINE Allegany Greene Orleans Seneca Cattaraugus Hamilton Oswego Steuben Cayuga Herkimer Otsego Tioga Chenango Jefferson Putnam Tompkins

27

Columbia Lewis St. Lawrence Washington Delaware Livingston Saratoga Wayne Essex Madison Schoharie Wyoming Franklin Montgomery Schuyler Yates Fulton Niagara

PREVENTIVE MEDICINE Albany Franklin Oneida Schuyler Allegany Fulton Onondaga Seneca Bronx Genesee Ontario Steuben Broome Greene Orange Suffolk Cattaraugus Hamilton Orleans Sullivan Cayuga Herkimer Oswego Tioga Chautauqua Jefferson Otsego Tompkins Chemung Kings Putnam Ulster Chenango Lewis Queens Warren Clinton Livingston Rensselaer Washington Columbia Madison Richmond Wayne Cortland Monroe Rockland Westchester Delaware Montgomery St. Lawrence Wyoming Erie Nassau Saratoga Yates Essex Niagara Schenectady

PULMONARY DISEASE Allegany Franklin Madison Sullivan Cayuga Fulton Orleans Tioga Chenango Greene St. Lawrence Tompkins Cortland Hamilton Schoharie Washington Delaware Herkimer Schuyler Wayne Dutchess Lewis Seneca Wyoming Essex Livingston Steuben Yates

RADIOLOGY Allegany Herkimer Saratoga Washington Cattaraugus Lewis Schuyler Wyoming Greene Livingston Tioga Yates Hamilton

UROLOGY Allegany Hamilton Oswego Tioga Delaware Herkimer Saratoga Washington Essex Lewis Schoharie Wyoming Fulton Livingston Schuyler Yates Greene Orleans Seneca

28

HOSPITALS ELIGIBLE FOR PRIMARY CARE AND NON-PRIMARY CARE SHORTAGE AREA DESIGNATION

COUNTY HOSPITAL

Albany Hospital (Albany)

Allegany Cuba Memorial Hospital (Cuba) Jones Memorial Hospital (Wellsville)

Bronx Bronx-Lebanon Hospital Center (Bronx) Bronx VA Medical Center (Bronx) (Bronx) (Bronx) Lincoln Medical and Mental Health Center (Bronx) Montefiore Hospital and Medical Center (Bronx) North Central Bronx Hospital (Bronx) St. Barnabas Hospital (Bronx)

Broome United Health Services (Binghamton) United Health Services (Johnson City)

Cattaraugus Olean General Hospital (Olean)

Cayuga Auburn Memorial Hospital (Auburn)

Chautauqua Brooks Memorial Hospital (Dunkirk) Westfield Memorial Hospital (Westfield) Women’s Christian Association (Jamestown)

Chemung Arnot Ogden Medical Center (Elmira) St. Joseph's Hospital of Elmira (Elmira)

Chenango Chenango Memorial Hospital (Norwich)

Clinton Champlain Valley Physicians’ Hospital Medical Center (Plattsburgh)

Columbia Columbia Memorial Hospital (Hudson)

Cortland Cortland Regional Medical Center (Cortland)

Delaware Delaware Valley Hospital Inc. (Walton) Tri-Town Regional Healthcare (Sidney)

Dutchess MidHudson Regional Hospital (Poughkeepsie) Vassar Brothers Medical Center (Poughkeepsie)

29

Erie /Buffalo General Medical Center/ (Buffalo) Erie County Medical Center (Buffalo) Gates Vascular Institute/Kaleida Health (Buffalo) Millard Fillmore Suburban Hospital/Kaleida Health (Amherst) Sisters of Charity Hospital (Buffalo) Women and Children’s Hospital of Buffalo (Buffalo)

Franklin Alice Hyde Medical Center (Malone)

Fulton Nathan Littauer Hospital (Gloversville)

Genesee United Memorial Medical Center (Batavia)

Jefferson Samaritan Medical Center (Watertown)

