RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS July, 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 11,439 1,178 812 14,966 12,251 82% 92% 89% 4,345 686 19,311 12,937 67%
  CDPHP   9,121   690   9,811 66%       570   10,381 54%
  Fidelis/NYS Catholic Hlth   1,056   73   1,129 8%       74   1,203 6%
  Wellcare   1,262   49   1,311 9%       42   1,353 7%
Allegany TOTALS: 3,210 566 342 54 3,552 620 17% 89% 20% 997 232 4,549 852 19%
  Health Choice (Partial)   566   54   620 17%       232   852 19%
Broome TOTALS: 10,507 8,546 1,076 700 11,583 9,246 80% 89% 90% 3,307 761 14,890 10,007 67%
  Broome MC   4,610   364   4,974 43%       590   5,564 37%
  Wellcare   549   42   591 5%       35   626 4%
  Fidelis/NYS Catholic Hlth   360   37   397 3%       16   413 3%
  CDPHP   3,027   257   3,284 28%       120   3,404 23%
Cattauragus TOTALS: 4,867 2,160 289 99 5,156 2,259 44% 91% 48% 1,519 531 6,675 2,790 42%
  Comm Blue/HealthNow   1,710   81   1,791 35%       492   2,283 34%
  Fidelis/NYS Catholic Hlth   450   18   468 9%       39   507 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 4,660 1,154 417 11,192 5,077 45% 82% 55% 2,544 754 13,736 5,831 42%
  Comm Blue/HealthNow   1,383   112   1,495 13%       262   1,757 13%
  Primary Health   438   53   491 4%       188   679 5%
  Fidelis/NYS Catholic Hlth   2,839   252   3,091 28%       304   3,395 25%
Chemung TOTALS: 6,497 3,472 395 153 6,892 3,625 53% 88% 60% 1,895 1,018 8,787 4,643 53%
  Southern Tier Pediatrics (Partial)   2,599   0   2,599 38%       271   2,870 33%
  Southern Tier Priority (Partial)   873   153   1,026 15%       747   1,773 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 1,972 198 126 2,739 2,098 77% 93% 82% 865 130 3,604 2,228 62%
  CDPHP   1,441   98   1,539 56%       97   1,636 45%
  Wellcare   436   23   459 17%       26   485 13%
  Fidelis/NYS Catholic Hlth   95   5   100 4%       7   107 3%
Cortland TOTALS: 3,090 426 209 16 3,299 442 13% 90% 15% 781 91 4,080 533 13%
  Fidelis/NYS Catholic Hlth   426   16   442 13%       91   533 13%
Delaware TOTALS: 2,163 229 177 24 2,340 253 11% 91% 12% 709 8 3,049 261 9%
  Wellcare   229   24   253 11%       8   261 9%
Dutchess TOTALS: 7,021 1,143 641 35 7,662 1,178 15% 90% 17% 2,519 89 10,181 1,267 12%
  Wellcare   1,143   35   1,178 15%       89   1,267 12%
Erie TOTALS: 60,405 46,333 7,201 4,589 67,606 50,922 75% 92% 82% 17,038 6,877 84,644 57,799 68%
  Buffalo Community Health   6,049   540   6,589 10%       181   6,770 8%
  Comm Blue/HealthNow   8,120   738   8,858 13%       778   9,636 11%
  Independent Health Assoc/IHA   17,584   1,343   18,927 28%       1050   19,977 24%
  Fidelis/NYS Catholic Hlth   13,639   732   14,371 21%       1019   15,390 18%
  Total Full Risk   45,392   3,353   48,745 72%       3,028   51,773 61%
  PCMP II (Partial)   176   57   233 0%       349   582 1%
  PCMP III (Partial)   68   107   175 0%       728   903 1%
  PCMP II-A Special Care (Partial)   697   1,072   1,769 3%       2772   4,541 5%
  Total Partial Risk   941   1,236   2,177 3%       3,849   6,026 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: 3,951 624 371 42 4,322 666 15% 92% 17% 1,061 22 5,383 688 13%
  CDPHP   624   42   666 15%       22   688 13%
Genesee TOTALS: 2,349 779 103 31 2,452 810 33% 87% 38% 608 57 3,060 867 28%
  Preferred Care   779   31   810 33%       57   867 28%
