RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS November, 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: 13,884 11,661 1,278 886 15,162 12,547 83% 92% 90% 4,401 723 19,563 13,270 68%
  CDPHP   9,458   770   10,228 67%       600   10,828 55%
  Fidelis/NYS Catholic Hlth   1,013   60   1,073 7%       82   1,155 6%
  Wellcare   1,190   56   1,246 8%       41   1,287 7%
Allegany TOTALS: 3,233 525 316 44 3,549 569 16% 89% 18% 1,004 225 4,553 794 17%
  Health Choice (Partial)   525   44   569 16%       225   794 17%
Broome TOTALS: 10,631 8,439 1,052 674 11,683 9,113 78% 89% 88% 3,365 812 15,048 9,925 66%
  Broome MC   4,748   340   5,088 44%       623   5,711 38%
  Wellcare   0   0   0 0%       0   0 0%
  Fidelis/NYS Catholic Hlth   421   37   458 4%       25   483 3%
  CDPHP   3,270   297   3,567 31%       164   3,731 25%
Cattauragus TOTALS: 5,058 2,333 283 92 5,341 2,425 45% 91% 50% 1,522 553 6,863 2,978 43%
  HealthNow/BCBS-WNY/Community Blue   1,709   74   1,783 33%       500   2,283 33%
  Fidelis/NYS Catholic Hlth   624   18   642 12%       53   695 10%
Cayuga TOTALS: 4,350 0 258 0 4,608 0 0% 88% 0% 1,123 0 5,731 0 0%
Chautauqua TOTALS: 10,334 5,208 1,163 482 11,497 5,690 49% 82% 60% 2,539 802 14,036 6,492 46%
  HealthNow/BCBS-WNY/Community Blue   1,501   118   1,619 14%       276   1,895 14%
  Primary Health   448   43   491 4%       200   691 5%
  Fidelis/NYS Catholic Hlth   3,259   321   3,580 31%       326   3,906 28%
Chemung TOTALS: 6,840 3,402 421 165 7,261 3,567 49% 88% 56% 1,906 985 9,167 4,552 50%
  Southern Tier Pediatrics (Partial)   2,484   0   2,484 34%       263   2,747 30%
  Southern Tier Priority (Partial)   918   165   1,083 15%       722   1,805 20%
Chenango TOTALS: 3,649 0 178 0 3,827 0 0% 92% 0% 924 0 4,751 0 0%
Clinton TOTALS: 5,030 0 389 0 5,419 0 0% 85% 0% 1,536 0 6,955 0 0%
Columbia TOTALS: 2,585 1,934 204 124 2,789 2,058 74% 93% 79% 864 151 3,653 2,209 60%
  CDPHP   1,476   99   1,575 56%       112   1,687 46%
  Wellcare   370   21   391 14%       31   422 12%
  Fidelis/NYS Catholic Hlth   88   4   92 3%       8   100 3%
Cortland TOTALS: 3,242 408 201 9 3,443 417 12% 90% 13% 779 95 4,222 512 12%
  Fidelis/NYS Catholic Hlth   408   9   417 12%       95   512 12%
Delaware TOTALS: 2,259 202 208 21 2,467 223 9% 91% 10% 716 10 3,183 233 7%
  Wellcare   202   21   223 9%       10   233 7%
Dutchess TOTALS: 7,285 1,161 673 30 7,958 1,191 15% 90% 17% 2,534 92 10,492 1,283 12%
  Wellcare   1,161   30   1,191 15%       92   1,283 12%
Erie TOTALS: 60,432 46,150 7,009 4,278 67,441 50,428 75% 92% 81% 17,014 7,016 84,455 57,444 68%
  Buffalo Community Health   5,991   520   6,511 10%       219   6,730 8%
  HealthNow/BCBS-WNY/Community Blue   8,182   678   8,860 13%       807   9,667 11%
  Independent Health Assoc/IHA   17,429   1,291   18,720 28%       1123   19,843 23%
