Although health care to people with developmental disabilities in New York State is primarily provided by the generic health care systems, many of the providers have health care professionals on staff. The NYS Department of Health licenses some clinics that specialize in serving people with developmental disabilities and some OMRDD certified clinics provide primary medical care in physician shortage areas. In addition, OMRDD operates a tertiary clinic at its Institute for Basic Research in Developmental Disabilities which offers diagnosis and treatment recommendations for complex and rare disabilities. Clinics licensed by OMRDD provide clinical services primarily to persons with a developmental disability, except in areas designated as physician shortage areas, where they may also serve persons who are not disabled. Clinics licensed by the Department of Health are considered primary health care clinics and serve the general public; they may choose to specialize in serving people with disabilities including persons with multiple sclerosis, traumatic brain injury, dystrophy, etc.