Greene TOTALS: 2,496 1,993 248 166 2,744 2,159 79% 93% 85% 661 111 3,405 2,270 67%
  CDPHP   1,176   106   1,282 47%       70   1,352 40%
  Wellcare   688   50   738 27%       35   773 23%
  Fidelis/NYS Catholic Hlth   129   10   139 5%       6   145 4%
Hamilton TOTALS: 135 0 10 0 145 0 0% 92% 0% 42 0 187 0 0%
Herkimer TOTALS: 3,516 598 276 52 3,792 650 17% 90% 19% 872 26 4,664 676 14%
  Fidelis/NYS Catholic Hlth   244   13   257 7%       20   277 6%
  United Healthcare of Upstate   354   39   393 10%       6   399 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: 2,490 866 215 27 2,705 893 33% 90% 37% 678 73 3,383 966 29%
  Excellus/Blue Choice   481   16   497 18%       24   521 15%
  Preferred Care   385   11   396 15%       49   445 13%
Madison TOTALS: 2,519 0 141 0 2,660 0 0% 89% 0% 741 0 3,401 0 0%
Monroe TOTALS: 48,655 38,977 5,616 3,808 54,271 42,785 79% 90% 88% 11,650 1,874 65,921 44,659 68%
  Excellus/Blue Choice   28,125   2,916   31,041 57%       1480   32,521 49%
  Preferred Care   10,852   892   11,744 22%       394   12,138 18%
Montgomery TOTALS: 3,050 706 373 45 3,423 751 22% 91% 24% 749 20 4,172 771 18%
  CDPHP   706   45   751 22%       20   771 18%
Nassau TOTALS: 28,788 8,127 2,385 305 31,173 8,432 27% 92% 29% 9,937 537 41,110 8,969 22%
  Vytra   2,292   104   2,396 8%       112   2,508 6%
  HIP   932   45   977 3%       125   1,102 3%
  Health First PHSP   1,696   43   1,739 6%       125   1,864 5%
  Genesis Health Plan   2,662   98   2,760 9%       139   2,899 7%
  Fidelis/NYS Catholic Hlth   545   15   560 2%       36   596 1%
Niagara TOTALS: 11,074 9,634 1,137 782 12,211 10,416 85% 92% 93% 3,261 1,204 15,472 11,620 75%
  Independent Health Assoc/IHA   4,961   394   5,355 44%       656   6,011 39%
  Fidelis/NYS Catholic Hlth   1,901   184   2,085 17%       233   2,318 15%
  Comm Blue/HealthNow   2,772   204   2,976 24%       315   3,291 21%
Oneida TOTALS: 15,424 6,560 1,430 386 16,854 6,946 41% 92% 45% 4,991 985 21,845 7,931 36%
  Fidelis/NYS Catholic Hlth   4,514   261   4,775 28%       759   5,534 25%
  United Healthcare of Upstate   2,003   119   2,122 13%       219   2,341 11%
  Excellus/Blue Choice   43   6   49 0%       7   56 0%
Onondaga TOTALS: 27,649 20,292 2,314 1,155 29,963 21,447 72% 86% 83% 7,719 1,807 37,682 23,254 62%
  Fidelis/NYS Catholic Hlth   4,884   279   5,163 17%       431   5,594 15%
  Total Care/Syracuse PHSP   8,596   405   9,001 30%       842   9,843 26%
  United Healthcare of Upstate   5,940   410   6,350 21%       513   6,863 18%
  Excellus/Blue Choice   872   61   933 3%       21   954 3%
Ontario TOTALS: 3,307 2,571 263 113 3,570 2,684 75% 91% 83% 1,023 277 4,593 2,961 64%
  Excellus/Blue Choice   1,933   99   2,032 57%       222   2,254 49%
  Preferred Care   638   14   652 18%       55   707 15%
Orange TOTALS: 20,260 5,729 3,441 478 23,701 6,207 26% 90% 29% 4,048 628 27,749 6,835 25%
  Genesis Health Plan   4,178   364   4,542 19%       544   5,086 18%
  Wellcare   1,216   105   1,321 6%       63   1,384 5%
  Care Plus Health Plan   335   9   344 1%       21   365 1%
Orleans TOTALS: 2,686 770 168 50 2,854 820 29% 92% 31% 599 65 3,453 885 26%
  Excellus/Blue Choice   495   37   532 19%       51   583 17%
  Fidelis/NYS Catholic Hlth   275   13   288 10%       14   302 9%
Oswego TOTALS: 7,937 6,120 692 487 8,629 6,607 77% 91% 84% 1,906 468 10,535 7,075 67%
  Fidelis/NYS Catholic Hlth   1,221   125   1,346 16%       73   1,419 13%