Kings Brookdale University Hospital Medical Center (Brooklyn) Brooklyn Hospital/Downtown (Brooklyn) (Brooklyn) Interfaith Medical Center (Brooklyn) Kings County Hospital Center (Brooklyn) Kingsbrook Jewish Medical Center (Brooklyn) Maimonides Medical Center (Brooklyn) New York Community Hospital (Brooklyn) New York Methodist Hospital of Brooklyn (Brooklyn) NYU Lutheran Medical Center (Brooklyn) SUNY Downstate at Long Island College Hospital (Brooklyn) University Hospital of Brooklyn/SUNY Downstate Medical Center (Brooklyn) VA New York Harbor Healthcare System – Brooklyn VA Medical Center Campus (and clinics – Brooklyn) Woodhull Medical & Mental Health Center (Brooklyn) Wyckoff Heights Hospital (Brooklyn)

Lewis Lewis County General Hospital (Lowville)

Madison Community Memorial Hospital (Hamilton) Oneida Health Care Center (Oneida)

Monroe Highland Hospital (Rochester) (Rochester) Unity Health Systems Park Ridge Hospital (Rochester) Unity St. Mary's Campus (Rochester)

Montgomery St. Mary’s Hospital at Amsterdam (Amsterdam)

Nassau Long Island Jewish Valley Stream (Valley Stream) Long Beach Medical Center (Long Beach)

30

Nassau University Medical Center/Nassau Health Care Corporation (East Meadow)

New York Center (Manhattan) Coler-Goldwater Specialty Hospital and Nursing Facility/ Goldwater Hospital Site (Manhattan) (Manhattan) Metropolitan Hospital Center (Manhattan) Mount Sinai Hospital (Manhattan) (Manhattan) Mount Sinai St. Luke’s (Manhattan) (Manhattan) New York Presbyterian / Allen Hospital (Manhattan) New York Presbyterian / Columbia Presbyterian Center (Manhattan) New York VA Medical Center (Manhattan) New York Presbyterian Hospital / Lower Manhattan Hospital (Manhattan) New York Eye and Ear Infirmary of Mount Sinai (Manhattan) Hospital (Manhattan) VA Medical Center Campus and clinics (Manhattan)

Niagara DeGraff Memorial Hospital (North Tonawanda) Niagara Falls Memorial Medical Center (Niagara Falls)

Oneida Faxton-St Luke’s Healthcare (Utica and New Hartford) Rome Memorial Hospital (Rome) St. Elizabeth Medical Center (Utica)

Onondaga Crouse Hospital (Syracuse) SUNY Upstate Medical University Hospital (Syracuse) Upstate University Hospital Community Campus

Ontario Geneva General Hospital (Geneva)

Orange Bon Secours Community Hospital (Port Jervis) Orange Regional Medical Center (Middletown) St. Luke’s Cornwall Hospital of Newburgh (Newburgh)

Oswego Oswego Hospital (Oswego)

Otsego Aurelia Osborn Fox Memorial Hospital (Oneonta) Bassett Healthcare (Cooperstown)

Queens (Elmhurst) Flushing Hospital Medical Center (Flushing) Jamaica Hospital Medical Center (Jamaica) Long Island Jewish - Forest Hills Hospital (Queens)

31

Mount Sinai Hospital of Queens (Long Island City) New York Presbyterian / (Jamaica) St. John's Episcopal Hospital South Shore (Far Rockaway)

Rensselaer Samaritan Hospital (Troy) St. Mary’s Hospital (Troy)

Richmond Richmond University Medical Center (RUMC) Staten Island) RUMC - (Staten Island) Staten Island University Hospital– North and South Divisions (Staten Island)

Rockland Good Samaritan Hospital (Suffern) Nyack Hospital (Nyack)

St. Lawrence Canton-Potsdam Hospital (Potsdam) Claxton-Hepburn Medical Center (Ogdensburg) Gouverneur Hospital (Gouverneur) Massena Memorial Hospital (Massena)

Schenectady Ellis Hospital (Schenectady)

Schuyler Schuyler Hospital (Montour Falls)

Steuben Guthrie Corning Hospital (Corning) Ira Davenport Memorial Hospital, Inc. (Bath) St. James Mercy Hospital (Hornell)

Suffolk Brookhaven Memorial Hospital Medical Center (Patchogue) Eastern Long Island Hospital (Greenport) Peconic Bay Medical Center (Riverhead) Southside Hospital (Bay Shore) University Hospital at Stony Brook (Stony Brook) Northport VA Medical Center (and clinics – Northport)

Sullivan Catskill Regional Medical Center (Harris)

Tompkins Cayuga Medical Center (Ithaca)

