RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS November, 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 10,819 1,381 680 15,706 11,499 73% 92% 80% 4,374 495 20,080 11,994 60%
  CDPHP   8,332   596   8,928 57%       383   9,311 46%
  Fidelis/NYS Catholic Hlth   1,112   66   1,178 8%       73   1,251 6%
  Wellcare   1,375   18   1,393 9%       39   1,432 7%
Allegany TOTALS: 3,326 551 421 59 3,747 610 16% 88% 18% 992 229 4,739 839 18%
  Health Choice (Partial)   551   59   610 16%       229   839 18%
Broome TOTALS: 10,890 7,989 1,225 725 12,115 8,714 72% 89% 81% 3,300 702 15,415 9,416 61%
  Broome MC   4,228   367   4,595 38%       577   5,172 34%
  Wellcare   643   57   700 6%       32   732 5%
  Fidelis/NYS Catholic Hlth   325   42   367 3%       7   374 2%
  CDPHP   2,793   259   3,052 25%       86   3,138 20%
Cattauragus TOTALS: 4,949 1,624 426 100 5,375 1,724 32% 90% 36% 1,550 452 6,925 2,176 31%
  Comm Blue/NY Care Plus   1,432   90   1,522 28%       431   1,953 28%
  Fidelis/NYS Catholic Hlth   192   10   202 4%       21   223 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 3,961 1,288 384 11,314 4,345 38% 82% 47% 2,569 648 13,883 4,993 36%
  Comm Blue/NY Care Plus   1,238   133   1,371 12%       250   1,621 12%
  Primary Health   383   53   436 4%       166   602 4%
  Fidelis/NYS Catholic Hlth   2,340   198   2,538 22%       232   2,770 20%
Chemung TOTALS: 6,244 3,401 539 190 6,783 3,591 53% 87% 61% 1,900 1,025 8,683 4,616 53%
  Southern Tier Pediatrics (Partial)   2,590   0   2,590 38%       287   2,877 33%
  Southern Tier Priority (Partial)   811   190   1,001 15%       738   1,739 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 1,693 256 130 2,679 1,823 68% 93% 73% 872 76 3,551 1,899 53%
  CDPHP   1,072   100   1,172 44%       52   1,224 34%
  Wellcare   510   25   535 20%       18   553 16%
  Fidelis/NYS Catholic Hlth   111   5   116 4%       6   122 3%
Cortland TOTALS: 2,891 339 238 13 3,129 352 11% 89% 13% 800 69 3,929 421 11%
  Fidelis/NYS Catholic Hlth   339   13   352 11%       69   421 11%
Delaware TOTALS: 2,019 262 209 18 2,228 280 13% 91% 14% 710 5 2,938 285 10%
  Wellcare   262   18   280 13%       5   285 10%
Dutchess TOTALS: 7,161 869 712 21 7,873 890 11% 88% 13% 2,550 48 10,423 938 9%
  Wellcare   869   21   890 11%       48   938 9%
Erie TOTALS: 62,565 46,538 8,041 5,176 70,606 51,714 73% 90% 82% 17,306 6,530 87,912 58,244 66%
  Buffalo Community Health   5,918   650   6,568 9%       132   6,700 8%
  Comm Blue/NY Care Plus   7,654   841   8,495 12%       754   9,249 11%
  Independent Health Assoc/IHA   17,792   1,482   19,274 27%       772   20,046 23%
  Fidelis/NYS Catholic Hlth   13,809   814   14,623 21%       924   15,547 18%
  Total Full Risk   45,173   3,787   48,960 69%       2,582   51,542 59%
  PCMP I (Partial)   329   0   329 0%       57   386 0%
  PCMP II (Partial)   186   71   257 0%       335   592 1%
  PCMP III (Partial)   73   139   212 0%       796   1,008 1%
  PCMP II-A Special Care (Partial)   777   1,179   1,956 3%       2760   4,716 5%
  Total Partial Risk   1,365   1,389   2,754 4%       3,948   6,702 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: 3,630 376 435 47 4,065 423 10% 91% 11% 1,061 10 5,126 433 8%
  CDPHP   376   47   423 10%       10   433 8%
Genesee TOTALS: 2,391 705 125 36 2,516 741 29% 86% 34% 612 31 3,128 772 25%
  Preferred Care   705   36   741 29%       31   772 25%
Greene TOTALS: 2,481 1,941 276 147 2,757 2,088 76% 94% 81% 643 91 3,400 2,179 64%
  CDPHP   1,089   108   1,197 43%       53   1,250 37%
  Wellcare   739   37   776 28%       32   808 24%
  Fidelis/NYS Catholic Hlth   113   2   115 4%       6   121 4%
Hamilton TOTALS: 130 0 14 0 144 0 0% 93% 0% 44 0 188 0 0%
Herkimer TOTALS: 3,436 275 358 36 3,794 311 8% 90% 9% 916 18 4,710 329 7%
  Fidelis/NYS Catholic Hlth   193   24   217 6%       17   234 5%
  United Healthcare of Upstate   82   12   94 2%       1   95 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: 2,409 661 194 24 2,603 685 26% 88% 30% 669 47 3,272 732 22%
  Excellus/Blue Choice   347   12   359 14%       21   380 12%
  Preferred Care   314   12   326 13%       26   352 11%
Madison TOTALS: 2,395 0 195 0 2,590 0 0% 88% 0% 760 0 3,350 0 0%
Monroe TOTALS: 49,793 38,804 6,183 3,791 55,976 42,595 76% 89% 86% 11,684 1,208 67,660 43,803 65%
  Excellus/Blue Choice   27,769   2,894   30,663 55%       960   31,623 47%
  Preferred Care   11,035   897   11,932 21%       248   12,180 18%
Montgomery TOTALS: 2,921 568 371 51 3,292 619 19% 91% 21% 767 11 4,059 630 16%
  CDPHP   568   51   619 19%       11   630 16%
Nassau TOTALS: 28,959 8,361 2,678 342 31,637 8,703 28% 91% 30% 9,968 476 41,605 9,179 22%
  Vytra   2,247   115   2,362 7%       74   2,436 6%
  HIP   919   44   963 3%       118   1,081 3%
  Health First PHSP   2,235   58   2,293 7%       127   2,420 6%
  Genesis Health Plan   2,344   109   2,453 8%       121   2,574 6%
  Fidelis/NYS Catholic Hlth   616   16   632 2%       36   668 2%
Niagara TOTALS: 11,327 8,883 1,240 687 12,567 9,570 76% 88% 87% 3,326 1,108 15,893 10,678 67%
  Independent Health Assoc/IHA   4,739   349   5,088 40%       606   5,694 36%
  Fidelis/NYS Catholic Hlth   1,889   156   2,045 16%       223   2,268 14%
  Comm Blue/NY Care Plus   2,255   182   2,437 19%       279   2,716 17%
Oneida TOTALS: 16,070 5,746 1,674 357 17,744 6,103 34% 90% 38% 4,940 799 22,684 6,902 30%
  Fidelis/NYS Catholic Hlth   5,035   302   5,337 30%       725   6,062 27%
  United Healthcare of Upstate   711   55   766 4%       74   840 4%
Onondaga TOTALS: 27,473 19,359 2,549 1,285 30,022 20,644 69% 88% 78% 7,653 1,610 37,675 22,254 59%
  Fidelis/NYS Catholic Hlth   5,121   384   5,505 18%       402   5,907 16%
  Total Care/Syracuse PHSP   8,700   445   9,145 30%       728   9,873 26%
  United Healthcare of Upstate   5,457   441   5,898 20%       477   6,375 17%
  Excellus/Blue Choice   81   15   96 0%       3   99 0%
Ontario TOTALS: 3,015 2,090 290 105 3,305 2,195 66% 90% 74% 1,016 212 4,321 2,407 56%
  Excellus/Blue Choice   1,502   79   1,581 48%       168   1,749 40%
  Preferred Care   588   26   614 19%       44   658 15%
Orange TOTALS: 19,897 5,310 3,431 433 23,328 5,743 25% 90% 27% 4,036 546 27,364 6,289 23%
  Genesis Health Plan   3,936   342   4,278 18%       487   4,765 17%
  Wellcare   922   74   996 4%       43   1,039 4%
  Care Plus Health Plan   452   17   469 2%       16   485 2%
Orleans TOTALS: 2,544 524 188 31 2,732 555 20% 88% 23% 602 49 3,334 604 18%
  Excellus/Blue Choice   355   20   375 14%       35   410 12%
  Fidelis/NYS Catholic Hlth   169   11   180 7%       14   194 6%
Oswego TOTALS: 7,818 5,487 817 461 8,635 5,948 69% 91% 76% 1,885 406 10,520 6,354 60%
  Fidelis/NYS Catholic Hlth   1,184   111   1,295 15%       63   1,358 13%
  Total Care/Syracuse PHSP   1,825   172   1,997 23%       185   2,182 21%
  United Healthcare of Upstate   2,478   178   2,656 31%       158   2,814 27%
Otsego TOTALS: 2,330 56 214 3 2,544 59 2% 91% 3% 796 1 3,340 60 2%
  Wellcare   56   3   59 2%       1   60 2%
Putnam TOTALS: 798 279 140 28 938 307 33% 89% 37% 517 48 1,455 355 24%
  Care Plus Health Plan   279   28   307 33%       48   355 24%
Rensselaer TOTALS: 7,375 5,729 812 511 8,187 6,240 76% 90% 84% 2,086 241 10,273 6,481 63%
  CDPHP   4,852   440   5,292 65%       176   5,468 53%
  Fidelis/NYS Catholic Hlth   490   53   543 7%       49   592 6%
  Wellcare   387   18   405 5%       16   421 4%
Rockland TOTALS: 14,818 4,924 3,846 1,335 18,664 6,259 34% 92% 36% 2,602 276 21,266 6,535 31%
  Genesis Health Plan   880   75   955 5%       109   1,064 5%
  Fidelis/NYS Catholic Hlth   2,792   1,142   3,934 21%       113   4,047 19%
  Wellcare   346   67   413 2%       10   423 2%
  Westchester PHSP   887   49   936 5%       44   980 5%
  Community Choice Hlth Plan   19   2   21 0%       0   21 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 2,627 348 191 4,479 2,818 63% 92% 69% 1,810 111 6,289 2,929 47%
  Wellcare   127   10   137 3%       3   140 2%
  CDPHP   1,919   147   2,066 46%       92   2,158 34%
  Fidelis/NYS Catholic Hlth   581   34   615 14%       16   631 10%
Schenectady TOTALS: 7,358 3,594 637 205 7,995 3,799 48% 88% 54% 2,421 291 10,416 4,090 39%
  CDPHP   3,368   189   3,557 44%       275   3,832 37%
  Fidelis/NYS Catholic Hlth   226   16   242 3%       16   258 2%
Schoharie TOTALS: 1,500 38 104 2 1,604 40 2% 92% 3% 387 1 1,991 41 2%
  CDPHP   38   2   40 2%       1   41 2%
Schuyler TOTALS: 961 0 114 0 1,075 0 0% 87% 0% 345 0 1,420 0 0%
Seneca TOTALS: 1,353 495 154 23 1,507 518 34% 91% 38% 463 72 1,970 590 30%
  Excellus/Blue Choice   495   23   518 34%       72   590 30%
Steuben TOTALS: 6,244 1,346 524 124 6,768 1,470 22% 90% 24% 2,017 635 8,785 2,105 24%
  Southern Tier Pediatrics (Partial)   68   0   68 1%       12   80 1%
  Southern Tier Priority (Partial)   1,278   124   1,402 21%       623   2,025 23%
Suffolk TOTALS: 33,271 15,253 3,082 555 36,353 15,808 43% 89% 49% 13,020 2,181 49,373 17,989 36%
  Vytra   2,749   116   2,865 8%       148   3,013 6%
  HIP   712   23   735 2%       128   863 2%
  Health First PHSP   2,689   130   2,819 8%       506   3,325 7%
  Suffolk Plan HMO   7,223   219   7,442 20%       1166   8,608 17%
  Genesis Health Plan   857   41   898 2%       116   1,014 2%
  United Healthcare of NY   317   4   321 1%       25   346 1%
  Fidelis/NYS Catholic Hlth   706   22   728 2%       92   820 2%
Sullivan TOTALS: 3,833 666 306 26 4,139 692 17% 91% 18% 1,427 27 5,566 719 13%
  Wellcare   666   26   692 17%       27   719 13%
Tioga TOTALS: 2,280 24 145 1 2,425 25 1% 89% 1% 678 0 3,103 25 1%
  Wellcare   13   1   14 1%       0   14 0%
  CDPHP   11   0   11 0%       0   11 0%
Tompkins TOTALS: 3,745 0 451 0 4,196 0 0% 88% 0% 994 0 5,190 0 0%
Ulster TOTALS: 7,652 1,498 944 65 8,596 1,563 18% 90% 20% 2,549 69 11,145 1,632 15%
  Wellcare   1,498   65   1,563 18%       69   1,632 15%
Warren TOTALS: 2,188 1,011 173 11 2,361 1,022 43% 90% 48% 915 49 3,276 1,071 33%
  Comm Blue/NY Care Plus   1,011   11   1,022 43%       49   1,071 33%
Washington TOTALS: 2,633 482 204 32 2,837 514 18% 88% 21% 906 70 3,743 584 16%
  Comm Blue/NY Care Plus   336   20   356 13%       59   415 11%
  CDPHP   146   12   158 6%       11   169 5%
Wayne TOTALS: 3,058 913 211 24 3,269 937 29% 90% 32% 1,213 44 4,482 981 22%
  Excellus/Blue Choice   373   9   382 12%       16   398 9%
  Preferred Care   540   15   555 17%       28   583 13%
Westchester TOTALS: 39,107 24,867 5,056 2,074 44,163 26,941 61% 86% 71% 9,540 1,899 53,703 28,840 54%
  HIP   1,609   297   1,906 4%       244   2,150 4%
  Westchester PHSP   10,815   677   11,492 26%       783   12,275 23%
  Genesis Health Plan   5,310   408   5,718 13%       397   6,115 11%
  Community Choice Hlth Plan   4,885   437   5,322 12%       333   5,655 11%
  Fidelis/NYS Catholic Hlth   2,248   255   2,503 6%       142   2,645 5%
Wyoming TOTALS: 1,338 0 143 0 1,481 0 0% 90% 0% 415 0 1,896 0 0%
Yates TOTALS: 1,060 479 84 22 1,144 501 44% 90% 48% 297 43 1,441 544 38%
  Excellus/Blue Choice   479   22   501 44%       43   544 38%
Upstate Total   492,377 241,417 56,479 20,561 548,856 261,978 48% 89% 54% 142,579 22,959 691,435 284,937 41%
NYC The Bronx Health Plan   23,952   1,416   25,368 2%       1,908   27,276 2%
  Fidelis/NYS Catholic Hlth   23,599   2,734   26,333 2%       1,463   27,796 2%
  Health First PHSP   47,762   5,297   53,059 4%       4,533   57,592 4%
  HIP   34,582   4,819   39,401 3%       5,858   45,259 3%
  Health Plus PHSP   21,814   2,310   24,124 2%       1,276   25,400 2%
  AmeriChoice of New York/MHS   46,700   8,765   55,465 5%       3,764   59,229 4%
  Manhattan PHSP/Center Care   19,401   2,187   21,588 2%       1,405   22,993 2%
  MetroPlus Health Plan   39,570   3,563   43,133 4%       4,700   47,833 3%
  United Healthcare of NY   920   122   1,042 0%       88   1,130 0%
  St Barnabas/Partners in Health   8,442   735   9,177 1%       894   10,071 1%
  Neighborhood Health Providers   21,773   1,474   23,247 2%       1,613   24,860 2%
  Wellcare   3,479   490   3,969 0%       252   4,221 0%
  ABC Health Plan   1,727   182   1,909 0%       105   2,014 0%
  Genesis Health Plan   6,354   629   6,983 1%       446   7,429 1%
  Community Choice Hlth Plan   572   25   597 0%       35   632 0%
  Community Premier Plus   8,132   779   8,911 1%       914   9,825 1%
  NY Hospital Community PHSP   8,663   908   9,571 1%       522   10,093 1%
  Care Plus Health Plan   8,774   1,320   10,094 1%       557   10,651 1%
  NYC Total 989,500 326,216 191,476 37,755 1,180,976 363,971 31% 89% 35% 266,178 30,333 1,447,154 394,304 27%
                               
  UPSTATE TOTALS: 492,377 241,417 56,479 20,561 548,856 261,978 48% 89% 54% 142,579 22,959 691,435 284,937 41%
  NEW YORK CITY TOTALS: 989,500 326,216 191,476 37,755 1,180,976 363,971 31% 89% 35% 266,178 30,333 1,447,154 394,304 27%
  GRAND TOTALS 1,481,877 567,633 247,955 58,316 1,729,832 625,949 36% 89% 41% 408,757 53,292 2,138,589 679,241 32%
NYC Boroughs Bronx 274,823 77,583 40,774 5,160 315,597 82,744 26%     62,577 7,164 378,174 89,908 24%
  Brooklyn 360,315 151,386 76,607 22,093 436,922 173,479 40%     97,231 12,338 534,153 185,817 35%
  Manhattan 152,991 44,618 39,064 5,626 192,055 50,243 26%     50,159 5,194 242,214 55,437 23%
  Queens 179,072 39,612 31,064 3,489 210,136 43,101 21%     48,619 4,296 258,755 47,397 18%
  Staten Island 22,299 13,017 3,967 1,387 26,266 14,404 55%     7,592 1,341 33,858 15,745 47%
  Borough Total 989,500 326,216 191,476 37,755 1,180,976 363,971 31% 89% 35% 266,178 30,333 1,447,154 394,304 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