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RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS April 2002

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: 14,276 11,277 1,418 957 15,694 12,234 78% 92% 85% 4,386 758 20,080 12,992 65%
  CDPHP   9,291   832   10,123 65%       651   10,774 54%
  Fidelis/NYS Catholic Hlth   949   63   1,012 6%       69   1,081 5%
  Wellcare   1,037   62   1,099 7%       38   1,137 6%
Allegany TOTALS: 3,305 635 283 44 3,588 511 14% 89% 16% 1,008 236 4,596 915 20%
  Health Choice (Partial)   479   32   511 14%       224   735 16%
  HealthNow/BCBS-WNY/Community Blue   156   12   168 5%       12   180 4%
Broome TOTALS: 10,895 9,248 1,044 837 11,939 10,085 84% 89% 95% 3,447 839 15,386 10,924 71%
  Broome MC   4,969   403   5,372 45%       636   6,008 39%
  Fidelis/NYS Catholic Hlth   439   34   473 4%       21   494 3%
  CDPHP   3,840   400   4,240 36%       182   4,422 29%
Cattauragus TOTALS: 5,287 3,274 280 212 5,567 3,486 63% 91% 69% 1,557 572 7,124 4,058 57%
  HealthNow/BCBS-WNY/Community Blue   2,457   167   2,624 47%       514   3,138 44%
  Fidelis/NYS Catholic Hlth   817   45   862 15%       58   920 13%
Cayuga TOTALS: 4,549 0 242 0 4,791 0 0% 88% 0% 1,155 0 5,946 0 0%
Chautauqua TOTALS: 10,594 6,817 1,158 791 11,752 7,608 65% 82% 79% 2,608 919 14,360 8,527 59%
  HealthNow/BCBS-WNY/Community Blue   2,056   224   2,280 19%       291   2,571 18%
  Primary Health   532   77   609 5%       232   841 6%
  Fidelis/NYS Catholic Hlth   4,229   490   4,719 40%       396   5,115 36%
Chemung TOTALS: 7,007 3,512 467 192 7,474 3,704 50% 88% 56% 1,936 980 9,410 4,684 50%
  Southern Tier Pediatrics (Partial)   2,552   2   2,554 34%       260   2,814 30%
  Southern Tier Priority (Partial)   960   190   1,150 15%       720   1,870 20%
Chenango TOTALS: 3,737 0 171 0 3,908 0 0% 92% 0% 951 0 4,859 0 0%
Clinton TOTALS: 5,015 0 362 0 5,377 0 0% 85% 0% 1,558 0 6,935 0 0%
Columbia TOTALS: 2,677 2,079 208 144 2,885 2,223 77% 93% 83% 853 181 3,738 2,404 64%
  CDPHP   1,614   123   1,737 60%       138   1,875 50%
  Wellcare   344   14   358 12%       34   392 10%
  Fidelis/NYS Catholic Hlth   121   7   128 4%       9   137 4%
Cortland TOTALS: 3,380 387 184 15 3,564 402 11% 90% 13% 796 91 4,360 493 11%
  Fidelis/NYS Catholic Hlth   387   15   402 11%       91   493 11%
Delaware TOTALS: 2,286 177 198 11 2,484 188 8% 91% 8% 741 6 3,225 194 6%
  Wellcare   177   11   188 8%       6   194 6%
Dutchess TOTALS: 7,570 1,234 680 36 8,250 1,270 15% 90% 17% 2,579 105 10,829 1,375 13%
  Wellcare   1,234   36   1,270 15%       105   1,375 13%
Erie TOTALS: 60,689 47,657 6,997 4,576 67,686 52,233 77% 92% 84% 17,250 7,112 84,936 59,345 70%
  Buffalo Community Health   6,195   526   6,721 10%       230   6,951 8%
  HealthNow/BCBS-WNY/Community Blue   8,456   721   9,177 14%       848   10,025 12%
  Independent Health Assoc/IHA   18,367   1,412   19,779 29%       1215   20,994 25%
