Managed Care
RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY,
AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS May 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: | 16,227 | 13,417 | 1,972 | 1,026 | 18,199 | 14,443 | 79% | 92% | 86% | 4,340 | 892 | 22,539 | 15,335 | 68% |
CDPHP | 11,230 | 855 | 12,085 | 66% | 787 | 12,872 | 57% | ||||||||
Fidelis/NYS Catholic Hlth | 1,237 | 112 | 1,349 | 7% | 66 | 1,415 | 6% | ||||||||
Wellcare | 950 | 59 | 1,009 | 6% | 39 | 1,048 | 5% | ||||||||
Allegany | TOTALS: | 3,491 | 1,031 | 300 | 74 | 3,791 | 393 | 10% | 90% | 11% | 981 | 201 | 4,772 | 1,306 | 27% |
Health Choice (Partial) | 366 | 27 | 393 | 10% | 169 | 562 | 12% | ||||||||
HealthNow/BCBS-WNY/Community Blue | 665 | 47 | 712 | 19% | 32 | 744 | 16% | ||||||||
Broome | TOTALS: | 12,725 | 10,829 | 1,339 | 881 | 14,064 | 11,710 | 83% | 90% | 92% | 3,543 | 970 | 17,607 | 12,680 | 72% |
Broome MC | 5,001 | 314 | 5,315 | 38% | 716 | 6,031 | 34% | ||||||||
Fidelis/NYS Catholic Hlth | 375 | 36 | 411 | 3% | 22 | 433 | 2% | ||||||||
CDPHP | 5,453 | 531 | 5,984 | 43% | 232 | 6,216 | 35% | ||||||||
Cattauragus | TOTALS: | 5,930 | 4,678 | 387 | 263 | 6,317 | 4,941 | 78% | 91% | 86% | 1,527 | 610 | 7,844 | 5,551 | 71% |
HealthNow/BCBS-WNY/Community Blue | 3,636 | 200 | 3,836 | 61% | 540 | 4,376 | 56% | ||||||||
Fidelis/NYS Catholic Hlth | 1,042 | 63 | 1,105 | 17% | 70 | 1,175 | 15% | ||||||||
Cayuga | TOTALS: | 5,076 | 0 | 340 | 0 | 5,416 | 0 | 0% | 89% | 0% | 1,151 | 0 | 6,567 | 0 | 0% |
Chautauqua | TOTALS: | 11,916 | 9,104 | 1,490 | 973 | 13,406 | 10,077 | 75% | 85% | 88% | 2,644 | 1,116 | 16,050 | 11,193 | 70% |
HealthNow/BCBS-WNY/Community Blue | 3,113 | 287 | 3,400 | 25% | 352 | 3,752 | 23% | ||||||||
Primary Health | 587 | 87 | 674 | 5% | 226 | 900 | 6% | ||||||||
Fidelis/NYS Catholic Hlth | 5,404 | 599 | 6,003 | 45% | 538 | 6,541 | 41% | ||||||||
Chemung | TOTALS: | 7,891 | 3,970 | 632 | 205 | 8,523 | 4,175 | 49% | 89% | 55% | 1,934 | 964 | 10,457 | 5,139 | 49% |
Southern Tier Pediatrics (Partial) | 2,752 | 0 | 2,752 | 32% | 272 | 3,024 | 29% | ||||||||
Southern Tier Priority (Partial) | 1,218 | 205 | 1,423 | 17% | 692 | 2,115 | 20% | ||||||||
Chenango | TOTALS: | 4,445 | 0 | 200 | 0 | 4,645 | 0 | 0% | 92% | 0% | 988 | 0 | 5,633 | 0 | 0% |
Clinton | TOTALS: | 5,479 | 0 | 414 | 0 | 5,893 | 0 | 0% | 86% | 0% | 1,557 | 0 | 7,450 | 0 | 0% |
