RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS September, 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      
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: 14,402 10,795 1,416 690 15,818 11,485 73% 92% 79% 4,412 443 20,230 11,928 59%
  CDPHP   8,241   593   8,834 56%       330   9,164 45%
  Fidelis/NYS Catholic Hlth   1,089   72   1,161 7%       75   1,236 6%
  Wellcare   1,465   25   1,490 9%       38   1,528 8%
Allegany TOTALS: 3,469 575 411 58 3,880 633 16% 88% 19% 1,007 227 4,887 860 18%
  Health Choice (Partial)   575   58   633 16%       227   860 18%
Broome TOTALS: 11,105 8,090 1,267 734 12,372 8,824 71% 89% 80% 3,261 705 15,633 9,529 61%
  Broome MC   4,240   369   4,609 37%       573   5,182 33%
  Wellcare   715   69   784 6%       34   818 5%
  Fidelis/NYS Catholic Hlth   287   35   322 3%       7   329 2%
  CDPHP   2,848   261   3,109 25%       91   3,200 20%
Cattauragus TOTALS: 4,960 1,604 556 113 5,516 1,717 31% 90% 35% 1,559 429 7,075 2,146 30%
  Comm Blue/NY Care Plus   1,440   102   1,542 28%       411   1,953 28%
  Fidelis/NYS Catholic Hlth   164   11   175 3%       18   193 3%
Cayuga TOTALS: 3,907 0 377 0 4,284 0 0% 86% 0% 1,115 0 5,399 0 0%
Chautauqua TOTALS: 10,177 3,902 1,268 405 11,445 4,307 38% 82% 46% 2,605 573 14,050 4,880 35%
  Comm Blue/NY Care Plus   1,213   143   1,356 12%       236   1,592 11%
  Primary Health   291   31   322 3%       103   425 3%
  Fidelis/NYS Catholic Hlth   2,398   231   2,629 23%       234   2,863 20%
Chemung TOTALS: 6,221 3,363 603 198 6,824 3,561 52% 87% 60% 1,933 1,021 8,757 4,582 52%
  Southern Tier Pediatrics (Partial)   2,567   0   2,567 38%       290   2,857 33%
  Southern Tier Priority (Partial)   796   198   994 15%       731   1,725 20%
Chenango TOTALS: 3,193 0 290 0 3,483 0 0% 92% 0% 891 0 4,374 0 0%
Clinton TOTALS: 4,467 0 477 0 4,944 0 0% 85% 0% 1,554 0 6,498 0 0%
Columbia TOTALS: 2,467 1,682 320 136 2,787 1,818 65% 93% 70% 882 67 3,669 1,885 51%
  CDPHP   1,037   97   1,134 41%       44   1,178 32%
  Wellcare   536   32   568 20%       17   585 16%
  Fidelis/NYS Catholic Hlth   109   7   116 4%       6   122 3%
Cortland TOTALS: 2,895 337 209 23 3,104 360 12% 89% 13% 824 64 3,928 424 11%
  Fidelis/NYS Catholic Hlth   337   23   360 12%       64   424 11%
Delaware TOTALS: 1,987 303 233 26 2,220 329 15% 91% 16% 715 6 2,935 335 11%
  Wellcare   303   26   329 15%       6   335 11%
Dutchess TOTALS: 7,439 966 728 24 8,167 990 12% 88% 14% 2,547 47 10,714 1,037 10%
  Wellcare   966   24   990 12%       47   1,037 10%
Erie TOTALS: 64,826 47,114 8,630 5,389 73,456 52,503 71% 90% 80% 17,558 6,436 91,014 58,939 65%
  Buffalo Community Health   6,094   675   6,769 9%       125   6,894 8%
  Comm Blue/NY Care Plus   7,925   899   8,824 12%       727   9,551 10%
