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 August, 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 TOTALS: 18,490 15,036 2,090 1,261 20,580 16,297 79% 92% 86% 4,408 1,119 24,988 17,416 70%
Mandatory Capital District Physicians Health Plan   11,882   916   12,798 62%       967   13,765 55%
  HealthNow/BlueShield of NENY   295   68   363 2%       13   376 2%
  NYS Catholic Health Plan   1,884   219   2,103 10%       96   2,199 9%
  Wellcare Of New York   975   58   1,033 5%       43   1,076 4%
Allegany 3,959 1,147 379 105 4,338 1,252 29% 90% 32% 986 196 5,324 1,448 27%
Voluntary Health Choice (Partial)   235   19   254 6%       136   390 7%
  HealthNow/BCBS-WNY/Community Blue   912   86   998 23%       60   1,058 20%
Broome 14,243 12,586 1,435 1,114 15,678 13,700 87% 90% 97% 3,648 1,013 19,326 14,713 76%
Mandatory Broome MAX   4,484   327   4,811 31%       692   5,503 28%
  Capital District Physicians Health Plan   7,703   726   8,429 54%       292   8,721 45%
  NYS Catholic Health Plan   399   61   460 3%       29   489 3%
Cattaraugus 6,693 5,140 447 412 7,140 5,552 78% 91% 85% 1,564 647 8,704 6,199 71%
Mandatory HealthNow/BCBS-WNY/Community Blue   3,658   263   3,921 55%       561   4,482 51%
  NYS Catholic Health Plan   1,482   149   1,631 23%       86   1,717 20%
Cayuga Voluntary 5,759 0 397 0 6,156 0 0% 89% 0% 1,184 0 7,340 0 0%
Chautauqua 13,868 10,210 1,720 1,225 15,588 11,435 73% 85% 86% 2,765 1,150 18,353 12,585 69%
Mandatory HealthNow/BCBS-WNY/Community Blue   4,192   529   4,721 30%       462   5,183 28%
  NYS Catholic Health Plan   6,018   696   6,714 43%       688   7,402 40%
Chemung 9,068 3,974 916 317 9,984 4,291 43% 89% 48% 1,983 899 11,967 5,190 43%
Voluntary Southern Tier Pediatrics (Partial)   2,719       2,719 27%       239   2,958 25%
  Southern Tier Priority (Partial)   1,255   317   1,572 16%       660   2,232 19%
Chenango Voluntary 5,284 0 272 0 5,556 0 0% 92% 0% 1,012 0 6,568 0 0%
Clinton Voluntary 6,021 0 520 0 6,541 0 0% 86% 0% 1,609 0 8,150 0 0%
Columbia 3,570 2,716 284 190 3,854 2,906 75% 93% 81% 894 247 4,748 3,153 66%
Mandatory Capital District Physicians Health Plan   2,093   144   2,237 58%       209   2,446 52%
  NYS Catholic Health Plan   250   19   269 7%       7   276 6%
  Wellcare Of New York   373   27   400 10%       31   431 9%
Cortland 4,341 516 328 25 4,669 541 12% 91% 13% 772 93 5,441 634 12%
Voluntary NYS Catholic Health Plan   516   25   541 12%       93   634 12%
Delaware 3,140 0 248 0 3,388 0 0% 92% 0% 744 0 4,132 0 0%
Dutchess 10,425 4,525 1,026 202 11,451 4,727 41% 90% 46% 2,797 280 14,248 5,007 35%
Voluntary GHI HMO Select   148   14   162 1%       6   168 1%
  Hudson Health Plan   468   32   500 4%       36   536 4%
  MVP Health Plan   973   31   1,004 9%       68   1,072 8%
  Wellcare Of New York   2,936   125   3,061 27%       170   3,231 23%
Erie 72,073 59,468 9,840 6,219 81,913 65,687 80% 93% 87% 17,522 8,150 99,435 73,837 74%
Mandatory HealthNow/BCBS-WNY/Community Blue   13,917   1,422   15,339 19%       1,135   16,474 17%
