RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS December, 2000
  Å Return to Monthly Medicaid Managed Care Enrollment Report 

County Provider TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR EXPECTED PENETRATION RATE SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled
Eligibles Enrolled Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled Expected Target* % of Target* Eligibles Enrolled
Albany TOTALS: 14,325 10,792 1,381 665 15,706 11,457 73% 92% 79% 4,374 545 20,080 12,002 60%
  CDPHP   8,431   586   9,017 57%       431   9,448 47%
  Fidelis/NYS Catholic Hlth   1,080   63   1,143 7%       74   1,217 6%
  Wellcare   1,281   16   1,297 8%       40   1,337 7%
Allegany TOTALS: 3,326 545 421 63 3,747 608 16% 88% 18% 992 230 4,739 838 18%
  Health Choice (Partial)   545   63   608 16%       230   838 18%
Broome TOTALS: 10,890 8,007 1,225 718 12,115 8,725 72% 89% 81% 3,300 718 15,415 9,443 61%
  Broome MC   4,254   377   4,631 38%       589   5,220 34%
  Wellcare   621   54   675 6%       35   710 5%
  Fidelis/NYS Catholic Hlth   368   42   410 3%       8   418 3%
  CDPHP   2,764   245   3,009 25%       86   3,095 20%
Cattauragus TOTALS: 4,949 1,682 426 104 5,375 1,786 33% 90% 37% 1,550 464 6,925 2,250 32%
  Comm Blue/NY Care Plus   1,481   93   1,574 29%       441   2,015 29%
  Fidelis/NYS Catholic Hlth   201   11   212 4%       23   235 3%
Cayuga TOTALS: 4,019 0 270 0 4,289 0 0% 86% 0% 1,109 0 5,398 0 0%
Chautauqua TOTALS: 10,026 4,100 1,288 399 11,314 4,499 40% 82% 48% 2,569 664 13,883 5,163 37%
  Comm Blue/NY Care Plus   1,296   135   1,431 13%       257   1,688 12%
  Primary Health   384   54   438 4%       165   603 4%
  Fidelis/NYS Catholic Hlth   2,420   210   2,630 23%       242   2,872 21%
Chemung TOTALS: 6,244 3,391 539 169 6,783 3,560 52% 87% 60% 1,900 1,014 8,683 4,574 53%
  Southern Tier Pediatrics (Partial)   2,592   0   2,592 38%       282   2,874 33%
  Southern Tier Priority (Partial)   799   169   968 14%       732   1,700 20%
Chenango TOTALS: 3,479 0 232 0 3,711 0 0% 92% 0% 902 0 4,613 0 0%
Clinton TOTALS: 4,821 0 465 0 5,286 0 0% 85% 0% 1,537 0 6,823 0 0%
Columbia TOTALS: 2,423 1,691 256 121 2,679 1,812 68% 93% 73% 872 78 3,551 1,890 53%
  CDPHP   1,079   94   1,173 44%       52   1,225 34%
  Wellcare   500   22   522 19%       20   542 15%
  Fidelis/NYS Catholic Hlth   112   5   117 4%       6   123 3%
Cortland TOTALS: 2,891 380 238 13 3,129 393 13% 89% 14% 800 80 3,929 473 12%
  Fidelis/NYS Catholic Hlth   380   13   393 13%       80   473 12%
Delaware TOTALS: 2,019 248 209 19 2,228 267 12% 91% 13% 710 5 2,938 272 9%
  Wellcare   248   19   267 12%       5   272 9%
Dutchess TOTALS: 7,161 899 712 24 7,873 923 12% 88% 13% 2,550 54 10,423 977 9%
  Wellcare   899   24   923 12%       54   977 9%
Erie TOTALS: 62,565 46,256 8,041 4,995 70,606 51,251 73% 90% 81% 17,306 6,555 87,912 57,806 66%
