Managed Care
RECIPIENTS ELIGIBLE FOR ENROLLMENT IN MANAGED CARE:
ENROLLMENT STATUS BY AID CATEGORY AND COUNTY,
AND TOTAL PERCENT ENROLLED BY PROVIDER PLAN
NYS September 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: | 17,057 | 14,471 | 2,020 | 1,183 | 19,077 | 15,654 | 82% | 92% | 89% | 4,370 | 956 | 23,447 | 16,610 | 71% |
Mandatory | CDPHP | 11,814 | 911 | 12,725 | 67% | 836 | 13,561 | 58% | |||||||
Fidelis/NYS Catholic Hlth | 1,643 | 200 | 1,843 | 10% | 80 | 1,923 | 8% | ||||||||
Wellcare | 1,014 | 72 | 1,086 | 6% | 40 | 1,126 | 5% | ||||||||
Allegany | TOTALS: | 3,620 | 1,087 | 348 | 76 | 3,968 | 1,163 | 29% | 90% | 32% | 987 | 197 | 4,955 | 1,360 | 27% |
Voluntary | Health Choice (Partial) | 313 | 31 | 344 | 9% | 156 | 500 | 10% | |||||||
HealthNow/BCBS-WNY/Community Blue | 774 | 45 | 819 | 21% | 41 | 860 | 17% | ||||||||
Broome | TOTALS: | 13,263 | 11,433 | 1,325 | 957 | 14,588 | 12,390 | 85% | 90% | 94% | 3,561 | 988 | 18,149 | 13,378 | 74% |
Mandatory | Broome MC | 4,800 | 331 | 5,131 | 35% | 711 | 5,842 | 32% | |||||||
CDPHP | 6,229 | 581 | 6,810 | 47% | 256 | 7,066 | 39% | ||||||||
Fidelis/NYS Catholic Hlth | 404 | 45 | 449 | 3% | 21 | 470 | 3% | ||||||||
Cattaraugus | TOTALS: | 6,269 | 4,909 | 422 | 324 | 6,691 | 5,233 | 78% | 91% | 86% | 1,525 | 640 | 8,216 | 5,873 | 71% |
Mandatory | Fidelis/NYS Catholic Hlth | 1,040 | 75 | 1,115 | 17% | 79 | 1,194 | 15% | |||||||
HealthNow/BCBS-WNY/Community Blue | 3,869 | 249 | 4,118 | 62% | 561 | 4,679 | 57% | ||||||||
Cayuga Voluntary | TOTALS: | 5,370 | 0 | 334 | 0 | 5,704 | 0 | 0% | 89% | 0% | 1,145 | 0 | 6,849 | 0 | 0% |
Chautauqua | TOTALS: | 12,843 | 9,773 | 1,554 | 1,103 | 14,397 | 10,876 | 76% | 85% | 89% | 2,709 | 1,150 | 17,106 | 12,026 | 70% |
Mandatory | Fidelis/NYS Catholic Hlth | 5,654 | 618 | 6,272 | 44% | 550 | 6,822 | 40% | |||||||
HealthNow/BCBS-WNY/Community Blue | 3,509 | 364 | 3,873 | 27% | 359 | 4,232 | 25% | ||||||||
Primary Health | 610 | 121 | 731 | 5% | 241 | 972 | 6% | ||||||||
Chemung | TOTALS: | 8,486 | 3,995 | 780 | 248 | 9,266 | 4,243 | 46% | 89% | 52% | 1,955 | 927 | 11,221 | 5,170 | 46% |
Voluntary | Southern Tier Pediatrics (Partial) | 2,759 | 0 | 2,759 | 30% | 260 | 3,019 | 27% | |||||||
Southern Tier Priority (Partial) | 1,236 | 248 | 1,484 | 16% | 667 | 2,151 | 19% | ||||||||
Chenango Voluntary | TOTALS: | 4,787 | 0 | 244 | 0 | 5,031 | 0 | 0% | 92% | 0% | 994 | 0 | 6,025 | 0 | 0% |
Clinton Voluntary | TOTALS: | 5,738 | 0 | 469 | 0 | 6,207 | 0 | 0% | 86% | 0% | 1,572 | 0 | 7,779 | 0 | 0% |
Columbia | TOTALS: | 3,160 | 2,575 | 263 | 177 | 3,423 | 2,752 | 80% | 93% | 86% | 869 | 210 | 4,292 | 2,962 | 69% |
