Info for Consumers

Recipients Eligible for Enrollment in Managed Care:
Enrollment Status by Aid Category and County, and Total Percent Enrolled by Provider Plan

NYS October, 2004

  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 18,415 14,750 2,178 1,152 20,593 15,902 77% 92% 84% 4,446 1,140 25,039 17,042 68%
Mandatory Capital District Physicians Health Plan   11,539   814   12,353 60%       985   13,338 53%
  HealthNow/BlueShield of NENY   377   88   465 2%       15   480 2%
  NYS Catholic Health Plan   1,893   191   2,084 10%       101   2,185 9%
  Wellcare Of New York   941   59   1,000 5%       39   1,039 4%
Allegany 4,110 920 430 94 4,540 1,014 22% 90% 25% 1,009 87 5,549 1,101 20%
Voluntary HealthNow/BCBS-WNY/Community Blue   920   94   1,014 22%       87   1,101 20%
Broome 14,546 12,464 1,556 1,059 16,102 13,523 84% 90% 93% 3,651 1,043 19,753 14,566 74%
Mandatory Broome MAX   4,601   370   4,971 31%       704   5,675 29%
  Capital District Physicians Health Plan   7,435   610   8,045 50%       315   8,360 42%
  NYS Catholic Health Plan   428   79   507 3%       24   531 3%
Cattaraugus 6,759 5,104 484 392 7,243 5,496 76% 91% 83% 1,573 656 8,816 6,152 70%
Mandatory HealthNow/BCBS-WNY/Community Blue   3,531   243   3,774 52%       564   4,338 49%
  NYS Catholic Health Plan   1,573   149   1,722 24%       92   1,814 21%
Cayuga Voluntary 5,787 0 429 0 6,216 0 0% 89% 0% 1,201 0 7,417 0 0%
Chautauqua 13,916 10,114 1,758 1,193 15,674 11,307 72% 85% 85% 2,766 1,159 18,440 12,466 68%
Mandatory HealthNow/BCBS-WNY/Community Blue   4,137   522   4,659 30%       476   5,135 28%
  NYS Catholic Health Plan   5,977   671   6,648 42%       683   7,331 40%
Chemung 9,125 3,862 949 314 10,074 4,176 41% 89% 47% 1,989 886 12,063 5,062 42%
Voluntary Southern Tier Pediatrics (Partial)   2,625   1   2,626 26%       235   2,861 24%
  Southern Tier Priority (Partial)   1,237   313   1,550 15%       651   2,201 18%
Chenango Voluntary 5,350 0 319 0 5,669 0 0% 92% 0% 1,029 0 6,698 0 0%
Clinton Voluntary 6,129 0 545 0 6,674 0 0% 86% 0% 1,619 0 8,293 0 0%
Columbia 3,573 2,606 316 186 3,889 2,792 72% 93% 77% 887 246 4,776 3,038 64%
Mandatory Capital District Physicians Health Plan   2,020   136   2,156 55%       205   2,361 49%
  NYS Catholic Health Plan   240   26   266 7%       8   274 6%
  Wellcare Of New York   346   24   370 10%       33   403 8%
Cortland 4,366 518 321 25 4,687 543 12% 91% 13% 775 97 5,462 640 12%
Voluntary NYS Catholic Health Plan   518   25   543 12%       97   640 12%
Delaware 3,172 0 269 0 3,441 0 0% 92% 0% 760 0 4,201 0 0%
Dutchess 10,618 4,959 1,040 203 11,658 5,162 44% 90% 49% 2,812 308 14,470 5,470 38%
Voluntary GHI HMO Select   205   21   226 2%       9   235 2%
  Hudson Health Plan   543   24   567 5%       40   607 4%
  MVP Health Plan   1,281   38   1,319 11%       80   1,399 10%
  Wellcare Of New York   2,930   120   3,050 26%       179   3,229 22%
Erie 72,867 58,552 10,125 6,110 82,992 64,662 78% 93% 84% 17,614 8,208 100,606 72,870 72%
Mandatory HealthNow/BCBS-WNY/Community Blue   13,684   1,381   15,065 18%       1,149   16,214 16%
  Independent Health Association   18,645   1,574   20,219 24%       1,935   22,154 22%
  NYS Catholic Health Plan   14,578   841   15,419 19%       1,449   16,868 17%
  Univera Community Health   11,023   1,107   12,130 15%       478   12,608 13%
    57,930   4,903   62,833 76%       5,011   67,844 67%
  PCMP III (Partial)   4   10   14 0%       240   254 0%
  PCMP II-A Special Care (Partial)   618   1,197   1,815 2%       2,957   4,772 5%
    622   1,207   1,829 2%       3,197   5,026 5%
Essex Voluntary 2,265 0 183 0 2,448 0 0% 92% 0% 580 0 3,028 0 0%
Franklin Voluntary 3,714 0 285 0 3,999 0 0% 91% 0% 1,009 0 5,008 0 0%
Fulton 5,483 853 476 39 5,959 892 15% 92% 16% 1,102 61 7,061 953 13%
Voluntary Capital District Physicians Health Plan   853   39   892 15%       61   953 13%
Genesee 3,706 2,697 214 218 3,920 2,915 74% 89% 83% 658 176 4,578 3,091 68%