  Fidelis/NYS Catholic Hlth   13,718   683   14,401 21%       1071   15,472 18%
  Total Full Risk   45,320   3,172   48,492 72%       3,220   51,712 61%
  PCMP II (Partial)   163   48   211 0%       333   544 1%
  PCMP III (Partial)   54   91   145 0%       687   832 1%
  PCMP II-A Special Care (Partial)   613   967   1,580 2%       2776   4,356 5%
  Total Partial Risk   830   1,106   1,936 3%       3,796   5,732 7%
Essex TOTALS: 1,674 0 127 0 1,801 0 0% 91% 0% 569 0 2,370 0 0%
Franklin TOTALS: 2,872 0 251 0 3,123 0 0% 89% 0% 981 0 4,104 0 0%
Fulton TOTALS: 4,128 632 363 49 4,491 681 15% 92% 16% 1,054 25 5,545 706 13%
  CDPHP   632   49   681 15%       25   706 13%
Genesee TOTALS: 2,409 863 90 34 2,499 897 36% 87% 41% 613 61 3,112 958 31%
  Preferred Care   863   34   897 36%       61   958 31%
Greene TOTALS: 2,543 2,145 262 166 2,805 2,311 82% 93% 89% 657 125 3,462 2,436 70%
  CDPHP   1,355   111   1,466 52%       84   1,550 45%
  Wellcare   669   46   715 25%       34   749 22%
  Fidelis/NYS Catholic Hlth   121   9   130 5%       7   137 4%
Hamilton TOTALS: 139 0 16 0 155 0 0% 92% 0% 46 0 201 0 0%
Herkimer TOTALS: 3,649 618 271 48 3,920 666 17% 90% 19% 852 36 4,772 702 15%
  Fidelis/NYS Catholic Hlth   238   18   256 7%       25   281 6%
  United Healthcare of Upstate   380   30   410 10%       11   421 9%
Jefferson TOTALS: 7,112 0 559 0 7,671 0 0% 84% 0% 1,848 0 9,519 0 0%
Lewis TOTALS: 1,717 0 131 0 1,848 0 0% 92% 0% 408 0 2,256 0 0%
Livingston TOTALS: 2,670 920 219 24 2,889 944 33% 90% 36% 669 74 3,558 1,018 29%
  Excellus   523   15   538 19%       24   562 16%
  Preferred Care   397   9   406 14%       50   456 13%
Madison TOTALS: 2,721 0 172 0 2,893 0 0% 89% 0% 736 0 3,629 0 0%
Monroe TOTALS: 48,672 38,967 5,712 3,808 54,384 42,775 79% 90% 87% 11,819 2,202 66,203 44,977 68%
  Excellus   28,312   2,939   31,251 57%       1719   32,970 50%
  Preferred Care   10,655   869   11,524 21%       483   12,007 18%
Montgomery TOTALS: 3,252 783 373 38 3,625 821 23% 91% 25% 758 28 4,383 849 19%
  CDPHP   783   38   821 23%       28   849 19%
Nassau TOTALS: 29,466 10,070 2,415 467 31,881 10,537 33% 92% 36% 9,986 634 41,867 11,171 27%
  Vytra   2,974   166   3,140 10%       140   3,280 8%
  HIP   1,262   90   1,352 4%       156   1,508 4%
  Health First PHSP   2,073   66   2,139 7%       137   2,276 5%
  Genesis Health Plan   2,950   102   3,052 10%       162   3,214 8%
  Fidelis/NYS Catholic Hlth   811   43   854 3%       39   893 2%
Niagara TOTALS: 11,428 9,836 1,205 765 12,633 10,601 84% 92% 91% 3,272 1,308 15,905 11,909 75%
  Independent Health Assoc/IHA   5,072   396   5,468 43%       697   6,165 39%
  Fidelis/NYS Catholic Hlth   1,880   171   2,051 16%       265   2,316 15%
  HealthNow/BCBS-WNY/Community Blue   2,884   198   3,082 24%       346   3,428 22%
Oneida TOTALS: 16,006 6,960 1,463 464 17,469 7,424 42% 92% 46% 5,000 1,069 22,469 8,493 38%
