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 July, 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 18,211 14,997 2,047 1,250 20,258 16,247 80% 92% 87% 4,420 1,105 24,678 17,352 70%
Mandatory Capital District Physicians Health Plan   11,904   902   12,806 63%       955   13,761 56%
  HealthNow/BlueShield of NENY   257   66   323 2%       10   333 1%
  NYS Catholic Health Plan   1,826   221   2,047 10%       98   2,145 9%
  Wellcare Of New York   1,010   61   1,071 5%       42   1,113 5%
Allegany 3,836 1,165 352 106 4,188 1,271 30% 90% 34% 989 198 5,177 1,469 28%
Voluntary Health Choice (Partial)   242   18   260 6%       138   398 8%
  HealthNow/BCBS-WNY/Community Blue   923   88   1,011 24%       60   1,071 21%
Broome 13,991 12,430 1,425 1,105 15,416 13,535 88% 90% 97% 3,603 1,005 19,019 14,540 76%
Mandatory Broome MAX   4,400   305   4,705 31%       692   5,397 28%
  Capital District Physicians Health Plan   7,647   745   8,392 54%       285   8,677 46%
  NYS Catholic Health Plan   383   55   438 3%       28   466 2%
Cattaraugus 6,623 5,123 448 398 7,071 5,521 78% 91% 85% 1,562 643 8,633 6,164 71%
Mandatory HealthNow/BCBS-WNY/Community Blue   3,713   251   3,964 56%       565   4,529 52%
  NYS Catholic Health Plan   1,410   147   1,557 22%       78   1,635 19%
Cayuga Voluntary 5,616 0 389 0 6,005 0 0% 89% 0% 1,177 0 7,182 0 0%
Chautauqua 13,510 10,087 1,664 1,199 15,174 11,286 74% 85% 87% 2,740 1,216 17,914 12,502 70%
Mandatory HealthNow/BCBS-WNY/Community Blue   3,958   487   4,445 29%       442   4,887 27%
  NYS Catholic Health Plan   5,832   651   6,483 43%       664   7,147 40%
  Primary Health   297   61   358 2%       110   468 3%
Chemung 8,893 3,855 887 295 9,780 4,150 42% 89% 48% 1,986 895 11,766 5,045 43%
Voluntary Southern Tier Pediatrics (Partial)   2,652   0   2,652 27%       238   2,890 25%
  Southern Tier Priority (Partial)   1,203   295   1,498 15%       657   2,155 18%
Chenango Voluntary 5,084 0 242 0 5,326 0 0% 92% 0% 997 0 6,323 0 0%
Clinton Voluntary 6,007 0 494 0 6,501 0 0% 86% 0% 1,588 0 8,089 0 0%
Columbia 3,448 2,717 281 199 3,729 2,916 78% 93% 84% 891 242 4,620 3,158 68%
Mandatory Capital District Physicians Health Plan   2,080   152   2,232 60%       205   2,437 53%
  NYS Catholic Health Plan   253   17   270 7%       8   278 6%
  Wellcare Of New York   384   30   414 11%       29   443 10%
Cortland 4,348 541 322 28 4,670 569 12% 91% 13% 781 94 5,451 663 12%
Voluntary NYS Catholic Health Plan   541   28   569 12%       94   663 12%
Delaware 3,035 0 237 0 3,272 0 0% 92% 0% 737 0 4,009 0 0%
Dutchess 10,060 4,136 976 181 11,036 4,317 39% 90% 43% 2,793 251 13,829 4,568 33%
Voluntary GHI HMO Select   134   7   141 1%       4   145 1%
  Hudson Health Plan   378   39   417 4%       33   450 3%
  MVP Health Plan   776   22   798 7%       51   849 6%
  Wellcare Of New York   2,848   113   2,961 27%       163   3,124 23%
Erie 70,462 59,252 9,380 6,225 79,842 65,477 82% 93% 89% 17,456 8,072 97,298 73,549 76%