Ulster HealthAlliance Hospital - Broadway Campus (Kingston) HealthAlliance Hospital – Mary’s Avenue Campus (Kingston)

Wayne Newark-Wayne Community Hospital (Newark)

Westchester Blythedale Children’s Hospital (Valhalla) Montefiore Mount Vernon Hospital (Mt. Vernon) Montefiore New Rochelle Hospital (New Rochelle) St. John's Riverside Hospital (Yonkers)

32

St. John’s Riverside Hospital ParkCare Pavilion (Yonkers) St. Joseph's Medical Center Yonkers (Yonkers) St. Vincent's Hospital/Westchester (Harrison) Westchester Medical Center (Valhalla)

33

MENTAL HEALTH REGENTS PHYSICIAN SHORTAGE AREAS WHOLE COUNTY MENTAL HEALTH RPSAS

Allegany Genesee Rensselaer Broome Greene St. Lawrence Cattaraugus Hamilton Schoharie Cayuga Herkimer Schuyler Chautauqua Jefferson Seneca Chenango Lewis Steuben Chemung Livingston Sullivan Clinton Madison Tompkins Columbia Montgomery Washington Cortland Niagara Wayne Delaware Oneida Wyoming Essex Orleans Yates Franklin Oswego Fulton Otsego

34

FACILITIES AND SUB-COUNTY AREAS ELIGIBLE FOR MENTAL HEALTH SHORTAGE AREA DESIGNATION ONLY, BY COUNTY

COUNTY RPSA Bronx Fordham/Norwood – Medicaid Eligible (Census tracts: 237.02, 237.03, 237.04, 239, 253, 255, 257, 261, 263, 265, 267.01, 267.02, 269, 328, 330, 332.01, 332.02, 334, 336, 338, 340, 372, 374, 376, 378, 380, 383.01, 383.02, 385, 387, 389, 391, 397, 399.01, 399.02, 401, 403.02, 403.03, 403.04, 405.01, 405.02 407.01, 407.02, 409, 411, 413, 415, 419, 421, 423, 425, 429.01, 429.02, 431)

Hunts Point / Mott Haven – Medicaid Eligible (Census tracts: 1, 19, 23, 25, 27.01, 27.02, 31, 33, 35, 37, 39, 41, 43, 51, 59.02, 61, 65, 67, 69, 71, 73, 75, 77, 79, 83, 85, 93, 105, 117)

Kingsbridge/Riverdale - Medicaid Eligible (Census tracts: 273, 277, 279, 281, 283, 285, 287, 289, 293.01, 293.02, 295, 297, 301, 307.01, 309, 319, 323, 335, 337, 343, 345, 351, 435)

Park Chester / Throgs Neck Medicaid Eligible (Census tracts: 60, 90, 92, 96, 110, 118, 130, 132, 138, 144, 152, 158, 160, 162, 164, 166, 184, 194, 200 202, 204, 206.01, 210.01, 210.02, 212, 216.01, 216.02, 218, 220, 222, 224.01, 224.03, 224.04, 228, 230, 232, 236, 240, 244, 246, 248, 250, 252, 254, 256, 264, 266.01, 266.02, 274.01, 274.02, 276, 284, 286, 288, 296, 300)

Soundview - Medicaid Eligible (Census tracts: 2, 4, 16, 20, 24, 28, 38, 40.01, 42, 44, 46, 48, 50.01, 50.02, 52, 54, 56, 60, 62, 64, 66, 68, 70, 72, 74, 76, 78, 84, 86, 90, 98, 123)

West Central Bronx - Medicaid Eligible (Census tracts: 53, 63, 87, 89, 115.02, 119, 121.01, 121.02, 125, 127.01, 129.01, 131, 133, 135, 141, 143, 145, 147.01, 147.02, 149, 151, 153, 155, 157, 159, 161, 163, 165, 167, 169, 171, 173, 175, 177.01, 177.02, 179.01, 179.02, 181.01, 181.02, 183.01, 183.02, 185, 189, 193, 195, 197, 199, 201, 205.01, 205.02, 209, 211, 213.01, 213.02, 215.01, 215.02, 217, 219, 221.01, 221.02, 223, 225, 227.01, 227.02, 227.03, 229.01, 229.02, 231, 233.01, 233.02, 235.01, 235.02, 241, 243, 245.01, 245.02, 247, 249, 251, 359, 361, 363, 365.01, 365.02, 367, 369.01, 369.02, 371, 373, 375.04, 379, 381, 393, 395

