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

TO: The Honorable the Members of the Board of Regents

FROM: Frank Muñoz

SUBJECT: Designation of Regents Physician Shortage Areas (RPSAs)

DATE: January 24, 2011

AUTHORIZATION(S):

Summary

Issue for Decision (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 Chapter 576 of the Laws of 1975 and Section 605 of the Education Law.

Proposed Handling

This item will come before the full Board at its February 2011 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 (HPSA)

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 Correctional Services 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 is now recommending updates to the list of Regents physician shortage areas approved in November 2009. Attachment 1 consists of recommended amendments to the various categories of shortage areas.

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, 2011.

Timetable for Implementation

The changes to the list of designated physician shortage areas will be effective January 1, 2011.

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, 2011

THE UNIVERSITY OF THE STATE OF NEW YORK

Regents of The University

MERRYL H. TISCH, Chancellor, B.A., M.A., Ed.D...... New York MILTON L. COFIELD, Vice Chancellor, B.S., M.B.A., Ph.D...... Rochester ROBERT M. BENNETT, Chancellor Emeritus, B.A., M.S...... Tonawanda JAMES C. DAWSON, A.A., B.A., M.S., Ph.D...... Plattsburgh ANTHONY S. BOTTAR, B.A., J.D...... Syracuse GERALDINE D. CHAPEY, B.A., M.A., Ed.D...... Belle Harbor HARRY PHILLIPS, 3rd, B.A., M.S.F.S...... Hartsdale JAMES R. TALLON, JR., B.A., M.A...... Binghamton ROGER TILLES, B.A., J.D...... Great Neck KAREN BROOKS HOPKINS, B.A., M.F.A...... CHARLES R. BENDIT, B.A...... BETTY A. ROSA, B.A., M.S. in Ed., M.S. in Ed., M.Ed., Ed.D...... Bronx LESTER W. YOUNG, JR., B.S., M.S., Ed. D...... Oakland Gardens CHRISTINE D. CEA, B.A., M.A., Ph.D...... WADE S. NORWOOD, B.A...... Rochester

Commissioner of Education President of The University of the State of New York DAVID M. STEINER

Counsel and Deputy Commissioner for Legal Affairs ERIN O’GRADY-PARENT

Chief Operating Officer VALERIE GREY

Deputy Commissioner for Higher Education JOSEPH P. FREY

Executive Coordinator, Office of K-16 Initiatives and Access Programs STANLEY S. HANSEN, JR.

Supervisor, Scholarships and Grants Administration LEWIS J. HALL

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, Ethics, and Access, Room 530, Education Building, Albany, NY 12234. Requests for additional copies of this publication may be made by contacting the Publications Sales Desk, Room 309, Education Building, Albany, NY 12234. Regents - Designated Physician Shortage Areas (RPSA's)

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 Psychiatry Shortage Area Designation by County ...... 17

New York State Operated Facilities Designated as Regents Physician Shortage Areas for Primary Care Physicians and Psychiatrists ...... 22

Other Facilities Eligible for Primary Care Shortage Area Designation Only, by County ...... 25

Additional Facilities Designated as Primary and Non-Primary Care Shortage Areas for Service to a Special Population...... 27

Non-Primary Care Shortage Areas by County ...... 28

Hospitals Eligible for Primary Care and Non-Primary Care Shortage Area Designation ...... 31

Mental Health Regents Physician Shortage Areas ...... 36

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 the Morris Heights area would have to be working in a census tract (C.T.) (e.g., 53.02, 235.01, 237.01, 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.htm. 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 Clinton County would have to work within the Service Area of Greater Clinton County in the towns of Au Sable, Beekmantown, Black Brook, Champlain, or Chazy,for example. or provide services to a Low-Income population group in the town of Altona, Clinton or Ellenburg.

3. A primary care physician would have to 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. Physicians who were recipients of the Regents Health Care Scholarship and are practicing in a specialty may apply services provided to indicated populations at specified facilities in this section as part, or all of, their service obligation.

Non-Primary Care Shortage Areas by County: This section is applicable only to non- primary (specialist) physicians who seek approval for limited New York State medical licenses and those who have incurred, and seek to repay, obligated service under the New York State Regents Health Care Scholarships in Medicine.

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 seek approval for limited New York State medical licenses and those who have incurred, and seek to repay, obligated service under the New York State Regents Health Care Scholarships in Medicine or the New York State Regents Physician Loan Forgiveness Award Program.

Regents Psychiatric Shortage Areas: This section is applicable to psychiatrists who seek approval for limited New York State medical licenses and those who have incurred, and seek to repay, obligated service under the New York State Regents Health Care Scholarships in Medicine or the 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.bhpr.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

NOTE: Entries that are double-underlined are proposed additions; strikeouts indicate proposed deletions for 2011.