Mandatory | CDPHP | 2,019 | 138 | 2,157 | 63% | 175 | 2,332 | 54% | |||||||
Fidelis/NYS Catholic Hlth | 194 | 14 | 208 | 6% | 7 | 215 | 5% | ||||||||
Wellcare | 362 | 25 | 387 | 11% | 28 | 415 | 10% | ||||||||
Cortland | TOTALS: | 4,220 | 418 | 282 | 20 | 4,502 | 438 | 10% | 91% | 11% | 766 | 80 | 5,268 | 518 | 10% |
Voluntary | Fidelis/NYS Catholic Hlth | 418 | 20 | 438 | 10% | 80 | 518 | 10% | |||||||
Delaware | TOTALS: | 2,870 | 102 | 219 | 5 | 3,089 | 107 | 3% | 92% | 4% | 743 | 3 | 3,832 | 110 | 3% |
Voluntary | Wellcare | 102 | 5 | 107 | 3% | 3 | 110 | 3% | |||||||
Dutchess | TOTALS: | 9,392 | 2,037 | 790 | 92 | 10,182 | 2,129 | 21% | 90% | 23% | 2,764 | 126 | 12,946 | 2,255 | 17% |
Voluntary | Wellcare | 2,037 | 92 | 2,129 | 21% | 126 | 2,255 | 17% | |||||||
Erie | TOTALS: | 66,731 | 54,836 | 8,821 | 5,265 | 75,552 | 60,101 | 80% | 93% | 86% | 17,135 | 7,627 | 92,687 | 67,728 | 73% |
Mandatory | Buffalo Community Health | 8,168 | 650 | 8,818 | 12% | 352 | 9,170 | 10% | |||||||
Fidelis/NYS Catholic Hlth | 14,258 | 808 | 15,066 | 20% | 1,346 | 16,412 | 18% | ||||||||
HealthNow/BCBS-WNY/Community Blue | 12,621 | 1,179 | 13,800 | 18% | 1,009 | 14,809 | 16% | ||||||||
Independent Health Assoc/IHA | 19,105 | 1,512 | 20,617 | 27% | 1,638 | 22,255 | 24% | ||||||||
Total Full Risk | 54,152 | 4,149 | 58,301 | 77% | 4,345 | 62,646 | 68% | ||||||||
PCMP II (Partial) | 99 | 33 | 132 | 0% | 267 | 399 | 0% | ||||||||
PCMP III (Partial) | 5 | 18 | 23 | 0% | 278 | 301 | 0% | ||||||||
PCMP II-A Special Care (Partial) | 580 | 1,065 | 1,645 | 2% | 2,737 | 4,382 | 5% | ||||||||
Total Partial Risk | 684 | 1,116 | 1,800 | 2% | 3,282 | 5,082 | 5% | ||||||||
Essex Voluntary | TOTALS: | 2,054 | 0 | 145 | 0 | 2,199 | 0 | 0% | 92% | 0% | 583 | 0 | 2,782 | 0 | 0% |
Franklin Voluntary | TOTALS: | 3,478 | 0 | 278 | 0 | 3,756 | 0 | 0% | 91% | 0% | 993 | 0 | 4,749 | 0 | 0% |
Fulton | TOTALS: | 5,207 | 927 | 372 | 53 | 5,579 | 980 | 18% | 92% | 19% | 1,080 | 43 | 6,659 | 1,023 | 15% |
Voluntary | CDPHP | 927 | 53 | 980 | 18% | 43 | 1,023 | 15% | |||||||
Genesee | TOTALS: | 3,347 | 1,961 | 185 | 134 | 3,532 | 2,095 | 59% | 89% | 66% | 617 | 123 | 4,149 | 2,218 | 53% |
Voluntary | HealthNow/BCBS-WNY/Community Blue | 714 | 56 | 770 | 22% | 14 | 784 | 19% | |||||||
Preferred Care | 1,247 | 78 | 1,325 | 38% | 109 | 1,434 | 35% | ||||||||
Greene | TOTALS: | 3,080 | 2,677 | 257 | 170 | 3,337 | 2,847 | 85% | 93% | 91% | 669 | 249 | 4,006 | 3,096 | 77% |
Mandatory | CDPHP | 1,817 | 117 | 1,934 | 58% | 184 | 2,118 | 53% | |||||||
Fidelis/NYS Catholic Hlth | 308 | 19 | 327 | 10% | 17 | 344 | 9% | ||||||||
