Managed Care

RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS July 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
eltanf tanf elsna sna elsub sub elssi ssi eltot entot
Albany TOTALS: 14,276 11,917 1,418 1,063 15,694 12,980 83% 92% 90% 4,386 795 20,080 13,775 69%

CDPHP 9,851 904 10,755 69% 682 11,437 57%

Fidelis/NYS Catholic Hlth 1,012 82 1,094 7% 71 1,165 6%

Wellcare 1,054 77 1,131 7% 42 1,173 6%

Allegany TOTALS: 3,305 713 283 47 3,588 464 13% 89% 15% 1,008 220 4,596 980 21%

Health Choice (Partial) 435 29 464 13% 205 669 15%

HealthNow/BCBS-WNY/Community Blue 278 18 296 8% 15 311 7%

Broome TOTALS: 10,895 9,925 1,044 872 11,939 10,797 90% 89% 102% 3,447 865 15,386 11,662 76%

Broome MC 5,106 390 5,496 46% 655 6,151 40%

Fidelis/NYS Catholic Hlth 432 38 470 4% 19 489 3%

CDPHP 4,387 444 4,831 40% 191 5,022 33%

Cattauragus TOTALS: 5,287 3,905 280 254 5,567 4,159 75% 91% 82% 1,557 577 7,124 4,736 66%

HealthNow/BCBS-WNY/Community Blue 2,948 201 3,149 57% 517 3,666 51%

Fidelis/NYS Catholic Hlth 957 53 1,010 18% 60 1,070 15%

Cayuga TOTALS: 4,549 0 242 0 4,791 0 0% 88% 0% 1,155 0 5,946 0 0%

Chautauqua TOTALS: 10,594 7,881 1,158 920 11,752 8,801 75% 82% 91% 2,608 955 14,360 9,756 68%

HealthNow/BCBS-WNY/Community Blue 2,476 270 2,746 23% 289 3,035 21%

Primary Health 590 95 685 6% 232 917 6%

Fidelis/NYS Catholic Hlth 4,815 555 5,370 46% 434 5,804 40%

Chemung TOTALS: 7,007 3,591 467 213 7,474 3,804 51% 88% 58% 1,936 979 9,410 4,783 51%

Southern Tier Pediatrics (Partial) 2,561 0 2,561 34% 262 2,823 30%

Southern Tier Priority (Partial) 1,030 213 1,243 17% 717 1,960 21%

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 2,121 208 149 2,885 2,270 79% 93% 85% 853 178 3,738 2,448 65%

CDPHP 1,672 127 1,799 62% 146 1,945 52%

Wellcare 322 15 337 12% 27 364 10%

Fidelis/NYS Catholic Hlth 127 7 134 5% 5 139 4%

Cortland TOTALS: 3,380 365 184 13 3,564 378 11% 90% 12% 796 91 4,360 469 11%

Fidelis/NYS Catholic Hlth 365 13 378 11% 91 469 11%

Delaware TOTALS: 2,286 148 198 11 2,484 159 6% 91% 7% 741 5 3,225 164 5%

Wellcare 148 11 159 6% 5 164 5%

Dutchess TOTALS: 7,570 1,342 680 39 8,250 1,381 17% 90% 19% 2,579 110 10,829 1,491 14%

Wellcare 1,342 39 1,381 17% 110 1,491 14%

Erie TOTALS: 60,689 48,237 6,997 4,660 67,686 52,897 78% 92% 85% 17,250 7,177 84,936 60,074 71%

Buffalo Community Health 6,423 513 6,936 10% 239 7,175 8%

HealthNow/BCBS-WNY/Community Blue 8,926 781 9,707 14% 853 10,560 12%

Independent Health Assoc/IHA 18,230 1,442 19,672 29% 1302 20,974 25%

Fidelis/NYS Catholic Hlth 13,953 764 14,717 22% 1291 16,008 19%

Total Full Risk 47,532 3,500 51,032 75% 3,685 54,717 64%

PCMP II (Partial) 129 41 170 0% 311 481 1%

PCMP III (Partial) 36 56 92 0% 411 503 1%

PCMP II-A Special Care (Partial) 540 1,063 1,603 2% 2770 4,373 5%

Total Partial Risk 705 1,160 1,865 3% 3,492 5,357 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: 4,309 713 351 40 4,660 753 16% 92% 18% 1,077 35 5,737 788 14%

CDPHP 713 40 753 16% 35 788 14%

Genesee TOTALS: 2,539 1,228 85 86 2,624 1,314 50% 87% 58% 614 83 3,238 1,397 43%

HealthNow/BCBS-WNY/Community Blue 4 0 4 0% 1 5 0%

Preferred Care 1,224 86 1,310 50% 82 1,392 43%

Greene TOTALS: 2,644 2,207 252 153 2,896 2,360 81% 93% 88% 691 199 3,587 2,559 71%