Primary Care Regents Physician Shortage Areas by County

Albany Service Area: Westerlo-Rensselaerville Parts: Towns of: Rensselaerville, Westerlo

Allegany Service Area: Entire County

Bronx Service Area: High Bridge Parts: C.T. 53.01, 57, 59.01, 187, 189, 193, 195, 197, 199, 201, 205, 211, 213.01, 213.02, 215.01, 215.02, 217.01, 217.02, 219, 221, 223, 227.01, 227.02, 233.01

Service Area: Hunts Point/Mott Haven Parts: C.T. 5, 11, 15, 17, 23, 25, 27.01, 27.02, 31, 33, 35, 37, 39, 41, 43, 47, 49, 59.02, 61, 65, 67, 69, 71, 73, 75, 77, 79, 81, 83, 85, 87, 89, 91, 97, 99, 105, 115.01, 115.02, 119, 121.02, 127.02, 129.02

Service Area: Morrisania Parts: C.T. 121.01, 123, 125, 127.01, 129.01, 131, 133, 135, 137, 139, 141, 143, 145, 147, 149, 151, 153, 155, 157, 161, 163, 165, 167, 169, 171, 173, 175, 177, 179, 181, 183, 225, 227.03, 229.02, 367, 369.02

Service Area: Morris Heights Parts: C.T. 53.02, 235.01, 237.01, 239, 241, 243, 245, 247, 249, 251, 253, 255, 257

Population Group: Medicaid-Eligible -Soundview Parts: C.T. 2, 4, 16, 20, 24, 28, 36, 38, 40.01, 40.02, 44, 46, 48, 50, 52, 54, 56, 58, 62, 64, 66, 68, 70, 72, 74, 78, 84, 86, 88, 98, 102, 214

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, 375.01, 375.02, 375.03, 377, 379, 381, 383, 385, 387, 389, 391, 393, 397, 399.02

Population Group: Medicaid-Eligible --West Farms

Parts: C.T. 60, 216.01, 216.02, 218, 220, 236, 240, 359, 361, 363

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

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

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 Town, Portville, Randolph, Red House, Salamanca Town, South Valley Cities of: Salamanca and Olean

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

Population Group: Seneca Nation Parts: Allegany Reservation Cattaraugus Reservation

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

Service Area: Cato Parts: Towns of: Cato, Conquest, Ira, Victory

Population Group: Low Income-Auburn Parts: Towns of: Aurelius, Brutus, Fleming, Mentz, Montezuma, Owasco, Sennett, Throop City of: Auburn

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

Population Group: Low Inc-Oswego SA Parts: Towns of: Sterling

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

Service Area: Low-Income Jamestown Parts: Towns of: Busti, Carroll, Ellicott, Kiantone, Poland City of: Jamestown

Chenango Population Group: Low Income-Chenango County

Clinton Service Area: Low Income – Greater Clinton Parts: Towns of: Au Sable, Beekmantown, Black Brook, Champlain, Chazy, Dannemora, Mooers, Peru, Plattsburgh, Saranac, Schuyler Falls City of: Plattsburgh

Population Group: Low Income – Northern Franklin County Parts: Towns of: :Altona, Clinton, Ellenburg

Columbia Population Group: Medicaid Eligible - Columbia County Parts: Entire County Service Area: Southeast Columbia Parts: Towns of: Ancram, Copake, Gallatin, Hillsdale, Taghkanic

Cortland Population Group: Low Income-Cortland County Parts: Entire County

Delaware Service Area: Deposit Parts: Towns of: Deposit, Hancock, Tompkins

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

Service Area: Northeast Delaware SA Parts: Towns of: Bovina, Davenport, Delhi, Harpersfield, Kortright, Meredith, Stanford

Service Area: Walton SA Parts: Towns of: Colchester, Franklin, Hamden. Walton

Dutchess Service Area: East Dutchess Parts: Towns of: Amenia, Dover, North-East, Pawling, Pine Plains

Population Group: Low Income-Beacon Parts: C.T. 2101-2103

Population Group: Low Income-City of Poughkeepsie Parts: C.T. 2201-2205

Erie Service Area: Buffalo N.Y. Service Area - Erie County Parts: C.T. 4, 5, 12, 13.01, 13.02, 14.01, 14.02, 15, 16, 17, 18, 20, 21, 23, 24, 25.01, 25.02, 26, 27.01, 27.02, 28, 29, 30, 31, 32.01, 32.02, 33.01, 33.02, 34, 35, 36, 37, 38, 39.01, 39.02, 40.01, 40.02, 41, 42, 43, 44.01, 44.02, 46.01, 46.02, 47, 52.01, 52.02, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62.01, 62.02, 63.01, 63.02, 64, 65.01, 65.02, 66.01, 66.02, 67.01, 67.02, 68, 69, 70, 71.01, 71.02, 72.01, 72.02 Essex Service Area: Central Adirondack Parts: Town of: Newcomb