Wellcare | 552 | 34 | 586 | 18% | 48 | 634 | 16% | ||||||||
Hamilton Voluntary | TOTALS: | 211 | 0 | 14 | 0 | 225 | 0 | 0% | 91% | 0% | 47 | 0 | 272 | 0 | 0% |
Herkimer | TOTALS: | 4,918 | 2,698 | 314 | 180 | 5,232 | 2,878 | 55% | 92% | 60% | 898 | 70 | 6,130 | 2,948 | 48% |
Mandatory | Excellus | 758 | 50 | 808 | 15% | 19 | 827 | 13% | |||||||
Fidelis/NYS Catholic Hlth | 1,200 | 90 | 1,290 | 25% | 37 | 1,327 | 22% | ||||||||
United Healthcare of Upstate | 740 | 40 | 780 | 15% | 14 | 794 | 13% | ||||||||
Jefferson Voluntary | TOTALS: | 8,461 | 0 | 721 | 0 | 9,182 | 0 | 0% | 87% | 0% | 1,831 | 0 | 11,013 | 0 | 0% |
Lewis Voluntary | TOTALS: | 2,324 | 0 | 123 | 0 | 2,447 | 0 | 0% | 93% | 0% | 425 | 0 | 2,872 | 0 | 0% |
Livingston | TOTALS: | 3,575 | 2,884 | 346 | 223 | 3,921 | 3,107 | 79% | 92% | 87% | 675 | 195 | 4,596 | 3,302 | 72% |
Mandatory | Excellus | 1,968 | 137 | 2,105 | 54% | 93 | 2,198 | 48% | |||||||
Preferred Care | 916 | 86 | 1,002 | 26% | 102 | 1,104 | 24% | ||||||||
Madison Voluntary | TOTALS: | 3,969 | 0 | 220 | 0 | 4,189 | 0 | 0% | 91% | 0% | 769 | 0 | 4,958 | 0 | 0% |
Monroe | TOTALS: | 54,874 | 41,775 | 8,702 | 3,927 | 63,576 | 45,702 | 72% | 91% | 79% | 12,472 | 3,081 | 76,048 | 48,783 | 64% |
Mandatory | Excellus | 31,548 | 3,023 | 34,571 | 54% | 2,444 | 37,015 | 49% | |||||||
Preferred Care | 10,227 | 904 | 11,131 | 18% | 637 | 11,768 | 15% | ||||||||
Montgomery | TOTALS: | 4,274 | 884 | 386 | 36 | 4,660 | 920 | 20% | 92% | 22% | 816 | 71 | 5,476 | 991 | 18% |
Voluntary | CDPHP | 884 | 36 | 920 | 20% | 71 | 991 | 18% | |||||||
Nassau | TOTALS: | 34,739 | 29,412 | 3,380 | 1,861 | 38,119 | 31,273 | 82% | 92% | 89% | 10,221 | 1,624 | 48,340 | 32,897 | 68% |
Mandatory | Affinity Health Plan | 5,930 | 220 | 6,150 | 16% | 252 | 6,402 | 13% | |||||||
Fidelis/NYS Catholic Hlth | 4,461 | 234 | 4,695 | 12% | 197 | 4,892 | 10% | ||||||||
HealthFirst PHSP | 7,628 | 335 | 7,963 | 21% | 306 | 8,269 | 17% | ||||||||
HIP | 5,543 | 597 | 6,140 | 16% | 516 | 6,656 | 14% | ||||||||
United Healthcare of NY | 3,222 | 319 | 3,541 | 9% | 188 | 3,729 | 8% | ||||||||
Vytra | 2,628 | 156 | 2,784 | 7% | 165 | 2,949 | 6% | ||||||||
Niagara | TOTALS: | 13,849 | 12,492 | 1,559 | 1,060 | 15,408 | 13,552 | 88% | 93% | 95% | 3,394 | 1,647 | 18,802 | 15,199 | 81% |
Mandatory | Fidelis/NYS Catholic Hlth | 2,318 | 225 | 2,543 | 17% | 314 | 2,857 | 15% | |||||||
HealthNow/BCBS-WNY/Community Blue | 4,734 | 385 | 5,119 | 33% | 460 | 5,579 | 30% | ||||||||
Independent Health Assoc/IHA | 5,440 | 450 | 5,890 | 38% | 873 | 6,763 | 36% | ||||||||
