RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS June, 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 11,315 1,178 761 14,966 12,076 81% 92% 88% 4,345 694 19,311 12,770 66%
  CDPHP   8,998   660   9,658 65%       576   10,234 53%
  Fidelis/NYS Catholic Hlth   1,031   61   1,092 7%       76   1,168 6%
  Wellcare   1,286   40   1,326 9%       42   1,368 7%
Allegany TOTALS: 3,210 555 342 47 3,552 602 17% 89% 19% 997 233 4,549 835 18%
  Health Choice (Partial)   555   47   602 17%       233   835 18%
Broome TOTALS: 10,507 8,462 1,076 690 11,583 9,152 79% 89% 89% 3,307 746 14,890 9,898 66%
  Broome MC   4,593   356   4,949 43%       580   5,529 37%
  Wellcare   528   41   569 5%       37   606 4%
  Fidelis/NYS Catholic Hlth   374   38   412 4%       15   427 3%
  CDPHP   2,967   255   3,222 28%       114   3,336 22%
Cattauragus TOTALS: 4,867 2,020 289 99 5,156 2,119 41% 91% 45% 1,519 527 6,675 2,646 40%
  Comm Blue/HealthNow   1,642   82   1,724 33%       492   2,216 33%
  Fidelis/NYS Catholic Hlth   378   17   395 8%       35   430 6%
Cayuga TOTALS: 4,185 0 248 0 4,433 0 0% 88% 0% 1,107 0 5,540 0 0%
Chautauqua TOTALS: 10,038 4,530 1,154 416 11,192 4,946 44% 82% 54% 2,544 726 13,736 5,672 41%
  Comm Blue/HealthNow   1,378   119   1,497 13%       261   1,758 13%
  Primary Health   444   57   501 4%       180   681 5%
  Fidelis/NYS Catholic Hlth   2,708   240   2,948 26%       285   3,233 24%
Chemung TOTALS: 6,497 3,463 395 151 6,892 3,614 52% 88% 60% 1,895 1,014 8,787 4,628 53%
  Southern Tier Pediatrics (Partial)   2,621   0   2,621 38%       275   2,896 33%
  Southern Tier Priority (Partial)   842   151   993 14%       739   1,732 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 1,923 198 126 2,739 2,049 75% 93% 80% 865 122 3,604 2,171 60%
  CDPHP   1,382   101   1,483 54%       88   1,571 44%
  Wellcare   446   22   468 17%       26   494 14%
  Fidelis/NYS Catholic Hlth   95   3   98 4%       8   106 3%
Cortland TOTALS: 3,090 424 209 18 3,299 442 13% 90% 15% 781 93 4,080 535 13%
  Fidelis/NYS Catholic Hlth   424   18   442 13%       93   535 13%
Delaware TOTALS: 2,163 236 177 23 2,340 259 11% 91% 12% 709 8 3,049 267 9%
  Wellcare   236   23   259 11%       8   267 9%
Dutchess TOTALS: 7,021 1,132 641 32 7,662 1,164 15% 90% 17% 2,519 85 10,181 1,249 12%
  Wellcare   1,132   32   1,164 15%       85   1,249 12%
Erie TOTALS: 60,405 45,920 7,201 4,556 67,606 50,476 75% 92% 81% 17,038 6,820 84,644 57,296 68%
  Buffalo Community Health   5,937   553   6,490 10%       176   6,666 8%
  Comm Blue/HealthNow   7,935   719   8,654 13%       776   9,430 11%
  Independent Health Assoc/IHA   17,419   1,343   18,762 28%       1012   19,774 23%
  Fidelis/NYS Catholic Hlth   13,655   726   14,381 21%       1001   15,382 18%
  Total Full Risk   44,946   3,341   48,287 71%       2,965   51,252 61%
  PCMP II (Partial)   183   55   238 0%       354   592 1%
  PCMP III (Partial)   68   110   178 0%       739   917 1%
  PCMP II-A Special Care (Partial)   723   1,050   1,773 3%       2762   4,535 5%
  Total Partial Risk   974   1,215   2,189 3%       3,855   6,044 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: 3,951 605 371 54 4,322 659 15% 92% 17% 1,061 17 5,383 676 13%
  CDPHP   605   54   659 15%       17   676 13%
Genesee TOTALS: 2,349 757 103 32 2,452 789 32% 87% 37% 608 53 3,060 842 28%
  Preferred Care   757   32   789 32%       53   842 28%