CDPHP 1,458 110 1,568 54% 146 1,714 48%

Wellcare 575 30 605 21% 42 647 18%

Fidelis/NYS Catholic Hlth 174 13 187 6% 11 198 6%

Hamilton TOTALS: 142 0 15 0 157 0 0% 92% 0% 46 0 203 0 0%

Herkimer TOTALS: 3,828 954 235 85 4,063 1,039 26% 90% 28% 874 45 4,937 1,084 22%

Fidelis/NYS Catholic Hlth 375 31 406 10% 30 436 9%

United Healthcare of Upstate 579 54 633 16% 15 648 13%

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 1,481 206 93 2,948 1,574 53% 90% 59% 672 142 3,620 1,716 47%

Excellus 887 59 946 32% 55 1,001 28%

Preferred Care 594 34 628 21% 87 715 20%

Madison TOTALS: 2,883 0 163 0 3,046 0 0% 89% 0% 742 0 3,788 0 0%

Monroe TOTALS: 49,145 42,229 5,791 4,450 54,936 46,679 85% 90% 94% 12,026 2,791 66,962 49,470 74%

Excellus 30,805 3,417 34,222 62% 2211 36,433 54%

Preferred Care 11,424 1,033 12,457 23% 580 13,037 19%

Montgomery TOTALS: 3,481 854 365 36 3,846 890 23% 91% 25% 778 55 4,624 945 20%

CDPHP 854 36 890 23% 55 945 20%

Nassau TOTALS: 30,604 21,544 2,637 1,442 33,241 22,986 69% 92% 75% 10,106 1,124 43,347 24,110 56%

Vytra 2,954 147 3,101 9% 142 3,243 7%

HIP 4,149 447 4,596 14% 354 4,950 11%

HealthFirst PHSP 5,218 300 5,518 17% 237 5,755 13%

Affinity Health Plan 4,615 202 4,817 14% 220 5,037 12%

Fidelis/NYS Catholic Hlth 3,380 225 3,605 11% 110 3,715 9%

United Healthcare of NY 1,228 121 1,349 4% 61 1,410 3%

Niagara TOTALS: 11,641 10,637 1,209 858 12,850 11,495 89% 92% 97% 3,324 1,467 16,174 12,962 80%

Independent Health Assoc/IHA 5,254 418 5,672 44% 792 6,464 40%

Fidelis/NYS Catholic Hlth 1,888 166 2,054 16% 287 2,341 14%

HealthNow/BCBS-WNY/Community Blue 3,495 274 3,769 29% 388 4,157 26%

Oneida TOTALS: 16,298 12,059 1,423 1,031 17,721 13,090 74% 92% 80% 5,098 1,314 22,819 14,404 63%

Fidelis/NYS Catholic Hlth 6,867 591 7,458 42% 946 8,404 37%

United Healthcare of Upstate 4,226 320 4,546 26% 330 4,876 21%

Excellus 966 120 1,086 6% 38 1,124 5%

Onondaga TOTALS: 28,883 23,416 2,399 1,631 31,282 25,047 80% 86% 93% 7,755 2,114 39,037 27,161 70%

Fidelis/NYS Catholic Hlth 5,254 329 5,583 18% 525 6,108 16%

Total Care/Syracuse PHSP 9,494 656 10,150 32% 976 11,126 29%

United Healthcare of Upstate 6,728 471 7,199 23% 560 7,759 20%

Excellus 1,940 175 2,115 7% 53 2,168 7%

Ontario TOTALS: 3,742 3,113 307 130 4,049 3,243 80% 91% 88% 1,069 367 5,118 3,610 71%

Excellus 2,454 109 2,563 63% 300 2,863 56%

Preferred Care 659 21 680 17% 67 747 15%

Orange TOTALS: 21,379 5,687 3,522 369 24,901 6,056 24% 90% 27% 4,138 662 29,039 6,718 23%

Affinity Health Plan 4,433 275 4,708 19% 578 5,286 18%

Wellcare 1,254 94 1,348 5% 84 1,432 5%

Care Plus Health Plan 0 0 0 0% 0 0 0%

Orleans TOTALS: 2,857 1,010 205 60 3,062 1,070 35% 92% 38% 626 74 3,688 1,144 31%

Excellus 432 21 453 15% 45 498 14%

Fidelis/NYS Catholic Hlth 482 25 507 17% 21 528 14%

HealthNow/BCBS-WNY/Community Blue 96 14 110 4% 8 118 3%

Oswego TOTALS: 8,626 7,532 691 467 9,317 7,999 86% 91% 94% 1,910 569 11,227 8,568 76%

