RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS June 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 11,647 1,418 1,027 15,694 12,674 81% 92% 88% 4,386 788 20,080 13,462 67%
  CDPHP   9,606   876   10,482 67%       677   11,159 56%
  Fidelis/NYS Catholic Hlth   994   75   1,069 7%       71   1,140 6%
  Wellcare   1,047   76   1,123 7%       40   1,163 6%
Allegany TOTALS: 3,305 691 283 46 3,588 483 13% 89% 15% 1,008 229 4,596 966 21%
  Health Choice (Partial)   452   31   483 13%       213   696 15%
  HealthNow/BCBS-WNY/Community Blue   239   15   254 7%       16   270 6%
Broome TOTALS: 10,895 9,678 1,044 858 11,939 10,536 88% 89% 99% 3,447 859 15,386 11,395 74%
  Broome MC   5,021   401   5,422 45%       655   6,077 39%
  Fidelis/NYS Catholic Hlth   422   36   458 4%       19   477 3%
  CDPHP   4,235   421   4,656 39%       185   4,841 31%
Cattauragus TOTALS: 5,287 3,648 280 253 5,567 3,901 70% 91% 77% 1,557 576 7,124 4,477 63%
  HealthNow/BCBS-WNY/Community Blue   2,730   197   2,927 53%       515   3,442 48%
  Fidelis/NYS Catholic Hlth   918   56   974 17%       61   1,035 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 7,494 1,158 889 11,752 8,383 71% 82% 87% 2,608 935 14,360 9,318 65%
  HealthNow/BCBS-WNY/Community Blue   2,327   258   2,585 22%       284   2,869 20%
  Primary Health   575   92   667 6%       235   902 6%
  Fidelis/NYS Catholic Hlth   4,592   539   5,131 44%       416   5,547 39%
Chemung TOTALS: 7,007 3,496 467 224 7,474 3,720 50% 88% 57% 1,936 987 9,410 4,707 50%
  Southern Tier Pediatrics (Partial)   2,511   2   2,513 34%       262   2,775 29%
  Southern Tier Priority (Partial)   985   222   1,207 16%       725   1,932 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 2,082 208 150 2,885 2,232 77% 93% 83% 853 176 3,738 2,408 64%
  CDPHP   1,638   131   1,769 61%       139   1,908 51%
  Wellcare   329   12   341 12%       30   371 10%
  Fidelis/NYS Catholic Hlth   115   7   122 4%       7   129 3%
Cortland TOTALS: 3,380 370 184 15 3,564 385 11% 90% 12% 796 88 4,360 473 11%
  Fidelis/NYS Catholic Hlth   370   15   385 11%       88   473 11%
Delaware TOTALS: 2,286 169 198 11 2,484 180 7% 91% 8% 741 5 3,225 185 6%
  Wellcare   169   11   180 7%       5   185 6%
Dutchess TOTALS: 7,570 1,315 680 41 8,250 1,356 16% 90% 18% 2,579 107 10,829 1,463 14%
  Wellcare   1,315   41   1,356 16%       107   1,463 14%
Erie TOTALS: 60,689 48,078 6,997 4,656 67,686 52,734 78% 92% 85% 17,250 7,152 84,936 59,886 71%
  Buffalo Community Health   6,418   534   6,952 10%       234   7,186 8%
  HealthNow/BCBS-WNY/Community Blue   8,828   757   9,585 14%       851   10,436 12%
  Independent Health Assoc/IHA   18,214   1,444   19,658 29%       1279   20,937 25%
  Fidelis/NYS Catholic Hlth   13,887   772   14,659 22%       1279   15,938 19%
  Total Full Risk   47,347   3,507   50,854 75%       3,643   54,497 64%
  PCMP II (Partial)   134   43   177 0%       313   490 1%
  PCMP III (Partial)   36   55   91 0%       422   513 1%
  PCMP II-A Special Care (Partial)   561   1,051   1,612 2%       2774   4,386 5%
  Total Partial Risk   731   1,149   1,880 3%       3,509   5,389 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: 4,309 701 351 42 4,660 743 16% 92% 17% 1,077 34 5,737 777 14%
  CDPHP   701   42   743 16%       34   777 14%
Genesee TOTALS: 2,539 1,187 85 89 2,624 1,276 49% 87% 56% 614 79 3,238 1,355 42%
  Preferred Care   1,187   89   1,276 49%       79   1,355 42%