Columbia | TOTALS: | 2,933 | 2,406 | 229 | 177 | 3,162 | 2,583 | 82% | 93% | 87% | 847 | 208 | 4,009 | 2,791 | 70% |
CDPHP | 1,885 | 142 | 2,027 | 64% | 174 | 2,201 | 55% | ||||||||
Wellcare | 355 | 24 | 379 | 12% | 26 | 405 | 10% | ||||||||
Fidelis/NYS Catholic Hlth | 166 | 11 | 177 | 6% | 8 | 185 | 5% | ||||||||
Cortland | TOTALS: | 3,863 | 383 | 267 | 14 | 4,130 | 397 | 10% | 91% | 11% | 773 | 83 | 4,903 | 480 | 10% |
Fidelis/NYS Catholic Hlth | 383 | 14 | 397 | 10% | 83 | 480 | 10% | ||||||||
Delaware | TOTALS: | 2,659 | 116 | 190 | 6 | 2,849 | 122 | 4% | 92% | 5% | 763 | 3 | 3,612 | 125 | 3% |
Wellcare | 116 | 6 | 122 | 4% | 3 | 125 | 3% | ||||||||
Dutchess | TOTALS: | 8,829 | 1,675 | 766 | 63 | 9,595 | 1,738 | 18% | 90% | 20% | 2,703 | 114 | 12,298 | 1,852 | 15% |
Wellcare | 1,675 | 63 | 1,738 | 18% | 114 | 1,852 | 15% | ||||||||
Erie | TOTALS: | 64,352 | 52,408 | 8,709 | 4,725 | 73,061 | 57,133 | 78% | 93% | 85% | 17,099 | 7,401 | 90,160 | 64,534 | 72% |
Buffalo Community Health | 7,391 | 485 | 7,876 | 11% | 308 | 8,184 | 9% | ||||||||
HealthNow/BCBS-WNY/Community Blue | 11,246 | 963 | 12,209 | 17% | 948 | 13,157 | 15% | ||||||||
Independent Health Assoc/IHA | 18,770 | 1,423 | 20,193 | 28% | 1510 | 21,703 | 24% | ||||||||
Fidelis/NYS Catholic Hlth | 14,335 | 783 | 15,118 | 21% | 1320 | 16,438 | 18% | ||||||||
Total Full Risk | 51,742 | 3,654 | 55,396 | 76% | 4,086 | 59,482 | 66% | ||||||||
PCMP II (Partial) | 107 | 39 | 146 | 0% | 272 | 418 | 0% | ||||||||
PCMP III (Partial) | 7 | 23 | 30 | 0% | 298 | 328 | 0% | ||||||||
PCMP II-A Special Care (Partial) | 552 | 1,009 | 1,561 | 2% | 2745 | 4,306 | 5% | ||||||||
Total Partial Risk | 666 | 1,071 | 1,737 | 2% | 3,315 | 5,052 | 6% | ||||||||
Essex | TOTALS: | 1,888 | 0 | 123 | 0 | 2,011 | 0 | 0% | 92% | 0% | 589 | 0 | 2,600 | 0 | 0% |
Franklin | TOTALS: | 3,244 | 0 | 249 | 0 | 3,493 | 0 | 0% | 91% | 0% | 983 | 0 | 4,476 | 0 | 0% |
Fulton | TOTALS: | 4,750 | 949 | 309 | 60 | 5,059 | 1,009 | 20% | 92% | 22% | 1,066 | 40 | 6,125 | 1,049 | 17% |
CDPHP | 949 | 60 | 1,009 | 20% | 40 | 1,049 | 17% | ||||||||
Genesee | TOTALS: | 3,099 | 1,638 | 142 | 116 | 3,241 | 1,754 | 54% | 89% | 61% | 628 | 108 | 3,869 | 1,862 | 48% |
HealthNow/BCBS-WNY/Community Blue | 413 | 35 | 448 | 14% | 10 | 458 | 12% | ||||||||
Preferred Care | 1,225 | 81 | 1,306 | 40% | 98 | 1,404 | 36% | ||||||||
Greene | TOTALS: | 2,859 | 2,496 | 245 | 154 | 3,104 | 2,650 | 85% | 93% | 91% | 673 | 227 | 3,777 | 2,877 | 76% |