Fidelis/NYS Catholic Hlth 1,459 121 1,580 17% 88 1,668 15%

Total Care/Syracuse PHSP 2,636 199 2,835 30% 236 3,071 27%

United Healthcare of Upstate 3,437 147 3,584 38% 245 3,829 34%

Otsego TOTALS: 2,675 32 125 0 2,800 32 1% 91% 1% 831 1 3,631 33 1%

Wellcare 32 0 32 1% 1 33 1%

Putnam TOTALS: 913 174 127 15 1,040 189 18% 88% 21% 537 35 1,577 224 14%

Care Plus Health Plan 174 15 189 18% 35 224 14%

Rensselaer TOTALS: 7,780 6,927 784 591 8,564 7,518 88% 90% 98% 2,115 441 10,679 7,959 75%

CDPHP 6,070 524 6,594 77% 374 6,968 65%

Fidelis/NYS Catholic Hlth 556 44 600 7% 48 648 6%

Wellcare 301 23 324 4% 19 343 3%

Rockland TOTALS: 18,770 18,850 2,000 761 20,770 19,611 94% 92% 103% 2,615 500 23,385 20,111 86%

Affinity Health Plan 1,381 111 1,492 7% 120 1,612 7%

Fidelis/NYS Catholic Hlth 13,040 392 13,432 65% 223 13,655 58%

Wellcare 2,097 95 2,192 11% 49 2,241 10%

Westchester PHSP 2,189 134 2,323 11% 96 2,419 10%

Community Choice Hlth Plan 143 29 172 1% 12 184 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 3,928 361 216 5,041 4,144 82% 91% 90% 1,893 192 6,934 4,336 63%

Wellcare 55 3 58 1% 0 58 1%

CDPHP 3,238 174 3,412 68% 172 3,584 52%

Fidelis/NYS Catholic Hlth 635 39 674 13% 20 694 10%

Schenectady TOTALS: 7,834 5,584 636 341 8,470 5,925 70% 89% 79% 2,486 650 10,956 6,575 60%

CDPHP 5,067 292 5,359 63% 594 5,953 54%

Fidelis/NYS Catholic Hlth 517 49 566 7% 56 622 6%

Schoharie TOTALS: 1,737 69 77 1 1,814 70 4% 92% 4% 378 4 2,192 74 3%

CDPHP 69 1 70 4% 4 74 3%

Schuyler TOTALS: 1,043 0 83 0 1,126 0 0% 91% 0% 342 0 1,468 0 0%

Seneca TOTALS: 1,511 993 124 29 1,635 1,022 63% 92% 68% 459 159 2,094 1,181 56%

Excellus 993 29 1,022 63% 159 1,181 56%

Steuben TOTALS: 6,429 1,647 416 144 6,845 1,791 26% 90% 29% 2,028 617 8,873 2,408 27%

Southern Tier Pediatrics (Partial) 73 0 73 1% 11 84 1%

Southern Tier Priority (Partial) 1,574 144 1,718 25% 606 2,324 26%

Suffolk TOTALS: 38,979 28,739 2,925 1,481 41,904 30,220 72% 90% 80% 13,231 2,562 55,135 32,782 59%

Vytra 3,456 162 3,618 9% 277 3,895 7%

HIP 3,315 317 3,632 9% 221 3,853 7%

HealthFirst PHSP 4,614 193 4,807 11% 518 5,325 10%

Suffolk Plan HMO 8,713 447 9,160 22% 1157 10,317 19%

Affinity Health Plan 2,648 94 2,742 7% 148 2,890 5%

United Healthcare of NY 3,781 151 3,932 9% 120 4,052 7%

Fidelis/NYS Catholic Hlth 2,212 117 2,329 6% 121 2,450 4%

Sullivan TOTALS: 4,548 1,308 282 44 4,830 1,352 28% 90% 31% 1,455 96 6,285 1,448 23%

Wellcare 684 32 716 15% 65 781 12%

Westchester PHSP 624 12 636 13% 31 667 11%

Tioga TOTALS: 2,375 56 137 1 2,512 57 2% 93% 2% 714 0 3,226 57 2%

CDPHP 56 1 57 2% 0 57 2%

Tompkins TOTALS: 3,947 0 440 0 4,387 0 0% 89% 0% 976 0 5,363 0 0%

Ulster TOTALS: 8,275 2,407 814 84 9,089 2,491 27% 90% 30% 2,586 166 11,675 2,657 23%

Wellcare 2,407 84 2,491 27% 166 2,657 23%

Warren TOTALS: 2,494 1,535 132 7 2,626 1,542 59% 91% 65% 889 59 3,515 1,601 46%

HealthNow/BlueShield of NENY 1,535 7 1,542 59% 59 1,601 46%

Washington TOTALS: 3,087 1,230 189 38 3,276 1,268 39% 89% 43% 920 130 4,196 1,398 33%