  Fidelis/NYS Catholic Hlth   13,896   792   14,688 22%       1287   15,975 19%
  Total Full Risk   46,914   3,451   50,365 74%       3,580   53,945 64%
  PCMP II (Partial)   145   42   187 0%       318   505 1%
  PCMP III (Partial)   32   58   90 0%       430   520 1%
  PCMP II-A Special Care (Partial)   566   1,025   1,591 2%       2784   4,375 5%
  Total Partial Risk   743   1,125   1,868 3%       3,532   5,400 6%
Essex TOTALS: 1,654 0 121 0 1,775 0 0% 91% 0% 573 0 2,348 0 0%
Franklin TOTALS: 2,830 0 220 0 3,050 0 0% 89% 0% 996 0 4,046 0 0%
Fulton TOTALS: 4,309 663 351 51 4,660 714 15% 92% 17% 1,077 30 5,737 744 13%
  CDPHP   663   51   714 15%       30   744 13%
Genesee TOTALS: 2,539 1,100 85 82 2,624 1,182 45% 87% 52% 614 71 3,238 1,253 39%
  Preferred Care   1,100   82   1,182 45%       71   1,253 39%
Greene TOTALS: 2,644 2,227 252 169 2,896 2,396 83% 93% 89% 691 179 3,587 2,575 72%
  CDPHP   1,450   122   1,572 54%       131   1,703 47%
  Wellcare   615   35   650 22%       38   688 19%
  Fidelis/NYS Catholic Hlth   162   12   174 6%       10   184 5%
Hamilton TOTALS: 142 0 15 0 157 0 0% 92% 0% 46 0 203 0 0%
Herkimer TOTALS: 3,828 833 235 82 4,063 915 23% 90% 25% 874 39 4,937 954 19%
  Fidelis/NYS Catholic Hlth   315   33   348 9%       27   375 8%
  United Healthcare of Upstate   518   49   567 14%       12   579 12%
Jefferson TOTALS: 7,186 0 502 0 7,688 0 0% 84% 0% 1,857 0 9,545 0 0%
Lewis TOTALS: 1,800 0 118 0 1,918 0 0% 92% 0% 409 0 2,327 0 0%
Livingston TOTALS: 2,742 1,076 206 38 2,948 1,114 38% 90% 42% 672 86 3,620 1,200 33%
  Excellus   632   21   653 22%       30   683 19%
  Preferred Care   444   17   461 16%       56   517 14%
Madison TOTALS: 2,883 0 163 0 3,046 0 0% 89% 0% 742 0 3,788 0 0%
Monroe TOTALS: 49,145 40,143 5,791 3,882 54,936 44,025 80% 90% 89% 12,026 2,539 66,962 46,564 70%
  Excellus   29,248   2,982   32,230 59%       2000   34,230 51%
  Preferred Care   10,895   900   11,795 21%       539   12,334 18%
Montgomery TOTALS: 3,481 790 365 39 3,846 829 22% 91% 24% 778 42 4,624 871 19%
  CDPHP   790   39   829 22%       42   871 19%
Nassau TOTALS: 30,604 18,001 2,637 1,125 33,241 19,126 58% 92% 63% 10,106 892 43,347 20,018 46%
  Vytra   3,201   182   3,383 10%       146   3,529 8%
  HIP   3,171   300   3,471 10%       269   3,740 9%
  HealthFirst PHSP   4,248   251   4,499 14%       194   4,693 11%
  Affinity Health Plan   4,170   175   4,345 13%       194   4,539 10%
  Fidelis/NYS Catholic Hlth   2,683   174   2,857 9%       75   2,932 7%
  United Healthcare of NY   528   43   571 2%       14   585 1%
Niagara TOTALS: 11,641 10,273 1,209 834 12,850 11,107 86% 92% 94% 3,324 1,412 16,174 12,519 77%
  Independent Health Assoc/IHA   5,177   425   5,602 44%       759   6,361 39%
  Fidelis/NYS Catholic Hlth   1,907   167   2,074 16%       286   2,360 15%
  HealthNow/BCBS-WNY/Community Blue   3,189   242   3,431 27%       367   3,798 23%
