RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS September, 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: 13,887 11,406 1,186 862 15,073 12,268 81% 92% 88% 4,393 699 19,466 12,967 67%
  CDPHP   9,164   742   9,906 66%       582   10,488 54%
  Fidelis/NYS Catholic Hlth   1,035   68   1,103 7%       76   1,179 6%
  Wellcare   1,207   52   1,259 8%       41   1,300 7%
Allegany TOTALS: 3,223 550 342 51 3,565 601 17% 89% 19% 1,009 235 4,574 836 18%
  Health Choice (Partial)   550   51   601 17%       235   836 18%
Broome TOTALS: 10,552 8,464 1,085 683 11,637 9,147 79% 89% 88% 3,342 773 14,979 9,920 66%
  Broome MC   4,540   354   4,894 42%       591   5,485 37%
  Wellcare   504   32   536 5%       35   571 4%
  Fidelis/NYS Catholic Hlth   355   37   392 3%       20   412 3%
  CDPHP   3,065   260   3,325 29%       127   3,452 23%
Cattauragus TOTALS: 4,906 2,269 287 103 5,193 2,372 46% 91% 50% 1,535 545 6,728 2,917 43%
  Comm Blue/HealthNow   1,734   84   1,818 35%       498   2,316 34%
  Fidelis/NYS Catholic Hlth   535   19   554 11%       47   601 9%
Cayuga TOTALS: 4,218 0 248 0 4,466 0 0% 88% 0% 1,120 0 5,586 0 0%
Chautauqua TOTALS: 10,084 4,856 1,147 438 11,231 5,294 47% 82% 57% 2,571 770 13,802 6,064 44%
  Comm Blue/HealthNow   1,429   119   1,548 14%       266   1,814 13%
  Primary Health   442   47   489 4%       191   680 5%
  Fidelis/NYS Catholic Hlth   2,985   272   3,257 29%       313   3,570 26%
Chemung TOTALS: 6,557 3,425 399 160 6,956 3,585 52% 88% 59% 1,913 1,006 8,869 4,591 52%
  Southern Tier Pediatrics (Partial)   2,521   0   2,521 36%       268   2,789 31%
  Southern Tier Priority (Partial)   904   160   1,064 15%       738   1,802 20%
Chenango TOTALS: 3,663 0 172 0 3,835 0 0% 92% 0% 926 0 4,761 0 0%
Clinton TOTALS: 5,044 0 390 0 5,434 0 0% 85% 0% 1,555 0 6,989 0 0%
Columbia TOTALS: 2,559 1,951 197 130 2,756 2,081 76% 93% 81% 871 142 3,627 2,223 61%
  CDPHP   1,457   97   1,554 56%       104   1,658 46%
  Wellcare   409   27   436 16%       30   466 13%
  Fidelis/NYS Catholic Hlth   85   6   91 3%       8   99 3%
Cortland TOTALS: 3,111 388 208 13 3,319 401 12% 90% 13% 792 94 4,111 495 12%
  Fidelis/NYS Catholic Hlth   388   13   401 12%       94   495 12%
Delaware TOTALS: 2,185 219 178 22 2,363 241 10% 91% 11% 715 9 3,078 250 8%
  Wellcare   219   22   241 10%       9   250 8%
Dutchess TOTALS: 7,056 1,154 645 39 7,701 1,193 15% 90% 17% 2,549 86 10,250 1,279 12%
  Wellcare   1,154   39   1,193 15%       86   1,279 12%
Erie TOTALS: 60,701 45,999 7,234 4,435 67,935 50,434 74% 92% 81% 17,227 6,921 85,162 57,355 67%
  Buffalo Community Health   6,004   546   6,550 10%       196   6,746 8%
  Comm Blue/HealthNow   8,212   685   8,897 13%       795   9,692 11%
  Independent Health Assoc/IHA   17,422   1,326   18,748 28%       1060   19,808 23%