Greene TOTALS: 2,644 2,223 252 154 2,896 2,377 82% 93% 88% 691 202 3,587 2,579 72%
  CDPHP   1,480   109   1,589 55%       151   1,740 49%
  Wellcare   579   31   610 21%       41   651 18%
  Fidelis/NYS Catholic Hlth   164   14   178 6%       10   188 5%
Hamilton TOTALS: 142 0 15 0 157 0 0% 92% 0% 46 0 203 0 0%
Herkimer TOTALS: 3,828 920 235 80 4,063 1,000 25% 90% 27% 874 44 4,937 1,044 21%
  Fidelis/NYS Catholic Hlth   350   29   379 9%       30   409 8%
  United Healthcare of Upstate   570   51   621 15%       14   635 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 1,337 206 65 2,948 1,402 48% 90% 53% 672 109 3,620 1,511 42%
  Excellus   802   38   840 28%       39   879 24%
  Preferred Care   535   27   562 19%       70   632 17%
Madison TOTALS: 2,883 0 163 0 3,046 0 0% 89% 0% 742 0 3,788 0 0%
Monroe TOTALS: 49,145 41,711 5,791 4,332 54,936 46,043 84% 90% 93% 12,026 2,682 66,962 48,725 73%
  Excellus   30,435   3,329   33,764 61%       2122   35,886 54%
  Preferred Care   11,276   1,003   12,279 22%       560   12,839 19%
Montgomery TOTALS: 3,481 835 365 39 3,846 874 23% 91% 25% 778 53 4,624 927 20%
  CDPHP   835   39   874 23%       53   927 20%
Nassau TOTALS: 30,604 20,194 2,637 1,285 33,241 21,479 65% 92% 70% 10,106 1,021 43,347 22,500 52%
  Vytra   3,004   150   3,154 9%       138   3,292 8%
  HIP   3,819   378   4,197 13%       317   4,514 10%
  HealthFirst PHSP   4,862   284   5,146 15%       225   5,371 12%
  Affinity Health Plan   4,472   182   4,654 14%       213   4,867 11%
  Fidelis/NYS Catholic Hlth   3,111   206   3,317 10%       90   3,407 8%
  United Healthcare of NY   926   85   1,011 3%       38   1,049 2%
Niagara TOTALS: 11,641 10,440 1,209 852 12,850 11,292 88% 92% 96% 3,324 1,439 16,174 12,731 79%
  Independent Health Assoc/IHA   5,211   425   5,636 44%       772   6,408 40%
  Fidelis/NYS Catholic Hlth   1,884   164   2,048 16%       295   2,343 14%
  HealthNow/BCBS-WNY/Community Blue   3,345   263   3,608 28%       372   3,980 25%
Oneida TOTALS: 16,298 11,161 1,423 979 17,721 12,140 69% 92% 74% 5,098 1,280 22,819 13,420 59%
  Fidelis/NYS Catholic Hlth   6,494   573   7,067 40%       917   7,984 35%
  United Healthcare of Upstate   3,895   304   4,199 24%       325   4,524 20%
  Excellus   772   102   874 5%       38   912 4%
Onondaga TOTALS: 28,883 22,788 2,399 1,546 31,282 24,334 78% 86% 90% 7,755 2,074 39,037 26,408 68%
  Fidelis/NYS Catholic Hlth   5,125   313   5,438 17%       518   5,956 15%
  Total Care/Syracuse PHSP   9,243   616   9,859 32%       956   10,815 28%
  United Healthcare of Upstate   6,572   452   7,024 22%       551   7,575 19%
  Excellus   1,848   165   2,013 6%       49   2,062 7%
Ontario TOTALS: 3,742 3,030 307 134 4,049 3,164 78% 91% 86% 1,069 356 5,118 3,520 69%
  Excellus   2,371   107   2,478 61%       293   2,771 54%
  Preferred Care   659   27   686 17%       63   749 15%
Orange TOTALS: 21,379 5,831 3,522 397 24,901 6,228 25% 90% 28% 4,138 674 29,039 6,902 24%
  Affinity Health Plan   4,401   281   4,682 19%       576   5,258 18%
  Wellcare   1,203   105   1,308 5%       79   1,387 5%
  Care Plus Health Plan   227   11   238 1%       19   257 1%
Orleans TOTALS: 2,857 982 205 52 3,062 1,034 34% 92% 37% 626 76 3,688 1,110 30%
  Excellus   426   19   445 15%       46   491 13%
  Fidelis/NYS Catholic Hlth   470   23   493 16%       22   515 14%
  HealthNow/BCBS-WNY/Community Blue   86   10   96 3%       8   104 3%
Oswego TOTALS: 8,626 7,251 691 466 9,317 7,717 83% 91% 91% 1,910 554 11,227 8,271 74%