Service Area: East Central Essex Parts: Towns of: Elizabethtown, Essex, Keene, Lewis, Moriah, North Hudson, Westport, Willsboro

Service Area: Schroon-Ticonderoga SA Parts: Towns of: Crown Point, Schroon, Ticonderoga

Service Area Population Group: Low-Income - Warrensburg Parts: Town of: Minerva

Franklin Service Area: Tupper Lake Parts: Town of: Altamont

Population Group: Low Income-Canton-Potsdam Parts: Towns of: Dickinson, Waverly

Population Group: Low Income- Northern Franklin County Parts: Towns of: Bangor, Bellmont, Bombay, Brandon, Burke, Chateaugay, Constable, Duane, Fort Covington, Malone, Moira, Santa Clara, Westville

Fulton Service Area: Entire County

Genesee Service Area: Entire County

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

Hamilton Service Area: Central Adirondack Parts: Towns of: Indian Lake, Long Lake

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

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

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

Service Area: Gouverneur Parts: Town of: Antwerp

Population Group: Low Income-Carthage Parts: Towns of: Champion, Wilna

Population Group: Low Income-Gouverneur Parts: Towns of: Antwerp

Population Group: Low Income-Watertown

Parts: Towns of: Brownville, Hounsfield, LeRay, Pamelia, Rutland, Watertown

City of: Watertown

Kings Service Area: Bedford-Stuyvesant Parts: C.T. 11, 23, 25, 27, 29.01, 29.02, 31, 33, 35, 179, 181, 183, 185.01, 185.02, 187, 189, 191, 193, 195, 197, 199, 201, 203, 205, 207, 213, 215, 217, 219, 221, 223, 225, 227, 229, 231, 233, 235, 237, 239, 241, 243, 245, 247, 249, 251, 253, 255, 257, 259.01, 259.02, 261, 263, 265, 267, 269, 271.01, 271.02, 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, 357, 359, 361, 363, 365.01, 365.02, 367, 369, 371, 373, 375, 377, 379, 381, 383, 385, 387

Service Area: 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, 453, 455, 465, 473, 477, 481, 483, 487, 489, 491, 493, 495, 497, 501, 503, 505, 511, 513, 527, 1142.01, 1142.02

Service Area: Coney Island Parts: C.T. 326, 328, 330, 336, 340, 342, 348.01, 348.02, 352

Service Area: Crown Heights-Brooklyn Parts: C.T. 506, 508, 510, 512, 514, 516, 518, 520, 790, 792, 794, 796, 798, 800, 802, 804, 806, 810, 812, 814, 816, 818, 820,822, 824, 826, 828, 830, 856, 858, 860, 862, 864, 866, 868, 870, 872, 874.01, 874.02, 876, 878, 880, 882, 884, 886,888, 890, 892, 894, 896, 898, 900, 902, 928, 930, 934, 938

Service Area: East NY-Brooklyn Parts: C.T. 904, 906, 908, 910, 912, 914, 916, 918, 920, 922, 982, 1058, 1070, 1078, 1098, 1100, 1102, 1106, 1110, 1112, 1114, 1118, 1120, 1122, 1124, 1126, 1128, 1130, 1132, 1134, 1136, 1138, 1140, 1146, 1148, 1150, 1152, 1154, 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, 1200, 1202, 1208, 1210, 1214, 1220

Service Area: Williamsburg

Parts: C.T. 499, 507, 509, 515, 517, 519, 523, 525, 529, 531, 533, 535, 537, 539, 545, 547, 549, 551, 553, 555, 557, 559, 563, 565, 567, 569, 571, 573, 575, 577, 579, 589, 591, 593

Population Group: Low income - Crown Heights Parts: C.T. 506, 508, 510, 512, 514, 516, 518, 520, 790, 792, 794, 796, 798, 800, 802, 804, 806, 810, 812, 814, 816, 818, 820,822, 824, 826, 828, 830, 856, 858, 860, 862, 864, 866, 868, 870, 872, 874.01, 874.02, 876, 878, 880, 882, 884, 886,888, 890, 892, 894, 896, 898, 900, 902, 928, 930, 934, 938

Population Group: Medicaid Eligible - Red Hook Parts: C.T. 47, 51, 55, 57, 59, 63, 65, 77, 85, 117, 121, 123, 125, 131, 133, 135, 137, 139, 141, 143, 145, 147, 149, 151, 153, 155, 157, 165, 167, 169, 171, 173, 177

Lewis Service Area: Boonville Parts: Towns of: Greig, Lewis, Leyden, Lyonsdale, Turin, West Turin

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

Madison Population Group: Low Income – 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, 149.04, 151.01, 151.02, 152, 153.01, 153.02, 154

