Partnership Plan 1115 Demonstration Monthly Report November 2000

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
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	10,819	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:

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