Greene TOTALS: 2,496 1,996 248 178 2,744 2,174 79% 93% 85% 661 111 3,405 2,285 67%
  CDPHP   1,182   116   1,298 47%       68   1,366 40%
  Wellcare   686   53   739 27%       36   775 23%
  Fidelis/NYS Catholic Hlth   128   9   137 5%       7   144 4%
Hamilton TOTALS: 135 0 10 0 145 0 0% 92% 0% 42 0 187 0 0%
Herkimer TOTALS: 3,516 573 276 48 3,792 621 16% 90% 18% 872 26 4,664 647 14%
  Fidelis/NYS Catholic Hlth   235   13   248 7%       20   268 6%
  United Healthcare of Upstate   338   35   373 10%       6   379 8%
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: 2,490 804 215 26 2,705 830 31% 90% 34% 678 63 3,383 893 26%
  Excellus/Blue Choice   449   16   465 17%       19   484 14%
  Preferred Care   355   10   365 13%       44   409 12%
Madison TOTALS: 2,519 0 141 0 2,660 0 0% 89% 0% 741 0 3,401 0 0%
Monroe TOTALS: 48,655 38,770 5,616 3,776 54,271 42,546 78% 90% 87% 11,650 1,793 65,921 44,339 67%
  Excellus/Blue Choice   27,895   2,891   30,786 57%       1424   32,210 49%
  Preferred Care   10,875   885   11,760 22%       369   12,129 18%
Montgomery TOTALS: 3,050 691 373 43 3,423 734 21% 91% 24% 749 19 4,172 753 18%
  CDPHP   691   43   734 21%       19   753 18%
Nassau TOTALS: 28,788 7,986 2,385 296 31,173 8,282 27% 92% 29% 9,937 526 41,110 8,808 21%
  Vytra   2,218   103   2,321 7%       111   2,432 6%
  HIP   907   37   944 3%       124   1,068 3%
  Health First PHSP   1,719   46   1,765 6%       121   1,886 5%
  Genesis Health Plan   2,584   95   2,679 9%       132   2,811 7%
  Fidelis/NYS Catholic Hlth   558   15   573 2%       38   611 1%
Niagara TOTALS: 11,074 9,483 1,137 772 12,211 10,255 84% 92% 91% 3,261 1,178 15,472 11,433 74%
  Independent Health Assoc/IHA   4,896   377   5,273 43%       663   5,936 38%
  Fidelis/NYS Catholic Hlth   1,883   182   2,065 17%       213   2,278 15%
  Comm Blue/HealthNow   2,704   213   2,917 24%       302   3,219 21%
Oneida TOTALS: 15,424 6,517 1,430 377 16,854 6,894 41% 92% 44% 4,991 959 21,845 7,853 36%
  Fidelis/NYS Catholic Hlth   4,654   266   4,920 29%       757   5,677 26%
  United Healthcare of Upstate   1,836   108   1,944 12%       197   2,141 10%
  Excellus/Blue Choice   27   3   30 0%       5   35 0%
Onondaga TOTALS: 27,649 19,834 2,314 1,129 29,963 20,963 70% 86% 81% 7,719 1,788 37,682 22,751 60%
  Fidelis/NYS Catholic Hlth   4,816   264   5,080 17%       426   5,506 15%
  Total Care/Syracuse PHSP   8,461   395   8,856 30%       834   9,690 26%
  United Healthcare of Upstate   5,811   414   6,225 21%       510   6,735 18%
  Excellus/Blue Choice   746   56   802 3%       18   820 3%
Ontario TOTALS: 3,307 2,483 263 110 3,570 2,593 73% 91% 80% 1,023 273 4,593 2,866 62%
  Excellus/Blue Choice   1,830   93   1,923 54%       215   2,138 47%
  Preferred Care   653   17   670 19%       58   728 16%
Orange TOTALS: 20,260 5,636 3,441 463 23,701 6,099 26% 90% 28% 4,048 616 27,749 6,715 24%
  Genesis Health Plan   4,137   358   4,495 19%       533   5,028 18%
  Wellcare   1,155   95   1,250 5%       63   1,313 5%
  Care Plus Health Plan   344   10   354 1%       20   374 1%
Orleans TOTALS: 2,686 723 168 52 2,854 775 27% 92% 30% 599 62 3,453 837 24%
  Excellus/Blue Choice   486   40   526 18%       51   577 17%
  Fidelis/NYS Catholic Hlth   237   12   249 9%       11   260 8%
Oswego TOTALS: 7,937 5,986 692 481 8,629 6,467 75% 91% 82% 1,906 469 10,535 6,936 66%
  Fidelis/NYS Catholic Hlth   1,193   114   1,307 15%       77   1,384 13%