  Buffalo Community Health   5,841   628   6,469 9%       132   6,601 8%
  Comm Blue/NY Care Plus   7,629   829   8,458 12%       761   9,219 10%
  Independent Health Assoc/IHA   17,786   1,416   19,202 27%       801   20,003 23%
  Fidelis/NYS Catholic Hlth   13,669   773   14,442 20%       919   15,361 17%
  Total Full Risk   44,925   3,646   48,571 69%       2,613   51,184 58%
  PCMP I (Partial)   319   0   319 0%       58   377 0%
  PCMP II (Partial)   185   71   256 0%       347   603 1%
  PCMP III (Partial)   75   135   210 0%       784   994 1%
  PCMP II-A Special Care (Partial)   752   1,143   1,895 3%       2753   4,648 5%
  Total Partial Risk   1,331   1,349   2,680 4%       3,942   6,622 8%
Essex TOTALS: 1,653 0 174 0 1,827 0 0% 92% 0% 565 0 2,392 0 0%
Franklin TOTALS: 2,656 0 268 0 2,924 0 0% 90% 0% 981 0 3,905 0 0%
Fulton TOTALS: 3,630 393 435 44 4,065 437 11% 91% 12% 1,061 12 5,126 449 9%
  CDPHP   393   44   437 11%       12   449 9%
Genesee TOTALS: 2,391 707 125 39 2,516 746 30% 86% 35% 612 34 3,128 780 25%
  Preferred Care   707   39   746 30%       34   780 25%
Greene TOTALS: 2,481 1,931 276 142 2,757 2,073 75% 94% 80% 643 90 3,400 2,163 64%
  CDPHP   1,090   107   1,197 43%       53   1,250 37%
  Wellcare   721   35   756 27%       30   786 23%
  Fidelis/NYS Catholic Hlth   120   0   120 4%       7   127 4%
Hamilton TOTALS: 130 0 14 0 144 0 0% 93% 0% 44 0 188 0 0%
Herkimer TOTALS: 3,436 277 358 31 3,794 308 8% 90% 9% 916 18 4,710 326 7%
  Fidelis/NYS Catholic Hlth   176   19   195 5%       17   212 5%
  United Healthcare of Upstate   101   12   113 3%       1   114 2%
Jefferson TOTALS: 6,485 0 623 0 7,108 0 0% 87% 0% 1,768 0 8,876 0 0%
Lewis TOTALS: 1,566 0 203 0 1,769 0 0% 90% 0% 392 0 2,161 0 0%
Livingston TOTALS: 2,409 676 194 23 2,603 699 27% 88% 31% 669 48 3,272 747 23%
  Excellus/Blue Choice   372   12   384 15%       21   405 12%
  Preferred Care   304   11   315 12%       27   342 10%
Madison TOTALS: 2,395 0 195 0 2,590 0 0% 88% 0% 760 0 3,350 0 0%
Monroe TOTALS: 49,793 38,604 6,183 3,741 55,976 42,345 76% 89% 85% 11,684 1,296 67,660 43,641 65%
  Excellus/Blue Choice   27,678   2,858   30,536 55%       1035   31,571 47%
  Preferred Care   10,926   883   11,809 21%       261   12,070 18%
Montgomery TOTALS: 2,921 572 371 51 3,292 623 19% 91% 21% 767 13 4,059 636 16%
  CDPHP   572   51   623 19%       13   636 16%
Nassau TOTALS: 28,959 8,099 2,678 307 31,637 8,406 27% 91% 29% 9,968 467 41,605 8,873 21%
  Vytra   2,100   98   2,198 7%       73   2,271 5%
  HIP   938   39   977 3%       119   1,096 3%
  Health First PHSP   2,111   57   2,168 7%       122   2,290 6%
  Genesis Health Plan   2,372   99   2,471 8%       118   2,589 6%
  Fidelis/NYS Catholic Hlth   578   14   592 2%       35   627 2%
Niagara TOTALS: 11,327 8,861 1,240 668 12,567 9,529 76% 88% 87% 3,326 1,106 15,893 10,635 67%
