RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS October, 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 11,564 1,278 874 15,162 12,438 82% 92% 89% 4,401 723 19,563 13,161 67%
  CDPHP   9,329   752   10,081 66%       607   10,688 55%
  Fidelis/NYS Catholic Hlth   1,010   64   1,074 7%       76   1,150 6%
  Wellcare   1,225   58   1,283 8%       40   1,323 7%
Allegany TOTALS: 3,233 537 316 48 3,549 585 16% 89% 19% 1,004 231 4,553 816 18%
  Health Choice (Partial)   537   48   585 16%       231   816 18%
Broome TOTALS: 10,631 8,414 1,052 659 11,683 9,073 78% 89% 87% 3,365 802 15,048 9,875 66%
  Broome MC   4,721   341   5,062 43%       618   5,680 38%
  Wellcare   0   0   0 0%       1   1 0%
  Fidelis/NYS Catholic Hlth   431   36   467 4%       24   491 3%
  CDPHP   3,262   282   3,544 30%       159   3,703 25%
Cattauragus TOTALS: 5,058 2,300 283 98 5,341 2,398 45% 91% 49% 1,522 552 6,863 2,950 43%
  Comm Blue/HealthNow   1,724   80   1,804 34%       498   2,302 34%
  Fidelis/NYS Catholic Hlth   576   18   594 11%       54   648 9%
Cayuga TOTALS: 4,350 0 258 0 4,608 0 0% 88% 0% 1,123 0 5,731 0 0%
Chautauqua TOTALS: 10,334 5,031 1,163 463 11,497 5,494 48% 82% 58% 2,539 785 14,036 6,279 45%
  Comm Blue/HealthNow   1,443   113   1,556 14%       273   1,829 13%
  Primary Health   453   44   497 4%       191   688 5%
  Fidelis/NYS Catholic Hlth   3,135   306   3,441 30%       321   3,762 27%
Chemung TOTALS: 6,840 3,389 421 153 7,261 3,542 49% 88% 55% 1,906 996 9,167 4,538 50%
  Southern Tier Pediatrics (Partial)   2,478   0   2,478 34%       264   2,742 30%
  Southern Tier Priority (Partial)   911   153   1,064 15%       732   1,796 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 1,985 204 130 2,789 2,115 76% 93% 82% 864 149 3,653 2,264 62%
  CDPHP   1,511   99   1,610 58%       110   1,720 47%
  Wellcare   393   26   419 15%       31   450 12%
  Fidelis/NYS Catholic Hlth   81   5   86 3%       8   94 3%
Cortland TOTALS: 3,242 396 201 9 3,443 405 12% 90% 13% 779 97 4,222 502 12%
  Fidelis/NYS Catholic Hlth   396   9   405 12%       97   502 12%
Delaware TOTALS: 2,259 208 208 22 2,467 230 9% 91% 10% 716 11 3,183 241 8%
  Wellcare   208   22   230 9%       11   241 8%
Dutchess TOTALS: 7,285 1,176 673 34 7,958 1,210 15% 90% 17% 2,534 91 10,492 1,301 12%
  Wellcare   1,176   34   1,210 15%       91   1,301 12%
Erie TOTALS: 60,432 46,156 7,009 4,374 67,441 50,530 75% 92% 81% 17,014 7,007 84,455 57,537 68%
  Buffalo Community Health   6,030   535   6,565 10%       206   6,771 8%
  Comm Blue/HealthNow   8,198   675   8,873 13%       815   9,688 11%
  Independent Health Assoc/IHA   17,475   1,317   18,792 28%       1091   19,883 24%
  Fidelis/NYS Catholic Hlth   13,585   702   14,287 21%       1072   15,359 18%
  Total Full Risk   45,288   3,229   48,517 72%       3,184   51,701 61%
  PCMP II (Partial)   169   48   217 0%       335   552 1%
  PCMP III (Partial)   54   98   152 0%       697   849 1%
  PCMP II-A Special Care (Partial)   645   999   1,644 2%       2791   4,435 5%
  Total Partial Risk   868   1,145   2,013 3%       3,823   5,836 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: 4,128 620 363 48 4,491 668 15% 92% 16% 1,054 25 5,545 693 12%
  CDPHP   620   48   668 15%       25   693 12%
Genesee TOTALS: 2,409 868 90 33 2,499 901 36% 87% 41% 613 63 3,112 964 31%
  Preferred Care   868   33   901 36%       63   964 31%
Greene TOTALS: 2,543 2,078 262 155 2,805 2,233 80% 93% 86% 657 121 3,462 2,354 68%