CDPHP | 1,634 | 107 | 1,741 | 56% | 167 | 1,908 | 51% | ||||||||
Wellcare | 585 | 28 | 613 | 20% | 47 | 660 | 17% | ||||||||
Fidelis/NYS Catholic Hlth | 277 | 19 | 296 | 10% | 13 | 309 | 8% | ||||||||
Hamilton | TOTALS: | 160 | 0 | 12 | 0 | 172 | 0 | 0% | 91% | 0% | 48 | 0 | 220 | 0 | 0% |
Herkimer | TOTALS: | 4,511 | 1,515 | 276 | 115 | 4,787 | 1,630 | 34% | 92% | 37% | 892 | 53 | 5,679 | 1,683 | 30% |
Excellus | 26 | 0 | 26 | 1% | 0 | 26 | 0% | ||||||||
Fidelis/NYS Catholic Hlth | 783 | 76 | 859 | 18% | 39 | 898 | 16% | ||||||||
United Healthcare of Upstate | 706 | 39 | 745 | 16% | 14 | 759 | 13% | ||||||||
Jefferson | TOTALS: | 7,942 | 0 | 584 | 0 | 8,526 | 0 | 0% | 87% | 0% | 1,832 | 0 | 10,358 | 0 | 0% |
Lewis | TOTALS: | 2,105 | 0 | 102 | 0 | 2,207 | 0 | 0% | 93% | 0% | 421 | 0 | 2,628 | 0 | 0% |
Livingston | TOTALS: | 3,266 | 2,598 | 299 | 173 | 3,565 | 2,771 | 78% | 92% | 85% | 680 | 187 | 4,245 | 2,958 | 70% |
Excellus | 1,749 | 119 | 1,868 | 52% | 90 | 1,958 | 46% | ||||||||
Preferred Care | 849 | 54 | 903 | 25% | 97 | 1,000 | 24% | ||||||||
Madison | TOTALS: | 3,591 | 0 | 208 | 0 | 3,799 | 0 | 0% | 91% | 0% | 764 | 0 | 4,563 | 0 | 0% |
Monroe | TOTALS: | 52,867 | 41,136 | 8,524 | 3,837 | 61,391 | 44,973 | 73% | 91% | 80% | 12,323 | 3,231 | 73,714 | 48,204 | 65% |
Excellus | 30,698 | 2,937 | 33,635 | 55% | 2559 | 36,194 | 49% | ||||||||
Preferred Care | 10,438 | 900 | 11,338 | 18% | 672 | 12,010 | 16% | ||||||||
Montgomery | TOTALS: | 4,148 | 880 | 377 | 38 | 4,525 | 918 | 20% | 92% | 22% | 809 | 64 | 5,334 | 982 | 18% |
CDPHP | 880 | 38 | 918 | 20% | 64 | 982 | 18% | ||||||||
Nassau | TOTALS: | 32,952 | 24,851 | 3,304 | 1,589 | 36,256 | 26,440 | 73% | 92% | 79% | 10,201 | 1,479 | 46,457 | 27,919 | 60% |
Vytra | 2,346 | 103 | 2,449 | 7% | 141 | 2,590 | 6% | ||||||||
HIP | 4,853 | 494 | 5,347 | 15% | 478 | 5,825 | 13% | ||||||||
HealthFirst PHSP | 6,146 | 318 | 6,464 | 18% | 294 | 6,758 | 15% | ||||||||
Affinity Health Plan | 5,240 | 194 | 5,434 | 15% | 242 | 5,676 | 12% | ||||||||
Fidelis/NYS Catholic Hlth | 3,767 | 218 | 3,985 | 11% | 179 | 4,164 | 9% | ||||||||
United Healthcare of NY | 2,499 | 262 | 2,761 | 8% | 145 | 2,906 | 6% | ||||||||
Niagara | TOTALS: | 12,903 | 11,861 | 1,502 | 935 | 14,405 | 12,796 | 89% | 93% | 96% | 3,343 | 1,588 | 17,748 | 14,384 | 81% |
Independent Health Assoc/IHA | 5,437 | 426 | 5,863 | 41% | 848 | 6,711 | 38% | ||||||||