Mandatory HealthNow/BCBS-WNY/Community Blue   13,901   1,447   15,348 19%       1,119   16,467 17%
  Independent Health Association   19,115   1,577   20,692 26%       1,857   22,549 23%
  NYS Catholic Health Plan   14,837   841   15,678 20%       1,436   17,114 18%
  Univera Community Health   10,758   1,062   11,820 15%       454   12,274 13%
    58,611   4,927   63,538 80%       4,866   68,404 70%
  PCMP II (Partial)   7   2   9 0%       2   11 0%
  PCMP III (Partial)   5   9   14 0%       247   261 0%
  PCMP II-A Special Care (Partial)   629   1,287   1,916 2%       2,957   4,873 5%
    641   1,298   1,939 2%       3,206   5,145 5%
Essex Voluntary 2,165 0 155 0 2,320 0 0% 92% 0% 573 0 2,893 0 0%
Franklin Voluntary 3,579 0 301 0 3,880 0 0% 91% 0% 1,003 0 4,883 0 0%
Fulton 5,392 881 437 47 5,829 928 16% 92% 17% 1,078 55 6,907 983 14%
Voluntary Capital District Physicians Health Plan   881   47   928 16%       55   983 14%
Genesee 3,570 2,618 196 212 3,766 2,830 75% 89% 84% 649 162 4,415 2,992 68%
Mandatory HealthNow/BCBS-WNY/Community Blue   1,172   91   1,263 34%       37   1,300 29%
  Rochester Area HMO/Preferred Care   1,446   121   1,567 42%       125   1,692 38%
Greene 3,273 2,923 277 202 3,550 3,125 88% 93% 94% 714 278 4,264 3,403 80%
Mandatory Capital District Physicians Health Plan   1,948   139   2,087 59%       218   2,305 54%
  NYS Catholic Health Plan   376   31   407 11%       13   420 10%
  Wellcare Of New York   599   32   631 18%       47   678 16%
Hamilton Voluntary 207 0 18 0 225 0 0% 91% 0% 47 0 272 0 0%
Herkimer 5,215 4,839 299 307 5,514 5,146 93% 92% 101% 899 122 6,413 5,268 82%
Mandatory Excellus Health Plan   1,878   124   2,002 36%       47   2,049 32%
  NYS Catholic Health Plan   2,283   132   2,415 44%       60   2,475 39%
  United Healthcare Plan Of NY   678   51   729 13%       15   744 12%
Jefferson Voluntary 8,717 0 670 0 9,387 0 0% 87% 0% 1,842 0 11,229 0 0%
Lewis Voluntary 2,420 0 131 0 2,551 0 0% 93% 0% 425 0 2,976 0 0%
Livingston 3,683 3,106 377 272 4,060 3,378 83% 92% 91% 699 216 4,759 3,594 76%
Mandatory Excellus Health Plan   2,138   169   2,307 57%       116   2,423 51%
  Rochester Area HMO/Preferred Care   968   103   1,071 26%       100   1,171 25%
Madison Voluntary 4,270 0 242 0 4,512 0 0% 91% 0% 790 0 5,302 0 0%
Monroe 57,282 43,812 9,543 4,079 66,825 47,891 72% 91% 79% 12,787 3,613 79,612 51,504 65%
Mandatory Excellus Health Plan   33,170   3,126   36,296 54%       2,858   39,154 49%
  Rochester Area HMO/Preferred Care   10,642   953   11,595 17%       755   12,350 16%
Montgomery 4,561 969 394 51 4,955 1,020 21% 92% 22% 816 94 5,771 1,114 19%
Voluntary Capital District Physicians Health Plan   969   51   1,020 21%       94   1,114 19%
Nassau 41,844 41,120 4,031 2,882 45,875 44,002 96% 92% 104% 10,372 2,020 56,247 46,022 82%
Mandatory Affinity Health Plan   8,311   429   8,740 19%       276   9,016 16%
  HealthFirst PHSP   11,064   539   11,603 25%       377   11,980 21%