HealthNow/BlueShield of NENY 795 31 826 25% 105 931 22%

CDPHP 435 7 442 13% 25 467 11%

Wayne TOTALS: 3,390 2,025 182 73 3,572 2,098 59% 91% 65% 1,202 197 4,774 2,295 48%

Excellus 687 25 712 20% 67 779 16%

Preferred Care 1,338 48 1,386 39% 130 1,516 32%

Westchester TOTALS: 42,673 31,706 4,863 2,375 47,536 34,081 72% 86% 83% 9,906 2,448 57,442 36,529 64%

HIP 2,466 466 2,932 6% 314 3,246 6%

Westchester PHSP 15,437 830 16,267 34% 1032 17,299 30%

Affinity Health Plan 5,275 360 5,635 12% 462 6,097 11%

Community Choice Hlth Plan 5,796 447 6,243 13% 432 6,675 12%

Fidelis/NYS Catholic Hlth 2,732 272 3,004 6% 208 3,212 6%

Wyoming TOTALS: 1,453 0 126 0 1,579 0 0% 91% 0% 410 0 1,989 0 0%

Yates TOTALS: 1,251 924 76 35 1,327 959 72% 91% 79% 290 76 1,617 1,035 64%

Excellus 924 35 959 72% 76 1,035 64%

Upstate Total 523,980 332,943 50,049 25,408 574,029 358,055 62% 90% 69% 144,873 31,326 718,902 389,677 54%

NYC Affinity Health Plan 48,471 4,506 52,977 4% 2,732 55,709 4%

Fidelis/NYS Catholic Hlth 41,253 5,247 46,500 4% 1,718 48,218 3%

HealthFirst PHSP 66,454 9,172 75,626 6% 4,811 80,437 5%

HIP 72,573 16,986 89,559 7% 6,952 96,511 7%

Health Plus PHSP 71,140 7,550 78,690 6% 1,995 80,685 5%

AmeriChoice of New York/MHS 51,075 12,055 63,130 5% 3,509 66,639 5%

Manhattan PHSP/Center Care 36,584 4,745 41,329 3% 1,607 42,936 3%

MetroPlus Health Plan 60,430 6,478 66,908 6% 4,210 71,118 5%

United Healthcare of NY 7,927 2,148 10,075 1% 351 10,426 1%

St Barnabas/Partners in Health 15,561 1,936 17,497 1% 1,052 18,549 1%

Neighborhood Health Providers 42,349 3,459 45,808 4% 1,698 47,506 3%

Wellcare 10,711 1,734 12,445 1% 355 12,800 1%

ABC Health Plan 5,279 754 6,033 0% 155 6,188 0%

Community Choice Hlth Plan 3,152 490 3,642 0% 61 3,703 0%

Community Premier Plus 11,530 1,012 12,542 1% 897 13,439 1%

NY Hospital Community PHSP 17,251 2,781 20,032 2% 724 20,756 1%

Care Plus Health Plan 26,749 2,806 29,555 2% 833 30,388 2%

NYC Total 1,024,455 588,489 191,151 83,859 1,215,606 672,348 55% 86% 64% 258,285 33,660 1,473,891 706,008 48%

UPSTATE TOTALS: 523,980 332,943 50,049 25,408 574,029 358,055 62% 90% 69% 144,873 31,326 718,902 389,677 54%

NEW YORK CITY TOTALS: 1,024,455 588,489 191,151 83,859 1,215,606 672,348 55% 86% 64% 258,285 33,660 1,473,891 706,008 48%

GRAND TOTALS 1,548,435 921,432 241,200 109,267 1,789,635 1,030,403 58% 89% 65% 403,158 64,986 2,192,793 1,095,685 50%

NYC Boroughs Bronx 272,669 167,592 41,681 19,451 314,350 187,043 60% 64,615 8,561 378,965 195,604 52%

Brooklyn 380,227 233,030 76,054 39,914 456,281 272,944 60% 90,344 12,976 546,625 285,920 52%

Manhattan 148,885 55,320 38,600 8,264 187,485 63,584 34% 49,832 5,138 237,317 68,722 29%

Queens 196,729 111,701 30,618 13,486 227,347 125,187 55% 45,501 5,262 272,848 130,448 48%

Staten Island 25,945 20,846 4,198 2,744 30,143 23,590 78% 7,993 1,723 38,136 25,314 66%

Borough Total 1,024,455 588,489 191,151 83,859 1,215,606 672,348 55% 86% 64% 258,285 33,660 1,473,891 706,008 48%

NOTES:

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).
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).
All percents are rounded to the nearest whole number.
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).
New plans added this month: Genesee County - HealthNow/BCBS-WNY/Community Blue

