Recipients Eligible for Enrollment In Managed Care:
 Enrollment Status by Aid Category and County, and Total Percent Enrolled by Provider Plan

 NYS August, 2000
  Å Return to Monthly Medicaid Managed Care Enrollment Report 

    TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR EXPECTED PENETRATION RATE SSI & MA-SSI      
County Provider Eligibles Enrolled Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled Expected Target* % of Target* Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled
Albany TOTALS: 14,402 10,881 1,416 739 15,818 11,620 73% 92% 80% 4,412 432 20,230 12,052 60%
  CDPHP   8,334   636   8,970 57%       320   9,290 46%
  Fidelis/NYS Catholic Hlth   989   75   1,064 7%       75   1,139 6%
  Wellcare   1,558   28   1,586 10%       37   1,623 8%
Allegany TOTALS: 3,469 592 411 58 3,880 650 17% 88% 19% 1,007 228 4,887 878 18%
  Health Choice (Partial)   592   58   650 17%       228   878 18%
Broome TOTALS: 11,105 8,156 1,267 779 12,372 8,935 72% 89% 81% 3,261 718 15,633 9,653 62%
  Broome MC   4,241   387   4,628 37%       582   5,210 33%
  Wellcare   748   82   830 7%       34   864 6%
  Fidelis/NYS Catholic Hlth   238   37   275 2%       7   282 2%
  CDPHP   2,929   273   3,202 26%       95   3,297 21%
Cattauragus TOTALS: 4,960 1,613 556 118 5,516 1,731 31% 90% 35% 1,559 429 7,075 2,160 31%
  Comm Blue/NY Care Plus   1,475   106   1,581 29%       413   1,994 28%
  Fidelis/NYS Catholic Hlth   138   12   150 3%       16   166 2%
Cayuga TOTALS: 3,907 0 377 0 4,284 0 0% 86% 0% 1,115 0 5,399 0 0%
Chautauqua TOTALS: 10,177 3,796 1,268 402 11,445 4,198 37% 82% 45% 2,605 574 14,050 4,772 34%
  Comm Blue/NY Care Plus   1,222   144   1,366 12%       238   1,604 11%
  Primary Health   292   30   322 3%       104   426 3%
  Fidelis/NYS Catholic Hlth   2,282   228   2,510 22%       232   2,742 20%
Chemung TOTALS: 6,221 3,350 603 201 6,824 3,551 52% 87% 60% 1,933 1,024 8,757 4,575 52%
  Southern Tier Pediatrics (Partial)   2,545   0   2,545 37%       289   2,834 32%
  Southern Tier Priority (Partial)   805   201   1,006 15%       735   1,741 20%
Chenango TOTALS: 3,193 0 290 0 3,483 0 0% 92% 0% 891 0 4,374 0 0%
Clinton TOTALS: 4,467 0 477 0 4,944 0 0% 85% 0% 1,554 0 6,498 0 0%
Columbia TOTALS: 2,467 1,702 320 149 2,787 1,851 66% 93% 72% 882 60 3,669 1,911 52%
  CDPHP   1,055   108   1,163 42%       40   1,203 33%
  Wellcare   560   34   594 21%       15   609 17%
  Fidelis/NYS Catholic Hlth   87   7   94 3%       5   99 3%
Cortland TOTALS: 2,895 332 209 21 3,104 353 11% 89% 13% 824 67 3,928 420 11%
  Fidelis/NYS Catholic Hlth   332   21   353 11%       67   420 11%
Delaware TOTALS: 1,987 320 233 26 2,220 346 16% 91% 17% 715 5 2,935 351 12%
  Wellcare   320   26   346 16%       5   351 12%
Dutchess TOTALS: 7,439 1,024 728 27 8,167 1,051 13% 88% 15% 2,547 54 10,714 1,105 10%
  Wellcare   1,024   27   1,051 13%       54   1,105 10%
Erie TOTALS: 64,826 47,442 8,630 5,484 73,456 52,926 72% 90% 80% 17,558 6,410 91,014 59,336 65%
  Buffalo Community Health   6,126   690   6,816 9%       116   6,932 8%
  Comm Blue/NY Care Plus   8,079   901   8,980 12%       730   9,710 11%
