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Ambulance Billing Guide 

New York State Ambulance Services in Rural Areas

New York State (NYS) has unique requirements for the payment of Paramedic Intercept services when an ambulance company can provide only BLS services. Paramedic Intercept services can be approved in counties and towns which are designated rural by the New York State Department of Health. Below is the NYS definition of a rural area and the current listing of rural counties and towns. 

NYS Department of Health Definitions of Rural Areas for Paramedic Intercept Services

The NYS definition of a rural area is defined in state Public Health Law and often referred to as "Eberts' typology." It identifies those counties and towns that may be considered rural according to population density.

Counties are rural if the county's total population is less than 200,000 or, in the case of a town, its population density is less than 200 persons per square mile, or, with the approval of the Commissioner of Health, a population density of between 200 and 250 persons per square mile.

NYS Counties with a Population Less than 200,000 Approved by NYS Department of Health Rural Definition for Paramedic Intercept Services

(All locations and zip codes within the counties below will be approved for PI Services in NYS)

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

NYS Counties with Towns of Fewer than 200 Persons Per Square Mile Approved by NYS Department of Health Rural Definition for PI Services

(Only the towns within the below counties will be approved for PI Services in NYS)

Albany Broome Dutchess Erie Monroe Niagra Oneida Onondaga Orange Saratoga Suffolk Westchester
Berne Barker Amenia Brant Clarkson Cambria Annsville Elbridge Crawford Charlton Shelter Island North Salem
Coeymans Binghamton Town Clinton Boston Hamlin Hartland Augusta LaFayette Deerpark Corinth   Pound Ridge
Knox Colesville Dover Cattaraugus Mendon Newfane Ava Marcellus Greenville Day    
New Scotland Fenton Milan Reservation Riga Pendleton Boonville Onondaga Hamptonburgh Edinburg    
Rensselaerville Kirkwood North East Colden Rush Porter Bridgewater Reservation Minisink Galway    
Westerlo Lisle Pawling Collins Wheatland Royalton Camden Otisco Tuxedo Greenfield    
  Maine Pine Plains Concord   Somerset Deerfield Pompey Wawayanda Hadley    
  Nanticoke Rhinebeck Eden   Tuscarora Florence Skaneateles   Northumberland    
  Sanford Stanford Holland   Reservation Floyd Spafford   Providence    
  Triangle Union Vale Marilla   Wilson Forestport Tully   Saratoga Town    
  Windsor Washington Newstead     Lee     Stillwater    
      North Collins     Marshall          
      Sardinia     Paris          
      Tonawanda     Remsen          
      Reservation     Sangerfield          
      Wales     Steuben          



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New York State Ambulance Services in Rural Areas
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