Fidelis/NYS Catholic Hlth | 2,073 | 185 | 2,258 | 16% | 313 | 2,571 | 14% | ||||||||
HealthNow/BCBS-WNY/Community Blue | 4,351 | 324 | 4,675 | 32% | 427 | 5,102 | 29% | ||||||||
Oneida | TOTALS: | 18,057 | 15,110 | 1,718 | 1,140 | 19,775 | 16,250 | 82% | 92% | 89% | 5,240 | 1,483 | 25,015 | 17,733 | 71% |
Fidelis/NYS Catholic Hlth | 8,371 | 649 | 9,020 | 46% | 1070 | 10,090 | 40% | ||||||||
United Healthcare of Upstate | 5,095 | 322 | 5,417 | 27% | 360 | 5,777 | 23% | ||||||||
Excellus | 1,644 | 169 | 1,813 | 9% | 53 | 1,866 | 7% | ||||||||
Onondaga | TOTALS: | 32,370 | 25,726 | 3,479 | 1,895 | 35,849 | 27,621 | 77% | 89% | 87% | 7,974 | 2,379 | 43,823 | 30,000 | 68% |
Fidelis/NYS Catholic Hlth | 5,688 | 412 | 6,100 | 17% | 570 | 6,670 | 15% | ||||||||
Total Care/Syracuse PHSP | 9,986 | 762 | 10,748 | 30% | 1098 | 11,846 | 27% | ||||||||
United Healthcare of Upstate | 7,796 | 534 | 8,330 | 23% | 625 | 8,955 | 20% | ||||||||
Excellus | 2,256 | 187 | 2,443 | 7% | 86 | 2,529 | 7% | ||||||||
Ontario | TOTALS: | 4,343 | 3,782 | 343 | 200 | 4,686 | 3,982 | 85% | 91% | 93% | 1,155 | 391 | 5,841 | 4,373 | 75% |
Excellus | 3,044 | 157 | 3,201 | 68% | 330 | 3,531 | 60% | ||||||||
Preferred Care | 738 | 43 | 781 | 17% | 61 | 842 | 14% | ||||||||
Orange | TOTALS: | 24,841 | 7,130 | 2,527 | 365 | 27,368 | 7,495 | 27% | 91% | 30% | 4,235 | 716 | 31,603 | 8,211 | 26% |
Affinity Health Plan | 5,093 | 233 | 5,326 | 19% | 602 | 5,928 | 19% | ||||||||
Wellcare | 1,401 | 50 | 1,451 | 5% | 86 | 1,537 | 5% | ||||||||
Westchester PHSP | 636 | 82 | 718 | 3% | 28 | 746 | 2% | ||||||||
Orleans | TOTALS: | 3,314 | 1,484 | 280 | 105 | 3,594 | 1,589 | 44% | 92% | 48% | 596 | 83 | 4,190 | 1,672 | 40% |
Excellus | 582 | 47 | 629 | 18% | 45 | 674 | 16% | ||||||||
Fidelis/NYS Catholic Hlth | 566 | 25 | 591 | 16% | 26 | 617 | 15% | ||||||||
HealthNow/BCBS-WNY/Community Blue | 336 | 33 | 369 | 10% | 12 | 381 | 9% | ||||||||
Oswego | TOTALS: | 10,206 | 9,002 | 697 | 553 | 10,903 | 9,555 | 88% | 92% | 95% | 1,919 | 624 | 12,822 | 10,179 | 79% |
Fidelis/NYS Catholic Hlth | 1,790 | 124 | 1,914 | 18% | 107 | 2,021 | 16% | ||||||||
Total Care/Syracuse PHSP | 3,072 | 233 | 3,305 | 30% | 260 | 3,565 | 28% | ||||||||
United Healthcare of Upstate | 4,025 | 178 | 4,203 | 39% | 254 | 4,457 | 35% | ||||||||
Excellus | 115 | 18 | 133 | 1% | 3 | 136 | 1% | ||||||||
Otsego | TOTALS: | 3,061 | 15 | 188 | 0 | 3,249 | 15 | 0% | 91% | 1% | 843 | 1 | 4,092 | 16 | 0% |