  Total Care/Syracuse PHSP   2,084   182   2,266 26%       200   2,466 23%
  United Healthcare of Upstate   2,709   185   2,894 34%       192   3,086 29%
Otsego TOTALS: 2,438 42 135 1 2,573 43 2% 91% 2% 810 1 3,383 44 1%
  Wellcare   42   1   43 2%       1   44 1%
Putnam TOTALS: 835 243 123 19 958 262 27% 88% 31% 522 40 1,480 302 20%
  Care Plus Health Plan   243   19   262 27%       40   302 20%
Rensselaer TOTALS: 7,385 6,230 780 475 8,165 6,705 82% 90% 91% 2,057 313 10,222 7,018 69%
  CDPHP   5,353   405   5,758 71%       251   6,009 59%
  Fidelis/NYS Catholic Hlth   526   52   578 7%       45   623 6%
  Wellcare   351   18   369 5%       17   386 4%
Rockland TOTALS: 15,747 6,517 3,721 849 19,468 7,366 38% 92% 41% 2,582 325 22,050 7,691 35%
  Genesis Health Plan   1,188   84   1,272 7%       114   1,386 6%
  Fidelis/NYS Catholic Hlth   3,482   604   4,086 21%       127   4,213 19%
  Wellcare   697   96   793 4%       20   813 4%
  Westchester PHSP   1,077   62   1,139 6%       57   1,196 5%
  Community Choice Hlth Plan   73   3   76 0%       7   83 0%
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 3,004 328 201 4,485 3,205 71% 91% 79% 1,853 138 6,338 3,343 53%
  Wellcare   99   15   114 3%       1   115 2%
  CDPHP   2,306   146   2,452 55%       122   2,574 41%
  Fidelis/NYS Catholic Hlth   599   40   639 14%       15   654 10%
Schenectady TOTALS: 7,341 4,343 594 231 7,935 4,574 58% 89% 65% 2,436 467 10,371 5,041 49%
  CDPHP   3,959   204   4,163 52%       428   4,591 44%
  Fidelis/NYS Catholic Hlth   384   27   411 5%       39   450 4%
Schoharie TOTALS: 1,587 47 74 1 1,661 48 3% 92% 3% 379 2 2,040 50 2%
  CDPHP   47   1   48 3%       2   50 2%
Schuyler TOTALS: 968 0 92 0 1,060 0 0% 91% 0% 333 0 1,393 0 0%
Seneca TOTALS: 1,395 609 149 24 1,544 633 41% 92% 45% 464 96 2,008 729 36%
  Excellus/Blue Choice   609   24   633 41%       96   729 36%
Steuben TOTALS: 6,146 1,441 403 126 6,549 1,567 24% 90% 27% 1,962 638 8,511 2,205 26%
  Southern Tier Pediatrics (Partial)   69   0   69 1%       11   80 1%
  Southern Tier Priority (Partial)   1,372   126   1,498 23%       627   2,125 25%
Suffolk TOTALS: 33,828 13,996 2,667 461 36,495 14,457 40% 90% 44% 12,952 2,211 49,447 16,668 34%
  Vytra   2,683   116   2,799 8%       195   2,994 6%
  HIP   575   20   595 2%       118   713 1%
  Health First PHSP   2,413   98   2,511 7%       491   3,002 6%
  Suffolk Plan HMO   6,548   164   6,712 18%       1161   7,873 16%
  Genesis Health Plan   787   42   829 2%       124   953 2%
  United Healthcare of NY   471   6   477 1%       34   511 1%
  Fidelis/NYS Catholic Hlth   519   15   534 1%       88   622 1%
Sullivan TOTALS: 3,920 807 261 37 4,181 844 20% 90% 22% 1,422 65 5,603 909 16%
  Wellcare   807   37   844 20%       65   909 16%
Tioga TOTALS: 2,201 26 125 1 2,326 27 1% 93% 1% 677 1 3,003 28 1%
  Wellcare   3   1   4 0%       1   5 0%
  CDPHP   23   0   23 1%       0   23 1%
Tompkins TOTALS: 3,818 0 449 0 4,267 0 0% 89% 0% 952 0 5,219 0 0%
Ulster TOTALS: 7,936 2,023 812 101 8,748 2,124 24% 90% 27% 2,583 123 11,331 2,247 20%
  Wellcare   2,023   101   2,124 24%       123   2,247 20%
Warren TOTALS: 2,384 1,183 137 4 2,521 1,187 47% 91% 52% 883 55 3,404 1,242 36%
  Comm Blue/HealthNow   1,183   4   1,187 47%       55   1,242 36%
Washington TOTALS: 2,875 844 195 48 3,070 892 29% 89% 33% 908 95 3,978 987 25%
  Comm Blue/HealthNow   560   33   593 19%       81   674 17%
  CDPHP   284   15   299 10%       14   313 8%