  Health Insurance Plan of Greater New York   7,046   824   7,870 17%       650   8,520 15%
  NYS Catholic Health Plan   6,359   352   6,711 15%       230   6,941 12%
  United Healthcare Plan Of NY   5,166   502   5,668 12%       289   5,957 11%
  Vytra Health Plans Long Island   3,174   236   3,410 7%       198   3,608 6%
Niagara 14,441 13,811 1,717 1,419 16,158 15,230 94% 93% 101% 3,442 1,775 19,600 17,005 87%
Mandatory HealthNow/BCBS-WNY/Community Blue   5,421   550   5,971 37%       558   6,529 33%
  Independent Health Association   5,752   554   6,306 39%       892   7,198 37%
  NYS Catholic Health Plan   2,638   315   2,953 18%       325   3,278 17%
Oneida 19,814 16,811 1,787 1,323 21,601 18,134 84% 92% 91% 5,366 1,764 26,967 19,898 74%
Mandatory Excellus Health Plan   2,609   255   2,864 13%       134   2,998 11%
  NYS Catholic Health Plan   9,665   766   10,431 48%       1,287   11,718 43%
  United Healthcare Plan Of NY   4,537   302   4,839 22%       343   5,182 19%
Onondaga 35,853 29,016 4,525 2,379 40,378 31,395 78% 89% 88% 8,126 2,708 48,504 34,103 70%
Mandatory Excellus Health Plan   2,961   340   3,301 8%       140   3,441 7%
  NYS Catholic Health Plan   6,546   501   7,047 17%       639   7,686 16%
  SCHC Total Care   10,931   959   11,890 29%       1,217   13,107 27%
  United Healthcare Plan Of NY   8,578   579   9,157 23%       712   9,869 24%
Ontario 5,182 4,271 424 277 5,606 4,548 81% 91% 89% 1,156 444 6,762 4,992 74%
Mandatory Excellus Health Plan   3,614   217   3,831 68%       374   4,205 62%
  Rochester Area HMO/Preferred Care   657   60   717 13%       70   787 12%
Orange 29,139 9,691 2,223 572 31,362 10,263 33% 91% 36% 4,283 881 35,645 11,144 31%
Voluntary Affinity Health Plan   6,394   329   6,723 21%       647   7,370 21%
  Hudson Health Plan   1,271   122   1,393 4%       94   1,487 4%
  Wellcare Of New York   2,026   121   2,147 7%       140   2,287 6%
Orleans 3,649 2,835 337 308 3,986 3,143 79% 92% 86% 598 137 4,584 3,280 72%
Mandatory Excellus Health Plan   998   84   1,082 27%       57   1,139 25%
  HealthNow/BCBS-WNY/Community Blue   738   89   827 21%       30   857 19%
  NYS Catholic Health Plan   1,099   135   1,234 31%       50   1,284 28%
Oswego 11,683 9,989 825 560 12,508 10,549 84% 92% 91% 1,960 753 14,468 11,302 78%
Mandatory Excellus Health Plan   398   40   438 4%       23   461 3%
  NYS Catholic Health Plan   1,962   133   2,095 17%       142   2,237 15%
  SCHC Total Care   3,473   235   3,708 30%       311   4,019 28%
  United Healthcare Plan Of NY   4,156   152   4,308 34%       277   4,585 32%
Otsego Voluntary 3,596 0 246 0 3,842 0 0% 91% 0% 864 0 4,706 0 0%
Putnam 1,260 258 146 18 1,406 276 20% 88% 22% 561 46 1,967 322 16%
Voluntary Careplus, LLC   162   6   168 12%       30   198 10%
  GHI HMO Select   96   12   108 8%       16   124 6%
Rensselaer 9,595 8,478 1,021 894 10,616 9,372 88% 92% 96% 2,196 559 12,812 9,931 78%
Mandatory Capital District Physicians Health Plan   6,665   646   7,311 69%       465   7,776 61%