  Independent Health Assoc/IHA   17,716   1,547   19,263 26%       665   19,928 22%
  Fidelis/NYS Catholic Hlth   14,101   885   14,986 20%       909   15,895 17%
  Total Full Risk   46,022   4,023   50,045 68%       2,420   52,465 58%
  PCMP I (Partial)   352   0   352 0%       61   413 0%
  PCMP II (Partial)   199   73   272 0%       358   630 1%
  PCMP III (Partial)   74   165   239 0%       820   1,059 1%
  PCMP II-A Special Care (Partial)   795   1,223   2,018 3%       2751   4,769 5%
  Total Partial Risk   1,420   1,461   2,881 4%       3,990   6,871 8%
Essex TOTALS: 1,604 0 185 0 1,789 0 0% 92% 0% 566 0 2,355 0 0%
Franklin TOTALS: 2,727 0 307 0 3,034 0 0% 90% 0% 987 0 4,021 0 0%
Fulton TOTALS: 3,535 247 460 28 3,995 275 7% 91% 8% 1,094 6 5,089 281 6%
  CDPHP   247   28   275 7%       6   281 6%
Genesee TOTALS: 2,312 705 125 32 2,437 737 30% 86% 35% 616 31 3,053 768 25%
  Preferred Care   705   32   737 30%       31   768 25%
Greene TOTALS: 2,379 1,956 273 167 2,652 2,123 80% 94% 85% 652 89 3,304 2,212 67%
  CDPHP   1,039   111   1,150 43%       51   1,201 36%
  Wellcare   826   52   878 33%       33   911 28%
  Fidelis/NYS Catholic Hlth   91   4   95 4%       5   100 3%
Hamilton TOTALS: 115 0 14 0 129 0 0% 93% 0% 40 0 169 0 0%
Herkimer TOTALS: 3,372 207 380 38 3,752 245 7% 90% 7% 937 20 4,689 265 6%
  Fidelis/NYS Catholic Hlth   191   36   227 6%       19   246 5%
  United Healthcare of Upstate   16   2   18 0%       1   19 0%
Jefferson TOTALS: 6,836 0 684 0 7,520 0 0% 87% 0% 1,769 0 9,289 0 0%
Lewis TOTALS: 1,510 0 203 0 1,713 0 0% 90% 0% 392 0 2,105 0 0%
Livingston TOTALS: 2,368 656 232 27 2,600 683 26% 88% 30% 661 34 3,261 717 22%
  Blue Choice HMO Options   329   9   338 13%       17   355 11%
  Preferred Care   327   18   345 13%       17   362 11%
Madison TOTALS: 2,214 0 256 0 2,470 0 0% 88% 0% 767 0 3,237 0 0%
Monroe TOTALS: 50,794 38,855 6,457 3,921 57,251 42,776 75% 89% 84% 11,722 926 68,973 43,702 63%
  Blue Choice HMO Options   27,817   2,955   30,772 54%       742   31,514 46%
  Preferred Care   11,038   966   12,004 21%       184   12,188 18%
Montgomery TOTALS: 2,920 597 345 53 3,265 650 20% 91% 22% 798 10 4,063 660 16%
  CDPHP   597   53   650 20%       10   660 16%
Nassau TOTALS: 30,564 8,901 3,102 403 33,666 9,304 28% 91% 30% 10,042 485 43,708 9,789 22%
  Vytra   2,374   124   2,498 7%       64   2,562 6%
  HIP   1,014   52   1,066 3%       122   1,188 3%
  Health First PHSP   2,513   75   2,588 8%       135   2,723 6%
  Genesis Health Plan   2,355   133   2,488 7%       125   2,613 6%
  Fidelis/NYS Catholic Hlth   645   19   664 2%       39   703 2%
Niagara TOTALS: 12,006 9,071 1,453 776 13,459 9,847 73% 88% 83% 3,322 1,083 16,781 10,930 65%
  Independent Health Assoc/IHA   4,833   385   5,218 39%       589   5,807 35%
  Fidelis/NYS Catholic Hlth   1,968   188   2,156 16%       226   2,382 14%
  Comm Blue/NY Care Plus   2,270   203   2,473 18%       268   2,741 16%
Oneida TOTALS: 16,342 5,668 1,758 351 18,100 6,019 33% 90% 37% 5,011 748 23,111 6,767 29%
  Fidelis/NYS Catholic Hlth   5,407   331   5,738 32%       719   6,457 28%