  Independent Health Assoc/IHA   17,700   1,514   19,214 26%       708   19,922 22%
  Fidelis/NYS Catholic Hlth   13,978   862   14,840 20%       907   15,747 17%
  Total Full Risk   45,697   3,950   49,647 68%       2,467   52,114 57%
  PCMP I (Partial)   344   0   344 0%       59   403 0%
  PCMP II (Partial)   201   70   271 0%       345   616 1%
  PCMP III (Partial)   73   158   231 0%       815   1,046 1%
  PCMP II-A Special Care (Partial)   799   1,211   2,010 3%       2750   4,760 5%
  Total Partial Risk   1,417   1,439   2,856 4%       3,969   6,825 7%
Essex TOTALS: 1,604 0 185 0 1,789 0 0% 92% 0% 566 0 2,355 0 0%
Franklin TOTALS: 2,727 0 307 0 3,034 0 0% 90% 0% 987 0 4,021 0 0%
Fulton TOTALS: 3,535 273 460 23 3,995 296 7% 91% 8% 1,094 7 5,089 303 6%
  CDPHP   273   23   296 7%       7   303 6%
Genesee TOTALS: 2,312 694 125 34 2,437 728 30% 86% 35% 616 32 3,053 760 25%
  Preferred Care   694   34   728 30%       32   760 25%
Greene TOTALS: 2,379 1,935 273 162 2,652 2,097 79% 94% 84% 652 95 3,304 2,192 66%
  CDPHP   1,048   114   1,162 44%       57   1,219 37%
  Wellcare   788   43   831 31%       33   864 26%
  Fidelis/NYS Catholic Hlth   99   5   104 4%       5   109 3%
Hamilton TOTALS: 115 0 14 0 129 0 0% 93% 0% 40 0 169 0 0%
Herkimer TOTALS: 3,372 191 380 39 3,752 230 6% 90% 7% 937 18 4,689 248 5%
  Fidelis/NYS Catholic Hlth   165   35   200 5%       18   218 5%
  United Healthcare of Upstate   26   4   30 1%       0   30 1%
Jefferson TOTALS: 6,836 0 684 0 7,520 0 0% 87% 0% 1,769 0 9,289 0 0%
Lewis TOTALS: 1,510 0 203 0 1,713 0 0% 90% 0% 392 0 2,105 0 0%
Livingston TOTALS: 2,368 675 232 27 2,600 702 27% 88% 31% 661 39 3,261 741 23%
  Excellus/Blue Choice   335   11   346 13%       18   364 11%
  Preferred Care   340   16   356 14%       21   377 12%
Madison TOTALS: 2,214 0 256 0 2,470 0 0% 88% 0% 767 0 3,237 0 0%
Monroe TOTALS: 50,794 38,915 6,457 3,905 57,251 42,820 75% 89% 84% 11,722 1,036 68,973 43,856 64%
  Excellus/Blue Choice   27,828   2,942   30,770 54%       833   31,603 46%
  Preferred Care   11,087   963   12,050 21%       203   12,253 18%
Montgomery TOTALS: 2,920 595 345 53 3,265 648 20% 91% 22% 798 11 4,063 659 16%
  CDPHP   595   53   648 20%       11   659 16%
Nassau TOTALS: 30,564 8,778 3,102 388 33,666 9,166 27% 91% 30% 10,042 486 43,708 9,652 22%
  Vytra   2,402   121   2,523 7%       72   2,595 6%
  HIP   1,010   50   1,060 3%       119   1,179 3%
  Health First PHSP   2,399   67   2,466 7%       132   2,598 6%
  Genesis Health Plan   2,341   128   2,469 7%       124   2,593 6%
  Fidelis/NYS Catholic Hlth   626   22   648 2%       39   687 2%
Niagara TOTALS: 12,006 8,984 1,453 738 13,459 9,722 72% 88% 82% 3,322 1,082 16,781 10,804 64%
  Independent Health Assoc/IHA   4,789   362   5,151 38%       600   5,751 34%
  Fidelis/NYS Catholic Hlth   1,951   183   2,134 16%       217   2,351 14%