  HealthNow/BlueShield of NENY   708   128   836 8%       32   868 7%
  NYS Catholic Health Plan   802   73   875 8%       44   919 7%
  Wellcare Of New York   303   47   350 3%       18   368 3%
Rockland 25,358 24,172 1,421 1,046 26,779 25,218 94% 92% 102% 2,640 643 29,419 25,861 88%
Mandatory Affinity Health Plan   1,751   207   1,958 7%       144   2,102 7%
  Community Choice Health Plan Of Westchester   280   58   338 1%       16   354 1%
  GHI HMO Select   52   18   70 0%       3   73 0%
  Hudson Health Plan   3,540   239   3,779 14%       159   3,938 13%
  NYS Catholic Health Plan   16,715   419   17,134 64%       277   17,411 59%
  Wellcare Of New York   1,834   105   1,939 7%       44   1,983 7%
St Lawrence Voluntary 9,237 0 692 0 9,929 0 0% 91% 0% 2,547 0 12,476 0 0%
Saratoga 7,359 5,899 478 345 7,837 6,244 80% 92% 87% 1,918 321 9,755 6,565 67%
Mandatory Capital District Physicians Health Plan   4,619   254   4,873 62%       265   5,138 53%
  HealthNow/BlueShield of NENY   549   45   594 8%       20   614 6%
  NYS Catholic Health Plan   731   46   777 10%       36   813 8%
Schenectady 11,259 5,857 1,055 264 12,314 6,121 50% 90% 55% 2,668 766 14,982 6,887 46%
Voluntary Capital District Physicians Health Plan   4,561   193   4,754 39%       686   5,440 36%
  NYS Catholic Health Plan   1,296   71   1,367 11%       80   1,447 10%
Schoharie 2,171 88 160 14 2,331 102 4% 92% 5% 382 4 2,713 106 4%
Voluntary Capital District Physicians Health Plan   88   14   102 4%       4   106 4%
Schuyler 1,434 168 125 49 1,559 217 14% 92% 15% 304 12 1,863 229 12%
Voluntary Southern Tier Priority (Partial)   168   49   217 14%       12   229 12%
Seneca 2,193 1,505 141 70 2,334 1,575 67% 92% 73% 454 179 2,788 1,754 63%
Voluntary Excellus Health Plan   1,505   70   1,575 67%       179   1,754 63%
Steuben 8,417 2,329 872 239 9,289 2,568 28% 91% 30% 2,064 674 11,353 3,242 29%
Voluntary Southern Tier Pediatrics (Partial)   119   0   119 1%       13   132 1%
  Southern Tier Priority (Partial)   2,210   239   2,449 26%       661   3,110 27%
Suffolk 62,272 51,588 6,354 4,240 68,626 55,828 81% 91% 89% 13,527 3,285 82,153 59,113 72%
Mandatory Affinity Health Plan   5,696   386   6,082 9%       222   6,304 8%
  HealthFirst PHSP   8,676   564   9,240 13%       626   9,866 12%
  Health Insurance Plan of Greater New York   6,312   954   7,266 11%       402   7,668 9%
  NYS Catholic Health Plan   5,041   370   5,411 8%       174   5,585 7%
  Suffolk Health Plan   11,451   822   12,273 18%       1,159   13,432 16%
  United Healthcare Plan Of NY   9,461   566   10,027 15%       306   10,333 13%
  Vytra Health Plans Long Island   4,951   578   5,529 8%       396   5,925 7%
Sullivan 6,554 3,248 335 86 6,889 3,334 48% 91% 53% 1,490 178 8,379 3,512 42%
Voluntary Hudson Health Plan   3,062   84   3,146 46%       153   3,299 39%
  Wellcare Of New York   186   2   188 3%       25   213 3%
Tioga 3,411 169 250 16 3,661 185 5% 92% 5% 725 1 4,386 186 4%
