Managed Care

RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY,
AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN

NYS December, 2003

  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: 17,688 14,727 2,154 1,209 19,842 15,936 80% 92% 87% 4,394 937 24,236 16,873 70%
Mandatory CDPHP   11,937   894   12,831 65%       804   13,635 56%
  Fidelis/NYS Catholic Hlth   1,750   225   1,975 10%       92   2,067 9%
  HealthNow/BlueShield of NENY   1   3   4 0%       0   4 0%
  Wellcare   1,039   87   1,126 6%       41   1,167 5%
Allegany TOTALS: 3,750 1,099 375 90 4,125 1,189 29% 90% 32% 979 194 5,104 1,383 27%
Voluntary Health Choice (Partial)   308   29   337 8%       148   485 10%
  HealthNow/BCBS-WNY/Community Blue   791   61   852 21%       46   898 18%
Broome TOTALS: 13,555 11,758 1,370 948 14,925 12,706 85% 90% 94% 3,597 996 18,522 13,702 74%
Mandatory Broome MC   4,663   310   4,973 33%       707   5,680 31%
  CDPHP   6,696   592   7,288 49%       269   7,557 41%
  Fidelis/NYS Catholic Hlth   399   46   445 3%       20   465 3%
Cattaraugus TOTALS: 6,400 4,908 412 314 6,812 5,222 77% 91% 84% 1,550 637 8,362 5,859 70%
Mandatory Fidelis/NYS Catholic Hlth   1,021   63   1,084 16%       78   1,162 14%
  HealthNow/BCBS-WNY/Community Blue   3,887   251   4,138 61%       559   4,697 56%
Cayuga Voluntary TOTALS: 5,469 0 374 0 5,843 0 0% 89% 0% 1,167 0 7,010 0 0%
Chautauqua TOTALS: 13,245 9,924 1,657 1,094 14,902 11,018 74% 85% 87% 2,726 1,143 17,628 12,161 69%
Mandatory Fidelis/NYS Catholic Hlth   5,611   573   6,184 41%       543   6,727 38%
  HealthNow/BCBS-WNY/Community Blue   3,711   406   4,117 28%       362   4,479 25%
  Primary Health   602   115   717 5%       238   955 5%
Chemung TOTALS: 8,763 3,760 851 236 9,614 3,996 42% 89% 47% 1,963 915 11,577 4,911 42%
Voluntary Southern Tier Pediatrics (Partial)   2,618       2,618 27%       256   2,874 25%
  Southern Tier Priority (Partial)   1,142   236   1,378 14%       659   2,037 18%
Chenango Voluntary TOTALS: 4,952 0 237 0 5,189 0 0% 92% 0% 1,001 0 6,190 0 0%
Clinton Voluntary TOTALS: 5,941 0 461 0 6,402 0 0% 86% 0% 1,571 0 7,973 0 0%
Columbia TOTALS: 3,355 2,659 275 171 3,630 2,830 78% 93% 83% 880 226 4,510 3,056 68%
Mandatory CDPHP   2,072   132   2,204 61%       191   2,395 53%
  Fidelis/NYS Catholic Hlth   188   12   200 6%       7   207 5%
  Wellcare   399   27   426 12%       28   454 10%
Cortland TOTALS: 4,296 432 297 17 4,593 449 10% 91% 11% 770 81 5,363 530 10%
Voluntary Fidelis/NYS Catholic Hlth   432   17   449 10%       81   530 10%
Delaware TOTALS: 3,000 0 221 0 3,221 0 0% 92% 0% 746 0 3,967 0 0%
Dutchess TOTALS: 9,827 2,334 892 101 10,719 2,435 23% 90% 25% 2,781 130 13,500 2,565 19%
Voluntary Wellcare   2,334   101   2,435 23%       130   2,565 19%
Erie TOTALS: 68,813 56,712 9,135 5,522 77,948 62,234 80% 93% 86% 17,303 7,701 95,251 69,935 73%
Mandatory Buffalo Community Health   9,203   768   9,971 13%       382   10,353 11%
  Fidelis/NYS Catholic Hlth   14,513   821   15,334 20%       1,380   16,714 18%
  HealthNow/BCBS-WNY/Community Blue   13,216   1,280   14,496 19%       1,014   15,510 16%
  Independent Health Assoc/IHA   19,109   1,484   20,593 26%       1,665   22,258 23%
  Total Full Risk   56,041   4,353   60,394 77%       4,441   64,835 68%
  PCMP II (Partial)   95   37   132 0%       262   394 0%
  PCMP III (Partial)   3   14   17 0%       266   283 0%
  PCMP II-A Special Care (Partial)   573   1,118   1,691 2%       2,732   4,423 5%
  Total Partial Risk   671   1,169   1,840 2%       3,260   5,100 5%
Essex Voluntary TOTALS: 2,132 0 165 0 2,297 0 0% 92% 0% 583 0 2,880 0 0%