  United Healthcare of Upstate   261   20   281 2%       29   310 1%
Onondaga TOTALS: 28,430 19,549 2,758 1,326 31,188 20,875 67% 88% 76% 7,874 1,531 39,062 22,406 57%
  Fidelis/NYS Catholic Hlth   5,278   403   5,681 18%       376   6,057 16%
  Total Care/Syracuse PHSP   8,875   426   9,301 30%       710   10,011 26%
  United Healthcare of Upstate   5,396   497   5,893 19%       445   6,338 16%
Ontario TOTALS: 3,021 2,026 366 115 3,387 2,141 63% 90% 70% 1,001 159 4,388 2,300 52%
  Blue Choice HMO Options   1,538   87   1,625 48%       121   1,746 40%
  Preferred Care   488   28   516 15%       38   554 13%
Orange TOTALS: 20,073 5,455 3,408 504 23,481 5,959 25% 90% 28% 4,065 536 27,546 6,495 24%
  Genesis Health Plan   3,934   399   4,333 18%       473   4,806 17%
  Wellcare   995   85   1,080 5%       43   1,123 4%
  Care Plus Health Plan   526   20   546 2%       20   566 2%
Orleans TOTALS: 2,441 391 223 25 2,664 416 16% 88% 18% 593 39 3,257 455 14%
  Blue Choice HMO Options   254   20   274 10%       27   301 9%
  Fidelis/NYS Catholic Hlth   137   5   142 5%       12   154 5%
Oswego TOTALS: 7,876 5,563 820 515 8,696 6,078 70% 91% 77% 1,857 388 10,553 6,466 61%
  Fidelis/NYS Catholic Hlth   1,193   129   1,322 15%       57   1,379 13%
  Total Care/Syracuse PHSP   1,813   191   2,004 23%       185   2,189 21%
  United Healthcare of Upstate   2,557   195   2,752 32%       146   2,898 27%
Otsego TOTALS: 2,341 59 234 4 2,575 63 2% 91% 3% 812 0 3,387 63 2%
  Wellcare   59   4   63 2%       0   63 2%
Putnam TOTALS: 795 278 121 27 916 305 33% 89% 38% 501 45 1,417 350 25%
  Care Plus Health Plan   278   27   305 33%       45   350 25%
Rensselaer TOTALS: 7,159 5,563 943 540 8,102 6,103 75% 90% 83% 2,097 203 10,199 6,306 62%
  CDPHP   4,626   468   5,094 63%       135   5,229 51%
  Fidelis/NYS Catholic Hlth   467   45   512 6%       49   561 6%
  Wellcare   470   27   497 6%       19   516 5%
Rockland TOTALS: 14,755 4,973 3,817 1,353 18,572 6,326 34% 92% 37% 2,652 272 21,224 6,598 31%
  Genesis Health Plan   906   76   982 5%       114   1,096 5%
  Fidelis/NYS Catholic Hlth   2,786   1,141   3,927 21%       110   4,037 19%
  Wellcare   400   87   487 3%       7   494 2%
  Westchester PHSP   881   49   930 5%       41   971 5%
St. Lawrence TOTALS: 7,335 0 901 0 8,236 0 0% 91% 0% 2,473 0 10,709 0 0%
Saratoga TOTALS: 4,010 2,651 345 227 4,355 2,878 66% 92% 72% 1,856 103 6,211 2,981 48%
  Wellcare   167   11   178 4%       3   181 3%
  CDPHP   1,869   170   2,039 47%       83   2,122 34%
  Fidelis/NYS Catholic Hlth   615   46   661 15%       17   678 11%
Schenectady TOTALS: 7,347 3,226 727 167 8,074 3,393 42% 88% 48% 2,381 202 10,455 3,595 34%
  CDPHP   3,118   166   3,284 41%       195   3,479 33%
  Fidelis/NYS Catholic Hlth   108   1   109 1%       7   116 1%
Schoharie TOTALS: 1,451 31 117 1 1,568 32 2% 92% 2% 385 2 1,953 34 2%
  CDPHP   31   1   32 2%       2   34 2%
Schuyler TOTALS: 872 0 130 0 1,002 0 0% 87% 0% 334 0 1,336 0 0%
Seneca TOTALS: 1,274 382 163 19 1,437 401 28% 91% 31% 475 50 1,912 451 24%
  Blue Choice HMO Options   382   19   401 28%       50   451 24%
