Managed Care

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

NYS December, 2002

  TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR EXPECTED PENETRATION RATE SSI & MA-SSI  
County Provider Eligibles Enrolled Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled Expected Target* % of Target* Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled
Albany TOTALS: 15,427 12,762 1,856 1,009 17,283 13,771 80% 92% 87% 4,299 843 21,582 14,614 68%
  CDPHP   10,694   855   11,549 67%       731   12,280 57%
  Fidelis/NYS Catholic Hlth   1,096   94   1,190 7%       73   1,263 6%
  Wellcare   972   60   1,032 6%       39   1,071 5%
Allegany TOTALS: 3,523 906 331 63 3,854 420 11% 90% 12% 1,005 206 4,859 1,175 24%
  Health Choice (Partial)   393   27   420 11%       176   596 12%
  HealthNow/BCBS-WNY/Community Blue   513   36   549 14%       30   579 12%
Broome TOTALS: 11,751 10,361 1,234 796 12,985 11,157 86% 90% 95% 3,461 909 16,446 12,066 73%
  Broome MC   5,120   296   5,416 42%       691   6,107 37%
  Fidelis/NYS Catholic Hlth   418   45   463 4%       19   482 3%
  CDPHP   4,823   455   5,278 41%       199   5,477 33%
Cattauragus TOTALS: 5,652 4,484 352 264 6,004 4,748 79% 91% 86% 1,568 582 7,572 5,330 70%
  HealthNow/BCBS-WNY/Community Blue   3,432   212   3,644 61%       521   4,165 55%
  Fidelis/NYS Catholic Hlth   1,052   52   1,104 18%       61   1,165 15%
Cayuga TOTALS: 4,776 0 275 0 5,051 0 0% 89% 0% 1,164 0 6,215 0 0%
Chautauqua TOTALS: 11,149 8,613 1,446 910 12,595 9,523 76% 85% 89% 2,619 1,048 15,214 10,571 69%
  HealthNow/BCBS-WNY/Community Blue   2,813   237   3,050 24%       320   3,370 22%
  Primary Health   587   86   673 5%       233   906 6%
  Fidelis/NYS Catholic Hlth   5,213   587   5,800 46%       495   6,295 41%
Chemung TOTALS: 7,521 3,794 593 210 8,114 4,004 49% 89% 56% 1,918 982 10,032 4,986 50%
  Southern Tier Pediatrics (Partial)   2,683   1   2,684 33%       259   2,943 29%
  Southern Tier Priority (Partial)   1,111   209   1,320 16%       723   2,043 20%
Chenango TOTALS: 4,074 0 203 0 4,277 0 0% 92% 0% 968 0 5,245 0 0%
Clinton TOTALS: 5,205 0 414 0 5,619 0 0% 86% 0% 1,547 0 7,166 0 0%
Columbia TOTALS: 2,883 2,280 239 158 3,122 2,438 78% 93% 84% 856 192 3,978 2,630 66%
  CDPHP   1,785   122   1,907 61%       161   2,068 52%
  Wellcare   349   25   374 12%       25   399 10%
  Fidelis/NYS Catholic Hlth   146   11   157 5%       6   163 4%
Cortland TOTALS: 3,729 337 259 11 3,988 348 9% 91% 10% 779 86 4,767 434 9%
  Fidelis/NYS Catholic Hlth   337   11   348 9%       86   434 9%
Delaware TOTALS: 2,468 121 217 6 2,685 127 5% 92% 5% 755 4 3,440 131 4%
  Wellcare   121   6   127 5%       4   131 4%
Dutchess TOTALS: 8,117 1,409 700 39 8,817 1,448 16% 90% 18% 2,593 111 11,410 1,559 14%
  Wellcare   1,409   39   1,448 16%       111   1,559 14%
Erie TOTALS: 61,532 50,679 8,341 4,564 69,873 55,243 79% 93% 85% 17,191 7,286 87,064 62,529 72%
  Buffalo Community Health   7,001   477   7,478 11%       274   7,752 9%
  HealthNow/BCBS-WNY/Community Blue   10,215   861   11,076 16%       888   11,964 14%
  Independent Health Assoc/IHA   18,571   1,407   19,978 29%       1408   21,386 25%
  Fidelis/NYS Catholic Hlth   14,232   780   15,012 21%       1281   16,293 19%
  Total Full Risk   50,019   3,525   53,544 77%       3,851   57,395 66%
  PCMP II (Partial)   112   38   150 0%       291   441 1%
  PCMP III (Partial)   26   31   57 0%       375   432 0%
  PCMP II-A Special Care (Partial)   522   970   1,492 2%       2769   4,261 5%
  Total Partial Risk   660   1,039   1,699 2%       3,435   5,134 6%
Essex TOTALS: 1,793 0 143 0 1,936 0 0% 92% 0% 585 0 2,521 0 0%
Franklin TOTALS: 3,092 0 245 0 3,337 0 0% 91% 0% 993 0 4,330 0 0%
Fulton TOTALS: 4,617 876 390 40 5,007 916 18% 92% 20% 1,080 38 6,087 954 16%