Wayne TOTALS: 3,146 1,032 167 43 3,313 1,075 32% 91% 36% 1,205 111 4,518 1,186 26%
  Excellus/Blue Choice   400   15   415 13%       33   448 10%
  Preferred Care   632   28   660 20%       78   738 16%
Westchester TOTALS: 39,456 26,901 4,758 2,234 44,214 29,135 66% 86% 77% 9,663 2,226 53,877 31,361 58%
  HIP   1,471   240   1,711 4%       266   1,977 4%
  Westchester PHSP   12,397   810   13,207 30%       968   14,175 26%
  Genesis Health Plan   5,226   426   5,652 13%       430   6,082 11%
  Community Choice Hlth Plan   5,371   482   5,853 13%       399   6,252 12%
  Fidelis/NYS Catholic Hlth   2,436   276   2,712 6%       163   2,875 5%
Wyoming TOTALS: 1,377 0 118 0 1,495 0 0% 91% 0% 411 0 1,906 0 0%
Yates TOTALS: 1,148 652 63 21 1,211 673 56% 91% 61% 288 56 1,499 729 49%
  Excellus/Blue Choice   652   21   673 56%       56   729 49%
Upstate Total   493,769 252,764 50,791 19,633 544,560 272,397 50% 90% 56% 142,098 25,984 686,658 298,381 43%
NYC The Bronx Health Plan   25,823   1,262   27,085 2%       1,985   29,070 2%
  Fidelis/NYS Catholic Hlth   24,945   2,371   27,316 2%       1,430   28,746 2%
  Health First PHSP   44,263   4,819   49,082 4%       4,530   53,612 4%
  HIP   36,128   5,282   41,410 4%       5,984   47,394 3%
  Health Plus PHSP   33,604   2,624   36,228 3%       1,413   37,641 3%
  AmeriChoice of New York/MHS   45,230   8,887   54,117 5%       3,732   57,849 4%
  Manhattan PHSP/Center Care   22,454   2,143   24,597 2%       1,474   26,071 2%
  MetroPlus Health Plan   38,134   3,123   41,257 4%       4,541   45,798 3%
  United Healthcare of NY   1,522   240   1,762 0%       101   1,863 0%
  St Barnabas/Partners in Health   8,526   665   9,191 1%       831   10,022 1%
  Neighborhood Health Providers   27,229   1,451   28,680 2%       1,590   30,270 2%
  Wellcare   4,036   704   4,740 0%       275   5,015 0%
  ABC Health Plan   2,018   161   2,179 0%       110   2,289 0%
  Genesis Health Plan   7,574   590   8,164 1%       449   8,613 1%
  Community Choice Hlth Plan   560   19   579 0%       31   610 0%
  Community Premier Plus   7,385   616   8,001 1%       896   8,897 1%
  NY Hospital Community PHSP   8,289   836   9,125 1%       556   9,681 1%
  Care Plus Health Plan   12,320   1,363   13,683 1%       591   14,274 1%
  NYC Total 987,679 350,040 183,699 37,156 1,171,378 387,196 33% 86% 38% 262,377 30,519 1,433,755 417,715 29%
                               
  UPSTATE TOTALS: 493,769 252,764 50,791 19,633 544,560 272,397 50% 90% 56% 142,098 25,984 686,658 298,381 43%
  NEW YORK CITY TOTALS: 987,679 350,040 183,699 37,156 1,171,378 387,196 33% 86% 38% 262,377 30,519 1,433,755 417,715 29%
  GRAND TOTALS 1,481,448 602,804 234,490 56,789 1,715,938 659,593 38% 89% 43% 404,475 56,503 2,120,413 716,096 34%
NYC Boroughs Bronx 268,869 78,974 39,326 4,588 308,195 83,562 27%     63,242 7,213 371,437 90,775 24%
  Brooklyn 364,701 163,165 73,630 22,415 438,331 185,580 42%     94,617 12,437 532,948 198,017 37%
  Manhattan 148,238 46,013 37,330 5,417 185,568 51,430 28%     49,439 5,191 235,007 56,621 24%
  Queens 182,731 46,111 29,533 3,128 212,264 49,239 23%     47,407 4,258 259,671 53,498 21%
  Staten Island 23,140 15,777 3,880 1,608 27,020 17,385 64%     7,672 1,419 34,692 18,804 54%
  Borough Total 987,679 350,040 183,699 37,156 1,171,378 387,196 33% 86% 38% 262,377 30,519 1,433,755 417,715 29%

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.