RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS August, 2001
  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: 13,788 11,369 1,178 840 14,966 12,209 82% 92% 89% 4,345 669 19,311 12,878 67%
  CDPHP   9,083   712   9,795 65%       560   10,355 54%
  Fidelis/NYS Catholic Hlth   1,049   71   1,120 7%       72   1,192 6%
  Wellcare   1,237   57   1,294 9%       37   1,331 7%
Allegany TOTALS: 3,210 558 342 50 3,552 608 17% 89% 19% 997 231 4,549 839 18%
  Health Choice (Partial)   558   50   608 17%       231   839 18%
Broome TOTALS: 10,507 8,494 1,076 682 11,583 9,176 79% 89% 89% 3,307 774 14,890 9,950 67%
  Broome MC   4,532   367   4,899 42%       592   5,491 37%
  Wellcare   539   36   575 5%       37   612 4%
  Fidelis/NYS Catholic Hlth   360   35   395 3%       18   413 3%
  CDPHP   3,063   244   3,307 29%       127   3,434 23%
Cattauragus TOTALS: 4,867 2,221 289 103 5,156 2,324 45% 91% 50% 1,519 535 6,675 2,859 43%
  Comm Blue/HealthNow   1,738   84   1,822 35%       492   2,314 35%
  Fidelis/NYS Catholic Hlth   483   19   502 10%       43   545 8%
Cayuga TOTALS: 4,185 0 248 0 4,433 0 0% 88% 0% 1,107 0 5,540 0 0%
Chautauqua TOTALS: 10,038 4,773 1,154 420 11,192 5,193 46% 82% 57% 2,544 766 13,736 5,959 43%
  Comm Blue/HealthNow   1,412   115   1,527 14%       266   1,793 13%
  Primary Health   442   47   489 4%       191   680 5%
  Fidelis/NYS Catholic Hlth   2,919   258   3,177 28%       309   3,486 25%
Chemung TOTALS: 6,497 3,443 395 154 6,892 3,597 52% 88% 59% 1,895 1,012 8,787 4,609 52%
  Southern Tier Pediatrics (Partial)   2,554   0   2,554 37%       271   2,825 32%
  Southern Tier Priority (Partial)   889   154   1,043 15%       741   1,784 20%
Chenango TOTALS: 3,629 0 173 0 3,802 0 0% 92% 0% 912 0 4,714 0 0%
Clinton TOTALS: 5,005 0 391 0 5,396 0 0% 85% 0% 1,536 0 6,932 0 0%
Columbia TOTALS: 2,541 1,950 198 127 2,739 2,077 76% 93% 82% 865 137 3,604 2,214 61%
  CDPHP   1,446   97   1,543 56%       100   1,643 46%
  Wellcare   416   25   441 16%       30   471 13%
  Fidelis/NYS Catholic Hlth   88   5   93 3%       7   100 3%
Cortland TOTALS: 3,090 400 209 14 3,299 414 13% 90% 14% 781 91 4,080 505 12%
  Fidelis/NYS Catholic Hlth   400   14   414 13%       91   505 12%
Delaware TOTALS: 2,163 222 177 24 2,340 246 11% 91% 12% 709 8 3,049 254 8%
  Wellcare   222   24   246 11%       8   254 8%
Dutchess TOTALS: 7,021 1,146 641 34 7,662 1,180 15% 90% 17% 2,519 87 10,181 1,267 12%
  Wellcare   1,146   34   1,180 15%       87   1,267 12%
Erie TOTALS: 60,405 46,169 7,201 4,528 67,606 50,697 75% 92% 82% 17,038 6,910 84,644 57,607 68%
  Buffalo Community Health   6,018   545   6,563 10%       188   6,751 8%
  Comm Blue/HealthNow   8,212   727   8,939 13%       788   9,727 11%
  Independent Health Assoc/IHA   17,477   1,341   18,818 28%       1056   19,874 23%