Service Area: Jordan Parts: C.T. 7, 10, 13, 15, 29-32, 39, 46.02, 47.02, 48-59, 79-82, 84, 92, 93.01, 93.02

Service Area: Westside (Rochester) Parts: C.T. 2, 22, 23, 24, 27, 40, 41, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 75, 87.01, 87.02, 88, 94, 95, 96.01, 96.02, 96.03, 96.04 Montgomery Population Group: Medicaid-Eligible Montgomery County Parts: Entire County

New York Service Area: Washington Heights/Inwood Parts: C.T. 243.01, 245, 247, 249, 251, 253, 255, 261, 263, 265, 267, 269, 271, 273, 275, 277, 279, 281, 283, 285, 287, 289, 291, 293, 295, 297, 301, 303, 307, 311, 313

Service Area: West Central Harlem Parts: C.T. 186, 190, 197.02, 200, 201.02, 207.02, 208, 209.01, 209.02, 211, 212, 213.01, 213.02, 214, 216, 217.01, 217.02, 218, 219, 220, 221.01, 221.02, 222, 223.01, 223.02, 224-226, 227.01, 227.02, 228-230, 231.01, 231.02, 232-234, 235.01, 235.02, 236, 237, 239, 241, 243.02

Population Group: Homeless Population-Chelsea/Wards Island Parts: C.T. 91, 93, 95, 97, 99, 101, 103, 109, 111, 113, 115, 117, 240

Population Group: Low Income-East Harlem Parts: C.T. 156.01 156.02, 158.02, 160.02, 162, 164, 166, 168, 170, 172.01, 172.02, 174.01, 174.02, 178, 180, 182, 184, 188, 192, 194, 196, 198, 202, 204, 206, 210, 240

Population Group: Low Income-Upper West Side Parts: C.T. 177, 179, 181, 183, 185, 187, 189, 191, 193, 195, 197.01, 199, 201.01, 203, 205, 207.01

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 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: Tonawanda Nation: Tonawanda Reservation Tuscarora Nation: Tuscarora Reservation

Oneida Service Area: Boonville Parts: Towns of: Ava, Boonville, Forestport

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

Population Group: Low Income – Hamilton Parts: Town of: Sangerfield

Population Group: Low Income-Rome Parts: Towns of: Floyd, Lee, Rome, Verona, Western

Population Group: Low Income-Utica Parts: C.T. 201, 203, 207.01, 207.02, 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, 214.04, 215, 216.01, 216.02, 217.01, 217.02

Onondaga Population Group: Low Income Medicaid Eligible - Syracuse Parts: C.T. 5, 6, 7, 13, 14, 15, 16, 21, 22, 23, 24, 29, 30, 31, 32, 33, 34, 35, 36.01, 38, 39, 40, 41, 42, 43, 44, 45, 51, 52, 53, 54, 55, 57, 58, 59, 61.01,61.02

Ontario Service Area: Tri-County Parts: Towns of: Geneva, Gorham, Hopewell, Manchester, Phelps, Seneca City of: Geneva Orange Population Group: Low Income-Middletown Parts: City of: Middletown

Population Group: Low Income-Newburgh City Parts: C.T. 1-6

Population Group: Migrant and Seasonal Farm Workers - South Central Parts: Towns of: Blooming Grove, Chester, Cornwall, Goshen, Hamptonburgh, Highlands, Minisink, Monroe, Montgomery, New Windsor, Tuxedo, Warwick, Wawayanda, Woodbury

Orleans Service Area: Entire County

Oswego Population Group: Low Income – Oswego County Parts: Entire County

Otsego Service Area: Western Northern Otsego Parts: Towns of: Burlington, Cherry Valley, Decatur, Edmeston, Exeter, Hartwick, Middlefield, New Lisbon, Otsego, Pittsfield, Plainfield, Richfield, Roseboom, Springfield, Westford Burlington, Edmeston, Exeter, New Lisbon, Pittsfield, Plainfield, Service Area: Long Island City Parts: C.T. 7,19, 25, 27, 29, 31, 35, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59,157, 159, 161, 169, 171, 179, 181, 183, 247,249, 251, 253, 255, 257, 259, 261, 263, 265, 267, 481, 483, 485

Service Area: South Jamaica Parts: C.T. 190, 196, 198, 202, 204, 206, 208, 212, 214, 220.01, 220.02, 230, 232, 236, 238, 240, 244, 246, 248, 250, 252, 258, 260, 262, 264, 266, 270, 272, 274, 276, 278, 280, 410, 414, 440, 442, 446.01, 446.02, 448, 450, 452, 454, 456, 458, 460, 462, , 468, 779.05, 1265, 1267

Population Group: Medicaid Eligible-Rockaway Parts: C.T. 916.01, 916.02, 916.99, 918, 922, 928, 934, 938, 942.01-942.03, 952, 962, 964, 972, 992, 998, 1008, 1010, 1032

