Rural means an area that meets one of the following conditions:
(1) Is not urbanized (as defined by the Bureau of the Census) and that is designated by the chief executive officer of the State, and certified by the Secretary, as an area with a shortage of personal health services.
(2) Is designated by the Secretary either as an area with a shortage of personal health services or as a health professional shortage area.
(3) Is designated by the Indian Health Service as a health service delivery area as defined in § 36.15 of this title.
42 CFR § 410.140
For purposes of this subpart, the following definitions apply: