RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS December, 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: 14,245 11,532 1,408 969 15,653 12,501 80% 92% 87% 4,341 743 19,994 13,244 66%
  CDPHP   9,355   833   10,188 65%       621   10,809 54%
  Fidelis/NYS Catholic Hlth   1,010   64   1,074 7%       79   1,153 6%
  Wellcare   1,167   72   1,239 8%       43   1,282 6%
Allegany TOTALS: 3,287 510 279 52 3,566 562 16% 89% 18% 1,000 225 4,566 787 17%
  Health Choice (Partial)   510   52   562 16%       225   787 17%
Broome TOTALS: 10,835 8,537 1,036 722 11,871 9,259 78% 89% 88% 3,411 821 15,282 10,080 66%
  Broome MC   4,789   387   5,176 44%       628   5,804 38%
  Wellcare   0   0   0 0%       0   0 0%
  Fidelis/NYS Catholic Hlth   390   36   426 4%       23   449 3%
  CDPHP   3,358   299   3,657 31%       170   3,827 25%
Cattauragus TOTALS: 5,258 2,424 282 104 5,540 2,528 46% 91% 50% 1,538 561 7,078 3,089 44%
  HealthNow/BCBS-WNY/Community Blue   1,784   86   1,870 34%       507   2,377 34%
  Fidelis/NYS Catholic Hlth   640   18   658 12%       54   712 10%
Cayuga TOTALS: 4,513 0 241 0 4,754 0 0% 88% 0% 1,142 0 5,896 0 0%
Chautauqua TOTALS: 10,574 5,487 1,143 569 11,717 6,056 52% 82% 63% 2,582 833 14,299 6,889 48%
  HealthNow/BCBS-WNY/Community Blue   1,569   142   1,711 15%       281   1,992 14%
  Primary Health   467   52   519 4%       214   733 5%
  Fidelis/NYS Catholic Hlth   3,451   375   3,826 33%       338   4,164 29%
Chemung TOTALS: 6,958 3,350 460 177 7,418 3,527 48% 88% 54% 1,916 988 9,334 4,515 48%
  Southern Tier Pediatrics (Partial)   2,447   0   2,447 33%       262   2,709 29%
  Southern Tier Priority (Partial)   903   177   1,080 15%       726   1,806 19%
Chenango TOTALS: 3,700 0 171 0 3,871 0 0% 92% 0% 944 0 4,815 0 0%
Clinton TOTALS: 4,986 0 354 0 5,340 0 0% 85% 0% 1,547 0 6,887 0 0%
Columbia TOTALS: 2,658 1,949 206 125 2,864 2,074 72% 93% 78% 852 159 3,716 2,233 60%
  CDPHP   1,488   100   1,588 55%       117   1,705 46%
  Wellcare   371   21   392 14%       32   424 11%
  Fidelis/NYS Catholic Hlth   90   4   94 3%       10   104 3%
Cortland TOTALS: 3,348 406 184 13 3,532 419 12% 90% 13% 788 90 4,320 509 12%
  Fidelis/NYS Catholic Hlth   406   13   419 12%       90   509 12%
Delaware TOTALS: 2,261 202 194 17 2,455 219 9% 91% 10% 734 9 3,189 228 7%
  Wellcare   202   17   219 9%       9   228 7%
Dutchess TOTALS: 7,519 1,159 669 37 8,188 1,196 15% 90% 16% 2,552 89 10,740 1,285 12%
  Wellcare   1,159   37   1,196 15%       89   1,285 12%
Erie TOTALS: 60,587 45,407 6,858 5,035 67,445 50,442 75% 92% 81% 17,082 7,049 84,527 57,491 68%
  Buffalo Community Health   5,974   581   6,555 10%       218   6,773 8%
  HealthNow/BCBS-WNY/Community Blue   7,995   799   8,794 13%       815   9,609 11%
  Independent Health Assoc/IHA   17,245   1,556   18,801 28%       1132   19,933 24%
  Fidelis/NYS Catholic Hlth   13,468   910   14,378 21%       1095   15,473 18%
  Total Full Risk   44,682   3,846   48,528 72%       3,260   51,788 61%
  PCMP II (Partial)   160   51   211 0%       333   544 1%
  PCMP III (Partial)   46   92   138 0%       678   816 1%
  PCMP II-A Special Care (Partial)   519   1,046   1,565 2%       2778   4,343 5%
  Total Partial Risk   725   1,189   1,914 3%       3,789   5,703 7%
Essex TOTALS: 1,637 0 122 0 1,759 0 0% 91% 0% 567 0 2,326 0 0%
Franklin TOTALS: 2,805 0 217 0 3,022 0 0% 89% 0% 985 0 4,007 0 0%
Fulton TOTALS: 4,261 646 350 57 4,611 703 15% 92% 17% 1,063 26 5,674 729 13%
  CDPHP   646   57   703 15%       26   729 13%
Genesee TOTALS: 2,526 890 85 36 2,611 926 35% 87% 41% 606 66 3,217 992 31%
  Preferred Care   890   36   926 35%       66   992 31%
Greene TOTALS: 2,633 2,202 251 156 2,884 2,358 82% 93% 88% 684 142 3,568 2,500 70%
  CDPHP   1,395   106   1,501 52%       95   1,596 45%
  Wellcare   669   41   710 25%       40   750 21%
  Fidelis/NYS Catholic Hlth   138   9   147 5%       7   154 4%
Hamilton TOTALS: 141 0 15 0 156 0 0% 92% 0% 45 0 201 0 0%
Herkimer TOTALS: 3,789 649 235 52 4,024 701 17% 90% 19% 866 37 4,890 738 15%
  Fidelis/NYS Catholic Hlth   253   21   274 7%       26   300 6%
  United Healthcare of Upstate   396   31   427 11%       11   438 9%
Jefferson TOTALS: 7,129 0 501 0 7,630 0 0% 84% 0% 1,841 0 9,471 0 0%
Lewis TOTALS: 1,786 0 117 0 1,903 0 0% 92% 0% 407 0 2,310 0 0%
Livingston TOTALS: 2,731 933 204 27 2,935 960 33% 90% 36% 666 76 3,601 1,036 29%
  Excellus   527   15   542 18%       25   567 16%
  Preferred Care   406   12   418 14%       51   469 13%
Madison TOTALS: 2,856 0 159 0 3,015 0 0% 89% 0% 735 0 3,750 0 0%
Monroe TOTALS: 49,104 37,915 5,681 4,654 54,785 42,569 78% 90% 86% 11,906 2,334 66,691 44,903 67%
  Excellus   27,621   3,558   31,179 57%       1843   33,022 50%
  Preferred Care   10,294   1,096   11,390 21%       491   11,881 18%
Montgomery TOTALS: 3,452 786 361 37 3,813 823 22% 91% 24% 772 30 4,585 853 19%
  CDPHP   786   37   823 22%       30   853 19%
Nassau TOTALS: 29,932 11,912 2,432 760 32,364 12,672 39% 92% 43% 9,981 652 42,345 13,324 31%
  Vytra   3,358   221   3,579 11%       143   3,722 9%
  HIP   1,607   137   1,744 5%       166   1,910 5%
  Health First PHSP   2,585   146   2,731 8%       144   2,875 7%
  Genesis Health Plan   3,131   170   3,301 10%       157   3,458 8%
  Fidelis/NYS Catholic Hlth   1,231   86   1,317 4%       42   1,359 3%
Niagara TOTALS: 11,633 9,730 1,185 880 12,818 10,610 83% 92% 90% 3,287 1,335 16,105 11,945 74%
  Independent Health Assoc/IHA   5,016   478   5,494 43%       710   6,204 39%
  Fidelis/NYS Catholic Hlth   1,843   180   2,023 16%       272   2,295 14%
  HealthNow/BCBS-WNY/Community Blue   2,871   222   3,093 24%       353   3,446 21%
Oneida TOTALS: 16,194 7,290 1,412 556 17,606 7,846 45% 92% 48% 5,042 1,094 22,648 8,940 39%
  Fidelis/NYS Catholic Hlth   4,596   341   4,937 28%       808   5,745 25%
  United Healthcare of Upstate   2,489   198   2,687 15%       271   2,958 13%
  Excellus   205   17   222 1%       15   237 1%
Onondaga TOTALS: 28,677 20,567 2,346 1,299 31,023 21,866 70% 86% 82% 7,691 1,908 38,714 23,774 61%
  Fidelis/NYS Catholic Hlth   4,811   290   5,101 16%       464   5,565 14%
  Total Care/Syracuse PHSP   8,512   496   9,008 29%       879   9,887 26%
  United Healthcare of Upstate   5,967   418   6,385 21%       528   6,913 18%
  Excellus   1,277   95   1,372 4%       37   1,409 5%
Ontario TOTALS: 3,701 2,719 304 124 4,005 2,843 71% 91% 78% 1,058 316 5,063 3,159 62%
  Excellus   2,077   98   2,175 54%       259   2,434 48%
  Preferred Care   642   26   668 17%       57   725 14%
Orange TOTALS: 21,274 5,635 3,482 461 24,756 6,096 25% 90% 27% 4,082 652 28,838 6,748 23%
  Genesis Health Plan   4,197   345   4,542 18%       568   5,110 18%
  Wellcare   1,156   105   1,261 5%       67   1,328 5%
  Care Plus Health Plan   282   11   293 1%       17   310 1%
Orleans TOTALS: 2,849 868 205 61 3,054 929 30% 92% 33% 619 76 3,673 1,005 27%
  Excellus   437   32   469 15%       53   522 14%
  Fidelis/NYS Catholic Hlth   431   29   460 15%       23   483 13%
Oswego TOTALS: 8,548 6,418 689 467 9,237 6,885 75% 91% 82% 1,891 491 11,128 7,376 66%
  Fidelis/NYS Catholic Hlth   1,210   115   1,325 14%       81   1,406 13%
  Total Care/Syracuse PHSP   2,260   185   2,445 26%       203   2,648 24%
  United Healthcare of Upstate   2,948   167   3,115 34%       207   3,322 30%
Otsego TOTALS: 2,648 35 122 0 2,770 35 1% 91% 1% 827 1 3,597 36 1%
  Wellcare   35   0   35 1%       1   36 1%
Putnam TOTALS: 893 194 125 15 1,018 209 21% 88% 23% 530 35 1,548 244 16%
  Care Plus Health Plan   194   15   209 21%       35   244 16%
Rensselaer TOTALS: 7,738 6,414 774 523 8,512 6,937 81% 90% 91% 2,096 366 10,608 7,303 69%
  CDPHP   5,535   451   5,986 70%       298   6,284 59%
  Fidelis/NYS Catholic Hlth   503   46   549 6%       46   595 6%
  Wellcare   376   26   402 5%       22   424 4%
Rockland TOTALS: 18,636 16,383 1,921 890 20,557 17,273 84% 92% 91% 2,585 461 23,142 17,734 77%
  Genesis Health Plan   1,416   105   1,521 7%       127   1,648 7%
  Fidelis/NYS Catholic Hlth   11,080   499   11,579 56%       197   11,776 51%
  Wellcare   2,037   143   2,180 11%       44   2,224 10%
  Westchester PHSP   1,638   116   1,754 9%       79   1,833 8%
  Community Choice Hlth Plan   212   27   239 1%       14   253 1%
St. Lawrence TOTALS: 7,601 0 638 0 8,239 0 0% 91% 0% 2,376 0 10,615 0 0%
Saratoga TOTALS: 4,596 3,224 352 193 4,948 3,417 69% 91% 76% 1,878 156 6,826 3,573 52%
  Wellcare   74   7   81 2%       1   82 1%
  CDPHP   2,579   154   2,733 55%       143   2,876 42%
  Fidelis/NYS Catholic Hlth   571   32   603 12%       12   615 9%
Schenectady TOTALS: 7,729 4,635 610 244 8,339 4,879 59% 89% 66% 2,468 552 10,807 5,431 50%
  CDPHP   4,251   225   4,476 54%       514   4,990 46%
  Fidelis/NYS Catholic Hlth   384   19   403 5%       38   441 4%
Schoharie TOTALS: 1,715 55 77 1 1,792 56 3% 92% 3% 376 2 2,168 58 3%
  CDPHP   55   1   56 3%       2   58 3%
Schuyler TOTALS: 1,028 0 82 0 1,110 0 0% 91% 0% 339 0 1,449 0 0%
Seneca TOTALS: 1,498 720 123 25 1,621 745 46% 92% 50% 454 111 2,075 856 41%
  Excellus   720   25   745 46%       111   856 41%
Steuben TOTALS: 6,386 1,463 417 121 6,803 1,584 23% 90% 26% 2,009 623 8,812 2,207 25%
  Southern Tier Pediatrics (Partial)   70   0   70 1%       12   82 1%
  Southern Tier Priority (Partial)   1,393   121   1,514 22%       611   2,125 24%
Suffolk TOTALS: 38,323 17,551 2,763 962 41,086 18,513 45% 90% 50% 13,087 2,242 54,173 20,755 38%
  Vytra   3,908   247   4,155 10%       259   4,414 8%
  HIP   1,021   76   1,097 3%       129   1,226 2%
  Health First PHSP   2,687   171   2,858 7%       478   3,336 6%
  Suffolk Plan HMO   6,673   323   6,996 17%       1120   8,116 15%
  Genesis Health Plan   1,196   53   1,249 3%       119   1,368 3%
  United Healthcare of NY   1,088   37   1,125 3%       42   1,167 2%
  Fidelis/NYS Catholic Hlth   978   55   1,033 3%       95   1,128 2%
Sullivan TOTALS: 4,530 877 280 29 4,810 906 19% 90% 21% 1,443 84 6,253 990 16%
  Wellcare   802   29   831 17%       75   906 14%
  Westchester PHSP   75   0   75 2%       9   84 1%
Tioga TOTALS: 2,359 44 135 2 2,494 46 2% 93% 2% 708 1 3,202 47 1%
  Wellcare   0   0   0 0%       0   0 0%
  CDPHP   44   2   46 2%       1   47 1%
Tompkins TOTALS: 3,924 0 435 0 4,359 0 0% 89% 0% 973 0 5,332 0 0%
Ulster TOTALS: 8,231 2,133 806 93 9,037 2,226 25% 90% 27% 2,561 142 11,598 2,368 20%
  Wellcare   2,133   93   2,226 25%       142   2,368 20%
Warren TOTALS: 2,473 1,284 127 11 2,600 1,295 50% 91% 55% 881 49 3,481 1,344 39%
  HealthNow/BlueShield of NENY   1,284   11   1,295 50%       49   1,344 39%
Washington TOTALS: 3,054 925 187 28 3,241 953 29% 89% 33% 914 110 4,155 1,063 26%
  HealthNow/BlueShield of NENY   587   19   606 19%       89   695 17%
  CDPHP   338   9   347 11%       21   368 9%
Wayne TOTALS: 3,349 1,387 182 40 3,531 1,427 40% 91% 44% 1,185 130 4,716 1,557 33%
  Excellus   455   10   465 13%       45   510 11%
  Preferred Care   932   30   962 27%       85   1,047 22%
Westchester TOTALS: 42,607 27,315 4,598 2,813 47,205 30,128 64% 86% 74% 9,791 2,345 56,996 32,473 57%
  HIP   1,941   405   2,346 5%       292   2,638 5%
  Westchester PHSP   13,046   1,028   14,074 30%       1017   15,091 26%
  Genesis Health Plan   4,808   536   5,344 11%       445   5,789 10%
  Community Choice Hlth Plan   5,079   538   5,617 12%       409   6,026 11%
  Fidelis/NYS Catholic Hlth   2,441   306   2,747 6%       182   2,929 5%