  CDPHP   876   40   916 18%       38   954 16%
Genesee TOTALS: 2,791 1,381 134 83 2,925 1,464 50% 89% 56% 615 98 3,540 1,562 44%
  HealthNow/BCBS-WNY/Community Blue   136   12   148 5%       2   150 4%
  Preferred Care   1,245   71   1,316 45%       96   1,412 40%
Greene TOTALS: 2,834 2,363 274 146 3,108 2,509 81% 93% 86% 683 204 3,791 2,713 72%
  CDPHP   1,538   101   1,639 53%       145   1,784 47%
  Wellcare   609   30   639 21%       47   686 18%
  Fidelis/NYS Catholic Hlth   216   15   231 7%       12   243 6%
Hamilton TOTALS: 131 0 13 0 144 0 0% 91% 0% 47 0 191 0 0%
Herkimer TOTALS: 4,188 1,258 269 88 4,457 1,346 30% 92% 33% 882 53 5,339 1,399 26%
  Fidelis/NYS Catholic Hlth   611   48   659 15%       33   692 13%
  United Healthcare of Upstate   647   40   687 15%       20   707 13%
Jefferson TOTALS: 7,641 0 667 0 8,308 0 0% 87% 0% 1,878 0 10,186 0 0%
Lewis TOTALS: 2,033 0 137 0 2,170 0 0% 93% 0% 401 0 2,571 0 0%
Livingston TOTALS: 3,054 2,234 274 149 3,328 2,383 72% 92% 78% 676 171 4,004 2,554 64%
  Excellus   1,423   109   1,532 46%       75   1,607 40%
  Preferred Care   811   40   851 26%       96   947 24%
Madison TOTALS: 3,208 0 168 0 3,376 0 0% 91% 0% 754 0 4,130 0 0%
Monroe TOTALS: 49,621 41,341 7,667 4,084 57,288 45,425 79% 91% 87% 12,204 3,058 69,492 48,483 70%
  Excellus   30,488   3,135   33,623 59%       2436   36,059 52%
  Preferred Care   10,853   949   11,802 21%       622   12,424 18%
Montgomery TOTALS: 3,957 880 400 32 4,357 912 21% 92% 23% 793 63 5,150 975 19%
  CDPHP   880   32   912 21%       63   975 19%
Nassau TOTALS: 31,402 23,529 3,147 1,614 34,549 25,143 73% 92% 79% 10,096 1,430 44,645 26,573 60%
  Vytra   2,577   122   2,699 8%       146   2,845 6%
  HIP   4,623   495   5,118 15%       485   5,603 13%
  HealthFirst PHSP   5,709   330   6,039 17%       277   6,316 14%
  Affinity Health Plan   4,963   206   5,169 15%       240   5,409 12%
  Fidelis/NYS Catholic Hlth   3,630   252   3,882 11%       160   4,042 9%
  United Healthcare of NY   2,027   209   2,236 6%       122   2,358 5%
Niagara TOTALS: 12,180 11,420 1,423 848 13,603 12,268 90% 93% 97% 3,363 1,528 16,966 13,796 81%
  Independent Health Assoc/IHA   5,382   412   5,794 43%       812   6,606 39%
  Fidelis/NYS Catholic Hlth   2,042   160   2,202 16%       297   2,499 15%
  HealthNow/BCBS-WNY/Community Blue   3,996   276   4,272 31%       419   4,691 28%
Oneida TOTALS: 16,722 14,303 1,678 1,071 18,400 15,374 84% 92% 90% 5,139 1,418 23,539 16,792 71%
  Fidelis/NYS Catholic Hlth   7,900   614   8,514 46%       998   9,512 40%
  United Healthcare of Upstate   4,948   308   5,256 29%       373   5,629 24%
  Excellus   1,455   149   1,604 9%       47   1,651 7%
Onondaga TOTALS: 30,565 24,530 3,121 1,640 33,686 26,170 78% 89% 87% 7,805 2,284 41,491 28,454 69%
  Fidelis/NYS Catholic Hlth   5,449   354   5,803 17%       555   6,358 15%
  Total Care/Syracuse PHSP   9,715   650   10,365 31%       1043   11,408 27%
  United Healthcare of Upstate   7,230   479   7,709 23%       612   8,321 20%
  Excellus   2,136   157   2,293 7%       74   2,367 7%
Ontario TOTALS: 4,100 3,539 347 153 4,447 3,692 83% 91% 91% 1,090 383 5,537 4,075 74%
  Excellus   2,856   115   2,971 67%       319   3,290 59%
  Preferred Care   683   38   721 16%       64   785 14%
Orange TOTALS: 22,281 6,272 3,563 315 25,844 6,587 25% 91% 28% 4,116 701 29,960 7,288 24%
  Affinity Health Plan   4,638   215   4,853 19%       597   5,450 18%
  Wellcare   1,354   59   1,413 5%       90   1,503 5%
  Westchester PHSP   280   41   321 1%       14   335 1%
Orleans TOTALS: 3,101 1,231 300 77 3,401 1,308 38% 92% 42% 612 86 4,013 1,394 35%
  Excellus   482   34   516 15%       47   563 14%
  Fidelis/NYS Catholic Hlth   518   19   537 16%       25   562 14%
