RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS October, 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 Total Eligibles Total Enrolled Percent Enrolled
County Provider Eligibles Enrolled Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled Expected Target* % of Target* Eligibles Enrolled
Albany TOTALS: 14,325 10,882 1,381 699 15,706 11,581 74% 92% 80% 4,374 466 20,080 12,047 60%
  CDPHP   8,340   604   8,944 57%       354   9,298 46%
  Fidelis/NYS Catholic Hlth   1,124   72   1,196 8%       75   1,271 6%
  Wellcare   1,418   23   1,441 9%       37   1,478 7%
Allegany TOTALS: 3,326 568 421 57 3,747 625 17% 88% 19% 992 224 4,739 849 18%
  Health Choice (Partial)   568   57   625 17%       224   849 18%
Broome TOTALS: 10,890 8,039 1,225 735 12,115 8,774 72% 89% 81% 3,300 702 15,415 9,476 61%
  Broome MC   4,201   368   4,569 38%       576   5,145 33%
  Wellcare   683   62   745 6%       32   777 5%
  Fidelis/NYS Catholic Hlth   319   38   357 3%       7   364 2%
  CDPHP   2,836   267   3,103 26%       87   3,190 21%
Cattauragus TOTALS: 4,949 1,605 426 106 5,375 1,711 32% 90% 36% 1,550 448 6,925 2,159 31%
  Comm Blue/NY Care Plus   1,419   95   1,514 28%       428   1,942 28%
  Fidelis/NYS Catholic Hlth   186   11   197 4%       20   217 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 4,141 1,288 445 11,314 4,586 41% 82% 49% 2,569 644 13,883 5,230 38%
  Comm Blue/NY Care Plus   1,233   143   1,376 12%       245   1,621 12%
  Primary Health   375   56   431 4%       160   591 4%
  Fidelis/NYS Catholic Hlth   2,533   246   2,779 25%       239   3,018 22%
Chemung TOTALS: 6,244 3,413 539 197 6,783 3,610 53% 87% 61% 1,900 1,024 8,683 4,634 53%
  Southern Tier Pediatrics (Partial)   2,604   0   2,604 38%       289   2,893 33%
  Southern Tier Priority (Partial)   809   197   1,006 15%       735   1,741 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 1,702 256 124 2,679 1,826 68% 93% 73% 872 73 3,551 1,899 53%
  CDPHP   1,063   92   1,155 43%       50   1,205 34%
  Wellcare   522   26   548 20%       17   565 16%
  Fidelis/NYS Catholic Hlth   117   6   123 5%       6   129 4%
Cortland TOTALS: 2,891 363 238 17 3,129 380 12% 89% 14% 800 78 3,929 458 12%
  Fidelis/NYS Catholic Hlth   363   17   380 12%       78   458 12%
Delaware TOTALS: 2,019 277 209 20 2,228 297 13% 91% 15% 710 5 2,938 302 10%
  Wellcare   277   20   297 13%       5   302 10%
Dutchess TOTALS: 7,161 924 712 23 7,873 947 12% 88% 14% 2,550 48 10,423 995 10%
  Wellcare   924   23   947 12%       48   995 10%
Erie TOTALS: 62,565 46,772 8,041 5,281 70,606 52,053 74% 90% 82% 17,306 6,487 87,912 58,540 67%
  Buffalo Community Health   6,022   659   6,681 9%       129   6,810 8%
  Comm Blue/NY Care Plus   7,816   873   8,689 12%       737   9,426 11%
  Independent Health Assoc/IHA   17,650   1,491   19,141 27%       738   19,879 23%
  Fidelis/NYS Catholic Hlth   13,892   855   14,747 21%       916   15,663 18%
  Total Full Risk   45,380   3,878   49,258 70%       2,520   51,778 59%
  PCMP I (Partial)   333   0   333 0%       58   391 0%
  PCMP II (Partial)   191   70   261 0%       342   603 1%
  PCMP III (Partial)   74   150   224 0%       803   1,027 1%
  PCMP II-A Special Care (Partial)   794   1,183   1,977 3%       2764   4,741 5%
  Total Partial Risk   1,392   1,403   2,795 4%       3,967   6,762 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: 3,630 343 435 38 4,065 381 9% 91% 10% 1,061 9 5,126 390 8%
  CDPHP   343   38   381 9%       9   390 8%
