RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS January 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 11,330 1,408 994 15,653 12,324 79% 92% 86% 4,341 741 19,994 13,065 65%
  CDPHP   9,264   853   10,117 65%       626   10,743 54%
  Fidelis/NYS Catholic Hlth   1,002   69   1,071 7%       77   1,148 6%
  Wellcare   1,064   72   1,136 7%       38   1,174 6%
Allegany TOTALS: 3,287 528 279 51 3,566 550 15% 89% 17% 1,000 226 4,566 805 18%
  Health Choice (Partial)   499   51   550 15%       223   773 17%
  HealthNow/BCBS-WNY/Community Blue   29   0   29 1%       3   32 1%
Broome TOTALS: 10,835 8,458 1,036 752 11,871 9,210 78% 89% 87% 3,411 820 15,282 10,030 66%
  Broome MC   4,720   400   5,120 43%       623   5,743 38%
  Fidelis/NYS Catholic Hlth   404   36   440 4%       23   463 3%
  CDPHP   3,334   316   3,650 31%       174   3,824 25%
Cattauragus TOTALS: 5,258 2,607 282 128 5,540 2,735 49% 91% 54% 1,538 566 7,078 3,301 47%
  HealthNow/BCBS-WNY/Community Blue   1,929   100   2,029 37%       512   2,541 36%
  Fidelis/NYS Catholic Hlth   678   28   706 13%       54   760 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 5,750 1,143 632 11,717 6,382 54% 82% 66% 2,582 842 14,299 7,224 51%
  HealthNow/BCBS-WNY/Community Blue   1,685   167   1,852 16%       277   2,129 15%
  Primary Health   465   60   525 4%       217   742 5%
  Fidelis/NYS Catholic Hlth   3,600   405   4,005 34%       348   4,353 30%
Chemung TOTALS: 6,958 3,311 460 188 7,418 3,499 47% 88% 54% 1,916 994 9,334 4,493 48%
  Southern Tier Pediatrics (Partial)   2,407   1   2,408 32%       264   2,672 29%
  Southern Tier Priority (Partial)   904   187   1,091 15%       730   1,821 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 2,000 206 129 2,864 2,129 74% 93% 80% 852 163 3,716 2,292 62%
  CDPHP   1,530   106   1,636 57%       122   1,758 47%
  Wellcare   374   19   393 14%       32   425 11%
  Fidelis/NYS Catholic Hlth   96   4   100 3%       9   109 3%
Cortland TOTALS: 3,348 414 184 14 3,532 428 12% 90% 13% 788 88 4,320 516 12%
  Fidelis/NYS Catholic Hlth   414   14   428 12%       88   516 12%
Delaware TOTALS: 2,261 198 194 17 2,455 215 9% 91% 10% 734 9 3,189 224 7%
  Wellcare   198   17   215 9%       9   224 7%
Dutchess TOTALS: 7,519 1,155 669 33 8,188 1,188 15% 90% 16% 2,552 89 10,740 1,277 12%
  Wellcare   1,155   33   1,188 15%       89   1,277 12%
Erie TOTALS: 60,587 46,063 6,858 5,159 67,445 51,222 76% 92% 83% 17,082 7,022 84,527 58,244 69%
  Buffalo Community Health   6,101   585   6,686 10%       222   6,908 8%
  HealthNow/BCBS-WNY/Community Blue   8,095   809   8,904 13%       820   9,724 12%
  Independent Health Assoc/IHA   17,642   1,594   19,236 29%       1157   20,393 24%
  Fidelis/NYS Catholic Hlth   13,530   988   14,518 22%       1271   15,789 19%
  Total Full Risk   45,368   3,976   49,344 73%       3,470   52,814 62%
  PCMP II (Partial)   154   48   202 0%       328   530 1%
  PCMP III (Partial)   27   65   92 0%       429   521 1%
  PCMP II-A Special Care (Partial)   514   1,070   1,584 2%       2795   4,379 5%
  Total Partial Risk   695   1,183   1,878 3%       3,552   5,430 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: 4,261 656 350 50 4,611 706 15% 92% 17% 1,063 27 5,674 733 13%
  CDPHP   656   50   706 15%       27   733 13%
Genesee TOTALS: 2,526 950 85 46 2,611 996 38% 87% 44% 606 70 3,217 1,066 33%
  Preferred Care   950   46   996 38%       70   1,066 33%