Oneida TOTALS: 16,298 10,040 1,423 846 17,721 10,886 61% 92% 67% 5,098 1,206 22,819 12,092 53%
  Fidelis/NYS Catholic Hlth   5,905   498   6,403 36%       876   7,279 32%
  United Healthcare of Upstate   3,565   275   3,840 22%       302   4,142 18%
  Excellus   570   73   643 4%       28   671 3%
Onondaga TOTALS: 28,883 22,144 2,399 1,409 31,282 23,553 75% 86% 88% 7,755 2,021 39,037 25,574 66%
  Fidelis/NYS Catholic Hlth   5,003   293   5,296 17%       512   5,808 15%
  Total Care/Syracuse PHSP   9,064   545   9,609 31%       938   10,547 27%
  United Healthcare of Upstate   6,393   430   6,823 22%       527   7,350 19%
  Excellus   1,684   141   1,825 6%       44   1,869 6%
Ontario TOTALS: 3,742 2,950 307 125 4,049 3,075 76% 91% 83% 1,069 352 5,118 3,427 67%
  Excellus   2,292   105   2,397 59%       289   2,686 52%
  Preferred Care   658   20   678 17%       63   741 14%
Orange TOTALS: 21,379 5,746 3,522 445 24,901 6,191 25% 90% 28% 4,138 676 29,039 6,867 24%
  Affinity Health Plan   4,341   317   4,658 19%       582   5,240 18%
  Wellcare   1,160   117   1,277 5%       75   1,352 5%
  Care Plus Health Plan   245   11   256 1%       19   275 1%
Orleans TOTALS: 2,857 926 205 52 3,062 978 32% 92% 35% 626 76 3,688 1,054 29%
  Excellus   427   20   447 15%       47   494 13%
  Fidelis/NYS Catholic Hlth   456   26   482 16%       26   508 14%
  HealthNow/BCBS-WNY/Community Blue   43   6   49 2%       3   52 1%
Oswego TOTALS: 8,626 6,942 691 435 9,317 7,377 79% 91% 87% 1,910 528 11,227 7,905 70%
  Fidelis/NYS Catholic Hlth   1,315   115   1,430 15%       87   1,517 14%
  Total Care/Syracuse PHSP   2,477   177   2,654 28%       216   2,870 26%
  United Healthcare of Upstate   3,150   143   3,293 35%       225   3,518 31%
Otsego TOTALS: 2,675 33 125 0 2,800 33 1% 91% 1% 831 1 3,631 34 1%
  Wellcare   33   0   33 1%       1   34 1%
Putnam TOTALS: 913 181 127 15 1,040 196 19% 88% 21% 537 37 1,577 233 15%
  Care Plus Health Plan   181   15   196 19%       37   233 15%
Rensselaer TOTALS: 7,780 6,583 784 575 8,564 7,158 84% 90% 93% 2,115 397 10,679 7,555 71%
  CDPHP   5,760   511   6,271 73%       332   6,603 62%
  Fidelis/NYS Catholic Hlth   512   39   551 6%       47   598 6%
  Wellcare   311   25   336 4%       18   354 3%
Rockland TOTALS: 18,770 17,900 2,000 788 20,770 18,688 90% 92% 98% 2,615 489 23,385 19,177 82%
  Affinity Health Plan   1,366   110   1,476 7%       127   1,603 7%
  Fidelis/NYS Catholic Hlth   12,311   399   12,710 61%       208   12,918 55%
  Wellcare   2,154   118   2,272 11%       47   2,319 10%
  Westchester PHSP   1,899   129   2,028 10%       93   2,121 9%
  Community Choice Hlth Plan   170   32   202 1%       14   216 1%
St. Lawrence TOTALS: 7,656 0 641 0 8,297 0 0% 91% 0% 2,404 0 10,701 0 0%
Saratoga TOTALS: 4,680 3,581 361 209 5,041 3,790 75% 91% 83% 1,893 177 6,934 3,967 57%
  Wellcare   64   7   71 1%       0   71 1%
  CDPHP   2,925   165   3,090 61%       160   3,250 47%