  Total Care/Syracuse PHSP   2,107   178   2,285 26%       196   2,481 24%
  United Healthcare of Upstate   2,792   184   2,976 34%       199   3,175 30%
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: 835 236 123 17 958 253 26% 88% 30% 522 41 1,480 294 20%
  Care Plus Health Plan   236   17   253 26%       41   294 20%
Rensselaer TOTALS: 7,385 6,362 780 498 8,165 6,860 84% 90% 93% 2,057 317 10,222 7,177 70%
  CDPHP   5,485   423   5,908 72%       257   6,165 60%
  Fidelis/NYS Catholic Hlth   513   53   566 7%       43   609 6%
  Wellcare   364   22   386 5%       17   403 4%
Rockland TOTALS: 15,747 9,453 3,721 938 19,468 10,391 53% 92% 58% 2,582 368 22,050 10,759 49%
  Genesis Health Plan   1,308   88   1,396 7%       130   1,526 7%
  Fidelis/NYS Catholic Hlth   5,623   665   6,288 32%       144   6,432 29%
  Wellcare   1,193   121   1,314 7%       24   1,338 6%
  Westchester PHSP   1,208   59   1,267 7%       58   1,325 6%
  Community Choice Hlth Plan   121   5   126 1%       12   138 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 3,024 328 203 4,485 3,227 72% 91% 79% 1,853 144 6,338 3,371 53%
  Wellcare   90   14   104 2%       1   105 2%
  CDPHP   2,347   154   2,501 56%       130   2,631 42%
  Fidelis/NYS Catholic Hlth   587   35   622 14%       13   635 10%
Schenectady TOTALS: 7,341 4,398 594 227 7,935 4,625 58% 89% 65% 2,436 482 10,371 5,107 49%
  CDPHP   3,993   196   4,189 53%       439   4,628 45%
  Fidelis/NYS Catholic Hlth   405   31   436 5%       43   479 5%
Schoharie TOTALS: 1,587 45 74 1 1,661 46 3% 92% 3% 379 2 2,040 48 2%
  CDPHP   45   1   46 3%       2   48 2%
Schuyler TOTALS: 968 0 92 0 1,060 0 0% 91% 0% 333 0 1,393 0 0%
Seneca TOTALS: 1,395 629 149 22 1,544 651 42% 92% 46% 464 100 2,008 751 37%
  Excellus/Blue Choice   629   22   651 42%       100   751 37%
Steuben TOTALS: 6,146 1,452 403 122 6,549 1,574 24% 90% 27% 1,962 641 8,511 2,215 26%
  Southern Tier Pediatrics (Partial)   71   0   71 1%       11   82 1%
  Southern Tier Priority (Partial)   1,381   122   1,503 23%       630   2,133 25%
Suffolk TOTALS: 33,828 14,114 2,667 445 36,495 14,559 40% 90% 44% 12,952 2,212 49,447 16,771 34%
  Vytra   2,705   113   2,818 8%       201   3,019 6%
  HIP   596   19   615 2%       123   738 1%
  Health First PHSP   2,364   98   2,462 7%       487   2,949 6%
  Suffolk Plan HMO   6,559   155   6,714 18%       1152   7,866 16%
  Genesis Health Plan   820   39   859 2%       124   983 2%
  United Healthcare of NY   533   6   539 1%       35   574 1%
  Fidelis/NYS Catholic Hlth   537   15   552 2%       90   642 1%
Sullivan TOTALS: 3,920 814 261 36 4,181 850 20% 90% 23% 1,422 65 5,603 915 16%
  Wellcare   814   36   850 20%       65   915 16%
Tioga TOTALS: 2,201 29 125 2 2,326 31 1% 93% 1% 677 1 3,003 32 1%
  Wellcare   3   1   4 0%       1   5 0%
  CDPHP   26   1   27 1%       0   27 1%
Tompkins TOTALS: 3,818 0 449 0 4,267 0 0% 89% 0% 952 0 5,219 0 0%
Ulster TOTALS: 7,936 2,131 812 102 8,748 2,233 26% 90% 28% 2,583 134 11,331 2,367 21%
  Wellcare   2,131   102   2,233 26%       134   2,367 21%
Warren TOTALS: 2,384 1,232 137 4 2,521 1,236 49% 91% 54% 883 57 3,404 1,293 38%
  Comm Blue/HealthNow   1,232   4   1,236 49%       57   1,293 38%
Washington TOTALS: 2,875 916 195 40 3,070 956 31% 89% 35% 908 93 3,978 1,049 26%
  Comm Blue/HealthNow   608   29   637 21%       78   715 18%
  CDPHP   308   11   319 10%       15   334 8%