  HealthNow/BCBS-WNY/Community Blue   231   24   255 7%       14   269 7%
Oswego TOTALS: 9,386 8,183 706 460 10,092 8,643 86% 92% 93% 1,943 610 12,035 9,253 77%
  Fidelis/NYS Catholic Hlth   1,605   116   1,721 17%       105   1,826 15%
  Total Care/Syracuse PHSP   2,847   197   3,044 30%       251   3,295 27%
  United Healthcare of Upstate   3,687   145   3,832 38%       253   4,085 34%
  Excellus   44   2   46 0%       1   47 0%
Otsego TOTALS: 2,857 24 154 0 3,011 24 1% 91% 1% 831 1 3,842 25 1%
  Wellcare   24   0   24 1%       1   25 1%
Putnam TOTALS: 938 145 157 12 1,095 157 14% 88% 16% 548 34 1,643 191 12%
  Care Plus Health Plan   145   12   157 14%       34   191 12%
Rensselaer TOTALS: 8,122 7,588 895 680 9,017 8,268 92% 92% 100% 2,160 447 11,177 8,715 78%
  CDPHP   6,564   587   7,151 79%       383   7,534 67%
  Fidelis/NYS Catholic Hlth   654   51   705 8%       45   750 7%
  Wellcare   273   24   297 3%       17   314 3%
  HealthNow/BlueShield of NENY   97   18   115 1%       2   117 1%
Rockland TOTALS: 20,437 20,522 1,364 743 21,801 21,265 98% 92% 106% 2,644 527 24,445 21,792 89%
  Affinity Health Plan   1,468   110   1,578 7%       115   1,693 7%
  Fidelis/NYS Catholic Hlth   14,134   359   14,493 66%       237   14,730 60%
  Wellcare   2,099   83   2,182 10%       53   2,235 9%
  Westchester PHSP   2,700   171   2,871 13%       108   2,979 12%
  Community Choice Hlth Plan   121   20   141 1%       14   155 1%
St. Lawrence TOTALS: 7,889 0 742 0 8,631 0 0% 91% 0% 2,446 0 11,077 0 0%
Saratoga TOTALS: 5,215 4,516 370 230 5,585 4,746 85% 92% 93% 1,897 226 7,482 4,972 66%
  Wellcare   44   5   49 1%       0   49 1%
  CDPHP   3,800   186   3,986 71%       203   4,189 56%
  Fidelis/NYS Catholic Hlth   672   39   711 13%       23   734 10%
Schenectady TOTALS: 8,665 6,302 773 384 9,438 6,686 71% 90% 79% 2,520 707 11,958 7,393 62%
  CDPHP   5,704   335   6,039 64%       643   6,682 56%
  Fidelis/NYS Catholic Hlth   598   49   647 7%       64   711 6%
Schoharie TOTALS: 1,868 73 111 3 1,979 76 4% 92% 4% 384 5 2,363 81 3%
  CDPHP   73   3   76 4%       5   81 3%
Schuyler TOTALS: 1,199 0 118 0 1,317 0 0% 92% 0% 330 0 1,647 0 0%
Seneca TOTALS: 1,720 1,223 131 38 1,851 1,261 68% 92% 74% 450 174 2,301 1,435 62%
  Excellus   1,223   38   1,261 68%       174   1,435 62%
Steuben TOTALS: 6,960 2,003 582 167 7,542 2,170 29% 91% 32% 2,080 624 9,622 2,794 29%
  Southern Tier Pediatrics (Partial)   106   0   106 1%       13   119 1%
  Southern Tier Priority (Partial)   1,897   167   2,064 27%       611   2,675 28%
Suffolk TOTALS: 41,557 35,679 3,716 2,122 45,273 37,801 83% 91% 91% 13,281 2,776 58,554 40,577 69%
  Vytra   3,168   118   3,286 7%       293   3,579 6%
  HIP   4,496   537   5,033 11%       271   5,304 9%
  HealthFirst PHSP   5,485   240   5,725 13%       542   6,267 11%
  Suffolk Plan HMO   9,845   543   10,388 23%       1177   11,565 20%
  Affinity Health Plan   3,964   184   4,148 9%       172   4,320 7%
  United Healthcare of NY   5,768   287   6,055 13%       180   6,235 11%
  Fidelis/NYS Catholic Hlth   2,953   213   3,166 7%       141   3,307 6%
Sullivan TOTALS: 5,080 1,785 285 52 5,365 1,837 34% 91% 38% 1,442 119 6,807 1,956 29%
  Wellcare   483   12   495 9%       47   542 8%
  Westchester PHSP   1,302   40   1,342 25%       72   1,414 21%
Tioga TOTALS: 2,631 63 175 3 2,806 66 2% 92% 3% 714 0 3,520 66 2%
  CDPHP   63   3   66 2%       0   66 2%
Tompkins TOTALS: 4,137 26 496 1 4,633 27 1% 90% 1% 982 3 5,615 30 1%
  Total Care/Syracuse PHSP   26   1   27 1%       3   30 1%
Ulster TOTALS: 8,568 2,455 783 106 9,351 2,561 27% 91% 30% 2,566 183 11,917 2,744 23%
  Wellcare   2,455   106   2,561 27%       183   2,744 23%
