RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS May, 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: 13,271 11,310 1,236 721 14,507 12,031 83% 92% 90% 4,350 676 18,857 12,707 67%
  CDPHP   8,982   629   9,611 66%       559   10,170 54%
  Fidelis/NYS Catholic Hlth   1,060   61   1,121 8%       74   1,195 6%
  Wellcare   1,268   31   1,299 9%       43   1,342 7%
Allegany TOTALS: 3,130 537 378 48 3,508 585 17% 89% 19% 982 231 4,490 816 18%
  Health Choice (Partial)   537   48   585 17%       231   816 18%
Broome TOTALS: 10,230 8,350 1,168 689 11,398 9,039 79% 89% 89% 3,307 734 14,705 9,773 66%
  Broome MC   4,532   365   4,897 43%       577   5,474 37%
  Wellcare   545   41   586 5%       35   621 4%
  Fidelis/NYS Catholic Hlth   371   39   410 4%       14   424 3%
  CDPHP   2,902   244   3,146 28%       108   3,254 22%
Cattauragus TOTALS: 4,818 1,950 366 94 5,184 2,044 39% 91% 43% 1,553 524 6,737 2,568 38%
  Comm Blue/HealthNow   1,613   79   1,692 33%       490   2,182 32%
  Fidelis/NYS Catholic Hlth   337   15   352 7%       34   386 6%
Cayuga TOTALS: 3,940 0 251 0 4,191 0 0% 88% 0% 1,117 0 5,308 0 0%
Chautauqua TOTALS: 9,895 4,529 1,216 405 11,111 4,934 44% 82% 54% 2,561 708 13,672 5,642 41%
  Comm Blue/HealthNow   1,395   127   1,522 14%       258   1,780 13%
  Primary Health   439   55   494 4%       178   672 5%
  Fidelis/NYS Catholic Hlth   2,695   223   2,918 26%       272   3,190 23%
Chemung TOTALS: 6,296 3,429 485 148 6,781 3,577 53% 88% 60% 1,876 1,016 8,657 4,593 53%
  Southern Tier Pediatrics (Partial)   2,609   0   2,609 38%       278   2,887 33%
  Southern Tier Priority (Partial)   820   148   968 14%       738   1,706 20%
Chenango TOTALS: 3,433 0 223 0 3,656 0 0% 92% 0% 915 0 4,571 0 0%
Clinton TOTALS: 4,718 0 396 0 5,114 0 0% 85% 0% 1,538 0 6,652 0 0%
Columbia TOTALS: 2,364 1,916 243 126 2,607 2,042 78% 93% 84% 870 113 3,477 2,155 62%
  CDPHP   1,344   101   1,445 55%       79   1,524 44%
  Wellcare   472   21   493 19%       27   520 15%
  Fidelis/NYS Catholic Hlth   100   4   104 4%       7   111 3%
Cortland TOTALS: 2,861 422 227 16 3,088 438 14% 90% 16% 786 92 3,874 530 14%
  Fidelis/NYS Catholic Hlth   422   16   438 14%       92   530 14%
Delaware TOTALS: 1,994 237 186 19 2,180 256 12% 91% 13% 709 8 2,889 264 9%
  Wellcare   237   19   256 12%       8   264 9%
Dutchess TOTALS: 6,727 1,093 693 34 7,420 1,127 15% 90% 17% 2,499 80 9,919 1,207 12%
  Wellcare   1,093   34   1,127 15%       80   1,207 12%
Erie TOTALS: 60,429 45,863 7,772 4,605 68,201 50,468 74% 92% 80% 17,228 6,776 85,429 57,244 67%
  Buffalo Community Health   5,834   573   6,407 9%       163   6,570 8%
  Comm Blue/HealthNow   7,833   738   8,571 13%       764   9,335 11%
  Independent Health Assoc/IHA   17,589   1,348   18,937 28%       992   19,929 23%
