RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS March 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: 14,245 10,979 1,408 893 15,653 11,872 76% 92% 82% 4,341 749 19,994 12,621 63%
  CDPHP   8,996   780   9,776 62%       635   10,411 52%
  Fidelis/NYS Catholic Hlth   966   57   1,023 7%       72   1,095 5%
  Wellcare   1,017   56   1,073 7%       42   1,115 6%
Allegany TOTALS: 3,287 592 279 44 3,566 530 15% 89% 17% 1,000 228 4,566 864 19%
  Health Choice (Partial)   495   35   530 15%       220   750 16%
  HealthNow/BCBS-WNY/Community Blue   97   9   106 3%       8   114 2%
Broome TOTALS: 10,835 8,828 1,036 854 11,871 9,682 82% 89% 92% 3,411 823 15,282 10,505 69%
  Broome MC   4,768   414   5,182 44%       625   5,807 38%
  Fidelis/NYS Catholic Hlth   408   41   449 4%       22   471 3%
  CDPHP   3,652   399   4,051 34%       176   4,227 28%
Cattauragus TOTALS: 5,258 3,004 282 171 5,540 3,175 57% 91% 63% 1,538 569 7,078 3,744 53%
  HealthNow/BCBS-WNY/Community Blue   2,233   129   2,362 43%       513   2,875 41%
  Fidelis/NYS Catholic Hlth   771   42   813 15%       56   869 12%
Cayuga TOTALS: 4,513 0 241 0 4,754 0 0% 88% 0% 1,142 0 5,896 0 0%
Chautauqua TOTALS: 10,574 6,309 1,143 705 11,717 7,014 60% 82% 73% 2,582 877 14,299 7,891 55%
  HealthNow/BCBS-WNY/Community Blue   1,899   209   2,108 18%       289   2,397 17%
  Primary Health   484   61   545 5%       223   768 5%
  Fidelis/NYS Catholic Hlth   3,926   435   4,361 37%       365   4,726 33%
Chemung TOTALS: 6,958 3,421 460 189 7,418 3,610 49% 88% 55% 1,916 976 9,334 4,586 49%
  Southern Tier Pediatrics (Partial)   2,475   2   2,477 33%       260   2,737 29%
  Southern Tier Priority (Partial)   946   187   1,133 15%       716   1,849 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 2,028 206 134 2,864 2,162 75% 93% 81% 852 176 3,716 2,338 63%
  CDPHP   1,563   115   1,678 59%       133   1,811 49%
  Wellcare   348   15   363 13%       35   398 11%
  Fidelis/NYS Catholic Hlth   117   4   121 4%       8   129 3%
Cortland TOTALS: 3,348 417 184 16 3,532 433 12% 90% 14% 788 95 4,320 528 12%
  Fidelis/NYS Catholic Hlth   417   16   433 12%       95   528 12%
Delaware TOTALS: 2,261 182 194 13 2,455 195 8% 91% 9% 734 7 3,189 202 6%
  Wellcare   182   13   195 8%       7   202 6%
Dutchess TOTALS: 7,519 1,177 669 28 8,188 1,205 15% 90% 16% 2,552 100 10,740 1,305 12%
  Wellcare   1,177   28   1,205 15%       100   1,305 12%
Erie TOTALS: 60,587 47,113 6,858 4,553 67,445 51,666 77% 92% 83% 17,082 7,079 84,527 58,745 69%
  Buffalo Community Health   6,183   522   6,705 10%       229   6,934 8%
  HealthNow/BCBS-WNY/Community Blue   8,317   712   9,029 13%       833   9,862 12%
  Independent Health Assoc/IHA   18,118   1,423   19,541 29%       1198   20,739 25%
  Fidelis/NYS Catholic Hlth   13,752   778   14,530 22%       1266   15,796 19%
  Total Full Risk   46,370   3,435   49,805 74%       3,526   53,331 63%
  PCMP II (Partial)   145   43   188 0%       321   509 1%
  PCMP III (Partial)   32   62   94 0%       433   527 1%
  PCMP II-A Special Care (Partial)   566   1,013   1,579 2%       2799   4,378 5%
  Total Partial Risk   743   1,118   1,861 3%       3,553   5,414 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: 4,261 660 350 53 4,611 713 15% 92% 17% 1,063 29 5,674 742 13%
  CDPHP   660   53   713 15%       29   742 13%
Genesee TOTALS: 2,526 1,018 85 59 2,611 1,077 41% 87% 47% 606 67 3,217 1,144 36%
  Preferred Care   1,018   59   1,077 41%       67   1,144 36%