Warren TOTALS: 2,723 1,836 173 10 2,896 1,846 64% 92% 70% 883 68 3,779 1,914 51%
  HealthNow/BlueShield of NENY   1,836   10   1,846 64%       68   1,914 51%
Washington TOTALS: 3,255 1,431 215 36 3,470 1,467 42% 91% 46% 933 134 4,403 1,601 36%
  HealthNow/BlueShield of NENY   912   27   939 27%       112   1,051 24%
  CDPHP   519   9   528 15%       22   550 12%
Wayne TOTALS: 3,877 3,150 218 136 4,095 3,286 80% 92% 87% 1,205 280 5,300 3,566 67%
  Excellus   955   39   994 24%       97   1,091 21%
  Preferred Care   2,195   97   2,292 56%       183   2,475 47%
Westchester TOTALS: 44,491 33,275 5,916 2,497 50,407 35,772 71% 89% 80% 9,969 2,497 60,376 38,269 63%
  HIP   2,641   455   3,096 6%       321   3,417 6%
  Westchester PHSP   16,836   897   17,733 35%       1080   18,813 31%
  Affinity Health Plan   5,274   401   5,675 11%       442   6,117 10%
  Community Choice Hlth Plan   5,665   478   6,143 12%       445   6,588 11%
  Fidelis/NYS Catholic Hlth   2,859   266   3,125 6%       209   3,334 6%
Wyoming TOTALS: 1,652 0 120 0 1,772 0 0% 91% 0% 416 0 2,188 0 0%
Yates TOTALS: 1,314 1,034 72 42 1,386 1,076 78% 93% 84% 284 77 1,670 1,153 69%
  Excellus   1,034   42   1,076 78%       77   1,153 69%
Upstate Total   551,659 362,216 59,092 26,092 610,751 387,759 63% 91% 70% 145,443 33,256 756,194 421,564 56%
NYC Affinity Health Plan   62,143   8,171   70,314 6%       2,969   73,283 5%
  Fidelis/NYS Catholic Hlth   51,726   7,829   59,555 5%       1,931   61,486 4%
  HealthFirst PHSP   82,813   13,327   96,140 8%       5,186   101,326 7%
  HIP   95,202   27,200   122,402 10%       7,909   130,311 9%
  Health Plus PHSP   91,997   13,993   105,990 8%       2,400   108,390 7%
  AmeriChoice of New York/MHS   57,591   14,932   72,523 6%       3,549   76,072 5%
  Manhattan PHSP/Center Care   46,393   7,649   54,042 4%       1,789   55,831 4%
  MetroPlus Health Plan   80,994   12,799   93,793 7%       4,331   98,124 7%
  United Healthcare of NY   13,149   4,619   17,768 1%       572   18,340 1%
  St Barnabas/Partners in Health   17,609   2,636   20,245 2%       1,140   21,385 1%
  Neighborhood Health Providers   50,439   5,375   55,814 4%       1,787   57,601 4%
  Wellcare   14,724   2,845   17,569 1%       439   18,008 1%
  ABC Health Plan   6,496   1,105   7,601 1%       176   7,777 1%
  Community Choice Hlth Plan   3,602   641   4,243 0%       75   4,318 0%
  Community Premier Plus   17,932   2,443   20,375 2%       1,044   21,419 1%
  NY Hospital Community PHSP   22,468   4,630   27,098 2%       878   27,976 2%
  Care Plus Health Plan   39,325   5,063   44,388 4%       1,017   45,405 3%
  NYC Total 1,017,540 754,603 238,069 135,257 1,255,609 889,860 71% 90% 78% 253,686 37,192 1,509,295 927,052 61%
                               
  UPSTATE TOTALS: 551,659 362,216 59,092 26,092 610,751 387,759 63% 91% 70% 145,443 33,256 756,194 421,564 56%
  NEW YORK CITY TOTALS: 1,017,540 754,603 238,069 135,257 1,255,609 889,860 71% 90% 78% 253,686 37,192 1,509,295 927,052 61%
  GRAND TOTALS 1,569,199 1,116,819 297,161 161,349 1,866,360 1,277,619 68% 91% 76% 399,129 70,448 2,265,489 1,348,616 60%
NYC Boroughs Bronx 268,951 216,784 58,468 32,638 327,419 249,422 76%     64,258 9,619 391,677 259,041 66%
  Brooklyn 374,235 287,618 91,460 59,961 465,695 347,579 75%     88,334 13,819 554,029 361,399 65%
  Manhattan 150,392 69,835 46,471 13,955 196,863 83,790 43%     48,934 5,495 245,797 89,285 36%
  Queens 197,848 156,026 36,673 24,870 234,521 180,895 77%     44,340 6,396 278,861 187,291 67%
  Staten Island 26,114 24,340 4,997 3,833 31,111 28,173 91%     7,820 1,863 38,931 30,036 77%
  Borough Total 1,017,540 754,603 238,069 135,257 1,255,609 889,860 71% 90% 78% 253,686 37,192 1,509,295 927,052 61%
                               
    TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR EXPECTED PENETRATION RATE SSI & MA-SSI      
County Provider Eligibles Enrolled Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled Expected Target* % of Target* Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled
Albany TOTALS: 15,427 12,762 1,856 1,009 17,283 13,771 80% 92% 87% 4,299 843 21,582 14,614 68%
  CDPHP   10,694   855   11,549 67%       731   12,280 57%
  Fidelis/NYS Catholic Hlth   1,096   94   1,190 7%       73   1,263 6%
  Wellcare   972   60   1,032 6%       39   1,071 5%
Allegany TOTALS: 3,523 906 331 63 3,854 420 11% 90% 12% 1,005 206 4,859 1,175 24%
  Health Choice (Partial)   393   27   420 11%       176   596 12%
  HealthNow/BCBS-WNY/Community Blue   513   36   549 14%       30   579 12%
Broome TOTALS: 11,751 10,361 1,234 796 12,985 11,157 86% 90% 95% 3,461 909 16,446 12,066 73%
  Broome MC   5,120   296   5,416 42%       691   6,107 37%
  Fidelis/NYS Catholic Hlth   418   45   463 4%       19   482 3%
  CDPHP   4,823   455   5,278 41%       199   5,477 33%
Cattauragus TOTALS: 5,652 4,484 352 264 6,004 4,748 79% 91% 86% 1,568 582 7,572 5,330 70%
  HealthNow/BCBS-WNY/Community Blue   3,432   212   3,644 61%       521   4,165 55%
  Fidelis/NYS Catholic Hlth   1,052   52   1,104 18%       61   1,165 15%
Cayuga TOTALS: 4,776 0 275 0 5,051 0 0% 89% 0% 1,164 0 6,215 0 0%
Chautauqua TOTALS: 11,149 8,613 1,446 910 12,595 9,523 76% 85% 89% 2,619 1,048 15,214 10,571 69%
  HealthNow/BCBS-WNY/Community Blue   2,813   237   3,050 24%       320   3,370 22%
  Primary Health   587   86   673 5%       233   906 6%
  Fidelis/NYS Catholic Hlth   5,213   587   5,800 46%       495   6,295 41%
Chemung TOTALS: 7,521 3,794 593 210 8,114 4,004 49% 89% 56% 1,918 982 10,032 4,986 50%
  Southern Tier Pediatrics (Partial)   2,683   1   2,684 33%       259   2,943 29%
  Southern Tier Priority (Partial)   1,111   209   1,320 16%       723   2,043 20%
Chenango TOTALS: 4,074 0 203 0 4,277 0 0% 92% 0% 968 0 5,245 0 0%
Clinton TOTALS: 5,205 0 414 0 5,619 0 0% 86% 0% 1,547 0 7,166 0 0%
Columbia TOTALS: 2,883 2,280 239 158 3,122 2,438 78% 93% 84% 856 192 3,978 2,630 66%
  CDPHP   1,785   122   1,907 61%       161   2,068 52%
  Wellcare   349   25   374 12%       25   399 10%
  Fidelis/NYS Catholic Hlth   146   11   157 5%       6   163 4%
Cortland TOTALS: 3,729 337 259 11 3,988 348 9% 91% 10% 779 86 4,767 434 9%
  Fidelis/NYS Catholic Hlth   337   11   348 9%       86   434 9%
Delaware TOTALS: 2,468 121 217 6 2,685 127 5% 92% 5% 755 4 3,440 131 4%
  Wellcare   121   6   127 5%       4   131 4%
Dutchess TOTALS: 8,117 1,409 700 39 8,817 1,448 16% 90% 18% 2,593 111 11,410 1,559 14%
  Wellcare   1,409   39   1,448 16%       111   1,559 14%
Erie TOTALS: 61,532 50,679 8,341 4,564 69,873 55,243 79% 93% 85% 17,191 7,286 87,064 62,529 72%
  Buffalo Community Health   7,001   477   7,478 11%       274   7,752 9%
  HealthNow/BCBS-WNY/Community Blue   10,215   861   11,076 16%       888   11,964 14%
  Independent Health Assoc/IHA   18,571   1,407   19,978 29%       1408   21,386 25%
  Fidelis/NYS Catholic Hlth   14,232   780   15,012 21%       1281   16,293 19%
  Total Full Risk   50,019   3,525   53,544 77%       3,851   57,395 66%
  PCMP II (Partial)   112   38   150 0%       291   441 1%
  PCMP III (Partial)   26   31   57 0%       375   432 0%
  PCMP II-A Special Care (Partial)   522   970   1,492 2%       2769   4,261 5%
  Total Partial Risk   660   1,039   1,699 2%       3,435   5,134 6%
Essex TOTALS: 1,793 0 143 0 1,936 0 0% 92% 0% 585 0 2,521 0 0%
Franklin TOTALS: 3,092 0 245 0 3,337 0 0% 91% 0% 993 0 4,330 0 0%
Fulton TOTALS: 4,617 876 390 40 5,007 916 18% 92% 20% 1,080 38 6,087 954 16%
  CDPHP   876   40   916 18%       38   954 16%
