RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS February 2002
  Å Return to Monthly Medicaid Managed Care Enrollment Report 

    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: 14,245 11,138 1,408 882 15,653 12,020 77% 92% 83% 4,341 750 19,994 12,770 64%
  CDPHP   9,102   770   9,872 63%       638   10,510 53%
  Fidelis/NYS Catholic Hlth   1,009   54   1,063 7%       74   1,137 6%
  Wellcare   1,027   58   1,085 7%       38   1,123 6%
Allegany TOTALS: 3,287 554 279 38 3,566 534 15% 89% 17% 1,000 226 4,566 818 18%
  Health Choice (Partial)   497   37   534 15%       221   755 17%
  HealthNow/BCBS-WNY/Community Blue   57   1   58 2%       5   63 1%
Broome TOTALS: 10,835 8,710 1,036 797 11,871 9,507 80% 89% 90% 3,411 820 15,282 10,327 68%
  Broome MC   4,763   399   5,162 43%       621   5,783 38%
  Fidelis/NYS Catholic Hlth   406   42   448 4%       22   470 3%
  CDPHP   3,541   356   3,897 33%       177   4,074 27%
Cattauragus TOTALS: 5,258 2,801 282 139 5,540 2,940 53% 91% 58% 1,538 567 7,078 3,507 50%
  HealthNow/BCBS-WNY/Community Blue   2,087   105   2,192 40%       511   2,703 38%
  Fidelis/NYS Catholic Hlth   714   34   748 14%       56   804 11%
Cayuga TOTALS: 4,513 0 241 0 4,754 0 0% 88% 0% 1,142 0 5,896 0 0%
Chautauqua TOTALS: 10,574 6,052 1,143 642 11,717 6,694 57% 82% 70% 2,582 870 14,299 7,564 53%
  HealthNow/BCBS-WNY/Community Blue   1,799   175   1,974 17%       286   2,260 16%
  Primary Health   474   55   529 5%       225   754 5%
  Fidelis/NYS Catholic Hlth   3,779   412   4,191 36%       359   4,550 32%
Chemung TOTALS: 6,958 3,398 460 182 7,418 3,580 48% 88% 55% 1,916 985 9,334 4,565 49%
  Southern Tier Pediatrics (Partial)   2,462   2   2,464 33%       261   2,725 29%
  Southern Tier Priority (Partial)   936   180   1,116 15%       724   1,840 20%
Chenango TOTALS: 3,700 0 171 0 3,871 0 0% 92% 0% 944 0 4,815 0 0%
Clinton TOTALS: 4,986 0 354 0 5,340 0 0% 85% 0% 1,547 0 6,887 0 0%
Columbia TOTALS: 2,658 1,997 206 123 2,864 2,120 74% 93% 80% 852 170 3,716 2,290 62%
  CDPHP   1,545   105   1,650 58%       128   1,778 48%
  Wellcare   356   15   371 13%       34   405 11%
  Fidelis/NYS Catholic Hlth   96   3   99 3%       8   107 3%
Cortland TOTALS: 3,348 419 184 13 3,532 432 12% 90% 14% 788 93 4,320 525 12%
  Fidelis/NYS Catholic Hlth   419   13   432 12%       93   525 12%
Delaware TOTALS: 2,261 188 194 16 2,455 204 8% 91% 9% 734 8 3,189 212 7%
  Wellcare   188   16   204 8%       8   212 7%
Dutchess TOTALS: 7,519 1,172 669 30 8,188 1,202 15% 90% 16% 2,552 92 10,740 1,294 12%
  Wellcare   1,172   30   1,202 15%       92   1,294 12%
Erie TOTALS: 60,587 47,041 6,858 4,606 67,445 51,647 77% 92% 83% 17,082 7,071 84,527 58,718 69%
  Buffalo Community Health   6,233   520   6,753 10%       222   6,975 8%
  HealthNow/BCBS-WNY/Community Blue   8,215   719   8,934 13%       835   9,769 12%