Wellcare | 15 | 0 | 15 | 0% | 1 | 16 | 0% | ||||||||
Putnam | TOTALS: | 1,027 | 173 | 136 | 12 | 1,163 | 185 | 16% | 88% | 18% | 549 | 29 | 1,712 | 214 | 13% |
Care Plus Health Plan | 173 | 12 | 185 | 16% | 29 | 214 | 13% | ||||||||
Rensselaer | TOTALS: | 8,655 | 7,663 | 902 | 673 | 9,557 | 8,336 | 87% | 92% | 95% | 2,182 | 458 | 11,739 | 8,794 | 75% |
CDPHP | 6,469 | 556 | 7,025 | 74% | 391 | 7,416 | 63% | ||||||||
Fidelis/NYS Catholic Hlth | 663 | 44 | 707 | 7% | 46 | 753 | 6% | ||||||||
Wellcare | 246 | 17 | 263 | 3% | 17 | 280 | 2% | ||||||||
HealthNow/BlueShield of NENY | 285 | 56 | 341 | 4% | 4 | 345 | 3% | ||||||||
Rockland | TOTALS: | 22,114 | 21,452 | 1,283 | 759 | 23,397 | 22,211 | 95% | 92% | 103% | 2,660 | 562 | 26,057 | 22,773 | 87% |
Affinity Health Plan | 1,603 | 106 | 1,709 | 7% | 114 | 1,823 | 7% | ||||||||
Fidelis/NYS Catholic Hlth | 14,681 | 358 | 15,039 | 64% | 248 | 15,287 | 59% | ||||||||
Wellcare | 2,041 | 93 | 2,134 | 9% | 57 | 2,191 | 8% | ||||||||
Westchester PHSP | 3,037 | 189 | 3,226 | 14% | 128 | 3,354 | 13% | ||||||||
Community Choice Hlth Plan | 90 | 13 | 103 | 0% | 15 | 118 | 0% | ||||||||
St. Lawrence | TOTALS: | 8,323 | 0 | 648 | 0 | 8,971 | 0 | 0% | 91% | 0% | 2,519 | 0 | 11,490 | 0 | 0% |
Saratoga | TOTALS: | 5,913 | 4,932 | 381 | 246 | 6,294 | 5,178 | 82% | 92% | 90% | 1,876 | 247 | 8,170 | 5,425 | 66% |
Wellcare | 52 | 3 | 55 | 1% | 0 | 55 | 1% | ||||||||
CDPHP | 4,216 | 206 | 4,422 | 70% | 218 | 4,640 | 57% | ||||||||
Fidelis/NYS Catholic Hlth | 662 | 37 | 699 | 11% | 29 | 728 | 9% | ||||||||
HealthNow/BlueShield of NENY | 2 | 0 | 2 | 0% | 0 | 2 | 0% | ||||||||
Schenectady | TOTALS: | 9,307 | 6,633 | 834 | 355 | 10,141 | 6,988 | 69% | 90% | 77% | 2,526 | 748 | 12,667 | 7,736 | 61% |
CDPHP | 5,923 | 313 | 6,236 | 61% | 685 | 6,921 | 55% | ||||||||
Fidelis/NYS Catholic Hlth | 710 | 42 | 752 | 7% | 63 | 815 | 6% | ||||||||
Schoharie | TOTALS: | 1,975 | 68 | 118 | 5 | 2,093 | 73 | 3% | 92% | 4% | 385 | 4 | 2,478 | 77 | 3% |
CDPHP | 68 | 5 | 73 | 3% | 4 | 77 | 3% | ||||||||
Schuyler | TOTALS: | 1,259 | 0 | 111 | 0 | 1,370 | 0 | 0% | 92% | 0% | 318 | 0 | 1,688 | 0 | 0% |
Seneca | TOTALS: | 1,901 | 1,325 | 124 | 55 | 2,025 | 1,380 | 68% | 92% | 74% | 452 | 179 | 2,477 | 1,559 | 63% |
Excellus | 1,325 | 55 | 1,380 | 68% | 179 | 1,559 | 63% | ||||||||
Steuben | TOTALS: | 7,438 | 2,049 | 598 | 195 | 8,036 | 2,244 | 28% | 91% | 31% | 2,046 | 615 | 10,082 | 2,859 | 28% |