  Comm Blue/NY Care Plus   2,244   193   2,437 18%       265   2,702 16%
Oneida TOTALS: 16,342 5,680 1,758 362 18,100 6,042 33% 90% 37% 5,011 761 23,111 6,803 29%
  Fidelis/NYS Catholic Hlth   5,251   330   5,581 31%       718   6,299 27%
  United Healthcare of Upstate   429   32   461 3%       43   504 2%
Onondaga TOTALS: 28,430 19,403 2,758 1,306 31,188 20,709 66% 88% 75% 7,874 1,551 39,062 22,260 57%
  Fidelis/NYS Catholic Hlth   5,244   389   5,633 18%       382   6,015 15%
  Total Care/Syracuse PHSP   8,796   429   9,225 30%       707   9,932 25%
  United Healthcare of Upstate   5,363   488   5,851 19%       462   6,313 16%
Ontario TOTALS: 3,021 2,039 366 119 3,387 2,158 64% 90% 71% 1,001 169 4,388 2,327 53%
  Excellus/Blue Choice   1,510   90   1,600 47%       130   1,730 39%
  Preferred Care   529   29   558 16%       39   597 14%
Orange TOTALS: 20,073 5,342 3,408 471 23,481 5,813 25% 90% 27% 4,065 528 27,546 6,341 23%
  Genesis Health Plan   3,870   372   4,242 18%       467   4,709 17%
  Wellcare   965   79   1,044 4%       42   1,086 4%
  Care Plus Health Plan   507   20   527 2%       19   546 2%
Orleans TOTALS: 2,441 427 223 27 2,664 454 17% 88% 19% 593 43 3,257 497 15%
  Excellus/Blue Choice   284   21   305 11%       30   335 10%
  Fidelis/NYS Catholic Hlth   143   6   149 6%       13   162 5%
Oswego TOTALS: 7,876 5,514 820 508 8,696 6,022 69% 91% 76% 1,857 398 10,553 6,420 61%
  Fidelis/NYS Catholic Hlth   1,195   126   1,321 15%       60   1,381 13%
  Total Care/Syracuse PHSP   1,797   187   1,984 23%       184   2,168 21%
  United Healthcare of Upstate   2,522   195   2,717 31%       154   2,871 27%
Otsego TOTALS: 2,341 59 234 4 2,575 63 2% 91% 3% 812 0 3,387 63 2%
  Wellcare   59   4   63 2%       0   63 2%
Putnam TOTALS: 795 286 121 31 916 317 35% 89% 39% 501 44 1,417 361 25%
  Care Plus Health Plan   286   31   317 35%       44   361 25%
Rensselaer TOTALS: 7,159 5,701 943 534 8,102 6,235 77% 90% 85% 2,097 213 10,199 6,448 63%
  CDPHP   4,764   461   5,225 64%       148   5,373 53%
  Fidelis/NYS Catholic Hlth   489   51   540 7%       48   588 6%
  Wellcare   448   22   470 6%       17   487 5%
Rockland TOTALS: 14,755 4,945 3,817 1,348 18,572 6,293 34% 92% 37% 2,652 273 21,224 6,566 31%
  Genesis Health Plan   892   74   966 5%       112   1,078 5%
  Fidelis/NYS Catholic Hlth   2,783   1,145   3,928 21%       111   4,039 19%
  Wellcare   378   79   457 2%       8   465 2%
  Westchester PHSP   885   48   933 5%       41   974 5%
  Community Choice Hlth Plan   7   2   9 0%       1   10 0%
St. Lawrence TOTALS: 7,335 0 901 0 8,236 0 0% 91% 0% 2,473 0 10,709 0 0%
Saratoga TOTALS: 4,010 2,703 345 220 4,355 2,923 67% 92% 73% 1,856 105 6,211 3,028 49%
  Wellcare   156   11   167 4%       3   170 3%
  CDPHP   1,921   163   2,084 48%       84   2,168 35%