  Independent Health Assoc/IHA   4,703   342   5,045 40%       609   5,654 36%
  Fidelis/NYS Catholic Hlth   1,859   149   2,008 16%       218   2,226 14%
  Comm Blue/NY Care Plus   2,299   177   2,476 20%       279   2,755 17%
Oneida TOTALS: 16,070 5,820 1,674 355 17,744 6,175 35% 90% 39% 4,940 835 22,684 7,010 31%
  Fidelis/NYS Catholic Hlth   4,967   295   5,262 30%       742   6,004 26%
  United Healthcare of Upstate   853   60   913 5%       93   1,006 4%
Onondaga TOTALS: 27,473 19,442 2,549 1,239 30,022 20,681 69% 88% 78% 7,653 1,642 37,675 22,323 59%
  Fidelis/NYS Catholic Hlth   5,027   352   5,379 18%       406   5,785 15%
  Total Care/Syracuse PHSP   8,722   427   9,149 30%       743   9,892 26%
  United Healthcare of Upstate   5,528   437   5,965 20%       489   6,454 17%
  Excellus/Blue Choice   165   23   188 1%       4   192 1%
Ontario TOTALS: 3,015 2,163 290 96 3,305 2,259 68% 90% 76% 1,016 218 4,321 2,477 57%
  Excellus/Blue Choice   1,539   75   1,614 49%       176   1,790 41%
  Preferred Care   624   21   645 20%       42   687 16%
Orange TOTALS: 19,897 5,277 3,431 431 23,328 5,708 24% 90% 27% 4,036 558 27,364 6,266 23%
  Genesis Health Plan   3,955   348   4,303 18%       495   4,798 18%
  Wellcare   883   65   948 4%       44   992 4%
  Care Plus Health Plan   439   18   457 2%       19   476 2%
Orleans TOTALS: 2,544 570 188 33 2,732 603 22% 88% 25% 602 53 3,334 656 20%
  Excellus/Blue Choice   363   22   385 14%       38   423 13%
  Fidelis/NYS Catholic Hlth   207   11   218 8%       15   233 7%
Oswego TOTALS: 7,818 5,492 817 464 8,635 5,956 69% 91% 76% 1,885 412 10,520 6,368 61%
  Fidelis/NYS Catholic Hlth   1,162   104   1,266 15%       63   1,329 13%
  Total Care/Syracuse PHSP   1,850   178   2,028 23%       186   2,214 21%
  United Healthcare of Upstate   2,480   182   2,662 31%       163   2,825 27%
Otsego TOTALS: 2,330 52 214 3 2,544 55 2% 91% 2% 796 1 3,340 56 2%
  Wellcare   52   3   55 2%       1   56 2%
Putnam TOTALS: 798 281 140 29 938 310 33% 89% 37% 517 47 1,455 357 25%
  Care Plus Health Plan   281   29   310 33%       47   357 25%
Rensselaer TOTALS: 7,375 5,823 812 515 8,187 6,338 77% 90% 86% 2,086 250 10,273 6,588 64%
  CDPHP   4,954   447   5,401 66%       186   5,587 54%
  Fidelis/NYS Catholic Hlth   491   51   542 7%       48   590 6%
  Wellcare   378   17   395 5%       16   411 4%
Rockland TOTALS: 14,818 4,881 3,846 1,312 18,664 6,193 33% 92% 36% 2,602 276 21,266 6,469 30%
  Genesis Health Plan   884   71   955 5%       109   1,064 5%
  Fidelis/NYS Catholic Hlth   2,738   1,126   3,864 21%       111   3,975 19%
  Wellcare   337   65   402 2%       11   413 2%
  Westchester PHSP   900   48   948 5%       45   993 5%
  Community Choice Hlth Plan   22   2   24 0%       0   24 0%
St. Lawrence TOTALS: 7,157 0 798 0 7,955 0 0% 91% 0% 2,422 0 10,377 0 0%
Saratoga TOTALS: 4,131 2,599 348 179 4,479 2,778 62% 92% 68% 1,810 110 6,289 2,888 46%
