RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY, AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS May 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 11,535 1,418 995 15,694 12,530 80% 92% 87% 4,386 774 20,080 13,304 66%
  CDPHP   9,490   856   10,346 66%       656   11,002 55%
  Fidelis/NYS Catholic Hlth   989   72   1,061 7%       78   1,139 6%
  Wellcare   1,056   67   1,123 7%       40   1,163 6%
Allegany TOTALS: 3,305 662 283 42 3,588 498 14% 89% 16% 1,008 228 4,596 932 20%
  Health Choice (Partial)   468   30   498 14%       215   713 16%
  HealthNow/BCBS-WNY/Community Blue   194   12   206 6%       13   219 5%
Broome TOTALS: 10,895 9,448 1,044 845 11,939 10,293 86% 89% 97% 3,447 851 15,386 11,144 72%
  Broome MC   4,964   404   5,368 45%       645   6,013 39%
  Fidelis/NYS Catholic Hlth   442   33   475 4%       21   496 3%
  CDPHP   4,042   408   4,450 37%       185   4,635 30%
Cattauragus TOTALS: 5,287 3,447 280 233 5,567 3,680 66% 91% 73% 1,557 572 7,124 4,252 60%
  HealthNow/BCBS-WNY/Community Blue   2,584   182   2,766 50%       513   3,279 46%
  Fidelis/NYS Catholic Hlth   863   51   914 16%       59   973 14%
Cayuga TOTALS: 4,549 0 242 0 4,791 0 0% 88% 0% 1,155 0 5,946 0 0%
Chautauqua TOTALS: 10,594 7,188 1,158 844 11,752 8,032 68% 82% 83% 2,608 924 14,360 8,956 62%
  HealthNow/BCBS-WNY/Community Blue   2,198   244   2,442 21%       290   2,732 19%
  Primary Health   560   81   641 5%       229   870 6%
  Fidelis/NYS Catholic Hlth   4,430   519   4,949 42%       405   5,354 37%
Chemung TOTALS: 7,007 3,539 467 204 7,474 3,743 50% 88% 57% 1,936 971 9,410 4,714 50%
  Southern Tier Pediatrics (Partial)   2,559   1   2,560 34%       259   2,819 30%
  Southern Tier Priority (Partial)   980   203   1,183 16%       712   1,895 20%
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 2,089 208 151 2,885 2,240 78% 93% 83% 853 183 3,738 2,423 65%
  CDPHP   1,635   127   1,762 61%       143   1,905 51%
  Wellcare   338   18   356 12%       32   388 10%
  Fidelis/NYS Catholic Hlth   116   6   122 4%       8   130 3%
Cortland TOTALS: 3,380 373 184 14 3,564 387 11% 90% 12% 796 90 4,360 477 11%
  Fidelis/NYS Catholic Hlth   373   14   387 11%       90   477 11%
Delaware TOTALS: 2,286 172 198 12 2,484 184 7% 91% 8% 741 5 3,225 189 6%
  Wellcare   172   12   184 7%       5   189 6%
Dutchess TOTALS: 7,570 1,292 680 37 8,250 1,329 16% 90% 18% 2,579 104 10,829 1,433 13%
  Wellcare   1,292   37   1,329 16%       104   1,433 13%
Erie TOTALS: 60,689 48,120 6,997 4,637 67,686 52,757 78% 92% 85% 17,250 7,138 84,936 59,895 71%
  Buffalo Community Health   6,251   519   6,770 10%       222   6,992 8%
  HealthNow/BCBS-WNY/Community Blue   8,714   747   9,461 14%       859   10,320 12%
  Independent Health Assoc/IHA   18,397   1,433   19,830 29%       1245   21,075 25%
  Fidelis/NYS Catholic Hlth   14,029   794   14,823 22%       1290   16,113 19%
  Total Full Risk   47,391   3,493   50,884 75%       3,616   54,500 64%
  PCMP II (Partial)   137   43   180 0%       314   494 1%
  PCMP III (Partial)   34   57   91 0%       429   520 1%
  PCMP II-A Special Care (Partial)   558   1,044   1,602 2%       2779   4,381 5%
  Total Partial Risk   729   1,144   1,873 3%       3,522   5,395 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: 4,309 694 351 48 4,660 742 16% 92% 17% 1,077 30 5,737 772 13%
  CDPHP   694   48   742 16%       30   772 13%
Genesee TOTALS: 2,539 1,127 85 82 2,624 1,209 46% 87% 53% 614 75 3,238 1,284 40%