  CDPHP   1,282   100   1,382 49%       78   1,460 42%
  Wellcare   669   44   713 25%       36   749 22%
  Fidelis/NYS Catholic Hlth   127   11   138 5%       7   145 4%
Hamilton TOTALS: 139 0 16 0 155 0 0% 92% 0% 46 0 201 0 0%
Herkimer TOTALS: 3,649 620 271 49 3,920 669 17% 90% 19% 852 32 4,772 701 15%
  Fidelis/NYS Catholic Hlth   242   19   261 7%       23   284 6%
  United Healthcare of Upstate   378   30   408 10%       9   417 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: 2,670 903 219 27 2,889 930 32% 90% 36% 669 72 3,558 1,002 28%
  Excellus/Blue Choice   499   14   513 18%       24   537 15%
  Preferred Care   404   13   417 14%       48   465 13%
Madison TOTALS: 2,721 0 172 0 2,893 0 0% 89% 0% 736 0 3,629 0 0%
Monroe TOTALS: 48,672 38,751 5,712 3,682 54,384 42,433 78% 90% 87% 11,819 2,143 66,203 44,576 67%
  Excellus/Blue Choice   28,145   2,818   30,963 57%       1676   32,639 49%
  Preferred Care   10,606   864   11,470 21%       467   11,937 18%
Montgomery TOTALS: 3,252 788 373 43 3,625 831 23% 91% 25% 758 28 4,383 859 20%
  CDPHP   788   43   831 23%       28   859 20%
Nassau TOTALS: 29,466 9,495 2,415 419 31,881 9,914 31% 92% 34% 9,986 609 41,867 10,523 25%
  Vytra   2,758   145   2,903 9%       131   3,034 7%
  HIP   1,136   75   1,211 4%       150   1,361 3%
  Health First PHSP   1,954   63   2,017 6%       131   2,148 5%
  Genesis Health Plan   2,932   103   3,035 10%       156   3,191 8%
  Fidelis/NYS Catholic Hlth   715   33   748 2%       41   789 2%
Niagara TOTALS: 11,428 9,733 1,205 773 12,633 10,506 83% 92% 90% 3,272 1,291 15,905 11,797 74%
  Independent Health Assoc/IHA   5,032   399   5,431 43%       697   6,128 39%
  Fidelis/NYS Catholic Hlth   1,862   176   2,038 16%       260   2,298 14%
  Comm Blue/HealthNow   2,839   198   3,037 24%       334   3,371 21%
Oneida TOTALS: 16,006 6,854 1,463 425 17,469 7,279 42% 92% 45% 5,000 1,050 22,469 8,329 37%
  Fidelis/NYS Catholic Hlth   4,452   268   4,720 27%       782   5,502 24%
  United Healthcare of Upstate   2,275   143   2,418 14%       255   2,673 12%
  Excellus/Blue Choice   127   14   141 1%       13   154 1%
Onondaga TOTALS: 27,799 20,699 2,295 1,180 30,094 21,879 73% 86% 85% 7,723 1,881 37,817 23,760 63%
  Fidelis/NYS Catholic Hlth   4,898   264   5,162 17%       452   5,614 15%
  Total Care/Syracuse PHSP   8,598   421   9,019 30%       872   9,891 26%
  United Healthcare of Upstate   6,024   411   6,435 21%       528   6,963 18%
  Excellus/Blue Choice   1,179   84   1,263 4%       29   1,292 4%
Ontario TOTALS: 3,534 2,675 298 126 3,832 2,801 73% 91% 80% 1,038 302 4,870 3,103 64%
  Excellus/Blue Choice   2,040   101   2,141 56%       247   2,388 49%
  Preferred Care   635   25   660 17%       55   715 15%
Orange TOTALS: 20,755 5,696 3,485 449 24,240 6,145 25% 90% 28% 4,062 645 28,302 6,790 24%
  Genesis Health Plan   4,201   336   4,537 19%       564   5,101 18%
  Wellcare   1,190   106   1,296 5%       65   1,361 5%
  Care Plus Health Plan   305   7   312 1%       16   328 1%
Orleans TOTALS: 2,772 855 193 53 2,965 908 31% 92% 33% 602 71 3,567 979 27%
  Excellus/Blue Choice   467   35   502 17%       53   555 16%
  Fidelis/NYS Catholic Hlth   388   18   406 14%       18   424 12%
Oswego TOTALS: 8,241 6,316 688 432 8,929 6,748 76% 91% 83% 1,900 479 10,829 7,227 67%
  Fidelis/NYS Catholic Hlth   1,194   100   1,294 14%       78   1,372 13%