  Fidelis/NYS Catholic Hlth   13,605   712   14,317 21%       981   15,298 18%
  Total Full Risk   44,861   3,371   48,232 71%       2,900   51,132 60%
  PCMP II (Partial)   189   61   250 0%       354   604 1%
  PCMP III (Partial)   71   110   181 0%       745   926 1%
  PCMP II-A Special Care (Partial)   742   1,063   1,805 3%       2777   4,582 5%
  Total Partial Risk   1,002   1,234   2,236 3%       3,876   6,112 7%
Essex TOTALS: 1,542 0 155 0 1,697 0 0% 91% 0% 559 0 2,256 0 0%
Franklin TOTALS: 2,638 0 243 0 2,881 0 0% 89% 0% 970 0 3,851 0 0%
Fulton TOTALS: 3,635 598 406 57 4,041 655 16% 92% 18% 1,057 18 5,098 673 13%
  CDPHP   598   57   655 16%       18   673 13%
Genesee TOTALS: 2,384 728 97 31 2,481 759 31% 87% 35% 609 58 3,090 817 26%
  Preferred Care   728   31   759 31%       58   817 26%
Greene TOTALS: 2,402 1,955 272 176 2,674 2,131 80% 93% 86% 646 111 3,320 2,242 68%
  CDPHP   1,140   122   1,262 47%       67   1,329 40%
  Wellcare   692   47   739 28%       37   776 23%
  Fidelis/NYS Catholic Hlth   123   7   130 5%       7   137 4%
Hamilton TOTALS: 124 0 10 0 134 0 0% 92% 0% 43 0 177 0 0%
Herkimer TOTALS: 3,311 535 302 46 3,613 581 16% 90% 18% 891 23 4,504 604 13%
  Fidelis/NYS Catholic Hlth   248   14   262 7%       20   282 6%
  United Healthcare of Upstate   287   32   319 9%       3   322 7%
Jefferson TOTALS: 6,287 0 537 0 6,824 0 0% 84% 0% 1,789 0 8,613 0 0%
Lewis TOTALS: 1,494 0 155 0 1,649 0 0% 92% 0% 403 0 2,052 0 0%
Livingston TOTALS: 2,349 788 186 25 2,535 813 32% 90% 36% 669 55 3,204 868 27%
  Excellus/Blue Choice   438   14   452 18%       17   469 15%
  Preferred Care   350   11   361 14%       38   399 12%
Madison TOTALS: 2,338 0 150 0 2,488 0 0% 89% 0% 749 0 3,237 0 0%
Monroe TOTALS: 48,202 38,620 5,920 3,642 54,122 42,262 78% 90% 87% 11,597 1,729 65,719 43,991 67%
  Excellus/Blue Choice   27,693   2,779   30,472 56%       1369   31,841 48%
  Preferred Care   10,927   863   11,790 22%       360   12,150 18%
Montgomery TOTALS: 2,920 664 369 41 3,289 705 21% 91% 24% 751 17 4,040 722 18%
  CDPHP   664   41   705 21%       17   722 18%
Nassau TOTALS: 29,118 7,869 2,620 290 31,738 8,159 26% 92% 28% 9,978 517 41,716 8,676 21%
  Vytra   2,191   102   2,293 7%       102   2,395 6%
  HIP   862   29   891 3%       123   1,014 2%
  Health First PHSP   1,738   46   1,784 6%       124   1,908 5%
  Genesis Health Plan   2,519   101   2,620 8%       131   2,751 7%
  Fidelis/NYS Catholic Hlth   559   12   571 2%       37   608 1%
Niagara TOTALS: 10,872 9,275 1,198 758 12,070 10,033 83% 92% 90% 3,264 1,179 15,334 11,212 73%
  Independent Health Assoc/IHA   4,841   370   5,211 43%       662   5,873 38%
  Fidelis/NYS Catholic Hlth   1,837   190   2,027 17%       212   2,239 15%
  Comm Blue/HealthNow   2,597   198   2,795 23%       305   3,100 20%