Steuben TOTALS: 6,328 1,404 621 152 6,949 1,556 22% 90% 25% 2,005 646 8,954 2,202 25%
  Southern Tier Pediatrics (Partial)   72   0   72 1%       15   87 1%
  Southern Tier Priority (Partial)   1,332   152   1,484 21%       631   2,115 24%
Suffolk TOTALS: 35,123 15,601 3,488 623 38,611 16,224 42% 89% 47% 13,061 2,135 51,672 18,359 36%
  Vytra   2,812   114   2,926 8%       117   3,043 6%
  HIP   771   25   796 2%       136   932 2%
  Health First PHSP   2,949   155   3,104 8%       526   3,630 7%
  Suffolk Plan HMO   7,085   245   7,330 19%       1105   8,435 16%
  Genesis Health Plan   881   57   938 2%       133   1,071 2%
  United Healthcare of NY   345   5   350 1%       25   375 1%
  Fidelis/NYS Catholic Hlth   758   22   780 2%       93   873 2%
Sullivan TOTALS: 3,897 787 309 28 4,206 815 19% 91% 21% 1,453 26 5,659 841 15%
  Wellcare   787   28   815 19%       26   841 15%
Tioga TOTALS: 2,388 13 215 1 2,603 14 1% 89% 1% 661 0 3,264 14 0%
  Wellcare   13   1   14 1%       0   14 0%
Tompkins TOTALS: 3,869 0 542 0 4,411 0 0% 88% 0% 1,008 0 5,419 0 0%
Ulster TOTALS: 7,696 1,701 948 82 8,644 1,783 21% 90% 23% 2,550 67 11,194 1,850 17%
  Wellcare   1,701   82   1,783 21%       67   1,850 17%
Warren TOTALS: 2,075 864 149 16 2,224 880 40% 90% 44% 913 48 3,137 928 30%
  Comm Blue/NY Care Plus   864   16   880 40%       48   928 30%
Washington TOTALS: 2,449 376 212 26 2,661 402 15% 88% 17% 872 62 3,533 464 13%
  Comm Blue/NY Care Plus   249   16   265 10%       54   319 9%
  CDPHP   127   10   137 5%       8   145 4%
Wayne TOTALS: 3,082 939 225 25 3,307 964 29% 90% 32% 1,226 35 4,533 999 22%
  Blue Choice HMO Options   375   10   385 12%       14   399 9%
  Preferred Care   564   15   579 18%       21   600 13%
Westchester TOTALS: 40,614 24,174 5,549 1,745 46,163 25,919 56% 86% 66% 9,739 1,466 55,902 27,385 49%
  HIP   1,509   250   1,759 4%       163   1,922 3%
  Westchester PHSP   10,562   569   11,131 24%       618   11,749 21%
  Genesis Health Plan   5,516   375   5,891 13%       304   6,195 11%
  Community Choice Hlth Plan   4,642   374   5,016 11%       276   5,292 9%
  Fidelis/NYS Catholic Hlth   1,945   177   2,122 5%       105   2,227 4%
Wyoming TOTALS: 1,214 0 164 0 1,378 0 0% 90% 0% 405 0 1,783 0 0%
Yates TOTALS: 984 433 106 22 1,090 455 42% 90% 46% 296 30 1,386 485 35%
  Blue Choice HMO Options   433   22   455 42%       30   485 35%
Upstate Total   502,012 242,510 60,620 21,343 562,632 263,853 47% 89% 53% 143,784 21,478 706,416 285,331 40%
NYC The Bronx Health Plan   23,808   1,385   25,193 2%       1,853   27,046 2%
  Fidelis/NYS Catholic Hlth   23,485   2,952   26,437 2%       1,490   27,927 2%
  Health First PHSP   49,289   5,651   54,940 5%       4,530   59,470 4%
  HIP   34,464   4,746   39,210 3%       5,828   45,038 3%
  Health Plus PHSP   20,108   2,307   22,415 2%       1,227   23,642 2%
  Managed Healthcare Systems   47,168   8,868   56,036 5%       3,726   59,762 4%
  Manhattan PHSP/Center Care   18,925   2,223   21,148 2%       1,354   22,502 2%
  MetroPlus Health Plan   40,591   3,791   44,382 4%       4,800   49,182 3%