  Fidelis/NYS Catholic Hlth   1,399   124   1,523 16%       87   1,610 14%
  Total Care/Syracuse PHSP   2,548   189   2,737 29%       231   2,968 26%
  United Healthcare of Upstate   3,304   153   3,457 37%       236   3,693 33%
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: 913 177 127 17 1,040 194 19% 88% 21% 537 36 1,577 230 15%
  Care Plus Health Plan   177   17   194 19%       36   230 15%
Rensselaer TOTALS: 7,780 6,885 784 586 8,564 7,471 87% 90% 97% 2,115 423 10,679 7,894 74%
  CDPHP   6,066   518   6,584 77%       358   6,942 65%
  Fidelis/NYS Catholic Hlth   527   42   569 7%       46   615 6%
  Wellcare   292   26   318 4%       19   337 3%
Rockland TOTALS: 18,770 18,428 2,000 759 20,770 19,187 92% 92% 100% 2,615 496 23,385 19,683 84%
  Affinity Health Plan   1,352   115   1,467 7%       124   1,591 7%
  Fidelis/NYS Catholic Hlth   12,771   378   13,149 63%       216   13,365 57%
  Wellcare   2,104   100   2,204 11%       46   2,250 10%
  Westchester PHSP   2,052   137   2,189 11%       96   2,285 10%
  Community Choice Hlth Plan   149   29   178 1%       14   192 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 3,715 361 206 5,041 3,921 78% 91% 85% 1,893 181 6,934 4,102 59%
  Wellcare   60   5   65 1%       0   65 1%
  CDPHP   3,045   163   3,208 64%       163   3,371 49%
  Fidelis/NYS Catholic Hlth   610   38   648 13%       18   666 10%
Schenectady TOTALS: 7,834 5,361 636 332 8,470 5,693 67% 89% 76% 2,486 627 10,956 6,320 58%
  CDPHP   4,855   282   5,137 61%       572   5,709 52%
  Fidelis/NYS Catholic Hlth   506   50   556 7%       55   611 6%
Schoharie TOTALS: 1,737 69 77 2 1,814 71 4% 92% 4% 378 3 2,192 74 3%
  CDPHP   69   2   71 4%       3   74 3%
Schuyler TOTALS: 1,043 0 83 0 1,126 0 0% 91% 0% 342 0 1,468 0 0%
Seneca TOTALS: 1,511 978 124 31 1,635 1,009 62% 92% 67% 459 154 2,094 1,163 56%
  Excellus   978   31   1,009 62%       154   1,163 56%
Steuben TOTALS: 6,429 1,615 416 144 6,845 1,759 26% 90% 29% 2,028 626 8,873 2,385 27%
  Southern Tier Pediatrics (Partial)   68   0   68 1%       11   79 1%
  Southern Tier Priority (Partial)   1,547   144   1,691 25%       615   2,306 26%
Suffolk TOTALS: 38,979 27,142 2,925 1,378 41,904 28,520 68% 90% 76% 13,231 2,509 55,135 31,029 56%
  Vytra   3,562   177   3,739 9%       275   4,014 7%
  HIP   2,913   276   3,189 8%       206   3,395 6%
  HealthFirst PHSP   4,273   177   4,450 11%       515   4,965 9%
  Suffolk Plan HMO   8,685   418   9,103 22%       1157   10,260 19%
  Affinity Health Plan   2,390   84   2,474 6%       141   2,615 5%
  United Healthcare of NY   3,250   134   3,384 8%       99   3,483 6%
  Fidelis/NYS Catholic Hlth   2,069   112   2,181 5%       116   2,297 4%
Sullivan TOTALS: 4,548 1,175 282 45 4,830 1,220 25% 90% 28% 1,455 97 6,285 1,317 21%
  Wellcare   718   36   754 16%       72   826 13%
  Westchester PHSP   457   9   466 10%       25   491 8%
Tioga TOTALS: 2,375 54 137 0 2,512 54 2% 93% 2% 714 0 3,226 54 2%
  CDPHP   54   0   54 2%       0   54 2%
Tompkins TOTALS: 3,947 0 440 0 4,387 0 0% 89% 0% 976 0 5,363 0 0%
Ulster TOTALS: 8,275 2,317 814 80 9,089 2,397 26% 90% 29% 2,586 158 11,675 2,555 22%
  Wellcare   2,317   80   2,397 26%       158   2,555 22%
Warren TOTALS: 2,494 1,463 132 9 2,626 1,472 56% 91% 62% 889 56 3,515 1,528 43%
  HealthNow/BlueShield of NENY   1,463   9   1,472 56%       56   1,528 43%
Washington TOTALS: 3,087 1,135 189 38 3,276 1,173 36% 89% 40% 920 125 4,196 1,298 31%