Greene TOTALS: 2,633 2,214 251 167 2,884 2,381 83% 93% 89% 684 162 3,568 2,543 71%
  CDPHP   1,420   115   1,535 53%       118   1,653 46%
  Wellcare   645   39   684 24%       37   721 20%
  Fidelis/NYS Catholic Hlth   149   13   162 6%       7   169 5%
Hamilton TOTALS: 141 0 15 0 156 0 0% 92% 0% 45 0 201 0 0%
Herkimer TOTALS: 3,789 768 235 72 4,024 840 21% 90% 23% 866 40 4,890 880 18%
  Fidelis/NYS Catholic Hlth   292   26   318 8%       28   346 7%
  United Healthcare of Upstate   476   46   522 13%       12   534 11%
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 1,006 204 29 2,935 1,035 35% 90% 39% 666 80 3,601 1,115 31%
  Excellus   590   15   605 21%       26   631 18%
  Preferred Care   416   14   430 15%       54   484 13%
Madison TOTALS: 2,856 0 159 0 3,015 0 0% 89% 0% 735 0 3,750 0 0%
Monroe TOTALS: 49,104 39,655 5,681 3,889 54,785 43,544 79% 90% 88% 11,906 2,494 66,691 46,038 69%
  Excellus   28,814   2,979   31,793 58%       1969   33,762 51%
  Preferred Care   10,841   910   11,751 21%       525   12,276 18%
Montgomery TOTALS: 3,452 786 361 38 3,813 824 22% 91% 24% 772 45 4,585 869 19%
  CDPHP   786   38   824 22%       45   869 19%
Nassau TOTALS: 29,932 16,222 2,432 1,012 32,364 17,234 53% 92% 58% 9,981 820 42,345 18,054 43%
  Vytra   3,266   191   3,457 11%       145   3,602 9%
  HIP   2,754   271   3,025 9%       250   3,275 8%
  Health First PHSP   3,785   228   4,013 12%       180   4,193 10%
  Affinity Health Plan   3,810   150   3,960 12%       171   4,131 10%
  Fidelis/NYS Catholic Hlth   2,316   149   2,465 8%       65   2,530 6%
  United Healthcare of NY   291   23   314 1%       9   323 1%
Niagara TOTALS: 11,633 10,102 1,185 825 12,818 10,927 85% 92% 93% 3,287 1,379 16,105 12,306 76%
  Independent Health Assoc/IHA   5,145   434   5,579 44%       737   6,316 39%
  Fidelis/NYS Catholic Hlth   1,901   170   2,071 16%       278   2,349 15%
  HealthNow/BCBS-WNY/Community Blue   3,056   221   3,277 26%       364   3,641 23%
Oneida TOTALS: 16,194 9,183 1,412 762 17,606 9,945 56% 92% 61% 5,042 1,164 22,648 11,109 49%
  Fidelis/NYS Catholic Hlth   5,553   459   6,012 34%       851   6,863 30%
  United Healthcare of Upstate   3,153   245   3,398 19%       288   3,686 16%
  Excellus   477   58   535 3%       25   560 2%
Onondaga TOTALS: 28,677 21,772 2,346 1,373 31,023 23,145 75% 86% 87% 7,691 1,971 38,714 25,116 65%
  Fidelis/NYS Catholic Hlth   5,010   291   5,301 17%       490   5,791 15%
  Total Care/Syracuse PHSP   8,917   532   9,449 30%       923   10,372 27%
  United Healthcare of Upstate   6,264   411   6,675 22%       518   7,193 19%
  Excellus   1,581   139   1,720 6%       40   1,760 6%
Ontario TOTALS: 3,701 2,809 304 122 4,005 2,931 73% 91% 80% 1,058 337 5,063 3,268 65%
  Excellus   2,183   101   2,284 57%       279   2,563 51%
  Preferred Care   626   21   647 16%       58   705 14%
Orange TOTALS: 21,274 5,635 3,482 452 24,756 6,087 25% 90% 27% 4,082 674 28,838 6,761 23%
  Affinity Health Plan   4,271   311   4,582 19%       579   5,161 18%
  Wellcare   1,123   127   1,250 5%       74   1,324 5%
  Care Plus Health Plan   241   14   255 1%       21   276 1%
Orleans TOTALS: 2,849 893 205 50 3,054 943 31% 92% 34% 619 76 3,673 1,019 28%
  Excellus   420   22   442 14%       50   492 13%
  Fidelis/NYS Catholic Hlth   441   23   464 15%       25   489 13%
  HealthNow/BCBS-WNY/Community Blue   32   5   37 1%       1   38 1%
Oswego TOTALS: 8,548 6,737 689 414 9,237 7,151 77% 91% 85% 1,891 514 11,128 7,665 69%