  Independent Health Association   19,130   1,586   20,716 25%       1,891   22,607 23%
  NYS Catholic Health Plan   14,870   855   15,725 19%       1,454   17,179 17%
  Univera Community Health   10,914   1,087   12,001 15%       462   12,463 13%
    58,831   4,950   63,781 78%       4,942   68,723 69%
  PCMP III (Partial)   5   10   15 0%       243   258 0%
  PCMP II-A Special Care (Partial)   632   1,259   1,891 2%       2,965   4,856 5%
    637   1,269   1,906 2%       3,208   5,114 5%
Essex Voluntary 2,193 0 169 0 2,362 0 0% 92% 0% 578 0 2,940 0 0%
Franklin Voluntary 3,629 0 293 0 3,922 0 0% 91% 0% 1,010 0 4,932 0 0%
Fulton 5,439 881 443 44 5,882 925 16% 92% 17% 1,087 54 6,969 979 14%
Voluntary Capital District Physicians Health Plan   881   44   925 16%       54   979 14%
Genesee 3,649 2,690 185 216 3,834 2,906 76% 89% 85% 653 168 4,487 3,074 69%
Mandatory HealthNow/BCBS-WNY/Community Blue   1,203   91   1,294 34%       44   1,338 30%
  Rochester Area HMO/Preferred Care   1,487   125   1,612 42%       124   1,736 39%
Greene 3,344 2,919 278 215 3,622 3,134 87% 93% 93% 729 281 4,351 3,415 78%
Mandatory Capital District Physicians Health Plan   1,957   148   2,105 58%       222   2,327 53%
  NYS Catholic Health Plan   375   33   408 11%       14   422 10%
  Wellcare Of New York   587   34   621 17%       45   666 15%
Hamilton Voluntary 194 0 19 0 213 0 0% 91% 0% 46 0 259 0 0%
Herkimer 5,356 4,858 316 318 5,672 5,176 91% 92% 99% 910 132 6,582 5,308 81%
Mandatory Excellus Health Plan   1,888   129   2,017 36%       52   2,069 31%
  NYS Catholic Health Plan   2,347   138   2,485 44%       63   2,548 39%
  United Healthcare Plan Of NY   623   51   674 12%       17   691 10%
Jefferson Voluntary 8,779 0 693 0 9,472 0 0% 87% 0% 1,863 0 11,335 0 0%
Lewis Voluntary 2,384 0 136 0 2,520 0 0% 93% 0% 422 0 2,942 0 0%
Livingston 3,752 3,112 408 277 4,160 3,389 81% 92% 89% 706 223 4,866 3,612 74%
Mandatory Excellus Health Plan   2,139   177   2,316 56%       124   2,440 50%
  Rochester Area HMO/Preferred Care   973   100   1,073 26%       99   1,172 24%
Madison Voluntary 4,327 0 260 0 4,587 0 0% 91% 0% 783 0 5,370 0 0%
Monroe 59,395 44,053 9,914 4,257 69,309 48,310 70% 91% 76% 12,944 3,677 82,253 51,987 63%
Mandatory Excellus Health Plan   33,407   3,277   36,684 53%       2,915   39,599 48%
  Rochester Area HMO/Preferred Care   10,646   980   11,626 17%       762   12,388 15%
Montgomery 4,728 949 432 52 5,160 1,001 19% 92% 21% 839 98 5,999 1,099 18%
Voluntary Capital District Physicians Health Plan   949   52   1,001 19%       98   1,099 18%
Nassau 45,970 42,590 4,491 3,030 50,461 45,620 90% 92% 98% 10,441 2,065 60,902 47,685 78%
Mandatory Affinity Health Plan   8,695   469   9,164 18%       278   9,442 16%
  HealthFirst PHSP   11,429   575   12,004 24%       378   12,382 20%
  Health Insurance Plan of Greater New York   7,283   867   8,150 16%       676   8,826 14%
  NYS Catholic Health Plan   6,583   361   6,944 14%       229   7,173 12%
  United Healthcare Plan Of NY   5,476   529   6,005 12%       314   6,319 10%