Oneida TOTALS: 15,522 6,445 1,566 369 17,088 6,814 40% 92% 43% 4,979 942 22,067 7,756 35%
  Fidelis/NYS Catholic Hlth   4,769   272   5,041 30%       753   5,794 26%
  United Healthcare of Upstate   1,674   96   1,770 10%       187   1,957 9%
  Excellus/Blue Choice   2   1   3 0%       2   5 0%
Onondaga TOTALS: 26,725 19,782 2,395 1,135 29,120 20,917 72% 86% 84% 7,701 1,767 36,821 22,684 62%
  Fidelis/NYS Catholic Hlth   4,818   264   5,082 17%       424   5,506 15%
  Total Care/Syracuse PHSP   8,526   405   8,931 31%       828   9,759 27%
  United Healthcare of Upstate   5,766   417   6,183 21%       497   6,680 18%
  Excellus/Blue Choice   672   49   721 2%       18   739 3%
Ontario TOTALS: 2,955 2,464 271 109 3,226 2,573 80% 91% 88% 1,018 266 4,244 2,839 67%
  Excellus/Blue Choice   1,780   94   1,874 58%       208   2,082 49%
  Preferred Care   684   15   699 22%       58   757 18%
Orange TOTALS: 19,499 5,601 3,512 466 23,011 6,067 26% 90% 29% 4,113 600 27,124 6,667 25%
  Genesis Health Plan   4,106   365   4,471 19%       523   4,994 18%
  Wellcare   1,134   90   1,224 5%       57   1,281 5%
  Care Plus Health Plan   361   11   372 2%       20   392 1%
Orleans TOTALS: 2,590 715 170 51 2,760 766 28% 92% 30% 589 60 3,349 826 25%
  Excellus/Blue Choice   489   38   527 19%       49   576 17%
  Fidelis/NYS Catholic Hlth   226   13   239 9%       11   250 7%
Oswego TOTALS: 7,553 5,921 791 475 8,344 6,396 77% 91% 84% 1,888 465 10,232 6,861 67%
  Fidelis/NYS Catholic Hlth   1,182   114   1,296 16%       75   1,371 13%
  Total Care/Syracuse PHSP   2,045   183   2,228 27%       197   2,425 24%
  United Healthcare of Upstate   2,694   178   2,872 34%       193   3,065 30%
Otsego TOTALS: 2,240 42 170 2 2,410 44 2% 91% 2% 808 1 3,218 45 1%
  Wellcare   42   2   44 2%       1   45 1%
Putnam TOTALS: 793 249 138 22 931 271 29% 88% 33% 517 41 1,448 312 22%
  Care Plus Health Plan   249   22   271 29%       41   312 22%
Rensselaer TOTALS: 7,010 6,140 861 483 7,871 6,623 84% 90% 93% 2,075 303 9,946 6,926 70%
  CDPHP   5,272   408   5,680 72%       239   5,919 60%
  Fidelis/NYS Catholic Hlth   513   58   571 7%       45   616 6%
  Wellcare   355   17   372 5%       19   391 4%
Rockland TOTALS: 14,813 5,761 3,937 901 18,750 6,662 36% 92% 39% 2,563 304 21,313 6,966 33%
  Genesis Health Plan   1,091   87   1,178 6%       112   1,290 6%
  Fidelis/NYS Catholic Hlth   3,194   709   3,903 21%       125   4,028 19%
  Wellcare   447   64   511 3%       16   527 2%
  Westchester PHSP   1,009   40   1,049 6%       50   1,099 5%
  Community Choice Hlth Plan   20   1   21 0%       1   22 0%
St. Lawrence TOTALS: 7,035 0 776 0 7,811 0 0% 91% 0% 2,406 0 10,217 0 0%
Saratoga TOTALS: 3,854 2,913 368 197 4,222 3,110 74% 91% 81% 1,827 135 6,049 3,245 54%
  Wellcare   90   14   104 2%       1   105 2%
  CDPHP   2,232   144   2,376 56%       119   2,495 41%