		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
		eltanf	tanf	elsna	sna	elsub	sub				elssi	ssi	eltot	entot
Albany	TOTALS:	14,276	11,917	1,418	1,063	15,694	12,980	83%	92%	90%	4,386	795	20,080	13,775	69%
	CDPHP		9,851		904		10,755	69%				682		11,437	57%
	Fidelis/NYS Catholic Hlth		1,012		82		1,094	7%				71		1,165	6%
	Wellcare		1,054		77		1,131	7%				42		1,173	6%
Allegany	TOTALS:	3,305	713	283	47	3,588	464	13%	89%	15%	1,008	220	4,596	980	21%
	Health Choice (Partial)		435		29		464	13%				205		669	15%
	HealthNow/BCBS-WNY/Community Blue		278		18		296	8%				15		311	7%
Broome	TOTALS:	10,895	9,925	1,044	872	11,939	10,797	90%	89%	102%	3,447	865	15,386	11,662	76%
	Broome MC		5,106		390		5,496	46%				655		6,151	40%
	Fidelis/NYS Catholic Hlth		432		38		470	4%				19		489	3%
	CDPHP		4,387		444		4,831	40%				191		5,022	33%
Cattauragus	TOTALS:	5,287	3,905	280	254	5,567	4,159	75%	91%	82%	1,557	577	7,124	4,736	66%
	HealthNow/BCBS-WNY/Community Blue		2,948		201		3,149	57%				517		3,666	51%
	Fidelis/NYS Catholic Hlth		957		53		1,010	18%				60		1,070	15%
Cayuga	TOTALS:	4,549	0	242	0	4,791	0	0%	88%	0%	1,155	0	5,946	0	0%
Chautauqua	TOTALS:	10,594	7,881	1,158	920	11,752	8,801	75%	82%	91%	2,608	955	14,360	9,756	68%
	HealthNow/BCBS-WNY/Community Blue		2,476		270		2,746	23%				289		3,035	21%
	Primary Health		590		95		685	6%				232		917	6%
	Fidelis/NYS Catholic Hlth		4,815		555		5,370	46%				434		5,804	40%
Chemung	TOTALS:	7,007	3,591	467	213	7,474	3,804	51%	88%	58%	1,936	979	9,410	4,783	51%
	Southern Tier Pediatrics (Partial)		2,561		0		2,561	34%				262		2,823	30%
	Southern Tier Priority (Partial)		1,030		213		1,243	17%				717		1,960	21%
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	2,121	208	149	2,885	2,270	79%	93%	85%	853	178	3,738	2,448	65%
	CDPHP		1,672		127		1,799	62%				146		1,945	52%
	Wellcare		322		15		337	12%				27		364	10%
	Fidelis/NYS Catholic Hlth		127		7		134	5%				5		139	4%
Cortland	TOTALS:	3,380	365	184	13	3,564	378	11%	90%	12%	796	91	4,360	469	11%
	Fidelis/NYS Catholic Hlth		365		13		378	11%				91		469	11%
Delaware	TOTALS:	2,286	148	198	11	2,484	159	6%	91%	7%	741	5	3,225	164	5%
	Wellcare		148		11		159	6%				5		164	5%
Dutchess	TOTALS:	7,570	1,342	680	39	8,250	1,381	17%	90%	19%	2,579	110	10,829	1,491	14%
	Wellcare		1,342		39		1,381	17%				110		1,491	14%
Erie	TOTALS:	60,689	48,237	6,997	4,660	67,686	52,897	78%	92%	85%	17,250	7,177	84,936	60,074	71%
	Buffalo Community Health		6,423		513		6,936	10%				239		7,175	8%
	HealthNow/BCBS-WNY/Community Blue		8,926		781		9,707	14%				853		10,560	12%
	Independent Health Assoc/IHA		18,230		1,442		19,672	29%				1302		20,974	25%
	Fidelis/NYS Catholic Hlth		13,953		764		14,717	22%				1291		16,008	19%
	Total Full Risk		47,532		3,500		51,032	75%				3,685		54,717	64%
	PCMP II (Partial)		129		41		170	0%				311		481	1%
	PCMP III (Partial)		36		56		92	0%				411		503	1%
	PCMP II-A Special Care (Partial)		540		1,063		1,603	2%				2770		4,373	5%
	Total Partial Risk		705		1,160		1,865	3%				3,492		5,357	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	713	351	40	4,660	753	16%	92%	18%	1,077	35	5,737	788	14%
	CDPHP		713		40		753	16%				35		788	14%
Genesee	TOTALS:	2,539	1,228	85	86	2,624	1,314	50%	87%	58%	614	83	3,238	1,397	43%
	HealthNow/BCBS-WNY/Community Blue		4		0		4	0%				1		5	0%
	Preferred Care		1,224		86		1,310	50%				82		1,392	43%
Greene	TOTALS:	2,644	2,207	252	153	2,896	2,360	81%	93%	88%	691	199	3,587	2,559	71%
	CDPHP		1,458		110		1,568	54%				146		1,714	48%
	Wellcare		575		30		605	21%				42		647	18%
	Fidelis/NYS Catholic Hlth		174		13		187	6%				11		198	6%
Hamilton	TOTALS:	142	0	15	0	157	0	0%	92%	0%	46	0	203	0	0%
Herkimer	TOTALS:	3,828	954	235	85	4,063	1,039	26%	90%	28%	874	45	4,937	1,084	22%
	Fidelis/NYS Catholic Hlth		375		31		406	10%				30		436	9%
	United Healthcare of Upstate		579		54		633	16%				15		648	13%
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	1,481	206	93	2,948	1,574	53%	90%	59%	672	142	3,620	1,716	47%
	Excellus		887		59		946	32%				55		1,001	28%
	Preferred Care		594		34		628	21%				87		715	20%