  Fidelis/NYS Catholic Hlth   13,544   710   14,254 21%       1033   15,287 18%
  Total Full Risk   45,251   3,323   48,574 72%       3,065   51,639 61%
  PCMP II (Partial)   180   52   232 0%       342   574 1%
  PCMP III (Partial)   62   107   169 0%       717   886 1%
  PCMP II-A Special Care (Partial)   676   1,046   1,722 3%       2786   4,508 5%
  Total Partial Risk   918   1,205   2,123 3%       3,845   5,968 7%
Essex TOTALS: 1,667 0 144 0 1,811 0 0% 91% 0% 566 0 2,377 0 0%
Franklin TOTALS: 2,759 0 231 0 2,990 0 0% 89% 0% 988 0 3,978 0 0%
Fulton TOTALS: 3,951 630 371 45 4,322 675 16% 92% 17% 1,061 23 5,383 698 13%
  CDPHP   630   45   675 16%       23   698 13%
Genesee TOTALS: 2,349 790 103 32 2,452 822 34% 87% 39% 608 62 3,060 884 29%
  Preferred Care   790   32   822 34%       62   884 29%
Greene TOTALS: 2,496 2,016 248 167 2,744 2,183 80% 93% 86% 661 117 3,405 2,300 68%
  CDPHP   1,213   100   1,313 48%       75   1,388 41%
  Wellcare   678   54   732 27%       37   769 23%
  Fidelis/NYS Catholic Hlth   125   13   138 5%       5   143 4%
Hamilton TOTALS: 135 0 10 0 145 0 0% 92% 0% 42 0 187 0 0%
Herkimer TOTALS: 3,516 630 276 47 3,792 677 18% 90% 20% 872 28 4,664 705 15%
  Fidelis/NYS Catholic Hlth   252   14   266 7%       21   287 6%
  United Healthcare of Upstate   378   33   411 11%       7   418 9%
Jefferson TOTALS: 6,870 0 569 0 7,439 0 0% 84% 0% 1,809 0 9,248 0 0%
Lewis TOTALS: 1,664 0 139 0 1,803 0 0% 92% 0% 406 0 2,209 0 0%
Livingston TOTALS: 2,490 878 215 28 2,705 906 33% 90% 37% 678 71 3,383 977 29%
  Excellus/Blue Choice   480   15   495 18%       23   518 15%
  Preferred Care   398   13   411 15%       48   459 14%
Madison TOTALS: 2,519 0 141 0 2,660 0 0% 89% 0% 741 0 3,401 0 0%
Monroe TOTALS: 48,655 38,742 5,616 3,836 54,271 42,578 78% 90% 87% 11,650 1,959 65,921 44,537 68%
  Excellus/Blue Choice   28,035   2,937   30,972 57%       1540   32,512 49%
  Preferred Care   10,707   899   11,606 21%       419   12,025 18%
Montgomery TOTALS: 3,050 716 373 44 3,423 760 22% 91% 24% 749 21 4,172 781 19%
  CDPHP   716   44   760 22%       21   781 19%
Nassau TOTALS: 28,788 8,251 2,385 324 31,173 8,575 28% 92% 30% 9,937 545 41,110 9,120 22%
  Vytra   2,393   112   2,505 8%       120   2,625 6%
  HIP   930   51   981 3%       126   1,107 3%
  Health First PHSP   1,707   45   1,752 6%       123   1,875 5%
  Genesis Health Plan   2,686   98   2,784 9%       140   2,924 7%
  Fidelis/NYS Catholic Hlth   535   18   553 2%       36   589 1%
Niagara TOTALS: 11,074 9,639 1,137 783 12,211 10,422 85% 92% 93% 3,261 1,223 15,472 11,645 75%
  Independent Health Assoc/IHA   4,985   390   5,375 44%       662   6,037 39%
  Fidelis/NYS Catholic Hlth   1,868   186   2,054 17%       244   2,298 15%
  Comm Blue/HealthNow   2,786   207   2,993 25%       317   3,310 21%