  Fidelis/NYS Catholic Hlth   591   39   630 15%       15   645 11%
Schenectady TOTALS: 6,858 4,244 618 213 7,476 4,457 60% 89% 67% 2,418 456 9,894 4,913 50%
  CDPHP   3,874   190   4,064 54%       420   4,484 45%
  Fidelis/NYS Catholic Hlth   370   23   393 5%       36   429 4%
Schoharie TOTALS: 1,487 51 99 1 1,586 52 3% 92% 4% 372 2 1,958 54 3%
  CDPHP   51   1   52 3%       2   54 3%
Schuyler TOTALS: 965 0 105 0 1,070 0 0% 91% 0% 340 0 1,410 0 0%
Seneca TOTALS: 1,355 615 145 25 1,500 640 43% 92% 46% 466 93 1,966 733 37%
  Excellus/Blue Choice   615   25   640 43%       93   733 37%
Steuben TOTALS: 5,989 1,391 460 122 6,449 1,513 23% 90% 26% 1,979 625 8,428 2,138 25%
  Southern Tier Pediatrics (Partial)   69   0   69 1%       11   80 1%
  Southern Tier Priority (Partial)   1,322   122   1,444 22%       614   2,058 24%
Suffolk TOTALS: 32,724 14,218 2,894 483 35,618 14,701 41% 90% 46% 12,995 2,211 48,613 16,912 35%
  Vytra   2,717   124   2,841 8%       194   3,035 6%
  HIP   594   19   613 2%       119   732 2%
  Health First PHSP   2,443   101   2,544 7%       489   3,033 6%
  Suffolk Plan HMO   6,741   183   6,924 19%       1161   8,085 17%
  Genesis Health Plan   759   35   794 2%       127   921 2%
  United Healthcare of NY   416   6   422 1%       31   453 1%
  Fidelis/NYS Catholic Hlth   548   15   563 2%       90   653 1%
Sullivan TOTALS: 3,748 795 277 34 4,025 829 21% 90% 23% 1,416 66 5,441 895 16%
  Wellcare   795   34   829 21%       66   895 16%
Tioga TOTALS: 2,259 22 130 1 2,389 23 1% 93% 1% 674 1 3,063 24 1%
  Wellcare   3   1   4 0%       1   5 0%
  CDPHP   19   0   19 1%       0   19 1%
Tompkins TOTALS: 3,662 0 434 0 4,096 0 0% 89% 0% 962 0 5,058 0 0%
Ulster TOTALS: 7,481 1,961 883 93 8,364 2,054 25% 90% 27% 2,569 125 10,933 2,179 20%
  Wellcare   1,961   93   2,054 25%       125   2,179 20%
Warren TOTALS: 2,157 1,120 133 4 2,290 1,124 49% 91% 54% 878 51 3,168 1,175 37%
  Comm Blue/HealthNow   1,120   4   1,124 49%       51   1,175 37%
Washington TOTALS: 2,644 783 175 49 2,819 832 30% 89% 33% 918 90 3,737 922 25%
  Comm Blue/HealthNow   514   35   549 19%       75   624 17%
  CDPHP   269   14   283 10%       15   298 8%
Wayne TOTALS: 2,995 1,015 174 37 3,169 1,052 33% 91% 36% 1,203 96 4,372 1,148 26%
  Excellus/Blue Choice   400   12   412 13%       31   443 10%
  Preferred Care   615   25   640 20%       65   705 16%
Westchester TOTALS: 38,227 26,236 4,922 2,227 43,149 28,463 66% 86% 77% 9,727 2,235 52,876 30,698 58%
  HIP   1,492   250   1,742 4%       266   2,008 4%
  Westchester PHSP   11,931   809   12,740 30%       952   13,692 26%
  Genesis Health Plan   5,155   421   5,576 13%       462   6,038 11%
  Community Choice Hlth Plan   5,292   482   5,774 13%       393   6,167 12%
  Fidelis/NYS Catholic Hlth   2,366   265   2,631 6%       162   2,793 5%