  Fidelis/NYS Catholic Hlth   4,444   283   4,727 27%       792   5,519 25%
  United Healthcare of Upstate   2,359   164   2,523 14%       263   2,786 12%
  Excellus   157   17   174 1%       14   188 1%
Onondaga TOTALS: 27,799 20,687 2,295 1,191 30,094 21,878 73% 86% 85% 7,723 1,900 37,817 23,778 63%
  Fidelis/NYS Catholic Hlth   4,842   269   5,111 17%       459   5,570 15%
  Total Care/Syracuse PHSP   8,603   423   9,026 30%       888   9,914 26%
  United Healthcare of Upstate   6,020   409   6,429 21%       517   6,946 18%
  Excellus   1,222   90   1,312 4%       36   1,348 4%
Ontario TOTALS: 3,534 2,686 298 115 3,832 2,801 73% 91% 80% 1,038 311 4,870 3,112 64%
  Excellus   2,052   92   2,144 56%       255   2,399 49%
  Preferred Care   634   23   657 17%       56   713 15%
Orange TOTALS: 20,755 5,645 3,485 446 24,240 6,091 25% 90% 28% 4,062 642 28,302 6,733 24%
  Genesis Health Plan   4,182   343   4,525 19%       558   5,083 18%
  Wellcare   1,167   98   1,265 5%       66   1,331 5%
  Care Plus Health Plan   296   5   301 1%       18   319 1%
Orleans TOTALS: 2,772 862 193 52 2,965 914 31% 92% 34% 602 75 3,567 989 28%
  Excellus   443   35   478 16%       53   531 15%
  Fidelis/NYS Catholic Hlth   419   17   436 15%       22   458 13%
Oswego TOTALS: 8,241 6,294 688 448 8,929 6,742 76% 91% 83% 1,900 474 10,829 7,216 67%
  Fidelis/NYS Catholic Hlth   1,200   110   1,310 15%       77   1,387 13%
  Total Care/Syracuse PHSP   2,189   171   2,360 26%       197   2,557 24%
  United Healthcare of Upstate   2,905   167   3,072 34%       200   3,272 30%
Otsego TOTALS: 2,576 39 144 0 2,720 39 1% 91% 2% 812 1 3,532 40 1%
  Wellcare   39   0   39 1%       1   40 1%
Putnam TOTALS: 870 195 134 16 1,004 211 21% 88% 24% 531 37 1,535 248 16%
  Care Plus Health Plan   195   16   211 21%       37   248 16%
Rensselaer TOTALS: 7,564 6,479 760 502 8,324 6,981 84% 90% 93% 2,075 352 10,399 7,333 71%
  CDPHP   5,552   435   5,987 72%       285   6,272 60%
  Fidelis/NYS Catholic Hlth   541   44   585 7%       46   631 6%
  Wellcare   386   23   409 5%       21   430 4%
Rockland TOTALS: 16,986 15,674 3,080 845 20,066 16,519 82% 92% 89% 2,596 431 22,662 16,950 75%
  Genesis Health Plan   1,426   104   1,530 8%       124   1,654 7%
  Fidelis/NYS Catholic Hlth   10,509   484   10,993 55%       182   11,175 49%
  Wellcare   1,979   131   2,110 11%       42   2,152 9%
  Westchester PHSP   1,557   100   1,657 8%       70   1,727 8%
  Community Choice Hlth Plan   203   26   229 1%       13   242 1%
St. Lawrence TOTALS: 7,664 0 694 0 8,358 0 0% 91% 0% 2,362 0 10,720 0 0%
Saratoga TOTALS: 4,437 3,192 348 182 4,785 3,374 71% 91% 77% 1,868 154 6,653 3,528 53%
  Wellcare   77   8   85 2%       1   86 1%
  CDPHP   2,550   143   2,693 56%       142   2,835 43%
  Fidelis/NYS Catholic Hlth   565   31   596 12%       11   607 9%