Wyoming TOTALS: 1,439 0 129 0 1,568 0 0% 91% 0% 404 0 1,972 0 0%
Yates TOTALS: 1,240 703 75 25 1,315 728 55% 91% 61% 287 63 1,602 791 49%
  Excellus   703   25   728 55%       63   791 49%
Upstate Total   520,384 275,465 48,796 23,462 569,180 298,927 53% 90% 58% 143,395 28,275 712,575 327,202 46%
NYC The Bronx Health Plan   26,582   2,672   29,254 2%       2,018   31,272 2%
  Fidelis/NYS Catholic Hlth   28,631   3,502   32,133 3%       1,483   33,616 2%
  Health First PHSP   44,407   6,797   51,204 4%       4,564   55,768 4%
  HIP   42,496   8,314   50,810 4%       6,276   57,086 4%
  Health Plus PHSP   47,773   3,690   51,463 4%       1,558   53,021 4%
  AmeriChoice of New York/MHS   42,829   10,782   53,611 4%       3,690   57,301 4%
  Manhattan PHSP/Center Care   26,673   3,128   29,801 2%       1,460   31,261 2%
  MetroPlus Health Plan   39,913   4,382   44,295 4%       4,444   48,739 3%
  United Healthcare of NY   2,516   417   2,933 0%       125   3,058 0%
  St Barnabas/Partners in Health   9,903   1,313   11,216 1%       925   12,141 1%
  Neighborhood Health Providers   31,702   2,030   33,732 3%       1,610   35,342 2%
  Wellcare   5,052   922   5,974 0%       278   6,252 0%
  ABC Health Plan   2,521   345   2,866 0%       110   2,976 0%
  Genesis Health Plan   8,164   737   8,901 1%       463   9,364 1%
  Community Choice Hlth Plan   912   85   997 0%       37   1,034 0%
  Community Premier Plus   7,893   785   8,678 1%       906   9,584 1%
  NY Hospital Community PHSP   9,434   1,337   10,771 1%       588   11,359 1%
  Care Plus Health Plan   17,668   1,720   19,388 2%       670   20,058 1%
  NYC Total 1,023,408 395,069 187,166 52,958 1,210,574 448,027 37% 86% 43% 264,248 31,205 1,474,822 479,232 32%
                               
  UPSTATE TOTALS: 520,384 275,465 48,796 23,462 569,180 298,927 53% 90% 58% 143,395 28,275 712,575 327,202 46%
  NEW YORK CITY TOTALS: 1,023,408 395,069 187,166 52,958 1,210,574 448,027 37% 86% 43% 264,248 31,205 1,474,822 479,232 32%
  GRAND TOTALS 1,543,792 670,534 235,962 76,420 1,779,754 746,954 42% 89% 47% 407,643 59,480 2,187,397 806,434 37%
NYC Boroughs Bronx 272,881 91,849 40,645 10,178 313,526 102,027 33%     64,274 7,392 377,800 109,419 29%
  Brooklyn 378,964 175,480 74,525 28,202 453,489 203,682 45%     95,113 12,703 548,602 216,384 39%
  Manhattan 150,610 47,257 38,018 7,050 188,628 54,306 29%     49,597 5,160 238,225 59,466 25%
  Queens 195,234 62,906 29,892 5,442 225,126 68,348 30%     47,360 4,410 272,486 72,758 27%
  Staten Island 25,719 17,577 4,086 2,087 29,805 19,664 66%     7,904 1,540 37,709 21,205 56%
  Borough Total 1,023,408 395,069 187,166 52,958 1,210,574 448,027 37% 86% 43% 264,248 31,205 1,474,822 479,232 32%

NOTES:

  1. The Managed Care eligible counts are based upon July, 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: None.