Genesee TOTALS: 2,391 702 125 38 2,516 740 29% 86% 34% 612 32 3,128 772 25%
  Preferred Care   702   38   740 29%       32   772 25%
Greene TOTALS: 2,481 1,934 276 160 2,757 2,094 76% 94% 81% 643 93 3,400 2,187 64%
  CDPHP   1,058   119   1,177 43%       55   1,232 36%
  Wellcare   771   39   810 29%       32   842 25%
  Fidelis/NYS Catholic Hlth   105   2   107 4%       6   113 3%
Hamilton TOTALS: 130 0 14 0 144 0 0% 93% 0% 44 0 188 0 0%
Herkimer TOTALS: 3,436 252 358 38 3,794 290 8% 90% 8% 916 18 4,710 308 7%
  Fidelis/NYS Catholic Hlth   197   30   227 6%       18   245 5%
  United Healthcare of Upstate   55   8   63 2%       0   63 1%
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: 2,409 638 194 27 2,603 665 26% 88% 29% 669 45 3,272 710 22%
  Excellus/Blue Choice   329   14   343 13%       20   363 11%
  Preferred Care   309   13   322 12%       25   347 11%
Madison TOTALS: 2,395 0 195 0 2,590 0 0% 88% 0% 760 0 3,350 0 0%
Monroe TOTALS: 49,793 38,900 6,183 3,830 55,976 42,730 76% 89% 86% 11,684 1,130 67,660 43,860 65%
  Excellus/Blue Choice   27,843   2,913   30,756 55%       906   31,662 47%
  Preferred Care   11,057   917   11,974 21%       224   12,198 18%
Montgomery TOTALS: 2,921 576 371 52 3,292 628 19% 91% 21% 767 11 4,059 639 16%
  CDPHP   576   52   628 19%       11   639 16%
Nassau TOTALS: 28,959 8,746 2,678 373 31,637 9,119 29% 91% 32% 9,968 494 41,605 9,613 23%
  Vytra   2,341   119   2,460 8%       78   2,538 6%
  HIP   1,016   49   1,065 3%       123   1,188 3%
  Health First PHSP   2,389   62   2,451 8%       133   2,584 6%
  Genesis Health Plan   2,372   124   2,496 8%       122   2,618 6%
  Fidelis/NYS Catholic Hlth   628   19   647 2%       38   685 2%
Niagara TOTALS: 11,327 8,972 1,240 740 12,567 9,712 77% 88% 88% 3,326 1,100 15,893 10,812 68%
  Independent Health Assoc/IHA   4,777   370   5,147 41%       611   5,758 36%
  Fidelis/NYS Catholic Hlth   1,948   175   2,123 17%       219   2,342 15%
  Comm Blue/NY Care Plus   2,247   195   2,442 19%       270   2,712 17%
Oneida TOTALS: 16,070 5,799 1,674 354 17,744 6,153 35% 90% 38% 4,940 788 22,684 6,941 31%
  Fidelis/NYS Catholic Hlth   5,207   311   5,518 31%       727   6,245 28%
  United Healthcare of Upstate   592   43   635 4%       61   696 3%
Onondaga TOTALS: 27,473 19,570 2,549 1,294 30,022 20,864 69% 88% 79% 7,653 1,613 37,675 22,477 60%
  Fidelis/NYS Catholic Hlth   5,231   391   5,622 19%       407   6,029 16%
  Total Care/Syracuse PHSP   8,841   437   9,278 31%       724   10,002 27%
  United Healthcare of Upstate   5,476   463   5,939 20%       482   6,421 17%
  Excellus/Blue Choice   22   3   25 0%       0   25 0%
Ontario TOTALS: 3,015 2,117 290 111 3,305 2,228 67% 90% 75% 1,016 188 4,321 2,416 56%
  Excellus/Blue Choice   1,548   81   1,629 49%       146   1,775 41%
  Preferred Care   569   30   599 18%       42   641 15%
Orange TOTALS: 19,897 5,347 3,431 442 23,328 5,789 25% 90% 27% 4,036 542 27,364 6,331 23%
  Genesis Health Plan   3,922   349   4,271 18%       482   4,753 17%
  Wellcare   952   75   1,027 4%       42   1,069 4%
  Care Plus Health Plan   473   18   491 2%       18   509 2%
Orleans TOTALS: 2,544 461 188 30 2,732 491 18% 88% 20% 602 46 3,334 537 16%
  Excellus/Blue Choice   309   21   330 12%       33   363 11%
  Fidelis/NYS Catholic Hlth   152   9   161 6%       13   174 5%
Oswego TOTALS: 7,818 5,565 817 477 8,635 6,042 70% 91% 77% 1,885 401 10,520 6,443 61%
  Fidelis/NYS Catholic Hlth   1,209   117   1,326 15%       64   1,390 13%