Population Group: Medicaid Eligible – Elmhurst C.T. 269, 271, 273, 275, 277, 279, 281, 283, 285, 287, 289, 291, 309.01, 309.02, 327, 329, 337, 339, 347, 351, 353, 355, 361, 363, 365, 367, 369, 371, 373, 375, 377, 379, 381, 383, 399, 401, 403, 405, 407, 409, 411, 413, 415, 427, 437, 439, 443, 455, 457, 459, 461, 463, 465, 467, 469, 471, 473, 683 Richmond Service Area: Port Richmond Parts: C.T. 97.00, 10500, 12500, 133.01, 133.02, 141.00, 207.00, 213.00, 219.00, 223.00, 231.00, 239.00, 247.00, 319.01, 319.02

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

Rockland Population Group: Low Income-Monsey/New Square Parts: C.T. 115.03, 115.04, 121.00, 122.00, 123.00, 124

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

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

Service Area: Tupper Lake Parts: Town of: Piercefield

Population Group: Low Income-Canton-Potsdam Parts: Towns of: Canton, Colton, Hermon, Hopkinton, Madrid, Parishville, Pierrepont, Potsdam, Stockholm

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

Population Group: Low Income-Massena Parts: Towns of: Brasher, Lawrence, Louisville, Massena, Norfolk

Population Group: Low Income-Ogdensburg Parts: Towns of: DePeyster, Lisbon, Morristown, Oswegatchie, Waddington City of: Ogdensburg

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

Schoharie Service Area: Northeast Delaware County SA Entire County Parts: Town of: Jefferson

Schuyler Service Area: Entire County

Population Group: Low Income- Schuyler County Parts: Entire County

Seneca Service Area: Entire County

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

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

Service Area: Rockland/Neversink Parts: Towns of: Neversink, Rockland

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

Tioga Service Area: Whitney Point Parts: Towns of: Berkshire, Richford

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

Population Group: Migrant and Seasonal Farm Workers – Ulster Service Area: Parts: Towns of: Denning, Esopus, Gardiner, Hardenburg, Hurley, Kingston, Lloyd, Marbletown, Marlborough, New Paltz, Olive, Plattekill, Rochester, Rosendale, Saugerties, Shandaken, Shawangunk, Ulster, Woodstock

Warren Service Area: Warrensburg Parts: Towns of: Chester, Horicon, Johnsburg, Thurman, Warrensburg

Service Area: Schroon-Ticonderoga Parts: Town of: Hague

Population Group: Low Income - Warrensburg Parts: Towns of: Chester, Horicon, Johnsburg, Thurman, Warrensburg

Washington Service Area: Schroon-Ticonderoga Parts: Towns of: Dresden, Putnam

Wayne Service Area: Entire County

Westchester Population Group: Medicaid-Port Chester Parts: C.T. 78 - 80

Wyoming Service Area: Entire County

Yates Service Area: Entire County

Facilities Eligible for Primary Care and Psychiatry 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 Hunts Point Multi-Service Center, Inc. Institute for Urban Family Health Montefiore Medical Center Morris Heights Health Center Saint Vincent Catholic Medical Centers Of New York Soundview Health Center The Urban Health Plan, Inc. Union Community Health Center Cattaraugus 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 Finger Lakes Migrant Health Project 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. Northwest Buffalo Community Health Care Center, Inc. Essex Association of Community Action of Northeast Adirondack Region Hudson Headwaters Health Network Smith House Health Care Center Franklin Cerebral Palsy Association Of The North Country

County Facility Hamilton Hudson Headwaters Health Network 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 Institute for Urban Family Health Montefiore Medical Center ODA Primary Care Health Center Saint Vincents Catholic Medical Centers Of New York Sunset Park Health Council, Inc, DBA Lutheran Family Health Centers The Floating Hospital William F. Ryan Community Health Center, Inc. Livingston Finger Lakes Migrant Health Project Madison Family Health Network Of Central New York, Inc. Monroe Oak Orchard Community Health Center, Inc. Rochester Primary Care Network St. Mary's Hospital of the Sisters Unity Health System Westside Health Services, Inc. New York AHRC NYC Betances Health Center Bowery Residents Community/BRC Human Services, Corp. 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. Harlem United Community AIDS Center

Health Care for the Homeless Heritage Health And Housing, Inc. Institute for Urban Family Health Montefiore Medical Center New York Children's Health Project Project Renewal, Inc. Saint Vincents Vincent’s Catholic Medical Centers Of New York Settlement Health And Medical Services Sunset Park Health Council, Inc The Floating Hospital William F. Ryan Community Health Center, Inc. Nassau Nassau Health Care Corporation Niagara Finger Lakes Migrant Health Project Oneida Rochester Primary Care Network Onondaga Syracuse Community Health Center Ontario Finger Lakes Migrant Health Project Orange Ezras Cholim Health Center, Inc. Hudson River Health Care Middletown Community Health Center, Inc. Open Door Family Medical Center, Inc. The Greater Hudson Valley Family Health 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 Queens 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. Saint Vincents Catholic Medical Centers Of New York 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 Saint Vincent Catholic Medical Centers Of New York