Oneida TOTALS: 15,424 6,561 1,430 392 16,854 6,953 41% 92% 45% 4,991 1,004 21,845 7,957 36%
  Fidelis/NYS Catholic Hlth   4,413   258   4,671 28%       779   5,450 25%
  United Healthcare of Upstate   2,075   123   2,198 13%       216   2,414 11%
  Excellus/Blue Choice   73   11   84 0%       9   93 0%
Onondaga TOTALS: 27,649 20,410 2,314 1,176 29,963 21,586 72% 86% 84% 7,719 1,841 37,682 23,427 62%
  Fidelis/NYS Catholic Hlth   4,873   270   5,143 17%       443   5,586 15%
  Total Care/Syracuse PHSP   8,607   422   9,029 30%       859   9,888 26%
  United Healthcare of Upstate   5,966   408   6,374 21%       517   6,891 18%
  Excellus/Blue Choice   964   76   1,040 3%       22   1,062 4%
Ontario TOTALS: 3,307 2,621 263 119 3,570 2,740 77% 91% 84% 1,023 281 4,593 3,021 66%
  Excellus/Blue Choice   1,977   100   2,077 58%       226   2,303 50%
  Preferred Care   644   19   663 19%       55   718 16%
Orange TOTALS: 20,260 5,710 3,441 470 23,701 6,180 26% 90% 29% 4,048 634 27,749 6,814 25%
  Genesis Health Plan   4,171   358   4,529 19%       555   5,084 18%
  Wellcare   1,215   103   1,318 6%       61   1,379 5%
  Care Plus Health Plan   324   9   333 1%       18   351 1%
Orleans TOTALS: 2,686 777 168 53 2,854 830 29% 92% 32% 599 63 3,453 893 26%
  Excellus/Blue Choice   484   39   523 18%       49   572 17%
  Fidelis/NYS Catholic Hlth   293   14   307 11%       14   321 9%
Oswego TOTALS: 7,937 6,257 692 483 8,629 6,740 78% 91% 86% 1,906 475 10,535 7,215 68%
  Fidelis/NYS Catholic Hlth   1,231   125   1,356 16%       76   1,432 14%
  Total Care/Syracuse PHSP   2,178   175   2,353 27%       197   2,550 24%
  United Healthcare of Upstate   2,848   183   3,031 35%       202   3,233 31%
Otsego TOTALS: 2,438 40 135 1 2,573 41 2% 91% 2% 810 1 3,383 42 1%
  Wellcare   40   1   41 2%       1   42 1%
Putnam TOTALS: 835 218 123 16 958 234 24% 88% 28% 522 41 1,480 275 19%
  Care Plus Health Plan   218   16   234 24%       41   275 19%
Rensselaer TOTALS: 7,385 6,407 780 491 8,165 6,898 84% 90% 94% 2,057 331 10,222 7,229 71%
  CDPHP   5,492   419   5,911 72%       269   6,180 60%
  Fidelis/NYS Catholic Hlth   538   51   589 7%       43   632 6%
  Wellcare   377   21   398 5%       19   417 4%
Rockland TOTALS: 15,747 11,952 3,721 921 19,468 12,873 66% 92% 72% 2,582 407 22,050 13,280 60%
  Genesis Health Plan   1,373   94   1,467 8%       129   1,596 7%
  Fidelis/NYS Catholic Hlth   7,514   621   8,135 42%       171   8,306 38%
  Wellcare   1,528   123   1,651 8%       32   1,683 8%
  Westchester PHSP   1,375   73   1,448 7%       65   1,513 7%
  Community Choice Hlth Plan   162   10   172 1%       10   182 1%
St. Lawrence TOTALS: 7,489 0 702 0 8,191 0 0% 91% 0% 2,367 0 10,558 0 0%
Saratoga TOTALS: 4,157 3,089 328 203 4,485 3,292 73% 91% 81% 1,853 150 6,338 3,442 54%
  Wellcare   89   13   102 2%       1   103 2%
  CDPHP   2,414   154   2,568 57%       135   2,703 43%