Dutchess Downstate Correctional Facility

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COUNTY RPSA Erie Medicaid Eligible – Buffalo Service Area (Census tracts: 1.1, 5, 14.02, 15, 16, 17, 23, 24, 25.02, 27.02, 28, 29, 30, 31, 31.01, 33.01, 33.02, 34, 35, 36, 37, 38, 39.01, 40.01, 41, 42, 43, 44.01, 44.02, 45, 46.01, 46.02, 47, 48, 49, 50, 51, 52.01, 52.02, 53-57, 58.01, 58.02, 59, 61, 62.01, 63.01, 63.02, 65.01, 65.02, 66.01, 66.02, 67.02, 68, 69.01, 69.02, 70, 71.01, 71.02, 72.01, 72.02, 163-171)

Genesee Immigration and Customs Enforcement Medical Facility - Batavia

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COUNTY RPSA Kings Bay Ridge/Bensonhurst – Medicaid Eligible (Census tracts: 34, 36, 38, 44, 46, 50, 52.01, 52.02, 54, 56.01, 56.02, 58, 60, 62, 64, 66, 68, 126, 130, 132, 134, 136, 138, 140, 142, 148, 152, 154, 160, 162, 164, 166, 168, 170, 172, 174, 176, 178, 180, 200, 202, 204, 206, 208, 278, 280, 284, 286, 288, 290, 292, 294, 296, 298, 300, 302, 304, 306, 314)

Bedford-Stuyvesant-Woodhull – Medicaid Eligible (Census tracts 213, 217, 219, 221, 227, 229, 231, 233, 235, 241, 243, 245, 247, 249, 251, 253, 255, 257, 259.01, 259.02, 261, 263, 265, 267, 269, 271, 273, 275, 277, 279, 281, 283, 285.01, 285.02, 287, 289, 291, 293, 295, 297, 299, 301, 303, 307, 309, 311, 313, 315, 317.01, 317.02, 319, 321, 323, 325, 327, 329, 331, 333, 335, 337, 339, 341, 343, 345, 347, 349, 351, 353, 355, 359, 361, 363, 365.01, 365.02, 367, 369, 371, 373, 375, 377, 379, 381, 383, 385, 387, 1237)

Coney Island / Gravesend – Medicaid Eligible (Census tracts: 308, 326, 328, 330, 336, 340, 342, 348, 350, 352, 354, 356.01, 356.02, 360.01, 360.02, 362, 364, 366, 370, 374.01, 374.02, 382, 386, 388, 390, 392, 394, 396, 398, 400, 402, 404, 406, 408, 410, 412, 414.01, 414.02, 416, 418, 420, 422, 424, 426, 428,)

Crown Heights – Medicaid Eligible (Census tracts: 506, 508, 508.01, 508.02, 508.03, 508.04, 510.01, 510.02, 512, 514, 516.01, 516.02, 518, 520, 790, 792, 794, 796.01, 796.02, 798.01, 798.02, 800, 802, 804, 806, 808, 810, 814, 816, 818, 820, 822, 824, 826, 828, 830, 856, 858, 860, 862, 864, 866, 868, 870, 872, 874.01, 876, 878, 880, 882, 884, 886, 888, 890, 892, 894, 896, 898, 900, 902, 928, 930, 934, 938)

Lutheran Medical Center-Sunset Park Mental Health Center

Southwest Brooklyn (Census tracts: 72, 74, 76, 78, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 102, 104, 106, 108, 110, 112, 114, 116, 118, 120, 122, 128.01, 150, 182, 184, 186, 188, 190, 192, 194, 196, 198, 210, 212, 214, 216, 218, 220, 222, 224, 226, 228, 230, 232, 234, 236, 238, 240, 242, 244, 246, 248, 250, 252, 254, 256, 258, 260, 262, 264, 266, 268, 270, 272, 274, 276, 464, 468, 470, 472, 474, 476, 478, 496, 498)