  HealthNow/BlueShield of NENY   738   29   767 23%       99   866 21%
  CDPHP   397   9   406 12%       26   432 10%
Wayne TOTALS: 3,390 1,714 182 54 3,572 1,768 49% 91% 54% 1,202 173 4,774 1,941 41%
  Excellus   636   22   658 18%       66   724 15%
  Preferred Care   1,078   32   1,110 31%       107   1,217 25%
Westchester TOTALS: 42,673 31,516 4,863 2,373 47,536 33,889 71% 86% 83% 9,906 2,447 57,442 36,336 63%
  HIP   2,399   451   2,850 6%       317   3,167 6%
  Westchester PHSP   15,232   817   16,049 34%       1034   17,083 30%
  Affinity Health Plan   5,339   375   5,714 12%       458   6,172 11%
  Community Choice Hlth Plan   5,861   462   6,323 13%       429   6,752 12%
  Fidelis/NYS Catholic Hlth   2,685   268   2,953 6%       209   3,162 6%
Wyoming TOTALS: 1,453 0 126 0 1,579 0 0% 91% 0% 410 0 1,989 0 0%
Yates TOTALS: 1,251 870 76 36 1,327 906 68% 91% 75% 290 73 1,617 979 61%
  Excellus   870   36   906 68%       73   979 61%
Upstate Total   523,980 323,906 50,049 24,772 574,029 348,424 61% 90% 67% 144,873 30,764 718,902 379,442 53%
NYC Affinity Health Plan   47,023   4,164   51,187 4%       2,652   53,839 4%
  Fidelis/NYS Catholic Hlth   39,602   4,851   44,453 4%       1,682   46,135 3%
  HealthFirst PHSP   63,029   8,466   71,495 6%       4,734   76,229 5%
  HIP   67,315   15,010   82,325 7%       6,819   89,144 6%
  Health Plus PHSP   66,221   6,508   72,729 6%       1,886   74,615 5%
  AmeriChoice of New York/MHS   50,246   11,739   61,985 5%       3,529   65,514 4%
  Manhattan PHSP/Center Care   35,235   4,331   39,566 3%       1,602   41,168 3%
  MetroPlus Health Plan   57,006   5,793   62,799 5%       4,147   66,946 5%
  United Healthcare of NY   6,954   1,708   8,662 1%       304   8,966 1%
  St Barnabas/Partners in Health   15,186   1,815   17,001 1%       1,028   18,029 1%
  Neighborhood Health Providers   40,662   3,085   43,747 4%       1,687   45,434 3%
  Wellcare   10,019   1,597   11,616 1%       339   11,955 1%
  ABC Health Plan   5,051   669   5,720 0%       146   5,866 0%
  Community Choice Hlth Plan   2,974   443   3,417 0%       59   3,476 0%
  Community Premier Plus   10,646   867   11,513 1%       906   12,419 1%
  NY Hospital Community PHSP   16,165   2,455   18,620 2%       689   19,309 1%
  Care Plus Health Plan   24,503   2,376   26,879 2%       802   27,681 2%
  NYC Total 1,024,455 557,837 191,151 75,877 1,215,606 633,714 52% 86% 61% 258,285 33,011 1,473,891 666,725 45%
                               
  UPSTATE TOTALS: 523,980 323,906 50,049 24,772 574,029 348,424 61% 90% 67% 144,873 30,764 718,902 379,442 53%
  NEW YORK CITY TOTALS: 1,024,455 557,837 191,151 75,877 1,215,606 633,714 52% 86% 61% 258,285 33,011 1,473,891 666,725 45%
  GRAND TOTALS 1,548,435 881,743 241,200 100,649 1,789,635 982,138 55% 89% 62% 403,158 63,775 2,192,793 1,046,167 48%
NYC Boroughs Bronx 272,669 158,656 41,681 17,321 314,350 175,976 56%     64,615 8,300 378,965 184,276 49%
  Brooklyn 380,227 222,594 76,054 36,814 456,281 259,408 57%     90,344 12,863 546,625 272,270 50%
  Manhattan 148,885 53,805 38,600 7,636 187,485 61,442 33%     49,832 5,118 237,317 66,560 28%
  Queens 196,729 102,488 30,618 11,555 227,347 114,044 50%     45,501 5,022 272,848 119,066 44%
  Staten Island 25,945 20,293 4,198 2,551 30,143 22,844 76%     7,993 1,708 38,136 24,553 64%
  Borough Total 1,024,455 557,837 191,151 75,877 1,215,606 633,714 52% 86% 61% 258,285 33,011 1,473,891 666,725 45%

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