Greene TOTALS: 2,633 2,178 251 162 2,884 2,340 81% 93% 87% 684 151 3,568 2,491 70%
  CDPHP   1,391   111   1,502 52%       105   1,607 45%
  Wellcare   652   41   693 24%       39   732 21%
  Fidelis/NYS Catholic Hlth   135   10   145 5%       7   152 4%
Hamilton TOTALS: 141 0 15 0 156 0 0% 92% 0% 45 0 201 0 0%
Herkimer TOTALS: 3,789 697 235 65 4,024 762 19% 90% 21% 866 40 4,890 802 16%
  Fidelis/NYS Catholic Hlth   262   28   290 7%       27   317 6%
  United Healthcare of Upstate   435   37   472 12%       13   485 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: 2,731 950 204 28 2,935 978 33% 90% 37% 666 77 3,601 1,055 29%
  Excellus   551   16   567 19%       26   593 16%
  Preferred Care   399   12   411 14%       51   462 13%
Madison TOTALS: 2,856 0 159 0 3,015 0 0% 89% 0% 735 0 3,750 0 0%
Monroe TOTALS: 49,104 37,734 5,681 4,786 54,785 42,520 78% 90% 86% 11,906 2,381 66,691 44,901 67%
  Excellus   27,501   3,660   31,161 57%       1882   33,043 50%
  Preferred Care   10,233   1,126   11,359 21%       499   11,858 18%
Montgomery TOTALS: 3,452 758 361 40 3,813 798 21% 91% 23% 772 37 4,585 835 18%
  CDPHP   758   40   798 21%       37   835 18%
Nassau TOTALS: 29,932 12,564 2,432 865 32,364 13,429 41% 92% 45% 9,981 685 42,345 14,114 33%
  Vytra   3,360   227   3,587 11%       147   3,734 9%
  HIP   1,792   182   1,974 6%       186   2,160 5%
  Health First PHSP   2,762   173   2,935 9%       152   3,087 7%
  Affinity Health Plan   3,224   172   3,396 10%       156   3,552 8%
  Fidelis/NYS Catholic Hlth   1,426   111   1,537 5%       44   1,581 4%
Niagara TOTALS: 11,633 9,781 1,185 921 12,818 10,702 83% 92% 91% 3,287 1,349 16,105 12,051 75%
  Independent Health Assoc/IHA   5,012   492   5,504 43%       718   6,222 39%
  Fidelis/NYS Catholic Hlth   1,843   182   2,025 16%       276   2,301 14%
  HealthNow/BCBS-WNY/Community Blue   2,926   247   3,173 25%       355   3,528 22%
Oneida TOTALS: 16,194 7,613 1,412 626 17,606 8,239 47% 92% 51% 5,042 1,120 22,648 9,359 41%
  Fidelis/NYS Catholic Hlth   4,684   391   5,075 29%       820   5,895 26%
  United Healthcare of Upstate   2,668   212   2,880 16%       281   3,161 14%
  Excellus   261   23   284 2%       19   303 1%
Onondaga TOTALS: 28,677 20,884 2,346 1,381 31,023 22,265 72% 86% 83% 7,691 1,951 38,714 24,216 63%
  Fidelis/NYS Catholic Hlth   4,858   301   5,159 17%       478   5,637 15%
  Total Care/Syracuse PHSP   8,581   545   9,126 29%       888   10,014 26%
  United Healthcare of Upstate   6,091   427   6,518 21%       546   7,064 18%
  Excellus   1,354   108   1,462 5%       39   1,501 5%
Ontario TOTALS: 3,701 2,769 304 131 4,005 2,900 72% 91% 80% 1,058 325 5,063 3,225 64%
  Excellus   2,136   107   2,243 56%       269   2,512 50%
  Preferred Care   633   24   657 16%       56   713 14%
Orange TOTALS: 21,274 5,624 3,482 484 24,756 6,108 25% 90% 27% 4,082 650 28,838 6,758 23%
  Affinity Health Plan   4,203   329   4,532 18%       562   5,094 18%
  Wellcare   1,162   141   1,303 5%       69   1,372 5%
  Care Plus Health Plan   259   14   273 1%       19   292 1%
Orleans TOTALS: 2,849 895 205 63 3,054 958 31% 92% 34% 619 79 3,673 1,037 28%
  Excellus   435   29   464 15%       52   516 14%
  Fidelis/NYS Catholic Hlth   447   33   480 16%       26   506 14%
  HealthNow/BCBS-WNY/Community Blue   13   1   14 0%       1   15 0%
Oswego TOTALS: 8,548 6,554 689 482 9,237 7,036 76% 91% 84% 1,891 493 11,128 7,529 68%
  Fidelis/NYS Catholic Hlth   1,239   116   1,355 15%       80   1,435 13%