Madison	TOTALS:	2,883	0	163	0	3,046	0	0%	89%	0%	742	0	3,788	0	0%
Monroe	TOTALS:	49,145	42,229	5,791	4,450	54,936	46,679	85%	90%	94%	12,026	2,791	66,962	49,470	74%
	Excellus		30,805		3,417		34,222	62%				2211		36,433	54%
	Preferred Care		11,424		1,033		12,457	23%				580		13,037	19%
Montgomery	TOTALS:	3,481	854	365	36	3,846	890	23%	91%	25%	778	55	4,624	945	20%
	CDPHP		854		36		890	23%				55		945	20%
Nassau	TOTALS:	30,604	21,544	2,637	1,442	33,241	22,986	69%	92%	75%	10,106	1,124	43,347	24,110	56%
	Vytra		2,954		147		3,101	9%				142		3,243	7%
	HIP		4,149		447		4,596	14%				354		4,950	11%
	HealthFirst PHSP		5,218		300		5,518	17%				237		5,755	13%
	Affinity Health Plan		4,615		202		4,817	14%				220		5,037	12%
	Fidelis/NYS Catholic Hlth		3,380		225		3,605	11%				110		3,715	9%
	United Healthcare of NY		1,228		121		1,349	4%				61		1,410	3%
Niagara	TOTALS:	11,641	10,637	1,209	858	12,850	11,495	89%	92%	97%	3,324	1,467	16,174	12,962	80%
	Independent Health Assoc/IHA		5,254		418		5,672	44%				792		6,464	40%
	Fidelis/NYS Catholic Hlth		1,888		166		2,054	16%				287		2,341	14%
	HealthNow/BCBS-WNY/Community Blue		3,495		274		3,769	29%				388		4,157	26%
Oneida	TOTALS:	16,298	12,059	1,423	1,031	17,721	13,090	74%	92%	80%	5,098	1,314	22,819	14,404	63%
	Fidelis/NYS Catholic Hlth		6,867		591		7,458	42%				946		8,404	37%
	United Healthcare of Upstate		4,226		320		4,546	26%				330		4,876	21%
	Excellus		966		120		1,086	6%				38		1,124	5%
Onondaga	TOTALS:	28,883	23,416	2,399	1,631	31,282	25,047	80%	86%	93%	7,755	2,114	39,037	27,161	70%
	Fidelis/NYS Catholic Hlth		5,254		329		5,583	18%				525		6,108	16%
	Total Care/Syracuse PHSP		9,494		656		10,150	32%				976		11,126	29%
	United Healthcare of Upstate		6,728		471		7,199	23%				560		7,759	20%
	Excellus		1,940		175		2,115	7%				53		2,168	7%
Ontario	TOTALS:	3,742	3,113	307	130	4,049	3,243	80%	91%	88%	1,069	367	5,118	3,610	71%
	Excellus		2,454		109		2,563	63%				300		2,863	56%
	Preferred Care		659		21		680	17%				67		747	15%
Orange	TOTALS:	21,379	5,687	3,522	369	24,901	6,056	24%	90%	27%	4,138	662	29,039	6,718	23%
	Affinity Health Plan		4,433		275		4,708	19%				578		5,286	18%
	Wellcare		1,254		94		1,348	5%				84		1,432	5%
	Care Plus Health Plan		0		0		0	0%				0		0	0%
Orleans	TOTALS:	2,857	1,010	205	60	3,062	1,070	35%	92%	38%	626	74	3,688	1,144	31%
	Excellus		432		21		453	15%				45		498	14%
	Fidelis/NYS Catholic Hlth		482		25		507	17%				21		528	14%
	HealthNow/BCBS-WNY/Community Blue		96		14		110	4%				8		118	3%
Oswego	TOTALS:	8,626	7,532	691	467	9,317	7,999	86%	91%	94%	1,910	569	11,227	8,568	76%
	Fidelis/NYS Catholic Hlth		1,459		121		1,580	17%				88		1,668	15%
	Total Care/Syracuse PHSP		2,636		199		2,835	30%				236		3,071	27%
	United Healthcare of Upstate		3,437		147		3,584	38%				245		3,829	34%
Otsego	TOTALS:	2,675	32	125	0	2,800	32	1%	91%	1%	831	1	3,631	33	1%
	Wellcare		32		0		32	1%				1		33	1%
Putnam	TOTALS:	913	174	127	15	1,040	189	18%	88%	21%	537	35	1,577	224	14%
	Care Plus Health Plan		174		15		189	18%				35		224	14%
Rensselaer	TOTALS:	7,780	6,927	784	591	8,564	7,518	88%	90%	98%	2,115	441	10,679	7,959	75%
	CDPHP		6,070		524		6,594	77%				374		6,968	65%
	Fidelis/NYS Catholic Hlth		556		44		600	7%				48		648	6%
	Wellcare		301		23		324	4%				19		343	3%
Rockland	TOTALS:	18,770	18,850	2,000	761	20,770	19,611	94%	92%	103%	2,615	500	23,385	20,111	86%
	Affinity Health Plan		1,381		111		1,492	7%				120		1,612	7%
	Fidelis/NYS Catholic Hlth		13,040		392		13,432	65%				223		13,655	58%
	Wellcare		2,097		95		2,192	11%				49		2,241	10%
	Westchester PHSP		2,189		134		2,323	11%				96		2,419	10%
	Community Choice Hlth Plan		143		29		172	1%				12		184	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	3,928	361	216	5,041	4,144	82%	91%	90%	1,893	192	6,934	4,336	63%
	Wellcare		55		3		58	1%				0		58	1%
	CDPHP		3,238		174		3,412	68%				172		3,584	52%
	Fidelis/NYS Catholic Hlth		635		39		674	13%				20		694	10%
Schenectady	TOTALS:	7,834	5,584	636	341	8,470	5,925	70%	89%	79%	2,486	650	10,956	6,575	60%
	CDPHP		5,067		292		5,359	63%				594		5,953	54%