Oneida | TOTALS: | 18,945 | 15,790 | 1,652 | 1,211 | 20,597 | 17,001 | 83% | 92% | 89% | 5,309 | 1,586 | 25,906 | 18,587 | 72% |
Mandatory | Excellus | 1,980 | 206 | 2,186 | 11% | 78 | 2,264 | 9% | |||||||
Fidelis/NYS Catholic Hlth | 8,770 | 706 | 9,476 | 46% | 1,151 | 10,627 | 41% | ||||||||
United Healthcare of Upstate | 5,040 | 299 | 5,339 | 26% | 357 | 5,696 | 22% | ||||||||
Onondaga | TOTALS: | 33,876 | 27,159 | 3,883 | 2,296 | 37,759 | 29,455 | 78% | 89% | 88% | 7,987 | 2,397 | 45,746 | 31,852 | 70% |
Mandatory | Excellus | 2,483 | 267 | 2,750 | 7% | 108 | 2,858 | 6% | |||||||
Fidelis/NYS Catholic Hlth | 5,898 | 502 | 6,400 | 17% | 585 | 6,985 | 15% | ||||||||
Total Care/Syracuse PHSP | 10,353 | 921 | 11,274 | 30% | 1,098 | 12,372 | 27% | ||||||||
United Healthcare of Upstate | 8,425 | 606 | 9,031 | 24% | 606 | 9,637 | 26% | ||||||||
Ontario | TOTALS: | 4,735 | 4,107 | 426 | 213 | 5,161 | 4,320 | 84% | 91% | 92% | 1,142 | 405 | 6,303 | 4,725 | 75% |
Mandatory | Excellus | 3,368 | 162 | 3,530 | 68% | 338 | 3,868 | 61% | |||||||
Preferred Care | 739 | 51 | 790 | 15% | 67 | 857 | 14% | ||||||||
Orange | TOTALS: | 27,083 | 8,505 | 2,122 | 463 | 29,205 | 8,968 | 31% | 91% | 34% | 4,243 | 758 | 33,448 | 9,726 | 29% |
Voluntary | Affinity Health Plan | 5,865 | 274 | 6,139 | 21% | 610 | 6,749 | 20% | |||||||
Wellcare | 1,558 | 80 | 1,638 | 6% | 95 | 1,733 | 5% | ||||||||
Westchester PHSP/HealthSource/Hudson Health Plan | 1,082 | 109 | 1,191 | 4% | 53 | 1,244 | 4% | ||||||||
Orleans | TOTALS: | 3,439 | 1,927 | 329 | 145 | 3,768 | 2,072 | 55% | 92% | 60% | 591 | 118 | 4,359 | 2,190 | 50% |
Mandatory | Excellus | 672 | 44 | 716 | 19% | 55 | 771 | 18% | |||||||
Fidelis/NYS Catholic Hlth | 837 | 65 | 902 | 24% | 48 | 950 | 22% | ||||||||
HealthNow/BCBS-WNY/Community Blue | 418 | 36 | 454 | 12% | 15 | 469 | 11% | ||||||||
Oswego | TOTALS: | 11,117 | 9,596 | 803 | 629 | 11,920 | 10,225 | 86% | 92% | 93% | 1,926 | 659 | 13,846 | 10,884 | 79% |
Mandatory | Excellus | 223 | 32 | 255 | 2% | 12 | 267 | 2% | |||||||
Fidelis/NYS Catholic Hlth | 1,899 | 144 | 2,043 | 17% | 123 | 2,166 | 16% | ||||||||
Total Care/Syracuse PHSP | 3,297 | 247 | 3,544 | 30% | 267 | 3,811 | 28% | ||||||||
United Healthcare of Upstate | 4,177 | 206 | 4,383 | 37% | 257 | 4,640 | 34% | ||||||||
Otsego | TOTALS: | 3,346 | 11 | 204 | 0 | 3,550 | 11 | 0% | 91% | 0% | 849 | 0 | 4,399 | 11 | 0% |
Voluntary | Wellcare | 11 | 0 | 11 | 0% | 0 | 11 | 0% | |||||||
Putnam | TOTALS: | 1,113 | 180 | 132 | 6 | 1,245 | 186 | 15% | 88% | 17% | 563 | 30 | 1,808 | 216 | 12% |
Voluntary | Care Plus Health Plan | 180 | 6 | 186 | 15% | 30 | 216 | 12% | |||||||