Mandatory HealthNow/BCBS-WNY/Community Blue   1,202   107   1,309 33%       47   1,356 30%
  Rochester Area HMO/Preferred Care   1,495   111   1,606 41%       129   1,735 38%
Greene 3,372 2,835 286 215 3,658 3,050 83% 93% 89% 748 282 4,406 3,332 76%
Mandatory Capital District Physicians Health Plan   1,948   150   2,098 57%       219   2,317 53%
  NYS Catholic Health Plan   359   30   389 11%       16   405 9%
  Wellcare Of New York   528   35   563 15%       47   610 14%
Hamilton Voluntary 191 0 21 0 212 0 0% 91% 0% 48 0 260 0 0%
Herkimer 5,565 4,940 318 313 5,883 5,253 89% 92% 97% 909 126 6,792 5,379 79%
Mandatory Excellus Health Plan   1,946   128   2,074 35%       52   2,126 31%
  NYS Catholic Health Plan   2,408   141   2,549 43%       60   2,609 38%
  United Healthcare Plan Of NY   586   44   630 11%       14   644 9%
Jefferson Voluntary 8,900 0 757 0 9,657 0 0% 87% 0% 1,859 0 11,516 0 0%
Lewis Voluntary 2,458 0 165 0 2,623 0 0% 93% 0% 426 0 3,049 0 0%
Livingston 3,861 3,048 438 287 4,299 3,335 78% 92% 85% 710 238 5,009 3,573 71%
Mandatory Excellus Health Plan   2,099   182   2,281 53%       132   2,413 48%
  Rochester Area HMO/Preferred Care   949   105   1,054 25%       106   1,160 23%
Madison Voluntary 4,346 0 274 0 4,620 0 0% 91% 0% 784 0 5,404 0 0%
Monroe 60,001 44,285 10,399 4,314 70,400 48,599 69% 91% 76% 13,055 3,720 83,455 52,319 63%
Mandatory Excellus Health Plan   33,685   3,313   36,998 53%       2,930   39,928 48%
  Rochester Area HMO/Preferred Care   10,600   1,001   11,601 16%       790   12,391 15%
Montgomery 4,880 934 460 51 5,340 985 18% 92% 20% 839 111 6,179 1,096 18%
Voluntary Capital District Physicians Health Plan   934   51   985 18%       111   1,096 18%
Nassau 48,297 42,789 4,964 3,285 53,261 46,074 87% 92% 94% 10,495 2,141 63,756 48,215 76%
Mandatory Affinity Health Plan   8,692   526   9,218 17%       287   9,505 15%
  HealthFirst PHSP   11,699   635   12,334 23%       394   12,728 20%
  Health Insurance Plan of Greater New York   9,520   1,067   10,587 20%       839   11,426 18%
  NYS Catholic Health Plan   6,654   419   7,073 13%       244   7,317 11%
  United Healthcare Plan Of NY   6,134   634   6,768 13%       374   7,142 11%
  Vytra Health Plans Long Island   90   4   94 0%       3   97 0%
Niagara 14,983 13,923 1,854 1,457 16,837 15,380 91% 93% 98% 3,488 1,792 20,325 17,172 84%
Mandatory HealthNow/BCBS-WNY/Community Blue   5,498   575   6,073 36%       560   6,633 33%
  Independent Health Association   5,657   557   6,214 37%       911   7,125 35%
  NYS Catholic Health Plan   2,768   325   3,093 18%       321   3,414 17%
Oneida 20,451 16,792 1,881 1,260 22,332 18,052 81% 92% 87% 5,384 1,858 27,716 19,910 72%
Mandatory Excellus Health Plan   2,680   278   2,958 13%       152   3,110 11%
  NYS Catholic Health Plan   9,826   714   10,540 47%       1,360   11,900 43%
  United Healthcare Plan Of NY   4,286   268   4,554 20%       346   4,900 18%
Onondaga 37,263 28,767 4,892 2,330 42,155 31,097 74% 89% 83% 8,224 2,790 50,379 33,887 67%
Mandatory Excellus Health Plan   3,001   357   3,358 8%       153   3,511 7%
  NYS Catholic Health Plan   6,445   486   6,931 16%       642   7,573 15%
  SCHC Total Care   10,726   912   11,638 28%       1,256   12,894 26%
  United Healthcare Plan Of NY   8,595   575   9,170 22%       739   9,909 24%
Ontario 5,228 4,288 449 287 5,677 4,575 81% 91% 88% 1,189 454 6,866 5,029 73%
Mandatory Excellus Health Plan   3,665   230   3,895 69%       379   4,274 62%
  Rochester Area HMO/Preferred Care   623   57   680 12%       75   755 11%
Orange 29,368 10,016 2,272 572 31,640 10,588 33% 91% 37% 4,304 939 35,944 11,527 32%
Voluntary Affinity Health Plan   6,446   325   6,771 21%       667   7,438 21%
  GHI HMO Select   22   2   24 0%       4   28 0%
  Hudson Health Plan   1,272   110   1,382 4%       104   1,486 4%
  NYS Catholic Health Plan   2       2 0%           2 0%
  Wellcare Of New York   2,274   135   2,409 8%       164   2,573 7%
Orleans 3,719 2,907 427 292 4,146 3,199 77% 92% 84% 605 154 4,751 3,353 71%