  Wellcare   117   9   126 3%       2   128 2%
  CDPHP   1,906   136   2,042 46%       92   2,134 34%
  Fidelis/NYS Catholic Hlth   576   34   610 14%       16   626 10%
Schenectady TOTALS: 7,358 3,705 637 208 7,995 3,913 49% 88% 56% 2,421 323 10,416 4,236 41%
  CDPHP   3,431   189   3,620 45%       306   3,926 38%
  Fidelis/NYS Catholic Hlth   274   19   293 4%       17   310 3%
Schoharie TOTALS: 1,500 36 104 2 1,604 38 2% 92% 3% 387 1 1,991 39 2%
  CDPHP   36   2   38 2%       1   39 2%
Schuyler TOTALS: 961 0 114 0 1,075 0 0% 87% 0% 345 0 1,420 0 0%
Seneca TOTALS: 1,353 508 154 29 1,507 537 36% 91% 39% 463 76 1,970 613 31%
  Excellus/Blue Choice   508   29   537 36%       76   613 31%
Steuben TOTALS: 6,244 1,360 524 117 6,768 1,477 22% 90% 24% 2,017 623 8,785 2,100 24%
  Southern Tier Pediatrics (Partial)   69   0   69 1%       11   80 1%
  Southern Tier Priority (Partial)   1,291   117   1,408 21%       612   2,020 23%
Suffolk TOTALS: 33,271 15,204 3,082 533 36,353 15,737 43% 89% 49% 13,020 2,194 49,373 17,931 36%
  Vytra   2,762   121   2,883 8%       163   3,046 6%
  HIP   699   24   723 2%       129   852 2%
  Health First PHSP   2,632   119   2,751 8%       496   3,247 7%
  Suffolk Plan HMO   7,244   210   7,454 21%       1170   8,624 17%
  Genesis Health Plan   855   35   890 2%       115   1,005 2%
  United Healthcare of NY   327   4   331 1%       27   358 1%
  Fidelis/NYS Catholic Hlth   685   20   705 2%       94   799 2%
Sullivan TOTALS: 3,833 706 306 29 4,139 735 18% 91% 19% 1,427 36 5,566 771 14%
  Wellcare   706   29   735 18%       36   771 14%
Tioga TOTALS: 2,280 23 145 1 2,425 24 1% 89% 1% 678 0 3,103 24 1%
  Wellcare   10   1   11 0%       0   11 0%
  CDPHP   13   0   13 1%       0   13 0%
Tompkins TOTALS: 3,745 0 451 0 4,196 0 0% 88% 0% 994 0 5,190 0 0%
Ulster TOTALS: 7,652 1,584 944 70 8,596 1,654 19% 90% 21% 2,549 76 11,145 1,730 16%
  Wellcare   1,584   70   1,654 19%       76   1,730 16%
Warren TOTALS: 2,188 1,064 173 11 2,361 1,075 46% 90% 51% 915 51 3,276 1,126 34%
  Comm Blue/NY Care Plus   1,064   11   1,075 46%       51   1,126 34%
Washington TOTALS: 2,633 559 204 38 2,837 597 21% 88% 24% 906 77 3,743 674 18%
  Comm Blue/NY Care Plus   377   23   400 14%       66   466 12%
  CDPHP   182   15   197 7%       11   208 6%
Wayne TOTALS: 3,058 921 211 22 3,269 943 29% 90% 32% 1,213 51 4,482 994 22%
  Excellus/Blue Choice   378   7   385 12%       19   404 9%
  Preferred Care   543   15   558 17%       32   590 13%
Westchester TOTALS: 39,107 25,113 5,056 2,126 44,163 27,239 62% 86% 72% 9,540 2,039 53,703 29,278 55%
  HIP   1,615   306   1,921 4%       267   2,188 4%
  Westchester PHSP   10,990   673   11,663 26%       843   12,506 23%
  Genesis Health Plan   5,293   420   5,713 13%       420   6,133 11%
  Community Choice Hlth Plan   4,935   455   5,390 12%       353   5,743 11%
