Partnership Plan 1115 Demonstration Monthly Report October 2000

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	Total Eligibles	Total Enrolled	Percent 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:

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)
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 :