  Fidelis/NYS Catholic Hlth   13,479   708   14,187 21%       1045   15,232 18%
  Total Full Risk   45,117   3,265   48,382 71%       3,096   51,478 60%
  PCMP II (Partial)   168   52   220 0%       341   561 1%
  PCMP III (Partial)   54   100   154 0%       707   861 1%
  PCMP II-A Special Care (Partial)   660   1,018   1,678 2%       2777   4,455 5%
  Total Partial Risk   882   1,170   2,052 3%       3,825   5,877 7%
Essex TOTALS: 1,678 0 144 0 1,822 0 0% 91% 0% 572 0 2,394 0 0%
Franklin TOTALS: 2,794 0 232 0 3,026 0 0% 89% 0% 995 0 4,021 0 0%
Fulton TOTALS: 3,996 632 365 45 4,361 677 16% 92% 17% 1,075 21 5,436 698 13%
  CDPHP   632   45   677 16%       21   698 13%
Genesee TOTALS: 2,361 807 100 35 2,461 842 34% 87% 39% 617 62 3,078 904 29%
  Preferred Care   807   35   842 34%       62   904 29%
Greene TOTALS: 2,511 2,033 251 164 2,762 2,197 80% 93% 86% 666 114 3,428 2,311 67%
  CDPHP   1,242   103   1,345 49%       72   1,417 41%
  Wellcare   668   49   717 26%       37   754 22%
  Fidelis/NYS Catholic Hlth   123   12   135 5%       5   140 4%
Hamilton TOTALS: 135 0 10 0 145 0 0% 92% 0% 43 0 188 0 0%
Herkimer TOTALS: 3,549 635 278 45 3,827 680 18% 90% 20% 879 30 4,706 710 15%
  Fidelis/NYS Catholic Hlth   243   16   259 7%       23   282 6%
  United Healthcare of Upstate   392   29   421 11%       7   428 9%
Jefferson TOTALS: 6,930 0 572 0 7,502 0 0% 84% 0% 1,830 0 9,332 0 0%
Lewis TOTALS: 1,675 0 145 0 1,820 0 0% 92% 0% 410 0 2,230 0 0%
Livingston TOTALS: 2,503 912 216 25 2,719 937 34% 90% 38% 685 71 3,404 1,008 30%
  Excellus/Blue Choice   504   14   518 19%       24   542 16%
  Preferred Care   408   11   419 15%       47   466 14%
Madison TOTALS: 2,551 0 142 0 2,693 0 0% 89% 0% 749 0 3,442 0 0%
Monroe TOTALS: 48,695 38,472 5,628 3,731 54,323 42,203 78% 90% 86% 11,789 2,054 66,112 44,257 67%
  Excellus/Blue Choice   27,913   2,846   30,759 57%       1617   32,376 49%
  Preferred Care   10,559   885   11,444 21%       437   11,881 18%
Montgomery TOTALS: 3,081 726 375 45 3,456 771 22% 91% 25% 755 22 4,211 793 19%
  CDPHP   726   45   771 22%       22   793 19%
Nassau TOTALS: 29,380 8,736 2,506 373 31,886 9,109 29% 92% 31% 10,071 565 41,957 9,674 23%
  Vytra   2,533   128   2,661 8%       124   2,785 7%
  HIP   1,004   62   1,066 3%       137   1,203 3%
  Health First PHSP   1,796   53   1,849 6%       122   1,971 5%
  Genesis Health Plan   2,795   103   2,898 9%       144   3,042 7%
  Fidelis/NYS Catholic Hlth   608   27   635 2%       38   673 2%
Niagara TOTALS: 11,098 9,676 1,132 763 12,230 10,439 85% 92% 93% 3,298 1,262 15,528 11,701 75%
  Independent Health Assoc/IHA   4,998   387   5,385 44%       684   6,069 39%
  Fidelis/NYS Catholic Hlth   1,866   174   2,040 17%       256   2,296 15%
  Comm Blue/HealthNow   2,812   202   3,014 25%       322   3,336 21%