	Fidelis/NYS Catholic Hlth		517		49		566	7%				56		622	6%
Schoharie	TOTALS:	1,737	69	77	1	1,814	70	4%	92%	4%	378	4	2,192	74	3%
	CDPHP		69		1		70	4%				4		74	3%
Schuyler	TOTALS:	1,043	0	83	0	1,126	0	0%	91%	0%	342	0	1,468	0	0%
Seneca	TOTALS:	1,511	993	124	29	1,635	1,022	63%	92%	68%	459	159	2,094	1,181	56%
	Excellus		993		29		1,022	63%				159		1,181	56%
Steuben	TOTALS:	6,429	1,647	416	144	6,845	1,791	26%	90%	29%	2,028	617	8,873	2,408	27%
	Southern Tier Pediatrics (Partial)		73		0		73	1%				11		84	1%
	Southern Tier Priority (Partial)		1,574		144		1,718	25%				606		2,324	26%
Suffolk	TOTALS:	38,979	28,739	2,925	1,481	41,904	30,220	72%	90%	80%	13,231	2,562	55,135	32,782	59%
	Vytra		3,456		162		3,618	9%				277		3,895	7%
	HIP		3,315		317		3,632	9%				221		3,853	7%
	HealthFirst PHSP		4,614		193		4,807	11%				518		5,325	10%
	Suffolk Plan HMO		8,713		447		9,160	22%				1157		10,317	19%
	Affinity Health Plan		2,648		94		2,742	7%				148		2,890	5%
	United Healthcare of NY		3,781		151		3,932	9%				120		4,052	7%
	Fidelis/NYS Catholic Hlth		2,212		117		2,329	6%				121		2,450	4%
Sullivan	TOTALS:	4,548	1,308	282	44	4,830	1,352	28%	90%	31%	1,455	96	6,285	1,448	23%
	Wellcare		684		32		716	15%				65		781	12%
	Westchester PHSP		624		12		636	13%				31		667	11%
Tioga	TOTALS:	2,375	56	137	1	2,512	57	2%	93%	2%	714	0	3,226	57	2%
	CDPHP		56		1		57	2%				0		57	2%
Tompkins	TOTALS:	3,947	0	440	0	4,387	0	0%	89%	0%	976	0	5,363	0	0%
Ulster	TOTALS:	8,275	2,407	814	84	9,089	2,491	27%	90%	30%	2,586	166	11,675	2,657	23%
	Wellcare		2,407		84		2,491	27%				166		2,657	23%
Warren	TOTALS:	2,494	1,535	132	7	2,626	1,542	59%	91%	65%	889	59	3,515	1,601	46%
	HealthNow/BlueShield of NENY		1,535		7		1,542	59%				59		1,601	46%
Washington	TOTALS:	3,087	1,230	189	38	3,276	1,268	39%	89%	43%	920	130	4,196	1,398	33%
	HealthNow/BlueShield of NENY		795		31		826	25%				105		931	22%
	CDPHP		435		7		442	13%				25		467	11%
Wayne	TOTALS:	3,390	2,025	182	73	3,572	2,098	59%	91%	65%	1,202	197	4,774	2,295	48%
	Excellus		687		25		712	20%				67		779	16%
	Preferred Care		1,338		48		1,386	39%				130		1,516	32%
Westchester	TOTALS:	42,673	31,706	4,863	2,375	47,536	34,081	72%	86%	83%	9,906	2,448	57,442	36,529	64%
	HIP		2,466		466		2,932	6%				314		3,246	6%
	Westchester PHSP		15,437		830		16,267	34%				1032		17,299	30%
	Affinity Health Plan		5,275		360		5,635	12%				462		6,097	11%
	Community Choice Hlth Plan		5,796		447		6,243	13%				432		6,675	12%
	Fidelis/NYS Catholic Hlth		2,732		272		3,004	6%				208		3,212	6%
Wyoming	TOTALS:	1,453	0	126	0	1,579	0	0%	91%	0%	410	0	1,989	0	0%
Yates	TOTALS:	1,251	924	76	35	1,327	959	72%	91%	79%	290	76	1,617	1,035	64%
	Excellus		924		35		959	72%				76		1,035	64%
Upstate Total		523,980	332,943	50,049	25,408	574,029	358,055	62%	90%	69%	144,873	31,326	718,902	389,677	54%
NYC	Affinity Health Plan		48,471		4,506		52,977	4%				2,732		55,709	4%
	Fidelis/NYS Catholic Hlth		41,253		5,247		46,500	4%				1,718		48,218	3%
	HealthFirst PHSP		66,454		9,172		75,626	6%				4,811		80,437	5%
	HIP		72,573		16,986		89,559	7%				6,952		96,511	7%
	Health Plus PHSP		71,140		7,550		78,690	6%				1,995		80,685	5%
	AmeriChoice of New York/MHS		51,075		12,055		63,130	5%				3,509		66,639	5%
	Manhattan PHSP/Center Care		36,584		4,745		41,329	3%				1,607		42,936	3%
	MetroPlus Health Plan		60,430		6,478		66,908	6%				4,210		71,118	5%
	United Healthcare of NY		7,927		2,148		10,075	1%				351		10,426	1%
	St Barnabas/Partners in Health		15,561		1,936		17,497	1%				1,052		18,549	1%
	Neighborhood Health Providers		42,349		3,459		45,808	4%				1,698		47,506	3%
	Wellcare		10,711		1,734		12,445	1%				355		12,800	1%
	ABC Health Plan		5,279		754		6,033	0%				155		6,188	0%
	Community Choice Hlth Plan		3,152		490		3,642	0%				61		3,703	0%
	Community Premier Plus		11,530		1,012		12,542	1%				897		13,439	1%
	NY Hospital Community PHSP		17,251		2,781		20,032	2%				724		20,756	1%
	Care Plus Health Plan		26,749		2,806		29,555	2%				833		30,388	2%
	NYC Total	1,024,455	588,489	191,151	83,859	1,215,606	672,348	55%	86%	64%	258,285	33,660	1,473,891	706,008	48%