Mandatory Excellus Health Plan   1,000   95   1,095 26%       66   1,161 24%
  HealthNow/BCBS-WNY/Community Blue   786   78   864 21%       33   897 19%
  NYS Catholic Health Plan   1,121   119   1,240 30%       55   1,295 27%
Oswego 11,830 9,845 802 543 12,632 10,388 82% 92% 89% 1,994 768 14,626 11,156 76%
Mandatory Excellus Health Plan   418   42   460 4%       24   484 3%
  NYS Catholic Health Plan   2,017   129   2,146 17%       151   2,297 16%
  SCHC Total Care   3,443   232   3,675 29%       307   3,982 27%
  United Healthcare Plan Of NY   3,967   140   4,107 33%       286   4,393 30%
Otsego Voluntary 3,772 0 262 0 4,034 0 0% 91% 0% 867 0 4,901 0 0%
Putnam 1,315 306 142 29 1,457 335 23% 88% 26% 558 47 2,015 382 19%
Voluntary Careplus, LLC   140   5   145 10%       25   170 8%
  GHI HMO Select   166   24   190 13%       22   212 11%
Rensselaer 9,793 8,566 1,081 948 10,874 9,514 87% 92% 95% 2,227 600 13,101 10,114 77%
Mandatory Capital District Physicians Health Plan   6,691   679   7,370 68%       496   7,866 60%
  HealthNow/BlueShield of NENY   696   131   827 8%       40   867 7%
  NYS Catholic Health Plan   852   91   943 9%       47   990 8%
  Wellcare Of New York   327   47   374 3%       17   391 3%
Rockland 26,536 24,389 1,556 1,052 28,092 25,441 91% 92% 98% 2,607 680 30,699 26,121 85%
Mandatory Affinity Health Plan   1,825   205   2,030 7%       149   2,179 7%
  Community Choice Health Plan Of Westchester   270   62   332 1%       16   348 1%
  GHI HMO Select   102   23   125 0%       7   132 0%
  Hudson Health Plan   3,633   255   3,888 14%       159   4,047 13%
  NYS Catholic Health Plan   16,791   392   17,183 61%       291   17,474 57%
  Wellcare Of New York   1,768   115   1,883 7%       58   1,941 6%
St Lawrence Voluntary 9,714 0 835 0 10,549 0 0% 91% 0% 2,555 0 13,104 0 0%
Saratoga 7,650 5,807 500 310 8,150 6,117 75% 92% 82% 1,910 346 10,060 6,463 64%
Mandatory Capital District Physicians Health Plan   4,489   222   4,711 58%       282   4,993 50%
  HealthNow/BlueShield of NENY   557   43   600 7%       20   620 6%
  NYS Catholic Health Plan   761   45   806 10%       44   850 8%
Schenectady 11,121 5,916 1,022 237 12,143 6,153 51% 90% 56% 2,717 807 14,860 6,960 47%
Voluntary Capital District Physicians Health Plan   4,487   168   4,655 38%       710   5,365 36%
  NYS Catholic Health Plan   1,429   69   1,498 12%       97   1,595 11%
Schoharie 2,279 97 182 13 2,461 110 4% 92% 5% 389 6 2,850 116 4%
Voluntary Capital District Physicians Health Plan   97   13   110 4%       6   116 4%
Schuyler 1,516 178 164 59 1,680 237 14% 92% 15% 295 23 1,975 260 13%
Voluntary Southern Tier Priority (Partial)   178   59   237 14%       23   260 13%
Seneca 2,175 1,471 170 67 2,345 1,538 66% 92% 71% 444 174 2,789 1,712 61%
Voluntary Excellus Health Plan   1,471   67   1,538 66%       174   1,712 61%
Steuben 8,617 2,241 904 231 9,521 2,472 26% 91% 29% 2,071 678 11,592 3,150 27%
Voluntary Southern Tier Pediatrics (Partial)   106       106 1%       10   116 1%
  Southern Tier Priority (Partial)   2,135   231   2,366 25%       668   3,034 26%
Suffolk 65,068 52,728 7,445 4,581 72,513 57,309 79% 91% 87% 13,560 3,406 86,073 60,715 71%
Mandatory Affinity Health Plan   5,885   436   6,321 9%       233   6,554 8%
  HealthFirst PHSP   9,672   694   10,366 14%       660   11,026 13%
  Health Insurance Plan of Greater New York   9,797   1,384   11,181 15%       688   11,869 14%
  NYS Catholic Health Plan   5,253   433   5,686 8%       194   5,880 7%
  Suffolk Health Plan   11,692   880   12,572 17%       1,188   13,760 16%
  United Healthcare Plan Of NY   10,251   732   10,983 15%       426   11,409 13%
  Vytra Health Plans Long Island   178   22   200 0%       17   217 0%
Sullivan 6,765 3,249 394 109 7,159 3,358 47% 91% 52% 1,492 208 8,651 3,566 41%
Voluntary Hudson Health Plan   3,063   106   3,169 44%       175   3,344 39%
  Wellcare Of New York   186   3   189 3%       33   222 3%
Tioga 3,605 179 291 16 3,896 195 5% 92% 5% 747 4 4,643 199 4%