  Preferred Care   1,127   82   1,209 46%       75   1,284 40%
Greene TOTALS: 2,644 2,203 252 160 2,896 2,363 82% 93% 88% 691 189 3,587 2,552 71%
  CDPHP   1,445   114   1,559 54%       142   1,701 47%
  Wellcare   599   33   632 22%       38   670 19%
  Fidelis/NYS Catholic Hlth   159   13   172 6%       9   181 5%
Hamilton TOTALS: 142 0 15 0 157 0 0% 92% 0% 46 0 203 0 0%
Herkimer TOTALS: 3,828 866 235 85 4,063 951 23% 90% 26% 874 41 4,937 992 20%
  Fidelis/NYS Catholic Hlth   342   33   375 9%       29   404 8%
  United Healthcare of Upstate   524   52   576 14%       12   588 12%
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 1,225 206 48 2,948 1,273 43% 90% 48% 672 97 3,620 1,370 38%
  Excellus   711   26   737 25%       37   774 21%
  Preferred Care   514   22   536 18%       60   596 16%
Madison TOTALS: 2,883 0 163 0 3,046 0 0% 89% 0% 742 0 3,788 0 0%
Monroe TOTALS: 49,145 40,602 5,791 4,075 54,936 44,677 81% 90% 90% 12,026 2,566 66,962 47,243 71%
  Excellus   29,590   3,128   32,718 60%       2033   34,751 52%
  Preferred Care   11,012   947   11,959 22%       533   12,492 19%
Montgomery TOTALS: 3,481 816 365 41 3,846 857 22% 91% 24% 778 46 4,624 903 20%
  CDPHP   816   41   857 22%       46   903 20%
Nassau TOTALS: 30,604 19,298 2,637 1,202 33,241 20,500 62% 92% 67% 10,106 936 43,347 21,436 49%
  Vytra   3,163   171   3,334 10%       140   3,474 8%
  HIP   3,520   341   3,861 12%       286   4,147 10%
  HealthFirst PHSP   4,592   263   4,855 15%       208   5,063 12%
  Affinity Health Plan   4,395   180   4,575 14%       198   4,773 11%
  Fidelis/NYS Catholic Hlth   2,925   191   3,116 9%       82   3,198 7%
  United Healthcare of NY   703   56   759 2%       22   781 2%
Niagara TOTALS: 11,641 10,326 1,209 840 12,850 11,166 87% 92% 94% 3,324 1,426 16,174 12,592 78%
  Independent Health Assoc/IHA   5,164   426   5,590 44%       768   6,358 39%
  Fidelis/NYS Catholic Hlth   1,892   169   2,061 16%       290   2,351 15%
  HealthNow/BCBS-WNY/Community Blue   3,270   245   3,515 27%       368   3,883 24%
Oneida TOTALS: 16,298 10,589 1,423 892 17,721 11,481 65% 92% 70% 5,098 1,243 22,819 12,724 56%
  Fidelis/NYS Catholic Hlth   6,187   517   6,704 38%       901   7,605 33%
  United Healthcare of Upstate   3,751   289   4,040 23%       306   4,346 19%
  Excellus   651   86   737 4%       36   773 3%
Onondaga TOTALS: 28,883 22,467 2,399 1,495 31,282 23,962 77% 86% 89% 7,755 2,043 39,037 26,005 67%
  Fidelis/NYS Catholic Hlth   5,044   305   5,349 17%       515   5,864 15%
  Total Care/Syracuse PHSP   9,153   593   9,746 31%       947   10,693 27%
  United Healthcare of Upstate   6,448   447   6,895 22%       536   7,431 19%
  Excellus   1,822   150   1,972 6%       45   2,017 6%
Ontario TOTALS: 3,742 3,015 307 132 4,049 3,147 78% 91% 85% 1,069 360 5,118 3,507 69%
  Excellus   2,345   108   2,453 61%       296   2,749 54%
  Preferred Care   670   24   694 17%       64   758 15%
Orange TOTALS: 21,379 5,733 3,522 404 24,901 6,137 25% 90% 27% 4,138 667 29,039 6,804 23%
  Affinity Health Plan   4,320   281   4,601 18%       573   5,174 18%
  Wellcare   1,173   112   1,285 5%       75   1,360 5%
  Care Plus Health Plan   240   11   251 1%       19   270 1%
Orleans TOTALS: 2,857 976 205 49 3,062 1,025 33% 92% 36% 626 74 3,688 1,099 30%
  Excellus   434   18   452 15%       45   497 13%
  Fidelis/NYS Catholic Hlth   468   23   491 16%       25   516 14%
  HealthNow/BCBS-WNY/Community Blue   74   8   82 3%       4   86 2%