  Fidelis/NYS Catholic Hlth   1,281   108   1,389 15%       84   1,473 13%
  Total Care/Syracuse PHSP   2,376   172   2,548 28%       213   2,761 25%
  United Healthcare of Upstate   3,080   134   3,214 35%       217   3,431 31%
Otsego TOTALS: 2,648 35 122 0 2,770 35 1% 91% 1% 827 1 3,597 36 1%
  Wellcare   35   0   35 1%       1   36 1%
Putnam TOTALS: 893 184 125 16 1,018 200 20% 88% 22% 530 35 1,548 235 15%
  Care Plus Health Plan   184   16   200 20%       35   235 15%
Rensselaer TOTALS: 7,738 6,558 774 574 8,512 7,132 84% 90% 93% 2,096 384 10,608 7,516 71%
  CDPHP   5,735   513   6,248 73%       317   6,565 62%
  Fidelis/NYS Catholic Hlth   488   36   524 6%       47   571 5%
  Wellcare   335   25   360 4%       20   380 4%
Rockland TOTALS: 18,636 17,490 1,921 764 20,557 18,254 89% 92% 97% 2,585 470 23,142 18,724 81%
  Affinity Health Plan   1,332   98   1,430 7%       123   1,553 7%
  Fidelis/NYS Catholic Hlth   12,016   390   12,406 60%       203   12,609 54%
  Wellcare   2,141   117   2,258 11%       44   2,302 10%
  Westchester PHSP   1,828   125   1,953 10%       88   2,041 9%
  Community Choice Hlth Plan   173   34   207 1%       12   219 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 3,399 352 195 4,948 3,594 73% 91% 80% 1,878 171 6,826 3,765 55%
  Wellcare   61   7   68 1%       0   68 1%
  CDPHP   2,768   156   2,924 59%       153   3,077 45%
  Fidelis/NYS Catholic Hlth   570   32   602 12%       18   620 9%
Schenectady TOTALS: 7,729 4,963 610 278 8,339 5,241 63% 89% 71% 2,468 562 10,807 5,803 54%
  CDPHP   4,515   251   4,766 57%       513   5,279 49%
  Fidelis/NYS Catholic Hlth   448   27   475 6%       49   524 5%
Schoharie TOTALS: 1,715 64 77 2 1,792 66 4% 92% 4% 376 2 2,168 68 3%
  CDPHP   64   2   66 4%       2   68 3%
Schuyler TOTALS: 1,028 0 82 0 1,110 0 0% 91% 0% 339 0 1,449 0 0%
Seneca TOTALS: 1,498 837 123 27 1,621 864 53% 92% 58% 454 141 2,075 1,005 48%
  Excellus   837   27   864 53%       141   1,005 48%
Steuben TOTALS: 6,386 1,483 417 128 6,803 1,611 24% 90% 26% 2,009 621 8,812 2,232 25%
  Southern Tier Pediatrics (Partial)   74   0   74 1%       10   84 1%
  Southern Tier Priority (Partial)   1,409   128   1,537 23%       611   2,148 24%
Suffolk TOTALS: 38,323 22,365 2,763 1,098 41,086 23,463 57% 90% 63% 13,087 2,341 54,173 25,804 48%
  Vytra   3,876   217   4,093 10%       276   4,369 8%
  HIP   1,873   154   2,027 5%       165   2,192 4%
  Health First PHSP   3,476   161   3,637 9%       483   4,120 8%
  Suffolk Plan HMO   7,740   342   8,082 20%       1126   9,208 17%
  Affinity Health Plan   1,781   62   1,843 4%       131   1,974 4%
  United Healthcare of NY   2,049   79   2,128 5%       58   2,186 4%
  Fidelis/NYS Catholic Hlth   1,570   83   1,653 4%       102   1,755 3%
Sullivan TOTALS: 4,530 906 280 35 4,810 941 20% 90% 22% 1,443 85 6,253 1,026 16%
  Wellcare   739   34   773 16%       73   846 14%
  Westchester PHSP   167   1   168 3%       12   180 3%
Tioga TOTALS: 2,359 45 135 0 2,494 45 2% 93% 2% 708 0 3,202 45 1%
  CDPHP   45   0   45 2%       0   45 1%
Tompkins TOTALS: 3,924 0 435 0 4,359 0 0% 89% 0% 973 0 5,332 0 0%
Ulster TOTALS: 8,231 2,215 806 79 9,037 2,294 25% 90% 28% 2,561 144 11,598 2,438 21%
  Wellcare   2,215   79   2,294 25%       144   2,438 21%
Warren TOTALS: 2,473 1,307 127 9 2,600 1,316 51% 91% 56% 881 53 3,481 1,369 39%
  HealthNow/BlueShield of NENY   1,307   9   1,316 51%       53   1,369 39%
Washington TOTALS: 3,054 972 187 30 3,241 1,002 31% 89% 35% 914 120 4,155 1,122 27%