  Vytra Health Plans Long Island   3,124   229   3,353 7%       190   3,543 6%
Niagara 14,687 13,902 1,801 1,437 16,488 15,339 93% 93% 100% 3,469 1,792 19,957 17,131 86%
Mandatory HealthNow/BCBS-WNY/Community Blue   5,496   558   6,054 37%       568   6,622 33%
  Independent Health Association   5,740   559   6,299 38%       902   7,201 36%
  NYS Catholic Health Plan   2,666   320   2,986 18%       322   3,308 17%
Oneida 20,357 16,965 1,826 1,336 22,183 18,301 83% 92% 89% 5,374 1,818 27,557 20,119 73%
Mandatory Excellus Health Plan   2,682   264   2,946 13%       140   3,086 11%
  NYS Catholic Health Plan   9,818   770   10,588 48%       1,328   11,916 43%
  United Healthcare Plan Of NY   4,465   302   4,767 21%       350   5,117 19%
Onondaga 36,948 29,177 4,730 2,369 41,678 31,546 76% 89% 85% 8,196 2,773 49,874 34,319 69%
Mandatory Excellus Health Plan   3,012   343   3,355 8%       139   3,494 7%
  NYS Catholic Health Plan   6,556   505   7,061 17%       647   7,708 15%
  SCHC Total Care   10,963   954   11,917 29%       1,248   13,165 26%
  United Healthcare Plan Of NY   8,646   567   9,213 22%       739   9,952 24%
Ontario 5,206 4,292 422 286 5,628 4,578 81% 91% 89% 1,171 444 6,799 5,022 74%
Mandatory Excellus Health Plan   3,659   231   3,890 69%       373   4,263 63%
  Rochester Area HMO/Preferred Care   633   55   688 12%       71   759 11%
Orange 29,447 9,893 2,250 579 31,697 10,472 33% 91% 36% 4,305 902 36,002 11,374 32%
Voluntary Affinity Health Plan   6,490   329   6,819 22%       662   7,481 21%
  Hudson Health Plan   1,301   123   1,424 4%       97   1,521 4%
  Wellcare Of New York   2,102   127   2,229 7%       143   2,372 7%
Orleans 3,738 2,921 351 307 4,089 3,228 79% 92% 86% 601 150 4,690 3,378 72%
Mandatory Excellus Health Plan   1,011   90   1,101 27%       66   1,167 25%
  HealthNow/BCBS-WNY/Community Blue   762   86   848 21%       33   881 19%
  NYS Catholic Health Plan   1,148   131   1,279 31%       51   1,330 28%
Oswego 11,743 10,030 812 577 12,555 10,607 84% 92% 91% 1,985 760 14,540 11,367 78%
Mandatory Excellus Health Plan   427   41   468 4%       22   490 3%
  NYS Catholic Health Plan   2,000   141   2,141 17%       147   2,288 16%
  SCHC Total Care   3,468   242   3,710 30%       313   4,023 28%
  United Healthcare Plan Of NY   4,135   153   4,288 34%       278   4,566 31%
Otsego Voluntary 3,698 0 251 0 3,949 0 0% 91% 0% 872 0 4,821 0 0%
Putnam 1,300 279 139 23 1,439 302 21% 88% 24% 559 50 1,998 352 18%
Voluntary Careplus, LLC   159   6   165 11%       30   195 10%
  GHI HMO Select   120   17   137 10%       20   157 8%
Rensselaer 9,726 8,539 1,022 936 10,748 9,475 88% 92% 96% 2,233 575 12,981 10,050 77%
Mandatory Capital District Physicians Health Plan   6,695   676   7,371 69%       479   7,850 60%
  HealthNow/BlueShield of NENY   715   131   846 8%       37   883 7%
  NYS Catholic Health Plan   823   83   906 8%       43   949 7%
  Wellcare Of New York   306   46   352 3%       16   368 3%
Rockland 25,984 24,495 1,458 1,075 27,442 25,570 93% 92% 101% 2,621 667 30,063 26,237 87%