Sunset Park Health Council, Inc Rockland Community Medical And Dental Care, Inc. 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 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

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

OFFICE FOR PEOPLE WITH OF MENTAL RETARDATION AND 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) Valley Ridge DDSO, Norwich (Chenango County) Western New York DDSO, West Seneca (Erie County)

OFFICE OF MENTAL HEALTH

Bronx Children's Psychiatric Center, Bronx (Bronx County) Bronx Psychiatric Center, Bronx (Bronx County) Brooklyn Children's Psychiatric Center, Brooklyn (Kings 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) Hudson River Psychiatric Center, Poughkeepsie (Dutchess 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 Psychiatric Center, New Hampton (Orange County) Mohawk Valley Psychiatric Center, Utica (Oneida County) Nathan S. Kline Institute, Orangeburg (Rockland County) New York Psychiatric Institute, New York (New York County) Pilgrim Psychiatric Center, West Brentwood (Suffolk County) Queens Children's Psychiatric Center, Bellerose (Queens County) Rochester Psychiatric Center, Rochester (Monroe County) Rockland Children's Psychiatric Center, Orangeburg (Rockland County) Rockland Psychiatric Center, Orangeburg (Rockland County)

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 CORRECTIONAL SERVICES

Adirondack Correctional Facility, Ray Brook (Essex County) Albion Correctional Facility, Albion (Orleans County) Altona Correctional Facility, Altona (Clinton County) Arthur Kill Correctional Facility, Staten Island (Richmond County) Attica Correctional Facility, Attica (Wyoming County) Auburn Correctional Facility, Auburn (Cayuga County) Bare Hill Correctional Facility, Malone (Franklin County) Bayview Correctional Facility, Manhattan (New York County) Bedford Hills Correctional Facility, Bedford Hills (Westchester County) Butler Correctional Facility, Red Creek (Wayne County) Cape Vincent Correctional Facility, Cape Vincent (Jefferson County) Cayuga Correctional Facility, Moravia (Cayuga County) Chateaugay Correctional Facility, Chateaugay (Franklin 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-Orange Correctional Facility, Warwick (Orange County) Mid-State Correctional Facility, Marcy (Oneida County) Mohawk Correctional Facility, Rome (Oneida County) Mt. McGregor Correctional Facility, Wilton (Saratoga County) Ogdensburg Correctional Facility, Ogdensburg (St. Lawrence County) Oneida Correctional Facility, Rome (Oneida County)

DEPARTMENT OF CORRECTIONAL SERVICES (cont.)

Orleans Correctional Facility, Albion (Orleans County) Otisville Correctional Facility, Otisville (Orange County) Queensboro Correctional Facility, Long Island City (Queens 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)

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

Bronx Jacobi Women’s Health Center Tremont Health Center (FP/PED)

Cattaraugus Lionel R. John Health Center

Chautauqua Cattaraugus Indian Reservation Health Center Community Health & Wellness Center

Erie Hertel-Elmwood Health Center Immigration and Customs Enforcement – Buffalo Lionel R. John Health Center – Buffalo Program Office

Essex FCI Raybrook

Franklin Saint Regis Mohawk Health Services

Genesee Immigration and Customs Enforcement (ICE) Medical Facility – Batavia

Greene Greenville Family Health Center

Kings Metropolitan Detention Center – Brooklyn

Madison Oneida Nation Family Services

New York Immigration and Customs Enforcement (ICE) Medical Center - New York Metropolitan Correctional Center

Orange FCI-Otisville ICE Medical Facility – Queens Phoenix House

Queens Immigration and Customs Enforcement (ICE) Medical Center – Queens Correctional Facility – Rikers Island

Suffolk Phoenix House

Ulster Highland Residential Center

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)

Bronx Municipal Hospital Center, Bronx AIDS/HIV infected individuals

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

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

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

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 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

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

COUNTY HOSPITAL

Albany Albany Medical Center 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 (Clinton)

Columbia Columbia Memorial Hospital (Hudson)

Cortland Cortland Regional Medical Center (Cortland)

Delaware Delaware Valley Hospital Inc. (Walton) The Hospital (Sidney)

Dutchess St. Francis Hospital (Beacon) St. Francis Hospital (Poughkeepsie) Vassar Brothers Medical Center (Poughkeepsie) Erie Kaleida Health/Buffalo General Hospital (Buffalo)