  Total Care/Syracuse PHSP   2,211   158   2,369 27%       202   2,571 24%
  United Healthcare of Upstate   2,911   174   3,085 35%       199   3,284 30%
Otsego TOTALS: 2,576 39 144 1 2,720 40 1% 91% 2% 812 1 3,532 41 1%
  Wellcare   39   1   40 1%       1   41 1%
Putnam TOTALS: 870 205 134 17 1,004 222 22% 88% 25% 531 38 1,535 260 17%
  Care Plus Health Plan   205   17   222 22%       38   260 17%
Rensselaer TOTALS: 7,564 6,500 760 505 8,324 7,005 84% 90% 94% 2,075 353 10,399 7,358 71%
  CDPHP   5,537   431   5,968 72%       286   6,254 60%
  Fidelis/NYS Catholic Hlth   566   47   613 7%       45   658 6%
  Wellcare   397   27   424 5%       22   446 4%
Rockland TOTALS: 16,986 14,919 3,080 866 20,066 15,785 79% 92% 86% 2,596 431 22,662 16,216 72%
  Genesis Health Plan   1,435   106   1,541 8%       124   1,665 7%
  Fidelis/NYS Catholic Hlth   9,888   514   10,402 52%       182   10,584 47%
  Wellcare   1,870   127   1,997 10%       42   2,039 9%
  Westchester PHSP   1,557   97   1,654 8%       71   1,725 8%
  Community Choice Hlth Plan   169   22   191 1%       12   203 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 3,211 348 184 4,785 3,395 71% 91% 78% 1,868 152 6,653 3,547 53%
  Wellcare   82   11   93 2%       1   94 1%
  CDPHP   2,544   140   2,684 56%       139   2,823 42%
  Fidelis/NYS Catholic Hlth   585   33   618 13%       12   630 9%
Schenectady TOTALS: 7,471 4,626 609 233 8,080 4,859 60% 89% 68% 2,441 531 10,521 5,390 51%
  CDPHP   4,213   210   4,423 55%       489   4,912 47%
  Fidelis/NYS Catholic Hlth   413   23   436 5%       42   478 5%
Schoharie TOTALS: 1,673 53 83 2 1,756 55 3% 92% 3% 378 2 2,134 57 3%
  CDPHP   53   2   55 3%       2   57 3%
Schuyler TOTALS: 968 0 92 0 1,060 0 0% 91% 0% 345 0 1,405 0 0%
Seneca TOTALS: 1,439 686 132 17 1,571 703 45% 92% 49% 466 101 2,037 804 39%
  Excellus/Blue Choice   686   17   703 45%       101   804 39%
Steuben TOTALS: 6,336 1,456 401 119 6,737 1,575 23% 90% 26% 1,988 630 8,725 2,205 25%
  Southern Tier Pediatrics (Partial)   74   0   74 1%       11   85 1%
  Southern Tier Priority (Partial)   1,382   119   1,501 22%       619   2,120 24%
Suffolk TOTALS: 36,476 15,198 2,737 510 39,213 15,708 40% 90% 45% 13,023 2,232 52,236 17,940 34%
  Vytra   3,113   149   3,262 8%       229   3,491 7%
  HIP   756   37   793 2%       123   916 2%
  Health First PHSP   2,400   97   2,497 6%       488   2,985 6%
  Suffolk Plan HMO   6,510   173   6,683 17%       1139   7,822 15%
  Genesis Health Plan   992   31   1,023 3%       120   1,143 2%
  United Healthcare of NY   778   10   788 2%       41   829 2%
  Fidelis/NYS Catholic Hlth   649   13   662 2%       92   754 1%
Sullivan TOTALS: 4,232 823 287 34 4,519 857 19% 90% 21% 1,429 77 5,948 934 16%
  Wellcare   823   34   857 19%       77   934 16%
Tioga TOTALS: 2,211 41 138 1 2,349 42 2% 93% 2% 694 1 3,043 43 1%
  Wellcare   0   0   0 0%       0   0 0%
  CDPHP   41   1   42 2%       1   43 1%
Tompkins TOTALS: 3,892 0 468 0 4,360 0 0% 89% 0% 957 0 5,317 0 0%
Ulster TOTALS: 7,936 2,150 815 96 8,751 2,246 26% 90% 29% 2,582 141 11,333 2,387 21%
  Wellcare   2,150   96   2,246 26%       141   2,387 21%
Warren TOTALS: 2,377 1,281 145 5 2,522 1,286 51% 91% 56% 884 53 3,406 1,339 39%
  Comm Blue/HealthNow   1,281   5   1,286 51%       53   1,339 39%
Washington TOTALS: 2,985 960 227 29 3,212 989 31% 89% 35% 916 101 4,128 1,090 26%
  Comm Blue/HealthNow   619   20   639 20%       82   721 17%
  CDPHP   341   9   350 11%       19   369 9%