Rensselaer | TOTALS: | 9,173 | 8,033 | 961 | 742 | 10,134 | 8,775 | 87% | 92% | 94% | 2,159 | 485 | 12,293 | 9,260 | 75% |
Mandatory | CDPHP | 6,563 | 578 | 7,141 | 70% | 412 | 7,553 | 61% | |||||||
Fidelis/NYS Catholic Hlth | 688 | 39 | 727 | 7% | 46 | 773 | 6% | ||||||||
HealthNow/BlueShield of NENY | 533 | 103 | 636 | 6% | 16 | 652 | 5% | ||||||||
Wellcare | 249 | 22 | 271 | 3% | 11 | 282 | 2% | ||||||||
Rockland | TOTALS: | 24,094 | 22,467 | 1,302 | 852 | 25,396 | 23,319 | 92% | 92% | 100% | 2,645 | 600 | 28,041 | 23,919 | 85% |
Mandatory | Affinity Health Plan | 1,713 | 126 | 1,839 | 7% | 120 | 1,959 | 7% | |||||||
Community Choice Hlth Plan | 127 | 18 | 145 | 1% | 12 | 157 | 1% | ||||||||
Fidelis/NYS Catholic Hlth | 15,414 | 360 | 15,774 | 62% | 261 | 16,035 | 57% | ||||||||
Wellcare | 1,999 | 105 | 2,104 | 8% | 53 | 2,157 | 8% | ||||||||
Westchester PHSP/HealthSource/Hudson Health Plan | 3,214 | 243 | 3,457 | 14% | 154 | 3,611 | 13% | ||||||||
St Lawrence Voluntary | TOTALS: | 8,789 | 0 | 656 | 0 | 9,445 | 0 | 0% | 91% | 0% | 2,559 | 0 | 12,004 | 0 | 0% |
Saratoga | TOTALS: | 6,737 | 5,519 | 429 | 321 | 7,166 | 5,840 | 81% | 92% | 89% | 1,889 | 266 | 9,055 | 6,106 | 67% |
Mandatory | CDPHP | 4,689 | 247 | 4,936 | 69% | 236 | 5,172 | 57% | |||||||
Fidelis/NYS Catholic Hlth | 661 | 51 | 712 | 10% | 27 | 739 | 8% | ||||||||
HealthNow/BlueShield of NENY | 139 | 19 | 158 | 2% | 2 | 160 | 2% | ||||||||
Wellcare | 30 | 4 | 34 | 0% | 1 | 35 | 0% | ||||||||
Schenectady | TOTALS: | 10,345 | 5,952 | 939 | 301 | 11,284 | 6,253 | 55% | 90% | 62% | 2,599 | 729 | 13,883 | 6,982 | 50% |
Voluntary | CDPHP | 5,156 | 262 | 5,418 | 48% | 670 | 6,088 | 44% | |||||||
Fidelis/NYS Catholic Hlth | 796 | 39 | 835 | 7% | 59 | 894 | 6% | ||||||||
Schoharie | TOTALS: | 2,039 | 66 | 147 | 7 | 2,186 | 73 | 3% | 92% | 4% | 381 | 5 | 2,567 | 78 | 3% |
Voluntary | CDPHP | 66 | 7 | 73 | 3% | 5 | 78 | 3% | |||||||
Schuyler | TOTALS: | 1,423 | 67 | 116 | 4 | 1,539 | 71 | 5% | 92% | 5% | 310 | 2 | 1,849 | 73 | 4% |
Voluntary | Southern Tier Priority (Partial) | 67 | 4 | 71 | 5% | 2 | 73 | 4% | |||||||
Seneca | TOTALS: | 2,122 | 1,452 | 144 | 60 | 2,266 | 1,512 | 67% | 92% | 72% | 463 | 178 | 2,729 | 1,690 | 62% |
Voluntary | Excellus | 1,452 | 60 | 1,512 | 67% | 178 | 1,690 | 62% | |||||||
Steuben | TOTALS: | 8,070 | 2,234 | 769 | 225 | 8,839 | 2,459 | 28% | 91% | 31% | 2,070 | 651 | 10,909 | 3,110 | 29% |
Voluntary | Southern Tier Pediatrics (Partial) | 111 | 0 | 111 | 1% | 15 | 126 | 1% | |||||||
Southern Tier Priority (Partial) | 2,123 | 225 | 2,348 | 27% | 636 | 2,984 | 27% | ||||||||