Oswego TOTALS: 8,626 7,183 691 452 9,317 7,635 82% 91% 90% 1,910 547 11,227 8,182 73%
  Fidelis/NYS Catholic Hlth   1,372   125   1,497 16%       86   1,583 14%
  Total Care/Syracuse PHSP   2,537   181   2,718 29%       228   2,946 26%
  United Healthcare of Upstate   3,274   146   3,420 37%       233   3,653 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: 913 182 127 15 1,040 197 19% 88% 22% 537 37 1,577 234 15%
  Care Plus Health Plan   182   15   197 19%       37   234 15%
Rensselaer TOTALS: 7,780 6,751 784 582 8,564 7,333 86% 90% 95% 2,115 412 10,679 7,745 73%
  CDPHP   5,948   516   6,464 75%       343   6,807 64%
  Fidelis/NYS Catholic Hlth   508   41   549 6%       49   598 6%
  Wellcare   295   25   320 4%       20   340 3%
Rockland TOTALS: 18,770 18,171 2,000 763 20,770 18,934 91% 92% 99% 2,615 489 23,385 19,423 83%
  Affinity Health Plan   1,360   112   1,472 7%       125   1,597 7%
  Fidelis/NYS Catholic Hlth   12,562   388   12,950 62%       208   13,158 56%
  Wellcare   2,127   104   2,231 11%       48   2,279 10%
  Westchester PHSP   1,966   132   2,098 10%       93   2,191 9%
  Community Choice Hlth Plan   156   27   183 1%       15   198 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 3,628 361 218 5,041 3,846 76% 91% 84% 1,893 174 6,934 4,020 58%
  Wellcare   57   6   63 1%       0   63 1%
  CDPHP   2,975   173   3,148 62%       157   3,305 48%
  Fidelis/NYS Catholic Hlth   596   39   635 13%       17   652 9%
Schenectady TOTALS: 7,834 5,242 636 335 8,470 5,577 66% 89% 74% 2,486 618 10,956 6,195 57%
  CDPHP   4,757   290   5,047 60%       566   5,613 51%
  Fidelis/NYS Catholic Hlth   485   45   530 6%       52   582 5%
Schoharie TOTALS: 1,737 66 77 2 1,814 68 4% 92% 4% 378 3 2,192 71 3%
  CDPHP   66   2   68 4%       3   71 3%
Schuyler TOTALS: 1,043 0 83 0 1,126 0 0% 91% 0% 342 0 1,468 0 0%
Seneca TOTALS: 1,511 933 124 31 1,635 964 59% 92% 64% 459 149 2,094 1,113 53%
  Excellus   933   31   964 59%       149   1,113 53%
Steuben TOTALS: 6,429 1,561 416 143 6,845 1,704 25% 90% 28% 2,028 624 8,873 2,328 26%
  Southern Tier Pediatrics (Partial)   66   0   66 1%       11   77 1%
  Southern Tier Priority (Partial)   1,495   143   1,638 24%       613   2,251 25%
Suffolk TOTALS: 38,979 26,052 2,925 1,291 41,904 27,343 65% 90% 73% 13,231 2,450 55,135 29,793 54%
  Vytra   3,746   188   3,934 9%       274   4,208 8%
  HIP   2,579   230   2,809 7%       194   3,003 5%
  HealthFirst PHSP   4,094   171   4,265 10%       504   4,769 9%
  Suffolk Plan HMO   8,448   399   8,847 21%       1155   10,002 18%
  Affinity Health Plan   2,274   77   2,351 6%       137   2,488 5%
  United Healthcare of NY   2,941   123   3,064 7%       78   3,142 6%
  Fidelis/NYS Catholic Hlth   1,970   103   2,073 5%       108   2,181 4%
Sullivan TOTALS: 4,548 1,078 282 43 4,830 1,121 23% 90% 26% 1,455 98 6,285 1,219 19%
  Wellcare   734   37   771 16%       75   846 13%
  Westchester PHSP   344   6   350 7%       23   373 6%
Tioga TOTALS: 2,375 57 137 0 2,512 57 2% 93% 2% 714 0 3,226 57 2%
  CDPHP   57   0   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 2,289 814 74 9,089 2,363 26% 90% 29% 2,586 154 11,675 2,517 22%
  Wellcare   2,289   74   2,363 26%       154   2,517 22%
Warren TOTALS: 2,494 1,417 132 9 2,626 1,426 54% 91% 60% 889 55 3,515 1,481 42%
  HealthNow/BlueShield of NENY   1,417   9   1,426 54%       55   1,481 42%
Washington TOTALS: 3,087 1,081 189 40 3,276 1,121 34% 89% 38% 920 120 4,196 1,241 30%