  Fidelis/NYS Catholic Hlth   626   46   672 15%       18   690 11%
Schenectady TOTALS: 7,347 3,343 727 174 8,074 3,517 44% 88% 50% 2,381 221 10,455 3,738 36%
  CDPHP   3,197   168   3,365 42%       211   3,576 34%
  Fidelis/NYS Catholic Hlth   146   6   152 2%       10   162 2%
Schoharie TOTALS: 1,451 31 117 1 1,568 32 2% 92% 2% 385 1 1,953 33 2%
  CDPHP   31   1   32 2%       1   33 2%
Schuyler TOTALS: 872 0 130 0 1,002 0 0% 87% 0% 334 0 1,336 0 0%
Seneca TOTALS: 1,274 466 163 22 1,437 488 34% 91% 37% 475 63 1,912 551 29%
  Excellus/Blue Choice   466   22   488 34%       63   551 29%
Steuben TOTALS: 6,328 1,386 621 142 6,949 1,528 22% 90% 24% 2,005 645 8,954 2,173 24%
  Southern Tier Pediatrics (Partial)   72   0   72 1%       14   86 1%
  Southern Tier Priority (Partial)   1,314   142   1,456 21%       631   2,087 23%
Suffolk TOTALS: 35,123 15,458 3,488 608 38,611 16,066 42% 89% 47% 13,061 2,160 51,672 18,226 35%
  Vytra   2,763   115   2,878 7%       126   3,004 6%
  HIP   750   25   775 2%       137   912 2%
  Health First PHSP   2,869   150   3,019 8%       520   3,539 7%
  Suffolk Plan HMO   7,124   238   7,362 19%       1138   8,500 16%
  Genesis Health Plan   876   52   928 2%       122   1,050 2%
  United Healthcare of NY   330   5   335 1%       24   359 1%
  Fidelis/NYS Catholic Hlth   746   23   769 2%       93   862 2%
Sullivan TOTALS: 3,897 748 309 25 4,206 773 18% 91% 20% 1,453 28 5,659 801 14%
  Wellcare   748   25   773 18%       28   801 14%
Tioga TOTALS: 2,388 13 215 1 2,603 14 1% 89% 1% 661 0 3,264 14 0%
  Wellcare   13   1   14 1%       0   14 0%
Tompkins TOTALS: 3,869 0 542 0 4,411 0 0% 88% 0% 1,008 0 5,419 0 0%
Ulster TOTALS: 7,696 1,627 948 75 8,644 1,702 20% 90% 22% 2,550 70 11,194 1,772 16%
  Wellcare   1,627   75   1,702 20%       70   1,772 16%
Warren TOTALS: 2,075 887 149 16 2,224 903 41% 90% 45% 913 49 3,137 952 30%
  Comm Blue/NY Care Plus   887   16   903 41%       49   952 30%
Washington TOTALS: 2,449 420 212 24 2,661 444 17% 88% 19% 872 66 3,533 510 14%
  Comm Blue/NY Care Plus   280   14   294 11%       56   350 10%
  CDPHP   140   10   150 6%       10   160 5%
Wayne TOTALS: 3,082 949 225 26 3,307 975 29% 90% 33% 1,226 36 4,533 1,011 22%
  Excellus/Blue Choice   385   9   394 12%       14   408 9%
  Preferred Care   564   17   581 18%       22   603 13%
Westchester TOTALS: 40,614 24,313 5,549 1,888 46,163 26,201 57% 86% 66% 9,739 1,592 55,902 27,793 50%
  HIP   1,522   276   1,798 4%       187   1,985 4%
  Westchester PHSP   10,619   609   11,228 24%       666   11,894 21%
  Genesis Health Plan   5,429   401   5,830 13%       339   6,169 11%
  Community Choice Hlth Plan   4,766   401   5,167 11%       292   5,459 10%
  Fidelis/NYS Catholic Hlth   1,977   201   2,178 5%       108   2,286 4%
Wyoming TOTALS: 1,214 0 164 0 1,378 0 0% 90% 0% 405 0 1,783 0 0%