Genesee TOTALS: 2,791 1,381 134 83 2,925 1,464 50% 89% 56% 615 98 3,540 1,562 44%
  HealthNow/BCBS-WNY/Community Blue   136   12   148 5%       2   150 4%
  Preferred Care   1,245   71   1,316 45%       96   1,412 40%
Greene TOTALS: 2,834 2,363 274 146 3,108 2,509 81% 93% 86% 683 204 3,791 2,713 72%
  CDPHP   1,538   101   1,639 53%       145   1,784 47%
  Wellcare   609   30   639 21%       47   686 18%
  Fidelis/NYS Catholic Hlth   216   15   231 7%       12   243 6%
Hamilton TOTALS: 131 0 13 0 144 0 0% 91% 0% 47 0 191 0 0%
Herkimer TOTALS: 4,188 1,258 269 88 4,457 1,346 30% 92% 33% 882 53 5,339 1,399 26%
  Fidelis/NYS Catholic Hlth   611   48   659 15%       33   692 13%
  United Healthcare of Upstate   647   40   687 15%       20   707 13%
Jefferson TOTALS: 7,641 0 667 0 8,308 0 0% 87% 0% 1,878 0 10,186 0 0%
Lewis TOTALS: 2,033 0 137 0 2,170 0 0% 93% 0% 401 0 2,571 0 0%
Livingston TOTALS: 3,054 2,234 274 149 3,328 2,383 72% 92% 78% 676 171 4,004 2,554 64%
  Excellus   1,423   109   1,532 46%       75   1,607 40%
  Preferred Care   811   40   851 26%       96   947 24%
Madison TOTALS: 3,208 0 168 0 3,376 0 0% 91% 0% 754 0 4,130 0 0%
Monroe TOTALS: 49,621 41,341 7,667 4,084 57,288 45,425 79% 91% 87% 12,204 3,058 69,492 48,483 70%
  Excellus   30,488   3,135   33,623 59%       2436   36,059 52%
  Preferred Care   10,853   949   11,802 21%       622   12,424 18%
Montgomery TOTALS: 3,957 880 400 32 4,357 912 21% 92% 23% 793 63 5,150 975 19%
  CDPHP   880   32   912 21%       63   975 19%
Nassau TOTALS: 31,402 23,529 3,147 1,614 34,549 25,143 73% 92% 79% 10,096 1,430 44,645 26,573 60%
  Vytra   2,577   122   2,699 8%       146   2,845 6%
  HIP   4,623   495   5,118 15%       485   5,603 13%
  HealthFirst PHSP   5,709   330   6,039 17%       277   6,316 14%
  Affinity Health Plan   4,963   206   5,169 15%       240   5,409 12%
  Fidelis/NYS Catholic Hlth   3,630   252   3,882 11%       160   4,042 9%
  United Healthcare of NY   2,027   209   2,236 6%       122   2,358 5%
Niagara TOTALS: 12,180 11,420 1,423 848 13,603 12,268 90% 93% 97% 3,363 1,528 16,966 13,796 81%
  Independent Health Assoc/IHA   5,382   412   5,794 43%       812   6,606 39%
  Fidelis/NYS Catholic Hlth   2,042   160   2,202 16%       297   2,499 15%
  HealthNow/BCBS-WNY/Community Blue   3,996   276   4,272 31%       419   4,691 28%
Oneida TOTALS: 16,722 14,303 1,678 1,071 18,400 15,374 84% 92% 90% 5,139 1,418 23,539 16,792 71%
  Fidelis/NYS Catholic Hlth   7,900   614   8,514 46%       998   9,512 40%
  United Healthcare of Upstate   4,948   308   5,256 29%       373   5,629 24%
  Excellus   1,455   149   1,604 9%       47   1,651 7%
Onondaga TOTALS: 30,565 24,530 3,121 1,640 33,686 26,170 78% 89% 87% 7,805 2,284 41,491 28,454 69%
  Fidelis/NYS Catholic Hlth   5,449   354   5,803 17%       555   6,358 15%
  Total Care/Syracuse PHSP   9,715   650   10,365 31%       1043   11,408 27%
  United Healthcare of Upstate   7,230   479   7,709 23%       612   8,321 20%
  Excellus   2,136   157   2,293 7%       74   2,367 7%
Ontario TOTALS: 4,100 3,539 347 153 4,447 3,692 83% 91% 91% 1,090 383 5,537 4,075 74%
  Excellus   2,856   115   2,971 67%       319   3,290 59%
  Preferred Care   683   38   721 16%       64   785 14%
Orange TOTALS: 22,281 6,272 3,563 315 25,844 6,587 25% 91% 28% 4,116 701 29,960 7,288 24%
  Affinity Health Plan   4,638   215   4,853 19%       597   5,450 18%
  Wellcare   1,354   59   1,413 5%       90   1,503 5%
  Westchester PHSP   280   41   321 1%       14   335 1%
Orleans TOTALS: 3,101 1,231 300 77 3,401 1,308 38% 92% 42% 612 86 4,013 1,394 35%
  Excellus   482   34   516 15%       47   563 14%
  Fidelis/NYS Catholic Hlth   518   19   537 16%       25   562 14%
  HealthNow/BCBS-WNY/Community Blue   231   24   255 7%       14   269 7%