  HealthNow/BlueShield of NENY   623   21   644 20%       90   734 18%
  CDPHP   349   9   358 11%       30   388 9%
Wayne TOTALS: 3,349 1,486 182 46 3,531 1,532 43% 91% 48% 1,185 152 4,716 1,684 36%
  Excellus   510   15   525 15%       53   578 12%
  Preferred Care   976   31   1,007 29%       99   1,106 23%
Westchester TOTALS: 42,607 30,705 4,598 2,454 47,205 33,159 70% 86% 82% 9,791 2,412 56,996 35,571 62%
  HIP   2,421   446   2,867 6%       315   3,182 6%
  Westchester PHSP   14,961   856   15,817 34%       1021   16,838 30%
  Affinity Health Plan   5,169   401   5,570 12%       462   6,032 11%
  Community Choice Hlth Plan   5,548   466   6,014 13%       419   6,433 11%
  Fidelis/NYS Catholic Hlth   2,606   285   2,891 6%       195   3,086 5%
Wyoming TOTALS: 1,439 0 129 0 1,568 0 0% 91% 0% 404 0 1,972 0 0%
Yates TOTALS: 1,240 768 75 27 1,315 795 60% 91% 66% 287 63 1,602 858 54%
  Excellus   768   27   795 60%       63   858 54%
Upstate Total   520,384 299,292 48,796 22,679 569,180 321,865 57% 90% 63% 143,395 29,288 712,575 351,259 49%
NYC Affinity Health Plan   40,726   2,958   43,684 4%       2,537   46,221 3%
  Fidelis/NYS Catholic Hlth   32,854   3,679   36,533 3%       1,531   38,064 3%
  Health First PHSP   52,851   6,886   59,737 5%       4,606   64,343 4%
  HIP   52,940   10,450   63,390 5%       6,564   69,954 5%
  Health Plus PHSP   54,814   4,425   59,239 5%       1,704   60,943 4%
  AmeriChoice of New York/MHS   46,491   10,747   57,238 5%       3,640   60,878 4%
  Manhattan PHSP/Center Care   29,705   3,252   32,957 3%       1,511   34,468 2%
  MetroPlus Health Plan   47,150   4,353   51,503 4%       4,086   55,589 4%
  United Healthcare of NY   3,834   750   4,584 0%       180   4,764 0%
  St Barnabas/Partners in Health   12,510   1,368   13,878 1%       976   14,854 1%
  Neighborhood Health Providers   35,687   2,209   37,896 3%       1,666   39,562 3%
  Wellcare   6,893   1,007   7,900 1%       293   8,193 1%
  ABC Health Plan   3,544   388   3,932 0%       133   4,065 0%
  Community Choice Hlth Plan   1,572   156   1,728 0%       42   1,770 0%
  Community Premier Plus   9,090   709   9,799 1%       906   10,705 1%
  NY Hospital Community PHSP   11,692   1,540   13,232 1%       643   13,875 1%
  Care Plus Health Plan   19,876   1,785   21,661 2%       699   22,360 2%
  NYC Total 1,023,408 462,229 187,166 56,662 1,210,574 518,891 43% 86% 50% 264,248 31,717 1,474,822 550,608 37%
                               
  UPSTATE TOTALS: 520,384 299,292 48,796 22,679 569,180 321,865 57% 90% 63% 143,395 29,288 712,575 351,259 49%
  NEW YORK CITY TOTALS: 1,023,408 462,229 187,166 56,662 1,210,574 518,891 43% 86% 50% 264,248 31,717 1,474,822 550,608 37%
  GRAND TOTALS 1,543,792 761,521 235,962 79,341 1,779,754 840,756 47% 89% 53% 407,643 61,005 2,187,397 901,867 41%
NYC Boroughs Bronx 272,881 121,604 40,645 10,561 313,526 132,165 42%     64,274 7,705 377,800 139,871 37%
  Brooklyn 378,964 194,738 74,525 29,986 453,489 224,725 50%     95,113 12,693 548,602 237,417 43%
  Manhattan 150,610 50,387 38,018 6,718 188,628 57,104 30%     49,597 5,099 238,225 62,203 26%
  Queens 195,234 76,962 29,892 7,251 225,126 84,213 37%     47,360 4,578 272,486 88,791 33%
  Staten Island 25,719 18,538 4,086 2,146 29,805 20,684 69%     7,904 1,642 37,709 22,326 59%
  Borough Total 1,023,408 462,229 187,166 56,662 1,210,574 518,891 43% 86% 50% 264,248 31,717 1,474,822 550,608 37%

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 - None