Franklin Voluntary TOTALS: 3,539 0 315 0 3,854 0 0% 91% 0% 1,000 0 4,854 0 0%
Fulton TOTALS: 5,329 903 421 44 5,750 947 16% 92% 18% 1,078 48 6,828 995 15%
Voluntary CDPHP   903   44   947 16%       48   995 15%
Genesee TOTALS: 3,447 2,146 193 141 3,640 2,287 63% 89% 70% 643 136 4,283 2,423 57%
Voluntary HealthNow/BCBS-WNY/Community Blue   835   69   904 25%       25   929 22%
  Preferred Care   1,311   72   1,383 38%       111   1,494 35%
Greene TOTALS: 3,194 2,785 265 176 3,459 2,961 86% 93% 92% 695 263 4,154 3,224 78%
Mandatory CDPHP   1,843   115   1,958 57%       196   2,154 52%
  Fidelis/NYS Catholic Hlth   335   28   363 10%       15   378 9%
  Wellcare   607   33   640 19%       52   692 17%
Hamilton Voluntary TOTALS: 216 0 21 0 237 0 0% 91% 0% 45 0 282 0 0%
Herkimer TOTALS: 5,087 3,539 311 257 5,398 3,796 70% 92% 76% 898 91 6,296 3,887 62%
Mandatory Excellus   1,196   91   1,287 24%       34   1,321 21%
  Fidelis/NYS Catholic Hlth   1,525   115   1,640 30%       43   1,683 27%
  United Healthcare of Upstate   818   51   869 16%       14   883 14%
Jefferson Voluntary TOTALS: 8,667 0 705 0 9,372 0 0% 87% 0% 1,847 0 11,219 0 0%
Lewis Voluntary TOTALS: 2,418 0 116 0 2,534 0 0% 93% 0% 421 0 2,955 0 0%
Livingston TOTALS: 3,638 2,976 377 242 4,015 3,218 80% 92% 88% 690 211 4,705 3,429 73%
Mandatory Excellus   2,038   147   2,185 54%       105   2,290 49%
  Preferred Care   938   95   1,033 26%       106   1,139 24%
Madison Voluntary TOTALS: 4,176 0 241 0 4,417 0 0% 91% 0% 768 0 5,185 0 0%
Monroe TOTALS: 56,320 42,968 9,107 3,977 65,427 46,945 72% 91% 79% 12,618 3,274 78,045 50,219 64%
Mandatory Excellus   32,098   3,091   35,189 54%       2,587   37,776 48%
  Preferred Care   10,870   886   11,756 18%       687   12,443 16%
Montgomery TOTALS: 4,461 903 411 44 4,872 947 19% 92% 21% 809 78 5,681 1,025 18%
Voluntary CDPHP   903   44   947 19%       78   1,025 18%
Nassau TOTALS: 38,269 32,067 3,750 2,011 42,019 34,078 81% 92% 88% 10,297 1,709 52,316 35,787 68%
Mandatory Affinity Health Plan   6,443   250   6,693 16%       258   6,951 13%
  Fidelis/NYS Catholic Hlth   4,829   242   5,071 12%       196   5,267 10%
  HealthFirst PHSP   8,445   362   8,807 21%       336   9,143 17%
  HIP   5,876   619   6,495 15%       541   7,036 13%
  United Healthcare of NY   3,653   332   3,985 9%       204   4,189 8%
  Vytra   2,821   206   3,027 7%       174   3,201 6%
Niagara TOTALS: 14,025 12,927 1,665 1,144 15,690 14,071 90% 93% 97% 3,429 1,683 19,119 15,754 82%
Mandatory Fidelis/NYS Catholic Hlth   2,423   244   2,667 17%       297   2,964 16%
  HealthNow/BCBS-WNY/Community Blue   4,973   416   5,389 34%       505   5,894 31%
  Independent Health Assoc/IHA   5,531   484   6,015 38%       881   6,896 36%
Oneida TOTALS: 19,559 16,088 1,704 1,244 21,263 17,332 82% 92% 88% 5,328 1,621 26,591 18,953 71%
Mandatory Excellus   2,217   219   2,436 11%       84   2,520 9%
  Fidelis/NYS Catholic Hlth   8,998   720   9,718 46%       1,184   10,902 41%
  United Healthcare of Upstate   4,873   305   5,178 24%       353   5,531 21%
Onondaga TOTALS: 34,698 28,013 4,264 2,382 38,962 30,395 78% 89% 88% 8,049 2,499 47,011 32,894 70%
Mandatory Excellus   2,621   286   2,907 7%       120   3,027 6%
  Fidelis/NYS Catholic Hlth   6,211   518   6,729 17%       611   7,340 16%
  Total Care/Syracuse PHSP   10,557   943   11,500 30%       1,116   12,616 27%
  United Healthcare of Upstate   8,624   635   9,259 24%       652   9,911 25%
Ontario TOTALS: 5,017 4,040 456 208 5,473 4,248 78% 91% 85% 1,142 414 6,615 4,662 70%