Wayne TOTALS: 3,146 1,121 167 48 3,313 1,169 35% 91% 39% 1,205 121 4,518 1,290 29%
  Excellus/Blue Choice   435   17   452 14%       38   490 11%
  Preferred Care   686   31   717 22%       83   800 18%
Westchester TOTALS: 39,456 27,173 4,758 2,194 44,214 29,367 66% 86% 77% 9,663 2,247 53,877 31,614 59%
  HIP   1,424   235   1,659 4%       274   1,933 4%
  Westchester PHSP   12,445   789   13,234 30%       976   14,210 26%
  Genesis Health Plan   5,213   411   5,624 13%       442   6,066 11%
  Community Choice Hlth Plan   5,530   471   6,001 14%       385   6,386 12%
  Fidelis/NYS Catholic Hlth   2,561   288   2,849 6%       170   3,019 6%
Wyoming TOTALS: 1,377 0 118 0 1,495 0 0% 91% 0% 411 0 1,906 0 0%
Yates TOTALS: 1,148 706 63 24 1,211 730 60% 91% 66% 288 55 1,499 785 52%
  Excellus/Blue Choice   706   24   730 60%       55   785 52%
Upstate Total   493,769 259,167 50,791 19,876 544,560 279,043 51% 90% 57% 142,098 26,412 686,658 305,455 44%
NYC The Bronx Health Plan   25,648   1,265   26,913 2%       1,992   28,905 2%
  Fidelis/NYS Catholic Hlth   25,531   2,407   27,938 2%       1,421   29,359 2%
  Health First PHSP   44,374   4,811   49,185 4%       4,535   53,720 4%
  HIP   36,970   5,543   42,513 4%       6,063   48,576 3%
  Health Plus PHSP   35,241   2,744   37,985 3%       1,433   39,418 3%
  AmeriChoice of New York/MHS   45,093   8,926   54,019 5%       3,724   57,743 4%
  Manhattan PHSP/Center Care   22,979   2,144   25,123 2%       1,372   26,495 2%
  MetroPlus Health Plan   38,172   3,090   41,262 4%       4,528   45,790 3%
  United Healthcare of NY   1,649   267   1,916 0%       105   2,021 0%
  St Barnabas/Partners in Health   8,783   703   9,486 1%       849   10,335 1%
  Neighborhood Health Providers   27,846   1,441   29,287 3%       1,605   30,892 2%
  Wellcare   4,242   718   4,960 0%       269   5,229 0%
  ABC Health Plan   2,081   164   2,245 0%       113   2,358 0%
  Genesis Health Plan   7,877   583   8,460 1%       449   8,909 1%
  Community Choice Hlth Plan   564   22   586 0%       32   618 0%
  Community Premier Plus   7,316   602   7,918 1%       894   8,812 1%
  NY Hospital Community PHSP   8,349   844   9,193 1%       556   9,749 1%
  Care Plus Health Plan   13,158   1,411   14,569 1%       617   15,186 1%
  NYC Total 987,679 355,873 183,699 37,685 1,171,378 393,558 34% 86% 39% 262,377 30,557 1,433,755 424,115 30%
  UPSTATE TOTALS: 493,769 259,167 50,791 19,876 544,560 279,043 51% 90% 57% 142,098 26,412 686,658 305,455 44%
  NEW YORK CITY TOTALS: 987,679 355,873 183,699 37,685 1,171,378 393,558 34% 86% 39% 262,377 30,557 1,433,755 424,115 30%
  GRAND TOTALS 1,481,448 615,040 234,490 57,561 1,715,938 672,601 39% 89% 44% 404,475 56,969 2,120,413 729,570 34%
NYC Boroughs Bronx 268,869 79,861 39,326 4,657 308,195 84,518 27%     63,242 7,229 371,437 91,747 25%
  Brooklyn 364,701 165,479 73,630 22,667 438,331 188,146 43%     94,617 12,488 532,948 200,634 38%
  Manhattan 148,238 46,316 37,330 5,454 185,568 51,770 28%     49,439 5,125 235,007 56,896 24%
  Queens 182,731 48,070 29,533 3,220 212,264 51,290 24%     47,407 4,282 259,671 55,571 21%
  Staten Island 23,140 16,147 3,880 1,687 27,020 17,834 66%     7,672 1,433 34,692 19,267 56%
  Borough Total 987,679 355,873 183,699 37,685 1,171,378 393,558 34% 86% 39% 262,377 30,557 1,433,755 424,115 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.