	UPSTATE TOTALS:	523,980	332,943	50,049	25,408	574,029	358,055	62%	90%	69%	144,873	31,326	718,902	389,677	54%
	NEW YORK CITY TOTALS:	1,024,455	588,489	191,151	83,859	1,215,606	672,348	55%	86%	64%	258,285	33,660	1,473,891	706,008	48%
	GRAND TOTALS	1,548,435	921,432	241,200	109,267	1,789,635	1,030,403	58%	89%	65%	403,158	64,986	2,192,793	1,095,685	50%
NYC Boroughs	Bronx	272,669	167,592	41,681	19,451	314,350	187,043	60%			64,615	8,561	378,965	195,604	52%
	Brooklyn	380,227	233,030	76,054	39,914	456,281	272,944	60%			90,344	12,976	546,625	285,920	52%
	Manhattan	148,885	55,320	38,600	8,264	187,485	63,584	34%			49,832	5,138	237,317	68,722	29%
	Queens	196,729	111,701	30,618	13,486	227,347	125,187	55%			45,501	5,262	272,848	130,448	48%
	Staten Island	25,945	20,846	4,198	2,744	30,143	23,590	78%			7,993	1,723	38,136	25,314	66%
	Borough Total	1,024,455	588,489	191,151	83,859	1,215,606	672,348	55%	86%	64%	258,285	33,660	1,473,891	706,008	48%

Department of Health

Managed Care