  Independent Health Assoc/IHA   18,005   1,438   19,443 29%       1186   20,629 24%
  Fidelis/NYS Catholic Hlth   13,833   808   14,641 22%       1277   15,918 19%
  Total Full Risk   46,286   3,485   49,771 74%       3,520   53,291 63%
  PCMP II (Partial)   151   44   195 0%       325   520 1%
  PCMP III (Partial)   33   61   94 0%       430   524 1%
  PCMP II-A Special Care (Partial)   571   1,016   1,587 2%       2796   4,383 5%
  Total Partial Risk   755   1,121   1,876 3%       3,551   5,427 6%
Essex TOTALS: 1,637 0 122 0 1,759 0 0% 91% 0% 567 0 2,326 0 0%
Franklin TOTALS: 2,805 0 217 0 3,022 0 0% 89% 0% 985 0 4,007 0 0%
Fulton TOTALS: 4,261 650 350 49 4,611 699 15% 92% 16% 1,063 29 5,674 728 13%
  CDPHP   650   49   699 15%       29   728 13%
Genesee TOTALS: 2,526 994 85 53 2,611 1,047 40% 87% 46% 606 70 3,217 1,117 35%
  Preferred Care   994   53   1,047 40%       70   1,117 35%
Greene TOTALS: 2,633 2,193 251 157 2,884 2,350 81% 93% 88% 684 152 3,568 2,502 70%
  CDPHP   1,392   111   1,503 52%       108   1,611 45%
  Wellcare   651   36   687 24%       37   724 20%
  Fidelis/NYS Catholic Hlth   150   10   160 6%       7   167 5%
Hamilton TOTALS: 141 0 15 0 156 0 0% 92% 0% 45 0 201 0 0%
Herkimer TOTALS: 3,789 726 235 65 4,024 791 20% 90% 22% 866 39 4,890 830 17%
  Fidelis/NYS Catholic Hlth   265   26   291 7%       28   319 7%
  United Healthcare of Upstate   461   39   500 12%       11   511 10%
Jefferson TOTALS: 7,129 0 501 0 7,630 0 0% 84% 0% 1,841 0 9,471 0 0%
Lewis TOTALS: 1,786 0 117 0 1,903 0 0% 92% 0% 407 0 2,310 0 0%
Livingston TOTALS: 2,731 962 204 28 2,935 990 34% 90% 37% 666 78 3,601 1,068 30%
  Excellus   563   16   579 20%       25   604 17%
  Preferred Care   399   12   411 14%       53   464 13%
Madison TOTALS: 2,856 0 159 0 3,015 0 0% 89% 0% 735 0 3,750 0 0%
Monroe TOTALS: 49,104 39,188 5,681 3,849 54,785 43,037 79% 90% 87% 11,906 2,432 66,691 45,469 68%
  Excellus   28,466   2,963   31,429 57%       1928   33,357 50%
  Preferred Care   10,722   886   11,608 21%       504   12,112 18%
Montgomery TOTALS: 3,452 787 361 43 3,813 830 22% 91% 24% 772 40 4,585 870 19%
  CDPHP   787   43   830 22%       40   870 19%
Nassau TOTALS: 29,932 14,454 2,432 887 32,364 15,341 47% 92% 52% 9,981 749 42,345 16,090 38%
  Vytra   3,343   200   3,543 11%       143   3,686 9%
  HIP   2,361   215   2,576 8%       215   2,791 7%
  Health First PHSP   3,348   194   3,542 11%       168   3,710 9%
  Affinity Health Plan   3,421   135   3,556 11%       166   3,722 9%
  Fidelis/NYS Catholic Hlth   1,935   139   2,074 6%       55   2,129 5%
  United Healthcare of NY   46   4   50 0%       2   52 0%
Niagara TOTALS: 11,633 9,895 1,185 816 12,818 10,711 84% 92% 91% 3,287 1,367 16,105 12,078 75%
  Independent Health Assoc/IHA   5,084   429   5,513 43%       727   6,240 39%
  Fidelis/NYS Catholic Hlth   1,834   165   1,999 16%       277   2,276 14%