Schenectady TOTALS: 7,471 4,576 609 228 8,080 4,804 59% 89% 67% 2,441 530 10,521 5,334 51%
  CDPHP   4,160   208   4,368 54%       491   4,859 46%
  Fidelis/NYS Catholic Hlth   416   20   436 5%       39   475 5%
Schoharie TOTALS: 1,673 52 83 1 1,756 53 3% 92% 3% 378 2 2,134 55 3%
  CDPHP   52   1   53 3%       2   55 3%
Schuyler TOTALS: 968 0 92 0 1,060 0 0% 91% 0% 345 0 1,405 0 0%
Seneca TOTALS: 1,439 692 132 15 1,571 707 45% 92% 49% 466 101 2,037 808 40%
  Excellus   692   15   707 45%       101   808 40%
Steuben TOTALS: 6,336 1,454 401 118 6,737 1,572 23% 90% 26% 1,988 624 8,725 2,196 25%
  Southern Tier Pediatrics (Partial)   74   0   74 1%       11   85 1%
  Southern Tier Priority (Partial)   1,380   118   1,498 22%       613   2,111 24%
Suffolk TOTALS: 36,476 15,907 2,737 570 39,213 16,477 42% 90% 47% 13,023 2,237 52,236 18,714 36%
  Vytra   3,430   182   3,612 9%       255   3,867 7%
  HIP   882   47   929 2%       122   1,051 2%
  Health First PHSP   2,488   99   2,587 7%       481   3,068 6%
  Suffolk Plan HMO   6,489   179   6,668 17%       1129   7,797 15%
  Genesis Health Plan   1,037   31   1,068 3%       118   1,186 2%
  United Healthcare of NY   859   15   874 2%       41   915 2%
  Fidelis/NYS Catholic Hlth   722   17   739 2%       91   830 2%
Sullivan TOTALS: 4,232 814 287 31 4,519 845 19% 90% 21% 1,429 84 5,948 929 16%
  Wellcare   788   31   819 18%       76   895 15%
  Westchester PHSP   26   0   26 1%       8   34 1%
Tioga TOTALS: 2,211 36 138 1 2,349 37 2% 93% 2% 694 1 3,043 38 1%
  Wellcare   0   0   0 0%       0   0 0%
  CDPHP   36   1   37 2%       1   38 1%
Tompkins TOTALS: 3,892 0 468 0 4,360 0 0% 89% 0% 957 0 5,317 0 0%
Ulster TOTALS: 7,936 2,096 815 91 8,751 2,187 25% 90% 28% 2,582 142 11,333 2,329 21%
  Wellcare   2,096   91   2,187 25%       142   2,329 21%
Warren TOTALS: 2,377 1,274 145 6 2,522 1,280 51% 91% 56% 884 49 3,406 1,329 39%
  HealthNow/BlueShield of NENY   1,274   6   1,280 51%       49   1,329 39%
Washington TOTALS: 2,985 949 227 28 3,212 977 30% 89% 34% 916 103 4,128 1,080 26%
  HealthNow/BlueShield of NENY   609   20   629 20%       84   713 17%
  CDPHP   340   8   348 11%       19   367 9%
Wayne TOTALS: 3,257 1,369 180 43 3,437 1,412 41% 91% 45% 1,193 128 4,630 1,540 33%
  Excellus   454   10   464 14%       44   508 11%
  Preferred Care   915   33   948 28%       84   1,032 22%
Westchester TOTALS: 41,012 27,882 4,751 2,223 45,763 30,105 66% 86% 76% 9,718 2,322 55,481 32,427 58%
  HIP   1,842   344   2,186 5%       288   2,474 4%
  Westchester PHSP   13,270   762   14,032 31%       1004   15,036 27%
  Genesis Health Plan   5,008   416   5,424 12%       451   5,875 11%
  Community Choice Hlth Plan   5,265   423   5,688 12%       399   6,087 11%
  Fidelis/NYS Catholic Hlth   2,497   278   2,775 6%       180   2,955 5%