Voluntary Capital District Physicians Health Plan   169   16   185 5%       1   186 4%
Tompkins 4,916 704 573 67 5,489 771 14% 90% 16% 1,008 76 6,497 847 13%
Voluntary SCHC Total Care   704   67   771 14%       76   847 13%
Ulster 10,142 3,290 938 162 11,080 3,452 31% 91% 34% 2,610 235 13,690 3,687 27%
Voluntary GHI HMO Select   72   10   82 1%       3   85 1%
  Hudson Health Plan   56   16   72 1%       8   80 1%
  MVP Health Plan   466   30   496 4%       7   503 4%
  Wellcare Of New York   2,696   106   2,802 25%       217   3,019 22%
Warren 3,547 2,271 228 21 3,775 2,292 61% 92% 66% 945 84 4,720 2,376 50%
Voluntary HealthNow/BlueShield of NENY   2,271   21   2,292 61%       84   2,376 50%
Washington 4,392 1,805 258 29 4,650 1,834 39% 91% 43% 961 150 5,611 1,984 35%
Voluntary Capital District Physicians Health Plan   599   4   603 13%       37   640 11%
  HealthNow/BlueShield of NENY   1,053   21   1,074 23%       112   1,186 21%
  NYS Catholic Health Plan   153   4   157 3%       1   158 3%
Wayne 5,360 3,144 332 131 5,692 3,275 58% 92% 63% 1,243 248 6,935 3,523 51%
Voluntary Excellus Health Plan   3,144   131   3,275 58%       248   3,523 51%
Westchester 52,541 39,817 7,289 3,627 59,830 43,444 73% 89% 82% 10,484 2,675 70,314 46,119 66%
Mandatory Affinity Health Plan   5,842   642   6,484 11%       436   6,920 10%
  Community Choice Health Plan Of Westchester   6,833   627   7,460 12%       439   7,899 11%
  Health Insurance Plan of Greater New York   2,925   593   3,518 6%       371   3,889 6%
  Hudson Health Plan   20,465   1,268   21,733 36%       1,176   22,909 33%
  NYS Catholic Health Plan   3,752   497   4,249 7%       253   4,502 6%
Wyoming Voluntary 2,052 0 116 0 2,168 0 0% 91% 0% 430 0 2,598 0 0%
Yates 1,757 1,228 113 68 1,870 1,296 69% 93% 75% 292 105 2,162 1,401 65%
Voluntary Excellus Health Plan   1,228   68   1,296 69%       105   1,401 65%
  677,886 457,013 71,196 37,262 749,082 494,275 66% 91% 73% 149,658 38,984 898,740 533,259 59%
NYC ABC Health Plan   5,879   1,361   7,240 0%       202   7,442 0%
Mandatory Affinity Health Plan   79,172   18,974   98,146 6%       3,272   101,418 5%
  Americhoice of New York   70,243   20,137   90,380 6%       3,353   93,733 5%
  Careplus, LLC   58,602   10,963   69,565 4%       1,274   70,839 4%
  CenterCare   55,069   10,959   66,028 4%       2,025   68,053 4%
  Community Choice Health Plan Of Westchester   3,538   657   4,195 0%       84   4,279 0%
  Community Premier Plus   46,399   9,056   55,455 3%       1,523   56,978 3%
  FidelisCare HealthierLife SN   4   2   6 0%       0   6 0%
  GHI HMO Select   523   357   880 0%       3   883 0%
  HealthFirst PHSP   133,669   27,842   161,511 10%       5,630   167,141 9%
  HealthFirst PHSP SN   41   35   76 0%       45   121 0%
  HealthPlus   140,360   29,268   169,628 11%       3,328   172,956 9%
  Health Insurance Plan of Greater New York   120,517   39,474   159,991 10%       7,944   167,935 9%
  Managed Health Inc/A+ Health Plan   1,050   438   1,488 0%       19   1,507 0%