  HealthNow/BCBS-WNY/Community Blue   2,977   222   3,199 25%       363   3,562 22%
Oneida TOTALS: 16,194 8,352 1,412 652 17,606 9,004 51% 92% 56% 5,042 1,142 22,648 10,146 45%
  Fidelis/NYS Catholic Hlth   5,104   392   5,496 31%       824   6,320 28%
  United Healthcare of Upstate   2,924   221   3,145 18%       295   3,440 15%
  Excellus   324   39   363 2%       23   386 2%
Onondaga TOTALS: 28,677 21,476 2,346 1,299 31,023 22,775 73% 86% 85% 7,691 1,942 38,714 24,717 64%
  Fidelis/NYS Catholic Hlth   4,956   280   5,236 17%       479   5,715 15%
  Total Care/Syracuse PHSP   8,843   494   9,337 30%       911   10,248 26%
  United Healthcare of Upstate   6,225   397   6,622 21%       518   7,140 18%
  Excellus   1,452   128   1,580 5%       34   1,614 5%
Ontario TOTALS: 3,701 2,790 304 124 4,005 2,914 73% 91% 80% 1,058 326 5,063 3,240 64%
  Excellus   2,148   100   2,248 56%       267   2,515 50%
  Preferred Care   642   24   666 17%       59   725 14%
Orange TOTALS: 21,274 5,684 3,482 481 24,756 6,165 25% 90% 28% 4,082 649 28,838 6,814 24%
  Affinity Health Plan   4,275   337   4,612 19%       559   5,171 18%
  Wellcare   1,155   130   1,285 5%       69   1,354 5%
  Care Plus Health Plan   254   14   268 1%       21   289 1%
Orleans TOTALS: 2,849 879 205 50 3,054 929 30% 92% 33% 619 79 3,673 1,008 27%
  Excellus   415   24   439 14%       51   490 13%
  Fidelis/NYS Catholic Hlth   443   23   466 15%       27   493 13%
  HealthNow/BCBS-WNY/Community Blue   21   3   24 1%       1   25 1%
Oswego TOTALS: 8,548 6,674 689 453 9,237 7,127 77% 91% 85% 1,891 503 11,128 7,630 69%
  Fidelis/NYS Catholic Hlth   1,257   112   1,369 15%       83   1,452 13%
  Total Care/Syracuse PHSP   2,360   185   2,545 28%       208   2,753 25%
  United Healthcare of Upstate   3,057   156   3,213 35%       212   3,425 31%
Otsego TOTALS: 2,648 34 122 0 2,770 34 1% 91% 1% 827 1 3,597 35 1%
  Wellcare   34   0   34 1%       1   35 1%
Putnam TOTALS: 893 182 125 16 1,018 198 19% 88% 22% 530 34 1,548 232 15%
  Care Plus Health Plan   182   16   198 19%       34   232 15%
Rensselaer TOTALS: 7,738 6,464 774 524 8,512 6,988 82% 90% 91% 2,096 374 10,608 7,362 69%
  CDPHP   5,612   463   6,075 71%       306   6,381 60%
  Fidelis/NYS Catholic Hlth   503   35   538 6%       46   584 6%
  Wellcare   349   26   375 4%       22   397 4%
Rockland TOTALS: 18,636 17,169 1,921 804 20,557 17,973 87% 92% 95% 2,585 459 23,142 18,432 80%
  Affinity Health Plan   1,339   93   1,432 7%       119   1,551 7%
  Fidelis/NYS Catholic Hlth   11,760   417   12,177 59%       204   12,381 54%
  Wellcare   2,116   128   2,244 11%       40   2,284 10%
  Westchester PHSP   1,780   131   1,911 9%       82   1,993 9%
  Community Choice Hlth Plan   174   35   209 1%       14   223 1%
St. Lawrence TOTALS: 7,601 0 638 0 8,239 0 0% 91% 0% 2,376 0 10,615 0 0%
Saratoga TOTALS: 4,596 3,371 352 194 4,948 3,565 72% 91% 79% 1,878 167 6,826 3,732 55%