  Fidelis/NYS Catholic Hlth   592   37   629 12%       17   646 9%
Schenectady TOTALS: 7,834 5,130 636 307 8,470 5,437 64% 89% 72% 2,486 588 10,956 6,025 55%
  CDPHP   4,650   270   4,920 58%       541   5,461 50%
  Fidelis/NYS Catholic Hlth   480   37   517 6%       47   564 5%
Schoharie TOTALS: 1,737 67 77 2 1,814 69 4% 92% 4% 378 2 2,192 71 3%
  CDPHP   67   2   69 4%       2   71 3%
Schuyler TOTALS: 1,043 0 83 0 1,126 0 0% 91% 0% 342 0 1,468 0 0%
Seneca TOTALS: 1,511 899 124 32 1,635 931 57% 92% 62% 459 148 2,094 1,079 52%
  Excellus   899   32   931 57%       148   1,079 52%
Steuben TOTALS: 6,429 1,536 416 130 6,845 1,666 24% 90% 27% 2,028 611 8,873 2,277 26%
  Southern Tier Pediatrics (Partial)   70   0   70 1%       9   79 1%
  Southern Tier Priority (Partial)   1,466   130   1,596 23%       602   2,198 25%
Suffolk TOTALS: 38,979 24,323 2,925 1,241 41,904 25,564 61% 90% 68% 13,231 2,398 55,135 27,962 51%
  Vytra   3,798   200   3,998 10%       271   4,269 8%
  HIP   2,268   205   2,473 6%       176   2,649 5%
  HealthFirst PHSP   3,692   168   3,860 9%       502   4,362 8%
  Suffolk Plan HMO   8,170   389   8,559 20%       1139   9,698 18%
  Affinity Health Plan   2,001   77   2,078 5%       139   2,217 4%
  United Healthcare of NY   2,566   110   2,676 6%       65   2,741 5%
  Fidelis/NYS Catholic Hlth   1,828   92   1,920 5%       106   2,026 4%
Sullivan TOTALS: 4,548 1,010 282 39 4,830 1,049 22% 90% 24% 1,455 96 6,285 1,145 18%
  Wellcare   744   36   780 16%       74   854 14%
  Westchester PHSP   266   3   269 6%       22   291 5%
Tioga TOTALS: 2,375 51 137 0 2,512 51 2% 93% 2% 714 0 3,226 51 2%
  CDPHP   51   0   51 2%       0   51 2%
Tompkins TOTALS: 3,947 0 440 0 4,387 0 0% 89% 0% 976 0 5,363 0 0%
Ulster TOTALS: 8,275 2,238 814 74 9,089 2,312 25% 90% 28% 2,586 149 11,675 2,461 21%
  Wellcare   2,238   74   2,312 25%       149   2,461 21%
Warren TOTALS: 2,494 1,376 132 9 2,626 1,385 53% 91% 58% 889 54 3,515 1,439 41%
  HealthNow/BlueShield of NENY   1,376   9   1,385 53%       54   1,439 41%
Washington TOTALS: 3,087 1,027 189 33 3,276 1,060 32% 89% 36% 920 123 4,196 1,183 28%
  HealthNow/BlueShield of NENY   672   23   695 21%       96   791 19%
  CDPHP   355   10   365 11%       27   392 9%
Wayne TOTALS: 3,390 1,571 182 51 3,572 1,622 45% 91% 50% 1,202 159 4,774 1,781 37%
  Excellus   557   20   577 16%       57   634 13%
  Preferred Care   1,014   31   1,045 29%       102   1,147 24%
Westchester TOTALS: 42,673 31,153 4,863 2,387 47,536 33,540 71% 86% 82% 9,906 2,427 57,442 35,967 63%
  HIP   2,399   447   2,846 6%       319   3,165 6%
  Westchester PHSP   14,974   811   15,785 33%       1031   16,816 29%
  Affinity Health Plan   5,236   385   5,621 12%       458   6,079 11%
  Community Choice Hlth Plan   5,854   469   6,323 13%       420   6,743 12%
  Fidelis/NYS Catholic Hlth   2,690   275   2,965 6%       199   3,164 6%