Woodhull Mental Health Center

Monroe City of Rochester – Medicaid Eligible (Census tracts: 2, 7, 10, 13, 15, 18-24, 27, 29-37, 38.02, 38.05, 39, 40, 41, 46.02, 47.01, 47.02, 48-71, 75, 76, 77, 78.01, 78.02, 79-82, 83.01, 84, 85, 86, 87.01, 87.02, 88, 92, 93.01, 93.02, 94, 95, 96.01, 96.02, 96.03, 96.04, 104, 106.01, 106.02, 109.01, 109.02, 130.01, 131.03, 138, 139.02)

Nassau Nassau Health Care Corporation

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COUNTY RPSA New York Upper Manhattan – Medicaid Eligible (Census tracts: 156.02, 158.02, 160.02, 162, 164, 166, 168, 170, 172, 174.01, 174.02, 178, 180, 182, 184, 185, 186, 187, 188, 189, 190, 191, 192, 193, 194, 195, 196, 197.01, 197.02, 198, 199, 200, 201.01, 201.02, 203, 205, 206, 207.01, 208, 209.01, 210, 211, 212, 213.03, 214, 215, 216, 217.03, 218, 219, 220, 221.02, 222, 224, 226, 227, 228, 230, 231, 232, 234, 235.01, 235.02, 236, 240, 242, 257, 259)

Kingsbridge/Riverdale - Medicaid Eligible (Census tract: 309)

Lower East Side – Medicaid Eligible (Census tracts: 2.01, 2.02, 6, 8, 10.01, 10.02, 12, 14.01, 14.02, 16, 18, 20, 22.01, 22.02, 24, 25, 26.01, 26.02, 27, 28, 29, 30.01, 30.02, 32, 34, 36.01, 36.02, 38, 40-44, 48, 50, 52, 57, 59, 61)

Washington Heights-Inwood – Medicaid Eligible (Census tracts: 223.01, 223.02, 225, 229, 233, 237, 239, 241, 243.01, 243.02, 245, 247, 249, 251, 253, 255, 261, 263, 265, 267, 269, 271, 273, 275, 277, 279, 281, 283, 285, 287, 291, 293, 295, 297, 299, 303, 307, 311)

NYC Human Resources Administration’s Office of Health & Mental Health Services (for Homeless, AIDS/HIV infected individuals, impaired adults and abused children)

Onondaga City of Syracuse - Medicaid Eligible – (Entire City)

Hutchings Psychiatric Center

Ontario Eastern Ontario/Wayne - Medicaid Eligible – (Towns of: Geneva, Gorham, Hopewell, Manchester, Phelps, Seneca; City of Geneva)

Orange Federal Correctional Institution – Otisville

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COUNTY RPSA Queens Long Island City / Woodside – Medicaid Eligible (Census tracts: 1, 7, 19, 25, 31, 33, 37, 39, 43, 45, 47, 51, 53, 55, 57, 59, 61, 75, 77, 85, 157, 163, 169, 171, 179, 181.01, 181.02, 183, 185.01, 185.02, 187, 189, 199, 205, 229, 235, 243, 245, 247, 249, 251, 253.01, 253.02, 255, 257, 259, 261, 263, 265, 293, 295, 297, 483, 489)

South Jamaica – Medicaid Eligible (Census tracts: 190, 196, 198, 202, 204, 206, 208, 212, 214, 220.01, 220.02, 230, 232, 236, 238, 240, 246, 254, 258, 260, 262, 264, 266, 270, 272, 274, 276, 278, 280, 414, 440, 444, 446.01, 446.02, 448, 450, 452, 454, 456, 458, 460, 462, 468, 779.05, 1267)

Richmond Port Richmond – Medicaid Eligible (Census tracts: 97, 105, 125, 133.01, 133.02, 141, 207, 213, 223, 231, 239, 247, 303.01, 303.02, 319.01, 319.02, 323)

Rockland Monsey-New Square – Medicaid Eligible (Census tracts: 115.04, 115.05, 115.06, 121.01, 121.02, 121.03, 121.05, 121.06, 122.02, 122.03, 122.04, 123, 124.01, 124.02) Schenectady City of Schenectady – Medicaid Eligible (Entire City)

Westchester City of Yonkers – Medicaid Eligible (Census tracts: 1.01, 1.03, 1.04, 2.01, 2.02, 2.03, 3, 4.01, 4.02, 5, 6, 10, 11.01, 11.02, 12, 13.01, 13.02, 13.03, 14.03, 16)

Regents Physician Designated Physician Shortage Areas in New York State Bulletin January 2017

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