  Wellcare   69   8   77 2%       0   77 1%
  CDPHP   2,730   155   2,885 58%       152   3,037 44%
  Fidelis/NYS Catholic Hlth   572   31   603 12%       15   618 9%
Schenectady TOTALS: 7,729 4,813 610 268 8,339 5,081 61% 89% 68% 2,468 567 10,807 5,648 52%
  CDPHP   4,401   242   4,643 56%       525   5,168 48%
  Fidelis/NYS Catholic Hlth   412   26   438 5%       42   480 4%
Schoharie TOTALS: 1,715 63 77 2 1,792 65 4% 92% 4% 376 2 2,168 67 3%
  CDPHP   63   2   65 4%       2   67 3%
Schuyler TOTALS: 1,028 0 82 0 1,110 0 0% 91% 0% 339 0 1,449 0 0%
Seneca TOTALS: 1,498 796 123 24 1,621 820 51% 92% 55% 454 134 2,075 954 46%
  Excellus   796   24   820 51%       134   954 46%
Steuben TOTALS: 6,386 1,453 417 120 6,803 1,573 23% 90% 26% 2,009 620 8,812 2,193 25%
  Southern Tier Pediatrics (Partial)   72   0   72 1%       10   82 1%
  Southern Tier Priority (Partial)   1,381   120   1,501 22%       610   2,111 24%
Suffolk TOTALS: 38,323 20,934 2,763 1,011 41,086 21,945 53% 90% 59% 13,087 2,288 54,173 24,233 45%
  Vytra   3,965   229   4,194 10%       271   4,465 8%
  HIP   1,557   123   1,680 4%       145   1,825 3%
  Health First PHSP   3,216   153   3,369 8%       476   3,845 7%
  Suffolk Plan HMO   7,562   324   7,886 19%       1118   9,004 17%
  Affinity Health Plan   1,588   48   1,636 4%       124   1,760 3%
  United Healthcare of NY   1,685   61   1,746 4%       53   1,799 3%
  Fidelis/NYS Catholic Hlth   1,361   73   1,434 3%       101   1,535 3%
Sullivan TOTALS: 4,530 881 280 29 4,810 910 19% 90% 21% 1,443 88 6,253 998 16%
  Wellcare   752   28   780 16%       75   855 14%
  Westchester PHSP   129   1   130 3%       13   143 2%
Tioga TOTALS: 2,359 47 135 0 2,494 47 2% 93% 2% 708 1 3,202 48 1%
  CDPHP   47   0   47 2%       1   48 1%
Tompkins TOTALS: 3,924 0 435 0 4,359 0 0% 89% 0% 973 0 5,332 0 0%
Ulster TOTALS: 8,231 2,174 806 82 9,037 2,256 25% 90% 28% 2,561 142 11,598 2,398 21%
  Wellcare   2,174   82   2,256 25%       142   2,398 21%
Warren TOTALS: 2,473 1,330 127 12 2,600 1,342 52% 91% 57% 881 53 3,481 1,395 40%
  HealthNow/BlueShield of NENY   1,330   12   1,342 52%       53   1,395 40%
Washington TOTALS: 3,054 938 187 28 3,241 966 30% 89% 33% 914 118 4,155 1,084 26%
  HealthNow/BlueShield of NENY   592   19   611 19%       90   701 17%
  CDPHP   346   9   355 11%       28   383 9%
Wayne TOTALS: 3,349 1,423 182 40 3,531 1,463 41% 91% 46% 1,185 144 4,716 1,607 34%
  Excellus   472   14   486 14%       51   537 11%
  Preferred Care   951   26   977 28%       93   1,070 23%
Westchester TOTALS: 42,607 30,524 4,598 2,564 47,205 33,088 70% 86% 82% 9,791 2,406 56,996 35,494 62%
  HIP   2,372   454   2,826 6%       319   3,145 6%
  Westchester PHSP   14,893   899   15,792 33%       1015   16,807 29%
  Affinity Health Plan   5,155   434   5,589 12%       459   6,048 11%
  Community Choice Hlth Plan   5,481   479   5,960 13%       422   6,382 11%