Wyoming TOTALS: 1,424 0 123 0 1,547 0 0% 91% 0% 407 0 1,954 0 0%
Yates TOTALS: 1,181 686 73 23 1,254 709 57% 91% 62% 277 60 1,531 769 50%
  Excellus   686   23   709 57%       60   769 50%
Upstate Total   507,338 272,757 50,642 19,843 557,980 292,600 52% 90% 58% 142,762 27,786 700,742 320,386 46%
NYC The Bronx Health Plan   27,266   1,295   28,561 2%       2,007   30,568 2%
  Fidelis/NYS Catholic Hlth   27,808   2,617   30,425 3%       1,452   31,877 2%
  Health First PHSP   44,902   4,861   49,763 4%       4,519   54,282 4%
  HIP   42,182   6,491   48,673 4%       6,200   54,873 4%
  Health Plus PHSP   46,072   3,002   49,074 4%       1,515   50,589 3%
  AmeriChoice of New York/MHS   44,046   8,952   52,998 4%       3,675   56,673 4%
  Manhattan PHSP/Center Care   26,351   2,287   28,638 2%       1,425   30,063 2%
  MetroPlus Health Plan   39,566   3,109   42,675 4%       4,453   47,128 3%
  United Healthcare of NY   2,134   326   2,460 0%       123   2,583 0%
  St Barnabas/Partners in Health   9,620   792   10,412 1%       912   11,324 1%
  Neighborhood Health Providers   30,290   1,466   31,756 3%       1,605   33,361 2%
  Wellcare   4,805   732   5,537 0%       273   5,810 0%
  ABC Health Plan   2,354   213   2,567 0%       113   2,680 0%
  Genesis Health Plan   8,257   557   8,814 1%       450   9,264 1%
  Community Choice Hlth Plan   749   46   795 0%       33   828 0%
  Community Premier Plus   7,825   559   8,384 1%       897   9,281 1%
  NY Hospital Community PHSP   9,087   993   10,080 1%       575   10,655 1%
  Care Plus Health Plan   16,970   1,509   18,479 2%       653   19,132 1%
  NYC Total 1,005,064 390,284 186,254 39,807 1,191,318 430,091 36% 86% 42% 263,077 30,880 1,454,395 460,971 32%
                               
  UPSTATE TOTALS: 507,338 272,757 50,642 19,843 557,980 292,600 52% 90% 58% 142,762 27,786 700,742 320,386 46%
  NEW YORK CITY TOTALS: 1,005,064 390,284 186,254 39,807 1,191,318 430,091 36% 86% 42% 263,077 30,880 1,454,395 460,971 32%
  GRAND TOTALS 1,512,402 663,041 236,896 59,650 1,749,298 722,691 41% 89% 46% 405,839 58,666 2,155,137 781,357 36%
NYC Boroughs Bronx 270,860 89,958 40,276 5,384 311,136 95,342 31%     63,680 7,327 374,816 102,669 27%
  Brooklyn 373,014 175,310 74,423 23,135 447,437 198,446 44%     94,835 12,575 542,272 211,021 39%
  Manhattan 149,593 47,642 37,818 5,461 187,411 53,103 28%     49,488 5,129 236,899 58,232 25%
  Queens 187,328 59,918 29,764 4,106 217,092 64,024 29%     47,258 4,348 264,350 68,372 26%
  Staten Island 24,269 17,455 3,973 1,721 28,242 19,176 68%     7,816 1,501 36,058 20,677 57%
  Borough Total 1,005,064 390,284 186,254 39,807 1,191,318 430,091 36% 86% 42% 263,077 30,880 1,454,395 460,971 32%

NOTES:

  1. The Managed Care eligible counts are based upon April, 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: Sullivan County - Westchester PHSP.