  Fidelis/NYS Catholic Hlth   586   36   622 14%       14   636 10%
Schenectady TOTALS: 7,341 4,437 594 229 7,935 4,666 59% 89% 66% 2,436 493 10,371 5,159 50%
  CDPHP   4,032   202   4,234 53%       450   4,684 45%
  Fidelis/NYS Catholic Hlth   405   27   432 5%       43   475 5%
Schoharie TOTALS: 1,587 47 74 2 1,661 49 3% 92% 3% 379 2 2,040 51 3%
  CDPHP   47   2   49 3%       2   51 3%
Schuyler TOTALS: 968 0 92 0 1,060 0 0% 91% 0% 333 0 1,393 0 0%
Seneca TOTALS: 1,395 660 149 21 1,544 681 44% 92% 48% 464 98 2,008 779 39%
  Excellus/Blue Choice   660   21   681 44%       98   779 39%
Steuben TOTALS: 6,146 1,428 403 119 6,549 1,547 24% 90% 26% 1,962 625 8,511 2,172 26%
  Southern Tier Pediatrics (Partial)   78   0   78 1%       11   89 1%
  Southern Tier Priority (Partial)   1,350   119   1,469 22%       614   2,083 24%
Suffolk TOTALS: 33,828 14,313 2,667 439 36,495 14,752 40% 90% 45% 12,952 2,218 49,447 16,970 34%
  Vytra   2,686   114   2,800 8%       208   3,008 6%
  HIP   603   24   627 2%       123   750 2%
  Health First PHSP   2,338   92   2,430 7%       485   2,915 6%
  Suffolk Plan HMO   6,638   153   6,791 19%       1152   7,943 16%
  Genesis Health Plan   877   37   914 3%       123   1,037 2%
  United Healthcare of NY   620   6   626 2%       37   663 1%
  Fidelis/NYS Catholic Hlth   551   13   564 2%       90   654 1%
Sullivan TOTALS: 3,920 803 261 35 4,181 838 20% 90% 22% 1,422 65 5,603 903 16%
  Wellcare   803   35   838 20%       65   903 16%
Tioga TOTALS: 2,201 32 125 2 2,326 34 1% 93% 2% 677 1 3,003 35 1%
  Wellcare   3   1   4 0%       1   5 0%
  CDPHP   29   1   30 1%       0   30 1%
Tompkins TOTALS: 3,818 0 449 0 4,267 0 0% 89% 0% 952 0 5,219 0 0%
Ulster TOTALS: 7,936 2,146 812 99 8,748 2,245 26% 90% 29% 2,583 134 11,331 2,379 21%
  Wellcare   2,146   99   2,245 26%       134   2,379 21%
Warren TOTALS: 2,384 1,232 137 5 2,521 1,237 49% 91% 54% 883 56 3,404 1,293 38%
  Comm Blue/HealthNow   1,232   5   1,237 49%       56   1,293 38%
Washington TOTALS: 2,875 916 195 36 3,070 952 31% 89% 35% 908 95 3,978 1,047 26%
  Comm Blue/HealthNow   610   26   636 21%       78   714 18%
  CDPHP   306   10   316 10%       17   333 8%
Wayne TOTALS: 3,146 1,172 167 46 3,313 1,218 37% 91% 40% 1,205 125 4,518 1,343 30%
  Excellus/Blue Choice   433   15   448 14%       39   487 11%
  Preferred Care   739   31   770 23%       86   856 19%
Westchester TOTALS: 39,456 27,528 4,758 2,218 44,214 29,746 67% 86% 78% 9,663 2,216 53,877 31,962 59%
  HIP   1,516   252   1,768 4%       274   2,042 4%
  Westchester PHSP   12,671   793   13,464 30%       945   14,409 27%
  Genesis Health Plan   5,246   413   5,659 13%       442   6,101 11%
  Community Choice Hlth Plan   5,537   467   6,004 14%       387   6,391 12%
  Fidelis/NYS Catholic Hlth   2,558   293   2,851 6%       168   3,019 6%