  Fidelis/NYS Catholic Hlth   2,623   298   2,921 6%       191   3,112 5%
Wyoming TOTALS: 1,439 0 129 0 1,568 0 0% 91% 0% 404 0 1,972 0 0%
Yates TOTALS: 1,240 737 75 27 1,315 764 58% 91% 64% 287 63 1,602 827 52%
  Excellus   737   27   764 58%       63   827 52%
Upstate Total   520,384 292,507 48,796 22,219 569,180 314,668 55% 90% 61% 143,395 28,910 712,575 343,636 48%
NYC Affinity Health Plan   38,315   3,131   41,446 3%       2,518   43,964 3%
  Fidelis/NYS Catholic Hlth   30,768   3,517   34,285 3%       1,500   35,785 2%
  Health First PHSP   49,065   6,778   55,843 5%       4,542   60,385 4%
  HIP   47,981   9,317   57,298 5%       6,441   63,739 4%
  Health Plus PHSP   51,104   3,925   55,029 5%       1,634   56,663 4%
  AmeriChoice of New York/MHS   44,915   10,667   55,582 5%       3,663   59,245 4%
  Manhattan PHSP/Center Care   28,050   3,041   31,091 3%       1,487   32,578 2%
  MetroPlus Health Plan   43,842   4,200   48,042 4%       4,087   52,129 4%
  United Healthcare of NY   3,043   570   3,613 0%       156   3,769 0%
  St Barnabas/Partners in Health   11,473   1,357   12,830 1%       946   13,776 1%
  Neighborhood Health Providers   34,139   2,033   36,172 3%       1,644   37,816 3%
  Wellcare   5,831   933   6,764 1%       290   7,054 0%
  ABC Health Plan   2,980   352   3,332 0%       121   3,453 0%
  Community Choice Hlth Plan   1,103   111   1,214 0%       38   1,252 0%
  Community Premier Plus   8,685   697   9,382 1%       899   10,281 1%
  NY Hospital Community PHSP   10,447   1,372   11,819 1%       618   12,437 1%
  Care Plus Health Plan   18,954   1,717   20,671 2%       686   21,357 1%
  NYC Total 1,023,408 430,695 187,166 53,718 1,210,574 484,413 40% 86% 47% 264,248 31,270 1,474,822 515,683 35%
                               
  UPSTATE TOTALS: 520,384 292,507 48,796 22,219 569,180 314,668 55% 90% 61% 143,395 28,910 712,575 343,636 48%
  NEW YORK CITY TOTALS: 1,023,408 430,695 187,166 53,718 1,210,574 484,413 40% 86% 47% 264,248 31,270 1,474,822 515,683 35%
  GRAND TOTALS 1,543,792 723,202 235,962 75,937 1,779,754 799,081 45% 89% 50% 407,643 60,180 2,187,397 859,319 39%
NYC Boroughs Bronx 272,881 106,987 40,645 10,404 313,526 117,391 37%     64,274 7,523 377,800 124,914 33%
  Brooklyn 378,964 186,225 74,525 28,546 453,489 214,771 47%     95,113 12,642 548,602 227,413 41%
  Manhattan 150,610 49,321 38,018 6,544 188,628 55,866 30%     49,597 5,040 238,225 60,906 26%
  Queens 195,234 70,070 29,892 6,148 225,126 76,217 34%     47,360 4,459 272,486 80,677 30%
  Staten Island 25,719 18,092 4,086 2,075 29,805 20,168 68%     7,904 1,606 37,709 21,774 58%
  Borough Total 1,023,408 430,695 187,166 53,718 1,210,574 484,413 40% 86% 47% 264,248 31,270 1,474,822 515,683 35%

NOTES:

  1. The Managed Care eligible counts are based upon July, 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 Nassau County - United Healthcare of NY.