Suffolk | TOTALS: | 53,946 | 47,940 | 5,076 | 3,465 | 59,022 | 51,405 | 87% | 91% | 95% | 13,448 | 2,976 | 72,470 | 54,381 | 75% |
Mandatory | Affinity Health Plan | 5,329 | 288 | 5,617 | 10% | 190 | 5,807 | 8% | |||||||
Fidelis/NYS Catholic Hlth | 4,722 | 316 | 5,038 | 9% | 158 | 5,196 | 7% | ||||||||
HealthFirst PHSP | 7,514 | 412 | 7,926 | 13% | 564 | 8,490 | 12% | ||||||||
HIP | 6,063 | 884 | 6,947 | 12% | 325 | 7,272 | 10% | ||||||||
Suffolk Health Plan | 11,421 | 712 | 12,133 | 21% | 1,170 | 13,303 | 18% | ||||||||
United Healthcare of NY | 8,668 | 485 | 9,153 | 16% | 248 | 9,401 | 13% | ||||||||
Vytra | 4,223 | 368 | 4,591 | 8% | 321 | 4,912 | 7% | ||||||||
Sullivan | TOTALS: | 6,184 | 2,682 | 309 | 56 | 6,493 | 2,738 | 42% | 91% | 47% | 1,493 | 153 | 7,986 | 2,891 | 36% |
Voluntary | Wellcare | 304 | 2 | 306 | 5% | 36 | 342 | 4% | |||||||
Westchester PHSP/HealthSource/Hudson Health Plan | 2,378 | 54 | 2,432 | 37% | 117 | 2,549 | 32% | ||||||||
Tioga | TOTALS: | 3,130 | 92 | 218 | 5 | 3,348 | 97 | 3% | 92% | 3% | 731 | 0 | 4,079 | 97 | 2% |
Voluntary | CDPHP | 92 | 5 | 97 | 3% | 0 | 97 | 2% | |||||||
Tompkins | TOTALS: | 4,653 | 307 | 516 | 31 | 5,169 | 338 | 7% | 90% | 7% | 1,005 | 26 | 6,174 | 364 | 6% |
Voluntary | Total Care/Syracuse PHSP | 307 | 31 | 338 | 7% | 26 | 364 | 6% | |||||||
Ulster | TOTALS: | 9,395 | 2,312 | 852 | 77 | 10,247 | 2,389 | 23% | 91% | 26% | 2,587 | 190 | 12,834 | 2,579 | 20% |
Voluntary | Wellcare | 2,312 | 77 | 2,389 | 23% | 190 | 2,579 | 20% | |||||||
Warren | TOTALS: | 3,312 | 2,113 | 216 | 22 | 3,528 | 2,135 | 61% | 92% | 66% | 922 | 75 | 4,450 | 2,210 | 50% |
Voluntary | HealthNow/BlueShield of NENY | 2,113 | 22 | 2,135 | 61% | 75 | 2,210 | 50% | |||||||
Washington | TOTALS: | 3,942 | 1,643 | 213 | 42 | 4,155 | 1,685 | 41% | 91% | 45% | 949 | 131 | 5,104 | 1,816 | 36% |
Voluntary | CDPHP | 561 | 6 | 567 | 14% | 27 | 594 | 12% | |||||||
Fidelis/NYS Catholic Hlth | 13 | 0 | 13 | 0% | 1 | 14 | 0% | ||||||||
HealthNow/BlueShield of NENY | 1,069 | 36 | 1,105 | 27% | 103 | 1,208 | 24% | ||||||||
Wayne | TOTALS: | 4,943 | 4,284 | 292 | 212 | 5,235 | 4,496 | 86% | 92% | 93% | 1,201 | 346 | 6,436 | 4,842 | 75% |
Mandatory | Excellus | 2,046 | 105 | 2,151 | 41% | 152 | 2,303 | 36% | |||||||
Preferred Care | 2,238 | 107 | 2,345 | 45% | 194 | 2,539 | 39% | ||||||||
Westchester | TOTALS: | 49,427 | 35,621 | 6,706 | 3,046 | 56,133 | 38,667 | 69% | 89% | 78% | 10,325 | 2,534 | 66,458 | 41,201 | 62% |
Mandatory | Affinity Health Plan | 5,288 | 438 | 5,726 | 10% | 440 | 6,166 | 9% | |||||||
Community Choice Hlth Plan | 6,178 | 550 | 6,728 | 12% | 445 | 7,173 | 11% | ||||||||
Fidelis/NYS Catholic Hlth | 3,155 | 400 | 3,555 | 6% | 225 | 3,780 | 6% | ||||||||