Southern Tier Pediatrics (Partial) | 97 | 0 | 97 | 1% | 14 | 111 | 1% | ||||||||
Southern Tier Priority (Partial) | 1,952 | 195 | 2,147 | 27% | 601 | 2,748 | 27% | ||||||||
Suffolk | TOTALS: | 46,833 | 40,118 | 4,332 | 2,751 | 51,165 | 42,869 | 84% | 91% | 92% | 13,291 | 2,865 | 64,456 | 45,734 | 71% |
Vytra | 3,094 | 120 | 3,214 | 6% | 300 | 3,514 | 5% | ||||||||
HIP | 5,279 | 755 | 6,034 | 12% | 303 | 6,337 | 10% | ||||||||
HealthFirst PHSP | 5,986 | 322 | 6,308 | 12% | 553 | 6,861 | 11% | ||||||||
Suffolk Plan HMO | 10,265 | 607 | 10,872 | 21% | 1176 | 12,048 | 19% | ||||||||
Affinity Health Plan | 4,617 | 255 | 4,872 | 10% | 177 | 5,049 | 8% | ||||||||
United Healthcare of NY | 7,060 | 423 | 7,483 | 15% | 216 | 7,699 | 12% | ||||||||
Fidelis/NYS Catholic Hlth | 3,817 | 269 | 4,086 | 8% | 140 | 4,226 | 7% | ||||||||
Sullivan | TOTALS: | 5,386 | 2,193 | 267 | 51 | 5,653 | 2,244 | 40% | 91% | 44% | 1,485 | 137 | 7,138 | 2,381 | 33% |
Wellcare | 367 | 4 | 371 | 7% | 45 | 416 | 6% | ||||||||
Westchester PHSP | 1,826 | 47 | 1,873 | 33% | 92 | 1,965 | 28% | ||||||||
Tioga | TOTALS: | 2,846 | 70 | 187 | 3 | 3,033 | 73 | 2% | 92% | 3% | 743 | 0 | 3,776 | 73 | 2% |
CDPHP | 70 | 3 | 73 | 2% | 0 | 73 | 2% | ||||||||
Tompkins | TOTALS: | 4,376 | 147 | 495 | 19 | 4,871 | 166 | 3% | 90% | 4% | 999 | 17 | 5,870 | 183 | 3% |
Total Care/Syracuse PHSP | 147 | 19 | 166 | 3% | 17 | 183 | 3% | ||||||||
Ulster | TOTALS: | 9,085 | 2,416 | 799 | 93 | 9,884 | 2,509 | 25% | 91% | 28% | 2,581 | 182 | 12,465 | 2,691 | 22% |
Wellcare | 2,416 | 93 | 2,509 | 25% | 182 | 2,691 | 22% | ||||||||
Warren | TOTALS: | 2,960 | 2,017 | 171 | 21 | 3,131 | 2,038 | 65% | 92% | 71% | 897 | 75 | 4,028 | 2,113 | 52% |
HealthNow/BlueShield of NENY | 2,017 | 21 | 2,038 | 65% | 75 | 2,113 | 52% | ||||||||
Washington | TOTALS: | 3,647 | 1,503 | 193 | 44 | 3,840 | 1,547 | 40% | 91% | 44% | 944 | 130 | 4,784 | 1,677 | 35% |
HealthNow/BlueShield of NENY | 962 | 35 | 997 | 26% | 104 | 1,101 | 23% | ||||||||
CDPHP | 541 | 9 | 550 | 14% | 26 | 576 | 12% | ||||||||
Wayne | TOTALS: | 4,442 | 3,822 | 235 | 176 | 4,677 | 3,998 | 85% | 92% | 93% | 1,162 | 325 | 5,839 | 4,323 | 74% |
Excellus | 1,523 | 77 | 1,600 | 34% | 122 | 1,722 | 29% | ||||||||
Preferred Care | 2,299 | 99 | 2,398 | 51% | 203 | 2,601 | 45% | ||||||||