  Total Care/Syracuse PHSP   1,866   177   2,043 24%       182   2,225 21%
  United Healthcare of Upstate   2,490   183   2,673 31%       155   2,828 27%
Otsego TOTALS: 2,330 58 214 3 2,544 61 2% 91% 3% 796 1 3,340 62 2%
  Wellcare   58   3   61 2%       1   62 2%
Putnam TOTALS: 798 289 140 30 938 319 34% 89% 38% 517 49 1,455 368 25%
  Care Plus Health Plan   289   30   319 34%       49   368 25%
Rensselaer TOTALS: 7,375 5,712 812 532 8,187 6,244 76% 90% 84% 2,086 233 10,273 6,477 63%
  CDPHP   4,810   461   5,271 64%       168   5,439 53%
  Fidelis/NYS Catholic Hlth   495   54   549 7%       48   597 6%
  Wellcare   407   17   424 5%       17   441 4%
Rockland TOTALS: 14,818 4,939 3,846 1,345 18,664 6,284 34% 92% 37% 2,602 280 21,266 6,564 31%
  Genesis Health Plan   883   76   959 5%       111   1,070 5%
  Fidelis/NYS Catholic Hlth   2,784   1,145   3,929 21%       115   4,044 19%
  Wellcare   369   73   442 2%       11   453 2%
  Westchester PHSP   891   49   940 5%       43   983 5%
  Community Choice Hlth Plan   12   2   14 0%       0   14 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 2,743 348 217 4,479 2,960 66% 92% 72% 1,810 111 6,289 3,071 49%
  Wellcare   136   10   146 3%       2   148 2%
  CDPHP   1,954   162   2,116 47%       89   2,205 35%
  Fidelis/NYS Catholic Hlth   653   45   698 16%       20   718 11%
Schenectady TOTALS: 7,358 3,490 637 189 7,995 3,679 46% 88% 52% 2,421 263 10,416 3,942 38%
  CDPHP   3,290   178   3,468 43%       251   3,719 36%
  Fidelis/NYS Catholic Hlth   200   11   211 3%       12   223 2%
Schoharie TOTALS: 1,500 31 104 1 1,604 32 2% 92% 2% 387 0 1,991 32 2%
  CDPHP   31   1   32 2%       0   32 2%
Schuyler TOTALS: 961 0 114 0 1,075 0 0% 87% 0% 345 0 1,420 0 0%
Seneca TOTALS: 1,353 492 154 24 1,507 516 34% 91% 38% 463 68 1,970 584 30%
  Excellus/Blue Choice   492   24   516 34%       68   584 30%
Steuben TOTALS: 6,244 1,341 524 134 6,768 1,475 22% 90% 24% 2,017 644 8,785 2,119 24%
  Southern Tier Pediatrics (Partial)   68   0   68 1%       13   81 1%
  Southern Tier Priority (Partial)   1,273   134   1,407 21%       631   2,038 23%
Suffolk TOTALS: 33,271 15,333 3,082 583 36,353 15,916 44% 89% 49% 13,020 2,199 49,373 18,115 37%
  Vytra   2,742   113   2,855 8%       137   2,992 6%
  HIP   729   23   752 2%       136   888 2%
  Health First PHSP   2,756   142   2,898 8%       518   3,416 7%
  Suffolk Plan HMO   7,185   225   7,410 20%       1164   8,574 17%
  Genesis Health Plan   864   48   912 3%       127   1,039 2%
  United Healthcare of NY   319   5   324 1%       25   349 1%
  Fidelis/NYS Catholic Hlth   738   27   765 2%       92   857 2%
Sullivan TOTALS: 3,833 723 306 25 4,139 748 18% 91% 20% 1,427 26 5,566 774 14%
  Wellcare   723   25   748 18%       26   774 14%
Tioga TOTALS: 2,280 15 145 1 2,425 16 1% 89% 1% 678 0 3,103 16 1%
  Wellcare   13   1   14 1%       0   14 0%
  CDPHP   2   0   2 0%       0   2 0%
Tompkins TOTALS: 3,745 0 451 0 4,196 0 0% 88% 0% 994 0 5,190 0 0%
Ulster TOTALS: 7,652 1,581 944 66 8,596 1,647 19% 90% 21% 2,549 69 11,145 1,716 15%
  Wellcare   1,581   66   1,647 19%       69   1,716 15%
Warren TOTALS: 2,188 949 173 15 2,361 964 41% 90% 45% 915 49 3,276 1,013 31%
  Comm Blue/NY Care Plus   949   15   964 41%       49   1,013 31%
Washington TOTALS: 2,633 447 204 26 2,837 473 17% 88% 19% 906 70 3,743 543 15%
  Comm Blue/NY Care Plus   302   15   317 11%       58   375 10%
  CDPHP   145   11   156 5%       12   168 4%
Wayne TOTALS: 3,058 937 211 26 3,269 963 29% 90% 33% 1,213 39 4,482 1,002 22%
