Partnership Plan 1115 Demonstration Monthly Report July 2004
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. |