Wyoming TOTALS: 1,377 0 118 0 1,495 0 0% 91% 0% 411 0 1,906 0 0%
Yates TOTALS: 1,148 711 63 23 1,211 734 61% 91% 67% 288 58 1,499 792 53%
  Excellus/Blue Choice   711   23   734 61%       58   792 53%
Upstate Total   493,769 262,504 50,791 19,881 544,560 282,385 52% 90% 58% 142,098 26,683 686,658 309,068 45%
NYC The Bronx Health Plan   25,455   1,242   26,697 2%       2,008   28,705 2%
  Fidelis/NYS Catholic Hlth   26,177   2,443   28,620 2%       1,414   30,034 2%
  Health First PHSP   43,903   4,730   48,633 4%       4,547   53,180 4%
  HIP   38,453   5,667   44,120 4%       6,110   50,230 4%
  Health Plus PHSP   38,054   2,739   40,793 3%       1,462   42,255 3%
  AmeriChoice of New York/MHS   44,644   8,836   53,480 5%       3,735   57,215 4%
  Manhattan PHSP/Center Care   24,346   2,133   26,479 2%       1,407   27,886 2%
  MetroPlus Health Plan   38,491   3,042   41,533 4%       4,527   46,060 3%
  United Healthcare of NY   1,760   268   2,028 0%       116   2,144 0%
  St Barnabas/Partners in Health   9,103   715   9,818 1%       870   10,688 1%
  Neighborhood Health Providers   29,119   1,415   30,534 3%       1,611   32,145 2%
  Wellcare   4,283   709   4,992 0%       266   5,258 0%
  ABC Health Plan   2,168   167   2,335 0%       116   2,451 0%
  Genesis Health Plan   7,923   561   8,484 1%       447   8,931 1%
  Community Choice Hlth Plan   595   24   619 0%       33   652 0%
  Community Premier Plus   7,239   587   7,826 1%       889   8,715 1%
  NY Hospital Community PHSP   8,341   831   9,172 1%       549   9,721 1%
  Care Plus Health Plan   14,283   1,454   15,737 1%       636   16,373 1%
  NYC Total 987,679 364,337 183,699 37,563 1,171,378 401,900 34% 86% 40% 262,377 30,743 1,433,755 432,643 30%
   
  UPSTATE TOTALS: 493,769 262,504 50,791 19,881 544,560 282,385 52% 90% 58% 142,098 26,683 686,658 309,068 45%
  NEW YORK CITY TOTALS: 987,679 364,337 183,699 37,563 1,171,378 401,900 34% 86% 40% 262,377 30,743 1,433,755 432,643 30%
  GRAND TOTALS 1,481,448 626,841 234,490 57,444 1,715,938 684,285 40% 89% 45% 404,475 57,426 2,120,413 741,711 35%
NYC Boroughs Bronx 268,869 81,321 39,326 4,693 308,195 86,014 28%     63,242 7,271 371,437 93,285 25%
  Brooklyn 364,701 168,084 73,630 22,511 438,331 190,595 43%     94,617 12,569 532,948 203,164 38%
  Manhattan 148,238 46,655 37,330 5,365 185,568 52,020 28%     49,439 5,142 235,007 57,162 24%
  Queens 182,731 51,828 29,533 3,333 212,264 55,162 26%     47,407 4,289 259,671 59,450 23%
  Staten Island 23,140 16,449 3,880 1,660 27,020 18,109 67%     7,672 1,473 34,692 19,582 56%
  Borough Total 987,679 364,337 183,699 37,563 1,171,378 401,900 34% 86% 40% 262,377 30,743 1,433,755 432,643 30%

NOTES:

  1. The Managed Care eligible counts are based upon January, 2001 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.