  Fidelis/NYS Catholic Hlth   2,280   272   2,552 6%       156   2,708 5%
Wyoming TOTALS: 1,338 0 143 0 1,481 0 0% 90% 0% 415 0 1,896 0 0%
Yates TOTALS: 1,060 497 84 25 1,144 522 46% 90% 50% 297 43 1,441 565 39%
  Excellus/Blue Choice   497   25   522 46%       43   565 39%
Upstate Total   492,377 241,791 56,479 20,203 548,856 261,994 48% 89% 54% 142,579 23,483 691,435 285,477 41%
NYC The Bronx Health Plan   24,127   1,432   25,559 2%       1,932   27,491 2%
  Fidelis/NYS Catholic Hlth   23,651   2,696   26,347 2%       1,477   27,824 2%
  Health First PHSP   47,548   5,276   52,824 4%       4,554   57,378 4%
  HIP   34,704   4,850   39,554 3%       5,880   45,434 3%
  Health Plus PHSP   22,288   2,379   24,667 2%       1,295   25,962 2%
  AmeriChoice of New York/MHS   46,600   8,785   55,385 5%       3,772   59,157 4%
  Manhattan PHSP/Center Care   19,589   2,212   21,801 2%       1,431   23,232 2%
  MetroPlus Health Plan   39,395   3,526   42,921 4%       4,689   47,610 3%
  United Healthcare of NY   1,027   147   1,174 0%       91   1,265 0%
  St Barnabas/Partners in Health   8,601   741   9,342 1%       887   10,229 1%
  Neighborhood Health Providers   22,705   1,498   24,203 2%       1,614   25,817 2%
  Wellcare   3,439   478   3,917 0%       254   4,171 0%
  ABC Health Plan   1,746   183   1,929 0%       102   2,031 0%
  Genesis Health Plan   6,261   609   6,870 1%       451   7,321 1%
  Community Choice Hlth Plan   579   27   606 0%       32   638 0%
  Community Premier Plus   8,073   759   8,832 1%       916   9,748 1%
  NY Hospital Community PHSP   8,726   929   9,655 1%       525   10,180 1%
  Care Plus Health Plan   8,867   1,319   10,186 1%       553   10,739 1%
  NYC Total 989,500 327,926 191,476 37,846 1,180,976 365,772 31% 89% 35% 266,178 30,455 1,447,154 396,227 27%
   
  UPSTATE TOTALS: 492,377 241,791 56,479 20,203 548,856 261,994 48% 89% 54% 142,579 23,483 691,435 285,477 41%
  NEW YORK CITY TOTALS: 989,500 327,926 191,476 37,846 1,180,976 365,772 31% 89% 35% 266,178 30,455 1,447,154 396,227 27%
  GRAND TOTALS 1,481,877 569,717 247,955 58,049 1,729,832 627,766 36% 89% 41% 408,757 53,938 2,138,589 681,704 32%
NYC Boroughs Bronx 274,823 77,787 40,774 5,094 315,597 82,882 26%     62,577 7,193 378,174 90,074 24%
  Brooklyn 360,315 152,294 76,607 22,242 436,922 174,536 40%     97,231 12,365 534,153 186,900 35%
  Manhattan 152,991 44,878 39,064 5,652 192,055 50,529 26%     50,159 5,224 242,214 55,754 23%
  Queens 179,072 39,698 31,064 3,444 210,136 43,142 21%     48,619 4,312 258,755 47,454 18%
  Staten Island 22,299 13,269 3,967 1,414 26,266 14,683 56%     7,592 1,361 33,858 16,045 47%
  Borough Total 989,500 327,926 191,476 37,846 1,180,976 365,772 31% 89% 35% 266,178 30,455 1,447,154 396,227 27%

NOTES:

  1. The Managed Care eligible counts are based upon April, 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 : No New Plans