Oswego TOTALS: 9,386 8,183 706 460 10,092 8,643 86% 92% 93% 1,943 610 12,035 9,253 77%
  Fidelis/NYS Catholic Hlth   1,605   116   1,721 17%       105   1,826 15%
  Total Care/Syracuse PHSP   2,847   197   3,044 30%       251   3,295 27%
  United Healthcare of Upstate   3,687   145   3,832 38%       253   4,085 34%
  Excellus   44   2   46 0%       1   47 0%
Otsego TOTALS: 2,857 24 154 0 3,011 24 1% 91% 1% 831 1 3,842 25 1%
  Wellcare   24   0   24 1%       1   25 1%
Putnam TOTALS: 938 145 157 12 1,095 157 14% 88% 16% 548 34 1,643 191 12%
  Care Plus Health Plan   145   12   157 14%       34   191 12%
Rensselaer TOTALS: 8,122 7,588 895 680 9,017 8,268 92% 92% 100% 2,160 447 11,177 8,715 78%
  CDPHP   6,564   587   7,151 79%       383   7,534 67%
  Fidelis/NYS Catholic Hlth   654   51   705 8%       45   750 7%
  Wellcare   273   24   297 3%       17   314 3%
  HealthNow/BlueShield of NENY   97   18   115 1%       2   117 1%
Rockland TOTALS: 20,437 20,522 1,364 743 21,801 21,265 98% 92% 106% 2,644 527 24,445 21,792 89%
  Affinity Health Plan   1,468   110   1,578 7%       115   1,693 7%
  Fidelis/NYS Catholic Hlth   14,134   359   14,493 66%       237   14,730 60%
  Wellcare   2,099   83   2,182 10%       53   2,235 9%
  Westchester PHSP   2,700   171   2,871 13%       108   2,979 12%
  Community Choice Hlth Plan   121   20   141 1%       14   155 1%
St. Lawrence TOTALS: 7,889 0 742 0 8,631 0 0% 91% 0% 2,446 0 11,077 0 0%
Saratoga TOTALS: 5,215 4,516 370 230 5,585 4,746 85% 92% 93% 1,897 226 7,482 4,972 66%
  Wellcare   44   5   49 1%       0   49 1%
  CDPHP   3,800   186   3,986 71%       203   4,189 56%
  Fidelis/NYS Catholic Hlth   672   39   711 13%       23   734 10%
Schenectady TOTALS: 8,665 6,302 773 384 9,438 6,686 71% 90% 79% 2,520 707 11,958 7,393 62%
  CDPHP   5,704   335   6,039 64%       643   6,682 56%
  Fidelis/NYS Catholic Hlth   598   49   647 7%       64   711 6%
Schoharie TOTALS: 1,868 73 111 3 1,979 76 4% 92% 4% 384 5 2,363 81 3%
  CDPHP   73   3   76 4%       5   81 3%
Schuyler TOTALS: 1,199 0 118 0 1,317 0 0% 92% 0% 330 0 1,647 0 0%
Seneca TOTALS: 1,720 1,223 131 38 1,851 1,261 68% 92% 74% 450 174 2,301 1,435 62%
  Excellus   1,223   38   1,261 68%       174   1,435 62%
Steuben TOTALS: 6,960 2,003 582 167 7,542 2,170 29% 91% 32% 2,080 624 9,622 2,794 29%
  Southern Tier Pediatrics (Partial)   106   0   106 1%       13   119 1%
  Southern Tier Priority (Partial)   1,897   167   2,064 27%       611   2,675 28%
Suffolk TOTALS: 41,557 35,679 3,716 2,122 45,273 37,801 83% 91% 91% 13,281 2,776 58,554 40,577 69%
  Vytra   3,168   118   3,286 7%       293   3,579 6%
  HIP   4,496   537   5,033 11%       271   5,304 9%
  HealthFirst PHSP   5,485   240   5,725 13%       542   6,267 11%
  Suffolk Plan HMO   9,845   543   10,388 23%       1177   11,565 20%
  Affinity Health Plan   3,964   184   4,148 9%       172   4,320 7%
  United Healthcare of NY   5,768   287   6,055 13%       180   6,235 11%
  Fidelis/NYS Catholic Hlth   2,953   213   3,166 7%       141   3,307 6%
Sullivan TOTALS: 5,080 1,785 285 52 5,365 1,837 34% 91% 38% 1,442 119 6,807 1,956 29%
  Wellcare   483   12   495 9%       47   542 8%
  Westchester PHSP   1,302   40   1,342 25%       72   1,414 21%
Tioga TOTALS: 2,631 63 175 3 2,806 66 2% 92% 3% 714 0 3,520 66 2%
  CDPHP   63   3   66 2%       0   66 2%
Tompkins TOTALS: 4,137 26 496 1 4,633 27 1% 90% 1% 982 3 5,615 30 1%
  Total Care/Syracuse PHSP   26   1   27 1%       3   30 1%
Ulster TOTALS: 8,568 2,455 783 106 9,351 2,561 27% 91% 30% 2,566 183 11,917 2,744 23%
  Wellcare   2,455   106   2,561 27%       183   2,744 23%
Warren TOTALS: 2,723 1,836 173 10 2,896 1,846 64% 92% 70% 883 68 3,779 1,914 51%
  HealthNow/BlueShield of NENY   1,836   10   1,846 64%       68   1,914 51%