Voluntary Capital District Physicians Health Plan   179   16   195 5%       4   199 4%
Tompkins 5,124 794 638 65 5,762 859 15% 90% 17% 1,021 87 6,783 946 14%
Voluntary SCHC Total Care   794   65   859 15%       87   946 14%
Ulster 10,426 3,798 958 217 11,384 4,015 35% 91% 39% 2,627 274 14,011 4,289 31%
Voluntary GHI HMO Select   205   27   232 2%       15   247 2%
  Hudson Health Plan   122   27   149 1%       10   159 1%
  MVP Health Plan   860   59   919 8%       27   946 7%
  Wellcare Of New York   2,611   104   2,715 24%       222   2,937 21%
Warren 3,714 2,082 249 21 3,963 2,103 53% 92% 58% 933 85 4,896 2,188 45%
Voluntary HealthNow/BlueShield of NENY   2,082   21   2,103 53%       85   2,188 45%
Washington 4,446 1,793 253 34 4,699 1,827 39% 91% 43% 996 152 5,695 1,979 35%
Voluntary Capital District Physicians Health Plan   616   7   623 13%       34   657 12%
  HealthNow/BlueShield of NENY   982   23   1,005 21%       110   1,115 20%
  NYS Catholic Health Plan   195   4   199 4%       8   207 4%
Wayne 5,577 2,970 363 92 5,940 3,062 52% 92% 56% 1,234 247 7,174 3,309 46%
Voluntary Excellus Health Plan   2,970   92   3,062 52%       247   3,309 46%
Westchester 54,263 39,279 7,785 3,442 62,048 42,721 69% 89% 78% 10,586 2,704 72,634 45,425 63%
Mandatory Affinity Health Plan   5,719   584   6,303 10%       440   6,743 9%
  Community Choice Health Plan Of Westchester   6,531   563   7,094 11%       457   7,551 10%
  Health Insurance Plan of Greater New York   3,030   607   3,637 6%       370   4,007 6%
  Hudson Health Plan   20,315   1,210   21,525 35%       1,189   22,714 31%
  NYS Catholic Health Plan   3,684   478   4,162 7%       248   4,410 6%
Wyoming Voluntary 2,116 0 150 0 2,266 0 0% 91% 0% 422 0 2,688 0 0%
Yates 1,819 1,240 117 69 1,936 1,309 68% 93% 73% 294 109 2,230 1,418 64%
Voluntary Excellus Health Plan   1,240   69   1,309 68%       109   1,418 64%
706,025 459,851 77,997 37,783 784,022 497,634 63% 91% 70% 151,093 40,077 935,115 537,711 58%
NYC ABC Health Plan   5,752   1,396   7,148 0%       222   7,370 0%
Mandatory Affinity Health Plan   79,538   19,501   99,039 6%       3,379   102,418 6%
  Americhoice of New York   71,052   20,341   91,393 6%       3,421   94,814 5%
  Careplus, LLC   58,599   11,563   70,162 4%       1,364   71,526 4%
  CenterCare   54,815   10,928   65,743 4%       2,077   67,820 4%
  Community Choice Health Plan Of Westchester   3,496   640   4,136 0%       93   4,229 0%
  Community Premier Plus   48,058   9,398   57,456 4%       1,603   59,059 3%
  FidelisCare HealthierLife SN   3   2   5 0%           5 0%
  GHI HMO Select   994   659   1,653 0%       24   1,677 0%
  HealthFirst PHSP   142,767   29,800   172,567 11%       5,946   178,513 10%
  HealthFirst PHSP SN   79   50   129 0%       75   204 0%
  HealthPlus   145,077   29,908   174,985 11%       3,611   178,596 10%
  Health Insurance Plan of Greater New York   122,755   39,841   162,596 10%       8,177   170,773 9%
  Managed Health Inc/A+ Health Plan   1,295   570   1,865 0%       24   1,889 0%
  MetroPlus Health Plan   133,307   27,916   161,223 10%       5,257   166,480 9%
  MetroPlus Health Plan SN   69   72   141 0%       115   256 0%
  Neighborhood Health Providers   60,799   10,800   71,599 4%       2,100   73,699 4%
  NYPS Select Health SN   79   151   230 0%       181   411 0%
  NYS Catholic Health Plan   65,401   12,326   77,727 5%       2,435   80,162 4%
  St. Barnabas Community Health/Partners In Health   18,753   3,321   22,074 1%       1,168   23,242 1%
  The New York Presbyterian Community Health Plan   34,731   9,825   44,556 3%       1,193   45,749 2%
  United Healthcare Plan Of NY   24,323   9,831   34,154 2%       1,255   35,409 2%
  VidaCare Inc. SN   15   52   67 0%       70   137 0%
  Wellcare Of New York   23,561   6,673   30,234 2%       600   30,834 2%
  1,219,296 1,095,318 384,792 255,564 1,604,088 1,350,882 84% 90% 93% 253,901 44,390 1,857,989 1,395,272 75%
                               