  HealthNow/BlueShield of NENY   712   30   742 23%       95   837 20%
  CDPHP   369   10   379 12%       25   404 10%
Wayne TOTALS: 3,390 1,601 182 50 3,572 1,651 46% 91% 51% 1,202 165 4,774 1,816 38%
  Excellus   568   20   588 16%       61   649 14%
  Preferred Care   1,033   30   1,063 30%       104   1,167 24%
Westchester TOTALS: 42,673 31,523 4,863 2,388 47,536 33,911 71% 86% 83% 9,906 2,436 57,442 36,347 63%
  HIP   2,410   459   2,869 6%       320   3,189 6%
  Westchester PHSP   15,204   815   16,019 34%       1030   17,049 30%
  Affinity Health Plan   5,328   377   5,705 12%       452   6,157 11%
  Community Choice Hlth Plan   5,909   469   6,378 13%       429   6,807 12%
  Fidelis/NYS Catholic Hlth   2,672   268   2,940 6%       205   3,145 5%
Wyoming TOTALS: 1,453 0 126 0 1,579 0 0% 91% 0% 410 0 1,989 0 0%
Yates TOTALS: 1,251 830 76 30 1,327 860 65% 91% 71% 290 73 1,617 933 58%
  Excellus   830   30   860 65%       73   933 58%
Upstate Total   523,980 317,480 50,049 24,033 574,029 341,307 59% 90% 66% 144,873 30,238 718,902 371,751 52%
NYC Affinity Health Plan   45,208   3,782   48,990 4%       2,619   51,609 4%
  Fidelis/NYS Catholic Hlth   37,956   4,450   42,406 3%       1,635   44,041 3%
  HealthFirst PHSP   60,337   7,954   68,291 6%       4,692   72,983 5%
  HIP   63,310   13,438   76,748 6%       6,729   83,477 6%
  Health Plus PHSP   62,990   5,773   68,763 6%       1,833   70,596 5%
  AmeriChoice of New York/MHS   49,393   11,418   60,811 5%       3,560   64,371 4%
  Manhattan PHSP/Center Care   33,680   3,964   37,644 3%       1,560   39,204 3%
  MetroPlus Health Plan   53,917   5,307   59,224 5%       4,097   63,321 4%
  United Healthcare of NY   6,046   1,390   7,436 1%       248   7,684 1%
  St Barnabas/Partners in Health   14,544   1,671   16,215 1%       1,016   17,231 1%
  Neighborhood Health Providers   39,589   2,782   42,371 3%       1,667   44,038 3%
  Wellcare   9,279   1,413   10,692 1%       333   11,025 1%
  ABC Health Plan   4,660   567   5,227 0%       140   5,367 0%
  Community Choice Hlth Plan   2,646   351   2,997 0%       55   3,052 0%
  Community Premier Plus   9,949   786   10,735 1%       899   11,634 1%
  NY Hospital Community PHSP   14,905   2,166   17,071 1%       673   17,744 1%
  Care Plus Health Plan   23,157   2,162   25,319 2%       749   26,068 2%
  NYC Total 1,024,455 531,566 191,151 69,374 1,215,606 600,940 49% 86% 57% 258,285 32,505 1,473,891 633,445 43%
                               
  UPSTATE TOTALS: 523,980 317,480 50,049 24,033 574,029 341,307 59% 90% 66% 144,873 30,238 718,902 371,751 52%
  NEW YORK CITY TOTALS: 1,024,455 531,566 191,151 69,374 1,215,606 600,940 49% 86% 57% 258,285 32,505 1,473,891 633,445 43%
  GRAND TOTALS 1,548,435 849,046 241,200 93,407 1,789,635 942,247 53% 89% 59% 403,158 62,743 2,192,793 1,005,196 46%
NYC Boroughs Bronx 272,669 148,984 41,681 15,138 314,350 164,122 52%     64,615 8,101 378,965 172,223 45%
  Brooklyn 380,227 214,803 76,054 34,431 456,281 249,234 55%     90,344 12,762 546,625 261,996 48%
  Manhattan 148,885 52,537 38,600 7,275 187,485 59,813 32%     49,832 5,098 237,317 64,910 27%
  Queens 196,729 95,489 30,618 10,148 227,347 105,637 46%     45,501 4,857 272,848 110,494 40%
  Staten Island 25,945 19,753 4,198 2,381 30,143 22,134 73%     7,993 1,688 38,136 23,822 62%
  Borough Total 1,024,455 531,566 191,151 69,374 1,215,606 600,940 49% 86% 57% 258,285 32,505 1,473,891 633,445 43%

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