Oneida TOTALS: 15,559 6,663 1,436 405 16,995 7,068 42% 92% 45% 5,058 1,023 22,053 8,091 37%
  Fidelis/NYS Catholic Hlth   4,405   261   4,666 27%       773   5,439 25%
  United Healthcare of Upstate   2,165   132   2,297 14%       241   2,538 12%
  Excellus/Blue Choice   93   12   105 1%       9   114 1%
Onondaga TOTALS: 27,810 20,459 2,329 1,186 30,139 21,645 72% 86% 84% 7,799 1,859 37,938 23,504 62%
  Fidelis/NYS Catholic Hlth   4,871   266   5,137 17%       449   5,586 15%
  Total Care/Syracuse PHSP   8,545   427   8,972 30%       861   9,833 26%
  United Healthcare of Upstate   5,985   413   6,398 21%       526   6,924 18%
  Excellus/Blue Choice   1,058   80   1,138 4%       23   1,161 4%
Ontario TOTALS: 3,346 2,646 266 124 3,612 2,770 77% 91% 84% 1,036 291 4,648 3,061 66%
  Excellus/Blue Choice   2,023   103   2,126 59%       235   2,361 51%
  Preferred Care   623   21   644 18%       56   700 15%
Orange TOTALS: 20,341 5,643 3,465 446 23,806 6,089 26% 90% 28% 4,111 636 27,917 6,725 24%
  Genesis Health Plan   4,139   337   4,476 19%       559   5,035 18%
  Wellcare   1,190   101   1,291 5%       60   1,351 5%
  Care Plus Health Plan   314   8   322 1%       17   339 1%
Orleans TOTALS: 2,690 809 170 51 2,860 860 30% 92% 33% 608 67 3,468 927 27%
  Excellus/Blue Choice   470   34   504 18%       50   554 16%
  Fidelis/NYS Catholic Hlth   339   17   356 12%       17   373 11%
Oswego TOTALS: 8,020 6,269 707 462 8,727 6,731 77% 91% 85% 1,921 475 10,648 7,206 68%
  Fidelis/NYS Catholic Hlth   1,187   115   1,302 15%       76   1,378 13%
  Total Care/Syracuse PHSP   2,198   173   2,371 27%       197   2,568 24%
  United Healthcare of Upstate   2,884   174   3,058 35%       202   3,260 31%
Otsego TOTALS: 2,470 40 135 1 2,605 41 2% 91% 2% 816 1 3,421 42 1%
  Wellcare   40   1   41 2%       1   42 1%
Putnam TOTALS: 841 201 128 18 969 219 23% 88% 26% 529 42 1,498 261 17%
  Care Plus Health Plan   201   18   219 23%       42   261 17%
Rensselaer TOTALS: 7,412 6,507 793 496 8,205 7,003 85% 90% 95% 2,079 341 10,284 7,344 71%
  CDPHP   5,546   425   5,971 73%       274   6,245 61%
  Fidelis/NYS Catholic Hlth   584   49   633 8%       45   678 7%
  Wellcare   377   22   399 5%       22   421 4%
Rockland TOTALS: 15,922 13,707 3,756 858 19,678 14,565 74% 92% 80% 2,610 411 22,288 14,976 67%
  Genesis Health Plan   1,426   94   1,520 8%       125   1,645 7%
  Fidelis/NYS Catholic Hlth   8,897   521   9,418 48%       177   9,595 43%
  Wellcare   1,771   135   1,906 10%       32   1,938 9%
  Westchester PHSP   1,461   93   1,554 8%       65   1,619 7%
  Community Choice Hlth Plan   152   15   167 1%       12   179 1%
St. Lawrence TOTALS: 7,566 0 703 0 8,269 0 0% 91% 0% 2,393 0 10,662 0 0%
Saratoga TOTALS: 4,218 3,171 336 196 4,554 3,367 74% 91% 81% 1,877 153 6,431 3,520 55%
  Wellcare   84   13   97 2%       1   98 2%