Erie County Medical Center (Buffalo) Kaleida Health/Millard Fillmore Gates Circle Hospital (Buffalo) Kaleida Health/Millard Fillmore Suburban Hospital (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/Caledonian (Brooklyn) Brooklyn Hospital/Downtown (Brooklyn) (Brooklyn) Interfaith Medical Center/Jewish Hospital (Brooklyn) Interfaith Medical Center/St. John's Division (Brooklyn) Kings County Hospital Center (Brooklyn) Kingsbrook Jewish Medical Center (Brooklyn) Long Island College Hospital (Brooklyn) Lutheran Medical Center (Brooklyn) Maimonides Medical Center (Brooklyn) New York Methodist Hospital of Brooklyn (Brooklyn) New York Community Hospital (Brooklyn) St. Mary’s Hospital of Brooklyn (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) Strong Memorial Hospital (Rochester) Unity Health Systems Park Ridge Hospital (Rochester) Unity St. Mary's Campus (Rochester)

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

Nassau Franklin Hospital Medical Center (Valley Stream)

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

New York Allen Pavilion - New York Presbyterian Hospital (Manhattan) Center (Manhattan) Beth Israel Medical Center (Manhattan) Coler-Goldwater Specialty Hospital and Nursing Facility/ Coler Hospital Site (Manhattan) Coler-Goldwater Specialty Hospital and Nursing Facility/ Goldwater Hospital Site (Manhattan) (Manhattan) Metropolitan Hospital Center (Manhattan) Mount Sinai Hospital (Manhattan) North General Hospital (Manhattan) New York Columbia-Presbyterian Hospital (Manhattan) New York VA Medical Center (Manhattan) New York Downtown Hospital (Manhattan) New York Eye and Ear Infirmary (Manhattan) Hospital (Manhattan) St. Luke's-Roosevelt Hospital Center (Manhattan) St. Vincent's Hospital & Medical Center of NY (Manhattan) VA New York Harbor Healthcare System – New York 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 Community General Hospital of Greater Syracuse Crouse Hospital (Syracuse) SUNY Health Science Center-University Hospital Upstate Medical University Hospital (Syracuse)

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 City Hospital Center at Elmhurst/ (Elmhurst) Episcopal Health Services/St. John's Episcopal Hospital South Shore (Far Rockaway) Flushing Hospital and Medical Center (Flushing) Jamaica Hospital Medical Center (Jamaica) Mount Sinai Hospital of Queens (Long Island City) New York Hospital Medical Center of Queens (Flushing) North Shore University Hospital at Forest Hills (Queens) Peninsula Hospital Center (Far Rockaway) (Jamaica) Parkway Hospital (Forest Hills)

Rensselaer Samaritan Hospital of Troy (Troy) Seton Health System/St. Mary’s Campus (Troy)

Richmond Richmond University Medical Center (RUMC) Staten Island) RUMC - Bayley Seton Hospital (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) Edward John Noble Hospital (Gouverneur) Massena Memorial Hospital (Massena)

Schenectady Ellis Hospital (Schenectady)

Schuyler Schuyler Hospital (Montour Falls)

Steuben 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 Benedictine Hospital (Kingston) Kingston Hospital (Kingston)

Wayne Wayne Health Care (Newark)

Westchester Blythedale Children’s Hospital (Valhalla) Mount Vernon Hospital (Mt. Vernon) St. John's Riverside Hospital SJRH St. John’s Division (Yonkers) SJRH Park Care Pavilion (Yonkers) St. Joseph's Hospital Yonkers (Yonkers) St. Vincent's Hospital/Westchester (Harrison) Sound Shore Medical Center of Westchester (New Rochelle) Westchester Medical Center (Valhalla)

MENTAL HEALTH REGENTS PHYSICIAN SHORTAGE AREAS WHOLE COUNTY MENTAL HEALTH RPSAS

Allegany Genesee Otsego

Broome Cattaraugus Greene Rensselaer

Cattaraugus Cayuga Hamilton St. Lawrence

Cayuga Chautauqua Herkimer Schoharie

Chautauqua Chenango Jefferson Schuyler

Chenango Columbia Lewis Seneca

Columbia Livingston Steuben Cortland Cortland Delaware Madison Sullivan Washington

Delaware Essex Montgomery Niagara Washington Wayne

Essex Franklin Niagara Orleans WayneWyoming

FranklinFulton Orleans Oswego Wyoming Yates

Fulton Oswego Yates Oneida

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

COUNTY RPSA Bronx NYC Correctional Facility/Riker's Island Homeless - West Central Bronx (Census tracts: 87, 89, 91, 99, 115.01, 115.02, 119, 121.01, 121.02, 123, 125, 127.01, 127.02, 129.01, 129.02, 131, 133, 135, 137, 139, 143, 145, 47,149, 151, 153, 155, 157, 161, 163, 165, 167, 169, 171, 173, 175, 177, 179, 181, 183, 187, 189, 193, 195, 197, 199, 201, 205, 211, 213.01, 213.02, 215.01, 215.02, 217.01, 217.02, 219, 221, 223, 225, 227.01, 227.02, 227.03, 229.01, 229.02, 231, 233.01, 233.02, 235.01, 235.02, 241, 243, 245, 247, 249, 251, 359, 361, 363, 365.01, 365.02, 367, 369.01, 369.02, 371, 373, 375.01, 375.02, 375.03, 377, 379, 381, 393