Wyoming TOTALS: 1,310 0 120 0 1,430 0 0% 91% 0% 407 0 1,837 0 0%
Yates TOTALS: 1,061 651 80 24 1,141 675 59% 91% 65% 289 56 1,430 731 51%
  Excellus/Blue Choice   651   24   675 59%       56   731 51%
Upstate Total   479,233 249,803 54,064 19,494 533,297 269,297 50% 90% 56% 142,363 25,656 675,660 294,953 44%
NYC The Bronx Health Plan   25,245   1,305   26,550 2%       1,971   28,521 2%
  Fidelis/NYS Catholic Hlth   23,850   2,399   26,249 2%       1,410   27,659 2%
  Health First PHSP   44,531   4,854   49,385 4%       4,504   53,889 4%
  HIP   35,319   5,225   40,544 4%       5,948   46,492 3%
  Health Plus PHSP   30,460   2,607   33,067 3%       1,393   34,460 2%
  AmeriChoice of New York/MHS   45,197   8,908   54,105 5%       3,740   57,845 4%
  Manhattan PHSP/Center Care   20,958   2,140   23,098 2%       1,462   24,560 2%
  MetroPlus Health Plan   37,711   3,202   40,913 4%       4,561   45,474 3%
  United Healthcare of NY   1,406   226   1,632 0%       99   1,731 0%
  St Barnabas/Partners in Health   8,340   658   8,998 1%       817   9,815 1%
  Neighborhood Health Providers   25,531   1,445   26,976 2%       1,580   28,556 2%
  Wellcare   3,851   677   4,528 0%       274   4,802 0%
  ABC Health Plan   1,968   166   2,134 0%       107   2,241 0%
  Genesis Health Plan   7,143   606   7,749 1%       437   8,186 1%
  Community Choice Hlth Plan   522   22   544 0%       31   575 0%
  Community Premier Plus   7,331   659   7,990 1%       893   8,883 1%
  NY Hospital Community PHSP   8,300   850   9,150 1%       546   9,696 1%
  Care Plus Health Plan   11,363   1,325   12,688 1%       560   13,248 1%
  NYC Total 949,018 339,026 191,039 37,274 1,140,057 376,300 33% 86% 38% 267,287 30,333 1,407,344 406,633 29%
   
  UPSTATE TOTALS: 479,233 249,803 54,064 19,494 533,297 269,297 50% 90% 56% 142,363 25,656 675,660 294,953 44%
  NEW YORK CITY TOTALS: 949,018 339,026 191,039 37,274 1,140,057 376,300 33% 86% 38% 267,287 30,333 1,407,344 406,633 29%
  GRAND TOTALS 1,428,251 588,829 245,103 56,768 1,673,354 645,597 39% 89% 43% 409,650 55,989 2,083,004 701,586 34%
NYC Boroughs Bronx 261,005 77,071 40,610 4,656 301,615 81,727 27%     64,417 7,163 366,032 88,890 24%
  Brooklyn 349,806 158,943 76,897 22,423 426,703 181,366 43%     96,351 12,354 523,054 193,720 37%
  Manhattan 143,035 45,130 38,708 5,503 181,743 50,634 28%     50,435 5,180 232,178 55,814 24%
  Queens 173,354 42,737 30,854 3,100 204,208 45,837 22%     48,298 4,232 252,506 50,069 20%
  Staten Island 21,818 15,145 3,970 1,592 25,788 16,736 65%     7,786 1,403 33,574 18,140 54%
  Borough Total 949,018 339,026 191,039 37,274 1,140,057 376,300 33% 86% 38% 267,287 30,333 1,407,344 406,633 29%

NOTES:

  1. The Managed Care eligible counts are based upon October, 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 : No new plans.