  706,025 459,851 77,997 37,783 784,022 497,634 63% 91% 70% 151,093 40,077 935,115 537,711 58%
  1,219,296 1,095,318 384,792 255,564 1,604,088 1,350,882 84% 90% 93% 253,901 44,390 1,857,989 1,395,272 75%
  1,925,321 1,555,169 462,789 293,347 2,388,110 1,848,516 77% 91% 85% 404,994 84,467 2,793,104 1,932,983 69%
NYC Boroughs Bronx 306,357 276,015 89,526 52,775 395,883 328,790 83%     66,394 11,710 462,277 340,500 74%
  Brooklyn 446,939 399,847 143,518 100,707 590,457 500,555 85%     87,212 15,979 677,669 516,534 76%
  Manhattan 167,024 147,752 70,496 40,525 237,520 188,277 79%     48,488 6,985 286,008 195,262 68%
  Queens 267,693 240,335 72,840 54,844 340,533 295,179 87%     44,449 7,647 384,982 302,825 79%
  Staten Island 31,283 31,368 8,412 6,713 39,695 38,082 96%     7,358 2,069 47,053 40,151 85%
  1,219,296 1,095,318 384,792 255,564 1,604,088 1,350,882 84% 90% 93% 253,901 44,390 1,857,989 1,395,272 75%