  Total Care/Syracuse PHSP   2,285   200   2,485 27%       206   2,691 24%
  United Healthcare of Upstate   3,030   166   3,196 35%       207   3,403 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: 893 185 125 16 1,018 201 20% 88% 22% 530 34 1,548 235 15%
  Care Plus Health Plan   185   16   201 20%       34   235 15%
Rensselaer TOTALS: 7,738 6,448 774 543 8,512 6,991 82% 90% 91% 2,096 373 10,608 7,364 69%
  CDPHP   5,566   473   6,039 71%       305   6,344 60%
  Fidelis/NYS Catholic Hlth   505   40   545 6%       47   592 6%
  Wellcare   377   30   407 5%       21   428 4%
Rockland TOTALS: 18,636 16,862 1,921 864 20,557 17,726 86% 92% 94% 2,585 465 23,142 18,191 79%
  Affinity Health Plan   1,376   100   1,476 7%       125   1,601 7%
  Fidelis/NYS Catholic Hlth   11,474   464   11,938 58%       203   12,141 52%
  Wellcare   2,112   141   2,253 11%       41   2,294 10%
  Westchester PHSP   1,720   128   1,848 9%       84   1,932 8%
  Community Choice Hlth Plan   180   31   211 1%       12   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 3,330 352 200 4,948 3,530 71% 91% 78% 1,878 162 6,826 3,692 54%
  Wellcare   68   8   76 2%       0   76 1%
  CDPHP   2,689   159   2,848 58%       147   2,995 44%
  Fidelis/NYS Catholic Hlth   573   33   606 12%       15   621 9%
Schenectady TOTALS: 7,729 4,789 610 279 8,339 5,068 61% 89% 68% 2,468 559 10,807 5,627 52%
  CDPHP   4,394   253   4,647 56%       520   5,167 48%
  Fidelis/NYS Catholic Hlth   395   26   421 5%       39   460 4%
Schoharie TOTALS: 1,715 59 77 2 1,792 61 3% 92% 4% 376 3 2,168 64 3%
  CDPHP   59   2   61 3%       3   64 3%
Schuyler TOTALS: 1,028 0 82 0 1,110 0 0% 91% 0% 339 0 1,449 0 0%
Seneca TOTALS: 1,498 763 123 29 1,621 792 49% 92% 53% 454 132 2,075 924 45%
  Excellus   763   29   792 49%       132   924 45%
Steuben TOTALS: 6,386 1,444 417 131 6,803 1,575 23% 90% 26% 2,009 622 8,812 2,197 25%
  Southern Tier Pediatrics (Partial)   70   0   70 1%       12   82 1%
  Southern Tier Priority (Partial)   1,374   131   1,505 22%       610   2,115 24%
Suffolk TOTALS: 38,323 19,033 2,763 1,114 41,086 20,147 49% 90% 54% 13,087 2,265 54,173 22,412 41%
  Vytra   4,016   261   4,277 10%       265   4,542 8%
  HIP   1,175   103   1,278 3%       134   1,412 3%
  Health First PHSP   2,799   190   2,989 7%       481   3,470 6%
  Suffolk Plan HMO   7,270   374   7,644 19%       1122   8,766 16%
  Affinity Health Plan   1,426   62   1,488 4%       121   1,609 3%
  United Healthcare of NY   1,269   53   1,322 3%       44   1,366 3%
  Fidelis/NYS Catholic Hlth   1,078   71   1,149 3%       98   1,247 2%
Sullivan TOTALS: 4,530 913 280 30 4,810 943 20% 90% 22% 1,443 87 6,253 1,030 16%
  Wellcare   805   30   835 17%       75   910 15%
  Westchester PHSP   108   0   108 2%       12   120 2%
Tioga TOTALS: 2,359 45 135 1 2,494 46 2% 93% 2% 708 1 3,202 47 1%
  CDPHP   45   1   46 2%       1   47 1%
Tompkins TOTALS: 3,924 0 435 0 4,359 0 0% 89% 0% 973 0 5,332 0 0%
Ulster TOTALS: 8,231 2,145 806 95 9,037 2,240 25% 90% 28% 2,561 147 11,598 2,387 21%
  Wellcare   2,145   95   2,240 25%       147   2,387 21%
Warren TOTALS: 2,473 1,343 127 9 2,600 1,352 52% 91% 57% 881 52 3,481 1,404 40%
  HealthNow/BlueShield of NENY   1,343   9   1,352 52%       52   1,404 40%
Washington TOTALS: 3,054 930 187 26 3,241 956 29% 89% 33% 914 114 4,155 1,070 26%
  HealthNow/BlueShield of NENY   583   17   600 19%       89   689 17%
  CDPHP   347   9   356 11%       25   381 9%