Westchester | TOTALS: | 48,076 | 32,817 | 6,489 | 2,439 | 54,565 | 35,256 | 65% | 89% | 73% | 10,199 | 2,510 | 64,764 | 37,766 | 58% |
HIP | 2,533 | 407 | 2,940 | 5% | 325 | 3,265 | 5% | ||||||||
Westchester PHSP | 16,738 | 878 | 17,616 | 32% | 1088 | 18,704 | 29% | ||||||||
Affinity Health Plan | 5,050 | 400 | 5,450 | 10% | 436 | 5,886 | 9% | ||||||||
Community Choice Hlth Plan | 5,559 | 469 | 6,028 | 11% | 447 | 6,475 | 10% | ||||||||
Fidelis/NYS Catholic Hlth | 2,937 | 285 | 3,222 | 6% | 214 | 3,436 | 5% | ||||||||
Wyoming | TOTALS: | 1,831 | 0 | 111 | 0 | 1,942 | 0 | 0% | 91% | 0% | 413 | 0 | 2,355 | 0 | 0% |
Yates | TOTALS: | 1,534 | 1,172 | 92 | 54 | 1,626 | 1,226 | 75% | 93% | 81% | 290 | 84 | 1,916 | 1,310 | 68% |
Excellus | 1,172 | 54 | 1,226 | 75% | 84 | 1,310 | 68% | ||||||||
Upstate Total | 591,221 | 380,760 | 61,229 | 27,633 | 652,450 | 407,681 | 62% | 91% | 69% | 146,581 | 34,383 | 799,031 | 442,776 | 55% | |
NYC | Affinity Health Plan | 70,773 | 11,436 | 82,209 | 6% | 3,074 | 85,283 | 5% | |||||||
Fidelis/NYS Catholic Hlth | 59,979 | 9,943 | 69,922 | 5% | 1,984 | 71,906 | 4% | ||||||||
HealthFirst PHSP | 95,468 | 16,914 | 112,382 | 8% | 5,405 | 117,787 | 7% | ||||||||
HIP | 107,707 | 33,827 | 141,534 | 10% | 8,210 | 149,744 | 9% | ||||||||
Health Plus PHSP | 107,806 | 19,003 | 126,809 | 9% | 2,595 | 129,404 | 8% | ||||||||
AmeriChoice of New York/MHS | 61,454 | 17,232 | 78,686 | 6% | 3,553 | 82,239 | 5% | ||||||||
Manhattan PHSP/Center Care | 53,270 | 9,605 | 62,875 | 4% | 1,798 | 64,673 | 4% | ||||||||
MetroPlus Health Plan | 97,637 | 18,106 | 115,743 | 8% | 4,398 | 120,141 | 7% | ||||||||
United Healthcare of NY | 16,935 | 6,450 | 23,385 | 2% | 680 | 24,065 | 1% | ||||||||
St Barnabas/Partners in Health | 18,022 | 2,995 | 21,017 | 1% | 1,158 | 22,175 | 1% | ||||||||
Neighborhood Health Providers | 58,405 | 7,298 | 65,703 | 5% | 1,902 | 67,605 | 4% | ||||||||
Wellcare | 17,516 | 3,696 | 21,212 | 2% | 451 | 21,663 | 1% | ||||||||
ABC Health Plan | 7,524 | 1,382 | 8,906 | 1% | 191 | 9,097 | 1% | ||||||||
Community Choice Hlth Plan | 3,421 | 590 | 4,011 | 0% | 77 | 4,088 | 0% | ||||||||
Community Premier Plus | 26,465 | 4,147 | 30,612 | 2% | 1,119 | 31,731 | 2% | ||||||||
NY Hospital Community PHSP | 26,732 | 6,119 | 32,851 | 2% | 852 | 33,703 | 2% | ||||||||
Care Plus Health Plan | 49,774 | 6,856 | 56,630 | 4% | 1,093 | 57,723 | 3% | ||||||||
NYC Total | 1,103,464 | 878,888 | 299,166 | 175,599 | 1,402,630 | 1,054,487 | 75% | 90% | 83% | 250,782 | 38,540 | 1,653,412 | 1,093,027 | 66% | |