HIP | 2,751 | 486 | 3,237 | 6% | 320 | 3,557 | 5% | ||||||||
Westchester PHSP/HealthSource/Hudson Health Plan | 18,249 | 1,172 | 19,421 | 35% | 1,104 | 20,525 | 31% | ||||||||
Wyoming Voluntary | TOTALS: | 1,908 | 0 | 116 | 0 | 2,024 | 0 | 0% | 91% | 0% | 425 | 0 | 2,449 | 0 | 0% |
Yates | TOTALS: | 1,713 | 1,201 | 96 | 54 | 1,809 | 1,255 | 69% | 93% | 75% | 288 | 93 | 2,097 | 1,348 | 64% |
Voluntary | Excellus | 1,201 | 54 | 1,255 | 69% | 93 | 1,348 | 64% | |||||||
Upstate Total | 631,165 | 412,606 | 64,497 | 31,579 | 695,662 | 444,185 | 64% | 91% | 70% | 147,644 | 35,400 | 843,306 | 479,585 | 57% | |
NYC | ABC Health Plan | 7,091 | 1,497 | 8,588 | 1% | 179 | 8,767 | 0% | |||||||
Mandatory | Affinity Health Plan | 72,552 | 15,152 | 87,704 | 5% | 2,940 | 90,644 | 5% | |||||||
AmeriChoice of New York/MHS | 64,469 | 18,889 | 83,358 | 5% | 3,205 | 86,563 | 5% | ||||||||
Care Plus Health Plan | 53,368 | 8,649 | 62,017 | 4% | 1,097 | 63,114 | 3% | ||||||||
Community Choice Hlth Plan | 3,421 | 657 | 4,078 | 0% | 78 | 4,156 | 0% | ||||||||
Community Premier Plus | 35,741 | 6,606 | 42,347 | 3% | 1,158 | 43,505 | 2% | ||||||||
Fidelis/NYS Catholic Hlth | 63,107 | 11,603 | 74,710 | 5% | 2,029 | 76,739 | 4% | ||||||||
Fidelis Care HealthierLife SN | |||||||||||||||
HealthFirst PHSP | 109,003 | 20,875 | 129,878 | 8% | 5,004 | 134,882 | 7% | ||||||||
HealthFirst PHSP SN | 5 | 4 | 9 | 0% | 4 | 13 | 0% | ||||||||
Health Plus PHSP | 122,522 | 24,376 | 146,898 | 9% | 2,596 | 149,494 | 8% | ||||||||
HIP | 114,121 | 38,088 | 152,209 | 10% | 7,264 | 159,473 | 9% | ||||||||
Manhattan PHSP/CenterCare | 54,953 | 10,831 | 65,784 | 4% | 1,798 | 67,582 | 4% | ||||||||
MetroPlus Health Plan | 110,882 | 22,571 | 133,453 | 8% | 4,513 | 137,966 | 7% | ||||||||
MetroPlus Health Plan SN | 27 | 23 | 50 | 0% | 58 | 108 | 0% | ||||||||
Neighborhood Health Providers | 59,107 | 8,954 | 68,061 | 4% | 1,844 | 69,905 | 4% | ||||||||
NY Hospital Community PHSP | 29,802 | 7,821 | 37,623 | 2% | 863 | 38,486 | 2% | ||||||||
NYPS Select Health SN | 0 | 4 | 4 | 0% | 8 | 12 | 0% | ||||||||
St Barnabas/Partners in Health | 17,662 | 3,154 | 20,816 | 1% | 1,084 | 21,900 | 1% | ||||||||
United Healthcare of NY | 20,210 | 8,263 | 28,473 | 2% | 784 | 29,257 | 2% | ||||||||
VidaCare Inc. SN | 0 | 6 | 6 | 0% | 13 | 19 | 0% | ||||||||
Wellcare | 19,390 | 4,478 | 23,868 | 1% | 472 | 24,340 | 1% | ||||||||
NYC Total | 1,232,048 | 957,433 | 365,179 | 212,501 | 1,597,227 | 1,169,934 | 73% | 90% | 81% | 251,856 | 36,991 | 1,849,083 | 1,206,925 | 65% | |