Wayne TOTALS: 3,257 1,308 180 43 3,437 1,351 39% 91% 43% 1,193 128 4,630 1,479 32%
  Excellus/Blue Choice   451   13   464 14%       42   506 11%
  Preferred Care   857   30   887 26%       86   973 21%
Westchester TOTALS: 41,012 28,023 4,751 2,219 45,763 30,242 66% 86% 77% 9,718 2,278 55,481 32,520 59%
  HIP   1,737   317   2,054 4%       280   2,334 4%
  Westchester PHSP   13,197   771   13,968 31%       972   14,940 27%
  Genesis Health Plan   5,109   417   5,526 12%       452   5,978 11%
  Community Choice Hlth Plan   5,457   438   5,895 13%       396   6,291 11%
  Fidelis/NYS Catholic Hlth   2,523   276   2,799 6%       178   2,977 5%
Wyoming TOTALS: 1,424 0 123 0 1,547 0 0% 91% 0% 407 0 1,954 0 0%
Yates TOTALS: 1,181 696 73 23 1,254 719 57% 91% 63% 277 61 1,531 780 51%
  Excellus/Blue Choice   696   23   719 57%       61   780 51%
Upstate Total   507,338 270,282 50,642 19,662 557,980 289,944 52% 90% 58% 142,762 27,567 700,742 317,511 45%
NYC The Bronx Health Plan   27,493   1,268   28,761 2%       2,009   30,770 2%
  Fidelis/NYS Catholic Hlth   27,348   2,600   29,948 3%       1,448   31,396 2%
  Health First PHSP   44,747   4,801   49,548 4%       4,527   54,075 4%
  HIP   41,130   6,235   47,365 4%       6,176   53,541 4%
  Health Plus PHSP   44,972   2,904   47,876 4%       1,509   49,385 3%
  AmeriChoice of New York/MHS   44,220   8,862   53,082 4%       3,692   56,774 4%
  Manhattan PHSP/Center Care   25,912   2,267   28,179 2%       1,418   29,597 2%
  MetroPlus Health Plan   39,669   3,120   42,789 4%       4,486   47,275 3%
  United Healthcare of NY   2,090   315   2,405 0%       127   2,532 0%
  St Barnabas/Partners in Health   9,579   768   10,347 1%       907   11,254 1%
  Neighborhood Health Providers   30,234   1,449   31,683 3%       1,608   33,291 2%
  Wellcare   4,655   733   5,388 0%       269   5,657 0%
  ABC Health Plan   2,330   202   2,532 0%       114   2,646 0%
  Genesis Health Plan   8,397   566   8,963 1%       451   9,414 1%
  Community Choice Hlth Plan   726   45   771 0%       33   804 0%
  Community Premier Plus   7,872   567   8,439 1%       897   9,336 1%
  NY Hospital Community PHSP   9,006   974   9,980 1%       571   10,551 1%
  Care Plus Health Plan   16,135   1,489   17,624 1%       633   18,257 1%
  NYC Total 1,005,064 386,515 186,254 39,165 1,191,318 425,680 36% 86% 42% 263,077 30,875 1,454,395 456,555 31%
                               
  UPSTATE TOTALS: 507,338 270,282 50,642 19,662 557,980 289,944 52% 90% 58% 142,762 27,567 700,742 317,511 45%
  NEW YORK CITY TOTALS: 1,005,064 386,515 186,254 39,165 1,191,318 425,680 36% 86% 42% 263,077 30,875 1,454,395 456,555 31%
  GRAND TOTALS 1,512,402 656,797 236,896 58,827 1,749,298 715,624 41% 89% 46% 405,839 58,442 2,155,137 774,066 36%
NYC Boroughs Bronx 270,860 88,863 40,276 5,223 311,136 94,086 30%     63,680 7,293 374,816 101,379 27%
  Brooklyn 373,014 174,206 74,423 22,899 447,437 197,105 44%     94,835 12,574 542,272 209,679 39%
  Manhattan 149,593 47,640 37,818 5,427 187,411 53,067 28%     49,488 5,156 236,899 58,223 25%
  Queens 187,328 58,375 29,764 3,918 217,092 62,292 29%     47,258 4,339 264,350 66,632 25%
  Staten Island 24,269 17,431 3,973 1,698 28,242 19,129 68%     7,816 1,514 36,058 20,642 57%
  Borough Total 1,005,064 386,515 186,254 39,165 1,191,318 425,680 36% 86% 42% 263,077 30,875 1,454,395 456,555 31%

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 : No new plans.