UPSTATE TOTALS: | 591,221 | 380,760 | 61,229 | 27,633 | 652,450 | 407,681 | 62% | 91% | 69% | 146,581 | 34,383 | 799,031 | 442,776 | 55% | |
NEW YORK CITY TOTALS: | 1,103,464 | 878,888 | 299,166 | 175,599 | 1,402,630 | 1,054,487 | 75% | 90% | 83% | 250,782 | 38,540 | 1,653,412 | 1,093,027 | 66% | |
GRAND TOTALS | 1,694,685 | 1,259,648 | 360,395 | 203,232 | 2,055,080 | 1,462,168 | 71% | 91% | 79% | 397,363 | 72,923 | 2,452,443 | 1,535,803 | 63% | |
NYC Boroughs | Bronx | 282,570 | 236,307 | 71,506 | 39,419 | 354,076 | 275,727 | 78% | 64,106 | 10,028 | 418,182 | 285,754 | 68% | ||
Brooklyn | 407,895 | 329,228 | 114,963 | 75,304 | 522,858 | 404,532 | 77% | 86,635 | 14,216 | 609,493 | 418,748 | 69% | |||
Manhattan | 160,665 | 99,034 | 57,598 | 22,467 | 218,263 | 121,501 | 56% | 48,326 | 5,733 | 266,589 | 127,234 | 48% | |||
Queens | 223,604 | 188,239 | 48,807 | 33,859 | 272,411 | 222,098 | 82% | 43,984 | 6,694 | 316,395 | 228,792 | 72% | |||
Staten Island | 28,730 | 26,080 | 6,292 | 4,549 | 35,022 | 30,629 | 87% | 7,731 | 1,870 | 42,753 | 32,499 | 76% | |||
Borough Total | 1,103,464 | 878,888 | 299,166 | 175,599 | 1,402,630 | 1,054,487 | 75% | 90% | 83% | 250,782 | 38,540 | 1,653,412 | 1,093,027 | 66% |
NOTES:
- The Managed Care eligible counts are based upon July, 2002 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:
Excellus - Herkimer County
HealthNow/BlueShield of NENY - Saratoga County
MANAGED LONG TERM CARE ENROLLMENT BY PROVIDER AND COUNTY
NYS May, 2003
PROVIDER COUNTY TOTAL ENROLLMENT Broadlawn Health Partners Nassau 388 Total 388 Co-Op Care Plan NYC 520 Total 520 Comprehensive Care Mgt NYC 972 Westchester 105 Total 1,077 Eddy Seniorcare Schenectady 84 Total 84 Elant Choice Orange 64 Total 64 Guildnet NYC 1,659 Total 1,659 Homefirst NYC 881 Total 881 Indep Care Systems Inc NYC 490 Total 490 Indep Living For Seniors Monroe 311 Total 311 Loretto/Independent Living Services Onondaga 228 Total 228 Partners In Community Care Orange 101 Rockland 21 Total 122 Senior Health Partners Inc NYC 116 Total 116 Senior Network Health Herkimer* 5 Oneida 261 Total 266 Total Aging In Place Erie 12 Total 12 VNS Choice NYC 2,860 Total 2,860 Upstate Totals: 1,580 New York City Totals: 7,498 Grand Totals: 9,078 *Senior Network Health was added this month to Herkimer County.
NOTE: The source of enrollment is based on the MEDS Database.