UPSTATE TOTALS: | 631,165 | 412,606 | 64,497 | 31,579 | 695,662 | 444,185 | 64% | 91% | 70% | 147,644 | 35,400 | 843,306 | 479,585 | 57% | |
NEW YORK CITY TOTALS: | 1,232,048 | 957,433 | 365,179 | 212,501 | 1,597,227 | 1,169,934 | 73% | 90% | 81% | 251,856 | 36,991 | 1,849,083 | 1,206,925 | 65% | |
GRAND TOTALS | 1,863,213 | 1,370,039 | 429,676 | 244,080 | 2,292,889 | 1,614,119 | 70% | 91% | 78% | 399,500 | 72,391 | 2,692,389 | 1,686,510 | 63% | |
NYC Boroughs | Bronx | 305,681 | 243,473 | 83,283 | 44,219 | 388,964 | 287,692 | 74% | 64,760 | 9,791 | 453,724 | 297,483 | 66% | ||
Brooklyn | 456,460 | 355,656 | 140,056 | 88,200 | 596,516 | 443,857 | 74% | 86,314 | 13,451 | 682,830 | 457,308 | 67% | |||
Manhattan | 175,007 | 124,756 | 69,160 | 31,847 | 244,167 | 156,602 | 64% | 48,437 | 5,697 | 292,604 | 162,299 | 55% | |||
Queens | 261,844 | 206,700 | 64,935 | 42,990 | 326,779 | 249,690 | 76% | 44,510 | 6,273 | 371,289 | 255,963 | 69% | |||
Staten Island | 33,056 | 26,848 | 7,745 | 5,245 | 40,801 | 32,093 | 79% | 7,835 | 1,780 | 48,636 | 33,872 | 70% | |||
Borough Total | 1,232,048 | 957,433 | 365,179 | 212,501 | 1,597,227 | 1,169,934 | 73% | 90% | 81% | 251,856 | 36,991 | 1,849,083 | 1,206,925 | 65% |
NOTES:
- The Managed Care eligible counts are based upon January, 2003 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 July, 2003 to be based on the primary and secondary roster reports. The roster reports reflect enrollees as of the first the 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: None
MANAGED LONG TERM CARE ENROLLMENT BY PROVIDER AND COUNTY
NYS September, 2003
PROVIDER | COUNTY | TOTAL ENROLLMENT |
---|---|---|
BROADLAWN HEALTH PARTNERS | NASSAU | 422 |
Total | 422 | |
CO-OP CARE PLAN | NYC | 514 |
Total | 514 | |
COMPREHENSIVE CARE MGT | NYC | 1,008 |
WESTCHESTER | 106 | |
Total | 1,114 | |
EDDY SENIORCARE | SCHENECTADY | 85 |
Total | 85 | |
ELANT CHOICE | ORANGE | 72 |
Total | 72 | |
GUILDNET | NYC | 1,816 |
Total | 1,816 | |
HOMEFIRST | NYC | 1,032 |
Total | 1,032 | |
INDEP CARE SYSTEMS INC | NYC | 531 |
Total | 531 | |
INDEP LIVING FOR SENIORS | MONROE | 297 |
Total | 297 | |
LORETTO/INDEPENDENT LIVING SERVICES | ONONDAGA | 217 |
Total | 217 | |
PARTNERS IN COMMUNITY CARE | ORANGE | 99 |
ROCKLAND | 26 | |
Total | 125 | |
SENIOR HEALTH PARTNERS INC | NYC | 141 |
Total | 141 | |
SENIOR NETWORK HEALTH | HERKIMER | 12 |
ONEIDA | 290 | |
Total | 302 | |
TOTAL AGING IN PLACE | ERIE | 41 |
Total | 41 | |
VNS CHOICE | NYC | 3,120 |
Total | 3,120 | |
UPSTATE TOTALS: | 1,667 | |
NEW YORK CITY TOTALS: | 8,162 | |
GRAND TOTALS: | 9,829 |
Note: The source of enrollment is based on the primary and secondary roster reports.