  MetroPlus Health Plan   129,574   27,309   156,883 10%       5,019   161,902 9%
  MetroPlus Health Plan SN   62   72   134 0%       115   249 0%
  Neighborhood Health Providers   59,910   10,409   70,319 4%       2,019   72,338 4%
  NYPS Select Health SN   69   132   201 0%       168   369 0%
  NYS Catholic Health Plan   65,679   12,483   78,162 5%       2,344   80,506 4%
  St. Barnabas Community Health/Partners In Health   18,641   3,455   22,096 1%       1,124   23,220 1%
  The New York Presbyterian Community Health Plan   34,256   9,719   43,975 3%       1,088   45,063 2%
  United Healthcare Plan Of NY   24,169   9,749   33,918 2%       1,144   35,062 2%
  VidaCare Inc. SN   8   39   47 0%       67   114 0%
  Wellcare Of New York   23,548   6,376   29,924 2%       577   30,501 2%
  1,233,079 1,070,982 382,044 249,266 1,615,123 1,320,248 82% 90% 90% 253,007 42,367 1,868,130 1,362,615 73%
                               
  677,886 457,013 71,196 37,262 749,082 494,275 66% 91% 73% 149,658 38,984 898,740 533,259 59%
  1,233,079 1,070,982 382,044 249,266 1,615,123 1,320,248 82% 90% 90% 253,007 42,367 1,868,130 1,362,615 73%
  1,910,965 1,527,995 453,240 286,528 2,364,205 1,814,523 77% 91% 85% 402,665 81,351 2,766,870 1,895,874 69%
NYC Boroughs Bronx 304,321 270,342 86,871 51,527 391,192 321,869 82%     65,551 11,191 456,743 333,060 73%
  Brooklyn 454,081 392,141 145,037 99,054 599,118 491,195 82%     86,684 15,294 685,802 506,489 74%
  Manhattan 173,655 144,322 71,313 39,507 244,968 183,829 75%     48,572 6,639 293,540 190,467 65%
  Queens 267,727 233,603 70,311 52,624 338,038 286,227 85%     44,336 7,265 382,374 293,492 77%
  Staten Island 33,295 30,574 8,512 6,555 41,807 37,129 89%     7,864 1,978 49,671 39,107 79%
  1,233,079 1,070,982 382,044 249,266 1,615,123 1,320,248 82% 90% 90% 253,007 42,367 1,868,130 1,362,615 73%

NOTES:

(1) The Managed Care eligible counts are based upon July, 2003 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 : None

 

Managed Long Term Care Enrollment by Provider and County

NYS July 2004
PROVIDER COUNTY TOTAL ENROLLMENT
BROADLAWN HEALTH PARTNERS NASSAU 467
  Total 467
CO-OP CARE PLAN NYC 441
  Total 441
COMPREHENSIVE CARE MGT NYC 1,207
  WESTCHESTER 133
  Total 1,340
EDDY SENIORCARE SCHENECTADY 75
  Total 75
ELANT CHOICE ORANGE 78
  Total 78
GUILDNET NYC 2,341
  Total 2,341
HOMEFIRST NYC 967
  Total 967
INDEP CARE SYSTEMS INC NYC 584
  Total 584
INDEP LIVING FOR SENIORS MONROE 310
  Total 310
LORETTO/INDEPENDENT LIVING SERVICES ONONDAGA 243
  Total 243
PARTNERS IN COMMUNITY CARE ORANGE 98
  ROCKLAND 29
  Total 127
SENIOR HEALTH PARTNERS INC NYC 213
  Total 213
SENIOR NETWORK HEALTH HERKIMER 18
  ONEIDA 317
  Total 335
TOTAL AGING IN PLACE ERIE 101
  Total 101
VNS CHOICE NYC 3,766
  Total 3,766
 
  UPSTATE TOTALS: 1,869
  NEW YORK CITY TOTALS: 9,519
  GRAND TOTALS: 11,388
NOTE: The source of enrollment is based on the primary and secondary roster reports.