Wyoming TOTALS: 1,453 0 126 0 1,579 0 0% 91% 0% 410 0 1,989 0 0%
Yates TOTALS: 1,251 814 76 30 1,327 844 64% 91% 70% 290 68 1,617 912 56%
  Excellus   814   30   844 64%       68   912 56%
Upstate Total   523,980 309,624 50,049 23,351 574,029 332,807 58% 90% 64% 144,873 29,872 718,902 362,847 50%
NYC Affinity Health Plan   43,938   3,478   47,416 4%       2,595   50,011 3%
  Fidelis/NYS Catholic Hlth   36,258   4,195   40,453 3%       1,604   42,057 3%
  HealthFirst PHSP   56,917   7,475   64,392 5%       4,631   69,023 5%
  HIP   58,559   12,011   70,570 6%       6,655   77,225 5%
  Health Plus PHSP   59,599   5,173   64,772 5%       1,780   66,552 5%
  AmeriChoice of New York/MHS   48,355   11,155   59,510 5%       3,605   63,115 4%
  Manhattan PHSP/Center Care   32,246   3,738   35,984 3%       1,538   37,522 3%
  MetroPlus Health Plan   51,197   4,954   56,151 5%       4,107   60,258 4%
  United Healthcare of NY   5,261   1,167   6,428 1%       219   6,647 0%
  St Barnabas/Partners in Health   13,767   1,531   15,298 1%       999   16,297 1%
  Neighborhood Health Providers   38,131   2,634   40,765 3%       1,676   42,441 3%
  Wellcare   8,600   1,327   9,927 1%       320   10,247 1%
  ABC Health Plan   4,373   520   4,893 0%       136   5,029 0%
  Community Choice Hlth Plan   2,277   307   2,584 0%       50   2,634 0%
  Community Premier Plus   9,486   749   10,235 1%       903   11,138 1%
  NY Hospital Community PHSP   13,880   1,990   15,870 1%       668   16,538 1%
  Care Plus Health Plan   21,713   2,032   23,745 2%       736   24,481 2%
  NYC Total 1,024,455 504,557 191,151 64,436 1,215,606 568,993 47% 86% 54% 258,285 32,222 1,473,891 601,215 41%
                               
  UPSTATE TOTALS: 523,980 309,624 50,049 23,351 574,029 332,807 58% 90% 64% 144,873 29,872 718,902 362,847 50%
  NEW YORK CITY TOTALS: 1,024,455 504,557 191,151 64,436 1,215,606 568,993 47% 86% 54% 258,285 32,222 1,473,891 601,215 41%
  GRAND TOTALS 1,548,435 814,181 241,200 87,787 1,789,635 901,800 50% 89% 57% 403,158 62,094 2,192,793 964,062 44%
NYC Boroughs Bronx 272,669 138,458 41,681 13,347 314,350 151,805 48%     64,615 7,941 378,965 159,746 42%
  Brooklyn 380,227 206,790 76,054 32,660 456,281 239,450 52%     90,344 12,744 546,625 252,194 46%
  Manhattan 148,885 51,734 38,600 7,069 187,485 58,803 31%     49,832 5,111 237,317 63,914 27%
  Queens 196,729 88,369 30,618 9,066 227,347 97,436 43%     45,501 4,759 272,848 102,195 37%
  Staten Island 25,945 19,206 4,198 2,293 30,143 21,499 71%     7,993 1,667 38,136 23,166 61%
  Borough Total 1,024,455 504,557 191,151 64,436 1,215,606 568,993 47% 86% 54% 258,285 32,222 1,473,891 601,215 41%

NOTES:

  1. The Managed Care eligible counts are based upon October, 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 : None

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e-mail Send questions or comments to: omcmail@health.state.ny.us
Revised: May 2002