Mandatory Excellus   3,346   158   3,504 64%       346   3,850 58%
  Preferred Care   694   50   744 14%       68   812 12%
Orange TOTALS: 28,197 8,842 2,161 448 30,358 9,290 31% 91% 34% 4,269 802 34,627 10,092 29%
Voluntary Affinity Health Plan   5,912   250   6,162 20%       635   6,797 20%
  Wellcare   1,671   71   1,742 6%       97   1,839 5%
  Westchester PHSP/HealthSource/Hudson Health Plan   1,259   127   1,386 5%       70   1,456 4%
Orleans TOTALS: 3,565 2,309 354 220 3,919 2,529 65% 92% 70% 602 124 4,521 2,653 59%
Mandatory Excellus   773   71   844 22%       54   898 20%
  Fidelis/NYS Catholic Hlth   960   87   1,047 27%       52   1,099 24%
  HealthNow/BCBS-WNY/Community Blue   576   62   638 16%       18   656 15%
Oswego TOTALS: 11,619 9,868 856 582 12,475 10,450 84% 92% 91% 1,936 684 14,411 11,134 77%
Mandatory Excellus   280   26   306 2%       15   321 2%
  Fidelis/NYS Catholic Hlth   1,968   131   2,099 17%       117   2,216 15%
  Total Care/Syracuse PHSP   3,400   241   3,641 29%       281   3,922 27%
  United Healthcare of Upstate   4,220   184   4,404 35%       271   4,675 32%
Otsego TOTALS: 3,524 11 228 0 3,752 11 0% 91% 0% 864 0 4,616 11 0%
Voluntary Wellcare   11       11 0%           11 0%
Putnam TOTALS: 1,187 193 148 8 1,335 201 15% 88% 17% 564 29 1,899 230 12%
Voluntary Care Plus Health Plan   193   8   201 15%       29   230 12%
Rensselaer TOTALS: 9,287 8,251 979 743 10,266 8,994 88% 92% 95% 2,179 497 12,445 9,491 76%
Mandatory CDPHP   6,645   570   7,215 70%       422   7,637 61%
  Fidelis/NYS Catholic Hlth   710   52   762 7%       45   807 6%
  HealthNow/BlueShield of NENY   637   101   738 7%       20   758 6%
  Wellcare   259   20   279 3%       10   289 2%
Rockland TOTALS: 24,897 23,119 1,343 903 26,240 24,022 92% 92% 99% 2,635 590 28,875 24,612 85%
Mandatory Affinity Health Plan   1,690   149   1,839 7%       122   1,961 7%
  Community Choice Hlth Plan   143   27   170 1%       14   184 1%
  Fidelis/NYS Catholic Hlth   15,898   385   16,283 62%       259   16,542 57%
  Wellcare   1,946   107   2,053 8%       46   2,099 7%
  Westchester PHSP/HealthSource/Hudson Health Plan   3,442   235   3,677 14%       149   3,826 13%
St Lawrence Voluntary TOTALS: 9,090 0 699 0 9,789 0 0% 91% 0% 2,556 0 12,345 0 0%
Saratoga TOTALS: 7,176 5,802 455 330 7,631 6,132 80% 92% 88% 1,903 281 9,534 6,413 67%
Mandatory CDPHP   4,814   247   5,061 66%       246   5,307 56%
  Fidelis/NYS Catholic Hlth   644   47   691 9%       28   719 8%
  HealthNow/BlueShield of NENY   344   36   380 5%       7   387 4%
Schenectady TOTALS: 10,827 6,057 1,021 296 11,848 6,353 54% 90% 60% 2,644 745 14,492 7,098 49%
Voluntary CDPHP   5,183   245   5,428 46%       680   6,108 42%
  Fidelis/NYS Catholic Hlth   874   51   925 8%       65   990 7%
Schoharie TOTALS: 2,149 62 162 9 2,311 71 3% 92% 3% 388 6 2,699 77 3%
Voluntary CDPHP   62   9   71 3%       6   77 3%
Schuyler TOTALS: 1,406 92 125 14 1,531 106 7% 92% 8% 308 4 1,839 110 6%
Voluntary Southern Tier Priority (Partial)   92   14   106 7%       4   110 6%
Seneca TOTALS: 2,160 1,401 138 55 2,298 1,456 63% 92% 69% 457 175 2,755 1,631 59%
Voluntary Excellus   1,401   55   1,456 63%       175   1,631 59%
Steuben TOTALS: 8,244 2,230 833 222 9,077 2,452 27% 91% 30% 2,054 668 11,131 3,120 28%
Voluntary Southern Tier Pediatrics (Partial)   105       105 1%       15   120 1%
  Southern Tier Priority (Partial)   2,125   222   2,347 26%       653   3,000 27%
Suffolk TOTALS: 58,599 48,830 5,835 3,624 64,434 52,454 81% 91% 89% 13,489 3,019 77,923 55,473 71%
Mandatory Affinity Health Plan   5,321   289   5,610 9%</