Washington TOTALS: 3,255 1,431 215 36 3,470 1,467 42% 91% 46% 933 134 4,403 1,601 36%
  HealthNow/BlueShield of NENY   912   27   939 27%       112   1,051 24%
  CDPHP   519   9   528 15%       22   550 12%
Wayne TOTALS: 3,877 3,150 218 136 4,095 3,286 80% 92% 87% 1,205 280 5,300 3,566 67%
  Excellus   955   39   994 24%       97   1,091 21%
  Preferred Care   2,195   97   2,292 56%       183   2,475 47%
Westchester TOTALS: 44,491 33,275 5,916 2,497 50,407 35,772 71% 89% 80% 9,969 2,497 60,376 38,269 63%
  HIP   2,641   455   3,096 6%       321   3,417 6%
  Westchester PHSP   16,836   897   17,733 35%       1080   18,813 31%
  Affinity Health Plan   5,274   401   5,675 11%       442   6,117 10%
  Community Choice Hlth Plan   5,665   478   6,143 12%       445   6,588 11%
  Fidelis/NYS Catholic Hlth   2,859   266   3,125 6%       209   3,334 6%
Wyoming TOTALS: 1,652 0 120 0 1,772 0 0% 91% 0% 416 0 2,188 0 0%
Yates TOTALS: 1,314 1,034 72 42 1,386 1,076 78% 93% 84% 284 77 1,670 1,153 69%
  Excellus   1,034   42   1,076 78%       77   1,153 69%
Upstate Total   551,659 362,216 59,092 26,092 610,751 387,759 63% 91% 70% 145,443 33,256 756,194 421,564 56%
NYC Affinity Health Plan   62,143   8,171   70,314 6%       2,969   73,283 5%
  Fidelis/NYS Catholic Hlth   51,726   7,829   59,555 5%       1,931   61,486 4%
  HealthFirst PHSP   82,813   13,327   96,140 8%       5,186   101,326 7%
  HIP   95,202   27,200   122,402 10%       7,909   130,311 9%
  Health Plus PHSP   91,997   13,993   105,990 8%       2,400   108,390 7%
  AmeriChoice of New York/MHS   57,591   14,932   72,523 6%       3,549   76,072 5%
  Manhattan PHSP/Center Care   46,393   7,649   54,042 4%       1,789   55,831 4%
  MetroPlus Health Plan   80,994   12,799   93,793 7%       4,331   98,124 7%
  United Healthcare of NY   13,149   4,619   17,768 1%       572   18,340 1%
  St Barnabas/Partners in Health   17,609   2,636   20,245 2%       1,140   21,385 1%
  Neighborhood Health Providers   50,439   5,375   55,814 4%       1,787   57,601 4%
  Wellcare   14,724   2,845   17,569 1%       439   18,008 1%
  ABC Health Plan   6,496   1,105   7,601 1%       176   7,777 1%
  Community Choice Hlth Plan   3,602   641   4,243 0%       75   4,318 0%
  Community Premier Plus   17,932   2,443   20,375 2%       1,044   21,419 1%
  NY Hospital Community PHSP   22,468   4,630   27,098 2%       878   27,976 2%
  Care Plus Health Plan   39,325   5,063   44,388 4%       1,017   45,405 3%
  NYC Total 1,017,540 754,603 238,069 135,257 1,255,609 889,860 71% 90% 78% 253,686 37,192 1,509,295 927,052 61%
                               
  UPSTATE TOTALS: 551,659 362,216 59,092 26,092 610,751 387,759 63% 91% 70% 145,443 33,256 756,194 421,564 56%
  NEW YORK CITY TOTALS: 1,017,540 754,603 238,069 135,257 1,255,609 889,860 71% 90% 78% 253,686 37,192 1,509,295 927,052 61%
  GRAND TOTALS 1,569,199 1,116,819 297,161 161,349 1,866,360 1,277,619 68% 91% 76% 399,129 70,448 2,265,489 1,348,616 60%
NYC Boroughs Bronx 268,951 216,784 58,468 32,638 327,419 249,422 76%     64,258 9,619 391,677 259,041 66%
  Brooklyn 374,235 287,618 91,460 59,961 465,695 347,579 75%     88,334 13,819 554,029 361,399 65%
  Manhattan 150,392 69,835 46,471 13,955 196,863 83,790 43%     48,934 5,495 245,797 89,285 36%
  Queens 197,848 156,026 36,673 24,870 234,521 180,895 77%     44,340 6,396 278,861 187,291 67%
  Staten Island 26,114 24,340 4,997 3,833 31,111 28,173 91%     7,820 1,863 38,931 30,036 77%
  Borough Total 1,017,540 754,603 238,069 135,257 1,255,609 889,860 71% 90% 78% 253,686 37,192 1,509,295 927,052 61%

NOTES:

  1. The Managed Care eligible counts are based upon January, 2002 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:
      Tompkins County - Total Care/Syracuse PHSP