Yates TOTALS: 984 451 106 25 1,090 476 44% 90% 48% 296 37 1,386 513 37%
  Excellus/Blue Choice   451   25   476 44%       37   513 37%
Upstate Total   502,012 241,962 60,620 21,122 562,632 263,084 47% 89% 52% 143,784 21,877 706,416 284,961 40%
NYC The Bronx Health Plan   23,677   1,391   25,068 2%       1,856   26,924 2%
  Fidelis/NYS Catholic Hlth   23,395   2,910   26,305 2%       1,442   27,747 2%
  Health First PHSP   48,803   5,564   54,367 5%       4,529   58,896 4%
  HIP   34,591   4,814   39,405 3%       5,826   45,231 3%
  Health Plus PHSP   20,705   2,345   23,050 2%       1,239   24,289 2%
  AmeriChoice of New York/MHS   47,175   8,865   56,040 5%       3,731   59,771 4%
  Manhattan PHSP/Center Care   18,982   2,233   21,215 2%       1,355   22,570 2%
  MetroPlus Health Plan   40,436   3,730   44,166 4%       4,764   48,930 3%
  United Healthcare of NY   916   137   1,053 0%       87   1,140 0%
  St Barnabas/Partners in Health   8,469   760   9,229 1%       886   10,115 1%
  Neighborhood Health Providers   21,418   1,585   23,003 2%       1,622   24,625 2%
  Wellcare   3,735   574   4,309 0%       261   4,570 0%
  ABC Health Plan   1,603   187   1,790 0%       98   1,888 0%
  Genesis Health Plan   6,481   672   7,153 1%       443   7,596 1%
  Community Choice Hlth Plan   513   26   539 0%       36   575 0%
  Community Premier Plus   8,228   838   9,066 1%       929   9,995 1%
  NY Hospital Community PHSP   8,522   931   9,453 1%       526   9,979 1%
  Care Plus Health Plan   8,475   1,297   9,772 1%       555   10,327 1%
  NYC Total 988,518 326,124 193,873 38,859 1,182,391 364,983 31% 89% 35% 273,873 30,185 1,456,264 395,168 27%
   
  UPSTATE TOTALS: 502,012 241,962 60,620 21,122 562,632 263,084 47% 89% 52% 143,784 21,877 706,416 284,961 40%
  NEW YORK CITY TOTALS: 988,518 326,124 193,873 38,859 1,182,391 364,983 31% 89% 35% 273,873 30,185 1,456,264 395,168 27%
  GRAND TOTALS 1,490,530 568,086 254,493 59,981 1,745,023 628,067 36% 89% 40% 417,657 52,062 2,162,680 680,129 31%
NYC Boroughs Bronx 278,967 78,011 41,180 5,327 320,147 83,338 26%     64,501 7,098 384,648 90,436 24%
  Brooklyn 360,689 151,133 78,064 22,550 438,753 173,683 40%     100,083 12,259 538,836 185,942 35%
  Manhattan 152,449 44,476 39,252 5,910 191,701 50,387 26%     51,725 5,166 243,426 55,553 23%
  Queens 174,179 39,895 31,403 3,649 205,582 43,544 21%     49,729 4,358 255,311 47,903 19%
  Staten Island 22,234 12,609 3,974 1,422 26,208 14,031 54%     7,835 1,304 34,043 15,335 45%
  Borough Total 988,518 326,124 193,873 38,859 1,182,391 364,983 31% 89% 35% 273,873 30,185 1,456,264 395,168 27%

NOTES:

  1. The Managed care eligible counts were revised in July, 2000. Eligible counts are based upon January, 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 :