Partnership Plan 1115 Demonstration Monthly Report December 2000

RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS December, 2000

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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
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:	14,325	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:

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)
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)
All percents are rounded to the nearest whole number.
*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).
New plans added this month : No New Plans