  Excellus/Blue Choice   384   8   392 12%       14   406 9%
  Preferred Care   553   18   571 17%       25   596 13%
Westchester TOTALS: 39,107 24,978 5,056 2,047 44,163 27,025 61% 86% 72% 9,540 1,777 53,703 28,802 54%
  HIP   1,584   306   1,890 4%       223   2,113 4%
  Westchester PHSP   10,893   658   11,551 26%       738   12,289 23%
  Genesis Health Plan   5,431   417   5,848 13%       364   6,212 12%
  Community Choice Hlth Plan   4,897   431   5,328 12%       317   5,645 11%
  Fidelis/NYS Catholic Hlth   2,173   235   2,408 5%       135   2,543 5%
Wyoming TOTALS: 1,338 0 143 0 1,481 0 0% 90% 0% 415 0 1,896 0 0%
Yates TOTALS: 1,060 474 84 25 1,144 499 44% 90% 48% 297 42 1,441 541 38%
  Excellus/Blue Choice   474   25   499 44%       42   541 38%
Upstate Total   492,377 243,140 56,479 20,997 548,856 264,137 48% 89% 54% 142,579 22,629 691,435 286,766 41%
NYC The Bronx Health Plan   23,583   1,390   24,973 2%       1,873   26,846 2%
  Fidelis/NYS Catholic Hlth   23,601   2,853   26,454 2%       1,463   27,917 2%
  Health First PHSP   48,320   5,467   53,787 5%       4,549   58,336 4%
  HIP   34,584   4,810   39,394 3%       5,845   45,239 3%
  Health Plus PHSP   21,088   2,342   23,430 2%       1,263   24,693 2%
  AmerChoice of New York/MHS   47,018   8,836   55,854 5%       3,756   59,610 4%
  Manhattan PHSP/Center Care   19,236   2,239   21,475 2%       1,382   22,857 2%
  MetroPlus Health Plan   40,169   3,669   43,838 4%       4,747   48,585 3%
  United Healthcare of NY   899   130   1,029 0%       83   1,112 0%
  St Barnabas/Partners in Health   8,471   751   9,222 1%       888   10,110 1%
  Neighborhood Health Providers   21,303   1,539   22,842 2%       1,613   24,455 2%
  Wellcare   3,631   526   4,157 0%       262   4,419 0%
  ABC Health Plan   1,664   188   1,852 0%       101   1,953 0%
  Genesis Health Plan   6,420   659   7,079 1%       455   7,534 1%
  Community Choice Hlth Plan   548   25   573 0%       36   609 0%
  Community Premier Plus   8,151   822   8,973 1%       927   9,900 1%
  NY Hospital Community PHSP   8,631   935   9,566 1%       525   10,091 1%
  Care Plus Health Plan   8,581   1,274   9,855 1%       548   10,403 1%
  NYC Total 989,500 325,898 191,476 38,455 1,180,976 364,353 31% 89% 35% 266,178 30,316 1,447,154 394,669 27%
                               
  UPSTATE TOTALS: 492,377 243,140 56,479 20,997 548,856 264,137 48% 89% 54% 142,579 22,629 691,435 286,766 41%
  NEW YORK CITY TOTALS: 989,500 325,898 191,476 38,455 1,180,976 364,353 31% 89% 35% 266,178 30,316 1,447,154 394,669 27%
  GRAND TOTALS 1,481,877 569,038 247,955 59,452 1,729,832 628,490 36% 89% 41% 408,757 52,945 2,138,589 681,435 32%
NYC Boroughs Bronx 274,823 77,833 40,774 5,253 315,597 83,086 26%     62,577 7,135 378,174 90,221 24%
  Brooklyn 360,315 151,253 76,607 22,414 436,922 173,667 40%     97,231 12,319 534,153 185,986 35%
  Manhattan 152,991 44,370 39,064 5,826 192,055 50,196 26%     50,159 5,209 242,214 55,405 23%
  Queens 179,072 39,572 31,064 3,570 210,136 43,143 21%     48,619 4,319 258,755 47,462 18%
  Staten Island 22,299 12,870 3,967 1,391 26,266 14,261 54%     7,592 1,334 33,858 15,595 46%
  Borough Total 989,500 325,898 191,476 38,455 1,180,976 364,353 31% 89% 35% 266,178 30,316 1,447,154 394,669 27%

NOTES:

  1. The Managed care eligible counts were revised in July, 2000. 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 :
      Onondaga County - Excellus/Blue Choice
      Tioga County - CDPHP