  CDPHP   2,494   146   2,640 58%       138   2,778 43%
  Fidelis/NYS Catholic Hlth   593   37   630 14%       14   644 10%
Schenectady TOTALS: 7,425 4,374 603 231 8,028 4,605 57% 89% 64% 2,459 506 10,487 5,111 49%
  CDPHP   3,993   204   4,197 52%       465   4,662 44%
  Fidelis/NYS Catholic Hlth   381   27   408 5%       41   449 4%
Schoharie TOTALS: 1,615 52 76 2 1,691 54 3% 92% 3% 382 2 2,073 56 3%
  CDPHP   52   2   54 3%       2   56 3%
Schuyler TOTALS: 973 0 92 0 1,065 0 0% 91% 0% 340 0 1,405 0 0%
Seneca TOTALS: 1,404 671 149 20 1,553 691 44% 92% 48% 469 97 2,022 788 39%
  Excellus/Blue Choice   671   20   691 44%       97   788 39%
Steuben TOTALS: 6,189 1,422 400 114 6,589 1,536 23% 90% 26% 1,982 626 8,571 2,162 25%
  Southern Tier Pediatrics (Partial)   72   0   72 1%       11   83 1%
  Southern Tier Priority (Partial)   1,350   114   1,464 22%       615   2,079 24%
Suffolk TOTALS: 34,588 14,619 2,713 459 37,301 15,078 40% 90% 45% 13,126 2,241 50,427 17,319 34%
  Vytra   2,874   123   2,997 8%       224   3,221 6%
  HIP   672   26   698 2%       126   824 2%
  Health First PHSP   2,343   93   2,436 7%       484   2,920 6%
  Suffolk Plan HMO   6,507   162   6,669 18%       1156   7,825 16%
  Genesis Health Plan   947   36   983 3%       121   1,104 2%
  United Healthcare of NY   684   7   691 2%       40   731 1%
  Fidelis/NYS Catholic Hlth   592   12   604 2%       90   694 1%
Sullivan TOTALS: 3,944 794 261 37 4,205 831 20% 90% 22% 1,438 74 5,643 905 16%
  Wellcare   794   37   831 20%       74   905 16%
Tioga TOTALS: 2,220 33 126 1 2,346 34 1% 93% 2% 684 1 3,030 35 1%
  Wellcare   0   0   0 0%       0   0 0%
  CDPHP   33   1   34 1%       1   35 1%
Tompkins TOTALS: 3,845 0 453 0 4,298 0 0% 89% 0% 958 0 5,256 0 0%
Ulster TOTALS: 7,992 2,164 818 95 8,810 2,259 26% 90% 28% 2,614 141 11,424 2,400 21%
  Wellcare   2,164   95   2,259 26%       141   2,400 21%
Warren TOTALS: 2,410 1,260 140 5 2,550 1,265 50% 91% 55% 893 56 3,443 1,321 38%
  Comm Blue/HealthNow   1,260   5   1,265 50%       56   1,321 38%
Washington TOTALS: 2,912 949 196 33 3,108 982 32% 89% 36% 918 99 4,026 1,081 27%
  Comm Blue/HealthNow   615   24   639 21%       82   721 18%
  CDPHP   334   9   343 11%       17   360 9%
Wayne TOTALS: 3,175 1,189 170 48 3,345 1,237 37% 91% 41% 1,219 129 4,564 1,366 30%
  Excellus/Blue Choice   420   14   434 13%       41   475 10%
  Preferred Care   769   34   803 24%       88   891 20%
Westchester TOTALS: 39,960 27,659 4,845 2,166 44,805 29,825 67% 86% 77% 9,780 2,230 54,585 32,055 59%
  HIP   1,643   271   1,914 4%       281   2,195 4%
  Westchester PHSP   12,918   758   13,676 31%       950   14,626 27%
  Genesis Health Plan   5,133   412   5,545 12%       436   5,981 11%
  Community Choice Hlth Plan   5,417   440   5,857 13%       391   6,248 11%