Wayne TOTALS: 3,349 1,388 182 36 3,531 1,424 40% 91% 44% 1,185 137 4,716 1,561 33%
  Excellus   454   10   464 13%       48   512 11%
  Preferred Care   934   26   960 27%       89   1,049 22%
Westchester TOTALS: 42,607 29,407 4,598 3,024 47,205 32,431 69% 86% 80% 9,791 2,395 56,996 34,826 61%
  HIP   2,149   454   2,603 6%       310   2,913 5%
  Westchester PHSP   14,289   1,108   15,397 33%       1027   16,424 29%
  Affinity Health Plan   5,064   564   5,628 12%       455   6,083 11%
  Community Choice Hlth Plan   5,303   567   5,870 12%       415   6,285 11%
  Fidelis/NYS Catholic Hlth   2,602   331   2,933 6%       188   3,121 5%
Wyoming TOTALS: 1,439 0 129 0 1,568 0 0% 91% 0% 404 0 1,972 0 0%
Yates TOTALS: 1,240 710 75 27 1,315 737 56% 91% 62% 287 62 1,602 799 50%
  Excellus   710   27   737 56%       62   799 50%
Upstate Total   520,384 282,249 48,796 24,653 569,180 306,873 54% 90% 60% 143,395 28,606 712,575 335,508 47%
NYC Affinity Health Plan   36,014   4,086   40,100 3%       2,487   42,587 3%
  Fidelis/NYS Catholic Hlth   29,080   3,926   33,006 3%       1,493   34,499 2%
  Health First PHSP   45,548   7,778   53,326 4%       4,556   57,882 4%
  HIP   43,939   9,387   53,326 4%       6,329   59,655 4%
  Health Plus PHSP   49,076   3,972   53,048 4%       1,579   54,627 4%
  AmeriChoice of New York/MHS   42,942   11,581   54,523 5%       3,654   58,177 4%
  Manhattan PHSP/Center Care   26,667   3,483   30,150 2%       1,479   31,629 2%
  MetroPlus Health Plan   40,941   4,910   45,851 4%       4,075   49,926 3%
  United Healthcare of NY   2,695   486   3,181 0%       134   3,315 0%
  St Barnabas/Partners in Health   10,392   1,605   11,997 1%       935   12,932 1%
  Neighborhood Health Providers   33,117   2,274   35,391 3%       1,640   37,031 3%
  Wellcare   5,335   1,030   6,365 1%       283   6,648 0%
  ABC Health Plan   2,755   391   3,146 0%       118   3,264 0%
  Community Choice Hlth Plan   971   117   1,088 0%       38   1,126 0%
  Community Premier Plus   8,235   849   9,084 1%       913   9,997 1%
  NY Hospital Community PHSP   9,738   1,474   11,212 1%       602   11,814 1%
  Care Plus Health Plan   18,313   1,826   20,139 2%       674   20,813 1%
  NYC Total 1,023,408 405,758 187,166 59,175 1,210,574 464,933 38% 86% 45% 264,248 30,989 1,474,822 495,922 34%
                               
  UPSTATE TOTALS: 520,384 282,249 48,796 24,653 569,180 306,873 54% 90% 60% 143,395 28,606 712,575 335,508 47%
  NEW YORK CITY TOTALS: 1,023,408 405,758 187,166 59,175 1,210,574 464,933 38% 86% 45% 264,248 30,989 1,474,822 495,922 34%
  GRAND TOTALS 1,543,792 688,007 235,962 83,828 1,779,754 771,806 43% 89% 49% 407,643 59,595 2,187,397 831,430 38%
NYC Boroughs Bronx 272,881 96,573 40,645 12,761 313,526 109,334 35%     64,274 7,421 377,800 116,754 31%
  Brooklyn 378,964 178,232 74,525 30,498 453,489 208,730 46%     95,113 12,545 548,602 221,275 40%
  Manhattan 150,610 47,519 38,018 7,510 188,628 55,029 29%     49,597 5,070 238,225 60,099 25%
  Queens 195,234 65,750 29,892 6,170 225,126 71,920 32%     47,360 4,386 272,486 76,306 28%
  Staten Island 25,719 17,684 4,086 2,237 29,805 19,921 67%     7,904 1,567 37,709 21,488 57%
  Borough Total 1,023,408 405,758 187,166 59,175 1,210,574 464,933 38% 86% 45% 264,248 30,989 1,474,822 495,922 34%

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:
    Allegany County - HealthNow/BCBS-WNY/Community Blue
    Orleans County - HealthNow/BCBS-WNY/Community Blue