  United Healthcare of NY   980   148   1,128 0%       87   1,215 0%
  St Barnabas/Partners in Health   8,489   773   9,262 1%       896   10,158 1%
  Neighborhood Health Providers   21,332   1,590   22,922 2%       1,635   24,557 2%
  Wellcare   3,908   612   4,520 0%       266   4,786 0%
  ABC Health Plan   1,578   180   1,758 0%       97   1,855 0%
  Genesis Health Plan   6,461   678   7,139 1%       452   7,591 1%
  Community Choice Hlth Plan   481   22   503 0%       34   537 0%
  Community Premier Plus   8,223   845   9,068 1%       941   10,009 1%
  NY Hospital Community PHSP   8,143   900   9,043 1%       512   9,555 1%
  Care Plus Health Plan   8,208   1,308   9,516 1%       568   10,084 1%
  NYC Total 988,518 325,641 193,873 38,979 1,182,391 364,620 31% 89% 35% 273,873 30,296 1,456,264 394,916 27%
                               
  UPSTATE TOTALS: 502,012 242,510 60,620 21,343 562,632 263,853 47% 89% 53% 143,784 21,478 706,416 285,331 40%
  NEW YORK CITY TOTALS: 988,518 325,641 193,873 38,979 1,182,391 364,620 31% 89% 35% 273,873 30,296 1,456,264 394,916 27%
  GRAND TOTALS 1,490,530 568,151 254,493 60,322 1,745,023 628,473 36% 89% 40% 417,657 51,774 2,162,680 680,247 31%
NYC Boroughs Bronx 278,967 78,838 41,180 5,423 320,147 84,261 26%     64,501 7,128 384,648 91,390 24%
  Brooklyn 360,689 149,842 78,064 22,452 438,753 172,294 39%     100,083 12,276 538,836 184,569 34%
  Manhattan 152,449 44,466 39,252 5,958 191,701 50,424 26%     51,725 5,189 243,426 55,614 23%
  Queens 174,179 40,267 31,403 3,730 205,582 43,997 21%     49,729 4,414 255,311 48,411 19%
  Staten Island 22,234 12,228 3,974 1,416 26,208 13,644 52%     7,835 1,288 34,043 14,932 44%
  Borough Total 988,518 325,641 193,873 38,979 1,182,391 364,620 31% 89% 35% 273,873 30,296 1,456,264 394,916 27%

NOTES:

  1. The Managed care eligible counts were revised in July, 2000. Eligible counts are based upon January, 2000 total eligibles adjusted for excluded populations. The counts include recipients who are exempt from mandatory enrollment. (See about statement for further details)
  2. The source of plan enrollment counts was revised in March, 1999 to be based on the Medicaid Encounter Data System (MEDS). The MEDS data reflects enrollees as of the end of the enrollment month. (See about statement for further details)
  3. All percents are rounded to the nearest whole number.
  4. *The expected penetration rate columns reflect an adjustment to total eligibles and the percent enrolled to account for the portion of the exempt population who are expected to choose not to enroll in managed care and for retroactive Medicaid eligibility determinations precluding enrollment for the month being measured. (An exempt recipient is one who will not be mandated to enroll in Medicaid managed care, but is eligible to enroll voluntarily. This would include Medicaid recipients with AIDS, HIV or a serious and persistent mental illness. See the about statement for further details of this adjustment).
  5. New plans added this month :
      Warren County - Comm Blue/NY Care Plus
      Washington County - Comm Blue/NY Care Plus