  Fidelis/NYS Catholic Hlth   2,548   285   2,833 6%       172   3,005 6%
Wyoming TOTALS: 1,393 0 118 0 1,511 0 0% 91% 0% 416 0 1,927 0 0%
Yates TOTALS: 1,159 700 64 25 1,223 725 59% 91% 65% 291 59 1,514 784 52%
  Excellus/Blue Choice   700   25   725 59%       59   784 52%
Upstate Total   498,082 265,311 51,262 19,641 549,344 284,952 52% 90% 58% 143,758 27,041 693,102 311,993 45%
NYC The Bronx Health Plan   27,423   1,209   28,632 2%       2,018   30,650 2%
  Fidelis/NYS Catholic Hlth   26,761   2,484   29,245 2%       1,435   30,680 2%
  Health First PHSP   43,944   4,689   48,633 4%       4,546   53,179 4%
  HIP   39,792   5,856   45,648 4%       6,144   51,792 4%
  Health Plus PHSP   40,986   2,791   43,777 4%       1,486   45,263 3%
  AmeriChoice of New York/MHS   44,286   8,779   53,065 5%       3,735   56,800 4%
  Manhattan PHSP/Center Care   25,015   2,156   27,171 2%       1,412   28,583 2%
  MetroPlus Health Plan   39,151   3,033   42,184 4%       4,494   46,678 3%
  United Healthcare of NY   1,884   282   2,166 0%       118   2,284 0%
  St Barnabas/Partners in Health   9,291   724   10,015 1%       878   10,893 1%
  Neighborhood Health Providers   29,799   1,409   31,208 3%       1,596   32,804 2%
  Wellcare   4,482   708   5,190 0%       266   5,456 0%
  ABC Health Plan   2,203   175   2,378 0%       115   2,493 0%
  Genesis Health Plan   8,464   564   9,028 1%       448   9,476 1%
  Community Choice Hlth Plan   617   28   645 0%       32   677 0%
  Community Premier Plus   7,532   571   8,103 1%       896   8,999 1%
  NY Hospital Community PHSP   8,487   864   9,351 1%       553   9,904 1%
  Care Plus Health Plan   14,848   1,445   16,293 1%       636   16,929 1%
  NYC Total 988,260 374,965 185,095 37,767 1,173,355 412,732 35% 86% 41% 267,409 30,808 1,440,764 443,540 31%
   
  UPSTATE TOTALS: 498,082 265,311 51,262 19,641 549,344 284,952 52% 90% 58% 143,758 27,041 693,102 311,993 45%
  NEW YORK CITY TOTALS: 988,260 374,965 185,095 37,767 1,173,355 412,732 35% 86% 41% 267,409 30,808 1,440,764 443,540 31%
  GRAND TOTALS 1,486,342 640,276 236,357 57,408 1,722,699 697,684 40% 89% 46% 411,167 57,849 2,133,866 755,533 35%
NYC Boroughs Bronx 268,598 85,145 39,994 4,784 308,592 89,929 29%     64,781 7,286 373,373 97,215 26%
  Brooklyn 366,126 170,601 73,996 22,464 440,122 193,064 44%     96,380 12,584 536,502 205,648 38%
  Manhattan 147,151 47,263 37,563 5,331 184,714 52,595 28%     50,326 5,152 235,040 57,747 25%
  Queens 182,516 55,042 29,594 3,530 212,110 58,572 28%     47,976 4,288 260,086 62,860 24%
  Staten Island 23,869 16,913 3,948 1,658 27,817 18,571 67%     7,946 1,498 35,763 20,070 56%
  Borough Total 988,260 374,965 185,095 37,767 1,173,355 412,732 35% 86% 41% 267,409 30,808 1,440,764 443,540 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.