Jewish Board of Family and Children's Services (JBFCS) H. Blumenfeld Pelham Counseling Center JBFCS Madeleine Borg Community Services J.W. Beatman Community Counseling Center Dutchess Downstate Correctional Facility

Fulton Medicaid Eligible-Fulton

Erie P.S. 84 Neighborhood of Buffalo (Census tracts: 27.02, 29, 32.01, 32.02, 33.01, 33.02, 34, 35, 36, 39.01, 39.02, 40.01, 40.02, 41, 42, 44.02, 52.02, 64) Genesee Immigration and Customs Enforcement Medical Facility - Batavia

COUNTY RPSA Kings Homeless - Northwest Brooklyn (Census tracts: 1, 3.01, 3.02, 5, 7, 9, 11, 13, 21, 23, 25, 27, 29.01, 29.02, 31, 33, 35, 37, 39, 41, 43, 45, 47, 49, 51, 55, 57, 59, 63, 65, 67, 69, 71, 75, 77, 85, 117, 121, 123, 125, 127, 129.01, 129.02, 131, 133, 135, 137, 139, 141, 143, 147, 149, 151, 153, 155, 157, 159, 161, 163, 165, 167, 169, 171, 173, 177, 179, 181, 183, 185.01, 185.02, 187, 189, 191, 193, 195, 197, 199, 201, 203, 205, 207, 215, 217, 219, 221, 223, 225, 227, 229, 231, 233, 235, 237, 239, 241, 243, 245, 247, 249, 251, 267, 269, 313, 315, 317.01, 317.02, 543

JBFCS Bay Ridge Counseling Center JBCFS Break-free Adolescent Clinic JBCFS Kaplan Center for Community Services, Rita J. and Stanley H., Mid-Brooklyn Office JBFCS Madeleine Borg Community Services) Boro Park Counseling Center JBFCS Mid-Brooklyn Counseling Center JBFCS North Brooklyn Office JBFCS Southern Brooklyn Family Services JBCFS Doris L. Rosenberg Counseling Center/Southern Brooklyn Office JBFCS Starrett City Counseling Center

Kings County Hospital Center

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 Monroe Jordan (Rochester) (Census tracts: 7, 13, 14, 15, 39, 43, 48, 49, 50, 51, 52, 53, 55, 56, 80, 90, 91, 92, 93.01, 93.02, 94.01, 94.02, 94.03,94.04)

Westside (Rochester) (Census tracts: 2, 22, 23, 24, 27, 40, 41, 62-71, 75, 87, 87.01, 87.02, 88, 94, 95, 96.01, 96.02, 96.03, 96.04 Nassau Nassau Health Care Corporation

COUNTY RPSA New York Chinatown/Lower Manhattan (Census tracts: 2.01, 2.02, 6, 8, 10.01, 10.02, 12, 14.01, 14.02, 15.01, 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)

Homeless - Upper Manhattan (Census tracts: 156.02, 158.02, 160.02, 162, 164, 166, 168, 170, 172.01, 172.02, 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, 202, 203, 204, 205, 206, 207.01, 207.02, 208, 209.01, 209.02, 210, 211, 212, 213.01, 213.02, 214, 216, 217.01, 217.02, 218, 219, 220, 221.01, 221.02, 222, 223.01, 223.02, 224, 225, 226, 227.01, 227.02, 228, 229, 230, 231.01, 231.02, 232, 233, 234, 235.01, 235.02, 236, 237, 240)

Washington Height-Inwood (Census tracts: 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, 289, 291, 293, 295, 297, 301, 303, 307, 311, 313)

JBFCS Alan and Kathryn Greenberg Counseling Center, Manhattan West Office JBFCS Madeleine Borg Community Services (MBCS) Manhattan North Counseling Center JBFCS Youth Counseling League (YCL)

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

Project Renewal Mental Health Outreach Services - Clinton Street Residence Holland House New Providence Fort Washington Onondaga Hutchings Psychiatric Center Queens JBFCS Pride of Judea Community Services/Counseling Centers ICE – Queens Richmond JBFCS Morris L. Black Community Counseling Center/Staten Island Office JBFCS Madeleine Borg Community Services Staten Island Counseling Center

Regents Physician Designated Physician Shortage Areas in New York State Bulletin January 2011