NOTES:

(1) The Managed Care eligible counts are based upon January 2004 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 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)

(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 : Orange County - GHI HMO Select and NYS Catholic Health Plan

*Health Choice in Allegany County no longer has enrollment.

 

Managed Long Term Care Enrollment by Provider and County

NYS October 2004
PROVIDER COUNTY TOTAL ENROLLMENT
CO-OP CARE PLAN NYC 423
  Total 423
COMPREHENSIVE CARE MGT NYC 1,299
  WESTCHESTER 132
  Total 1,431
EDDY SENIORCARE SCHENECTADY 77
  Total 77
ELANT CHOICE ORANGE 80
  Total 80
GUILDNET NYC 2,612
  Total 2,612
HEALTH PARTNERS OF NY NASSAU 466
  Total 466
HOMEFIRST NYC 996
  Total 996
INDEP CARE SYSTEMS INC NYC 623
  Total 623
INDEP LIVING FOR SENIORS MONROE 310
  Total 310
PACE CNY ONONDAGA 246
  Total 246
PARTNERS IN COMMUNITY CARE ORANGE 94
  ROCKLAND 26
  Total 120
SENIOR HEALTH PARTNERS INC NYC 260
  Total 260
SENIOR NETWORK HEALTH HERKIMER 24
  ONEIDA 320
  Total 344
TOTAL AGING IN PLACE ERIE 115
  Total 115
VNS CHOICE NYC 3,721
  Total 3,721
 
  UPSTATE TOTALS: 1,890
  NEW YORK CITY TOTALS: 9,934
  GRAND TOTALS: 11,824
NOTE: The source of enrollment is based on the primary and secondary roster reports.