Mandatory Affinity Health Plan   1,811   216   2,027 7%       146   2,173 7%
  Community Choice Health Plan Of Westchester   293   62   355 1%       15   370 1%
  GHI HMO Select   68   20   88 0%       5   93 0%
  Hudson Health Plan   3,632   252   3,884 14%       165   4,049 13%
  NYS Catholic Health Plan   16,889   420   17,309 63%       282   17,591 59%
  Wellcare Of New York   1,802   105   1,907 7%       54   1,961 7%
St Lawrence Voluntary 9,429 0 772 0 10,201 0 0% 91% 0% 2,525 0 12,726 0 0%
Saratoga 7,538 5,886 480 340 8,018 6,226 78% 92% 85% 1,918 322 9,936 6,548 66%
Mandatory Capital District Physicians Health Plan   4,587   255   4,842 60%       266   5,108 51%
  HealthNow/BlueShield of NENY   562   43   605 8%       17   622 6%
  NYS Catholic Health Plan   737   42   779 10%       39   818 8%
Schenectady 11,039 5,890 1,017 266 12,056 6,156 51% 90% 57% 2,708 781 14,764 6,937 47%
Voluntary Capital District Physicians Health Plan   4,538   188   4,726 39%       692   5,418 37%
  NYS Catholic Health Plan   1,352   78   1,430 12%       89   1,519 10%
Schoharie 2,241 93 161 13 2,402 106 4% 92% 5% 388 5 2,790 111 4%
Voluntary Capital District Physicians Health Plan   93   13   106 4%       5   111 4%
Schuyler 1,466 174 133 59 1,599 233 15% 92% 16% 304 18 1,903 251 13%
Voluntary Southern Tier Priority (Partial)   174   59   233 15%       18   251 13%
Seneca 2,199 1,486 153 70 2,352 1,556 66% 92% 72% 455 179 2,807 1,735 62%
Voluntary Excellus Health Plan   1,486   70   1,556 66%       179   1,735 62%
Steuben 8,590 2,294 863 244 9,453 2,538 27% 91% 30% 2,078 675 11,531 3,213 28%
Voluntary Southern Tier Pediatrics (Partial)   120       120 1%       14   134 1%
  Southern Tier Priority (Partial)   2,174   244   2,418 26%       661   3,079 27%
Suffolk 64,259 52,731 6,905 4,442 71,164 57,173 80% 91% 88% 13,534 3,343 84,698 60,516 71%
Mandatory Affinity Health Plan   5,812   411   6,223 9%       231   6,454 8%
  HealthFirst PHSP   8,955   626   9,581 13%       635   10,216 12%
  Health Insurance Plan of Greater New York   6,500   990   7,490 11%       413   7,903 9%
  NYS Catholic Health Plan   5,217   405   5,622 8%       175   5,797 7%
  Suffolk Health Plan   11,748   857   12,605 18%       1,161   13,766 16%
  United Healthcare Plan Of NY   9,652   596   10,248 14%       328   10,576 12%
  Vytra Health Plans Long Island   4,847   557   5,404 8%       400   5,804 7%
Sullivan 6,651 3,211 352 82 7,003 3,293 47% 91% 52% 1,506 183 8,509 3,476 41%
Voluntary Hudson Health Plan   3,032   81   3,113 44%       157   3,270 38%
  Wellcare Of New York   179   1   180 3%       26   206 2%
Tioga 3,541 176 263 18 3,804 194 5% 92% 6% 733 4 4,537 198 4%
Voluntary Capital District Physicians Health Plan   176   18   194 5%       4   198 4%
Tompkins 5,023 735 605 69 5,628 804 14% 90% 16% 1,016 75 6,644 879 13%
Voluntary SCHC Total Care   735   69   804 14%       75   879 13%
Ulster 10,425 3,535 929 185 11,354 3,720 33% 91% 36% 2,610 252 13,964 3,972 28%
Voluntary GHI HMO Select   127   14   141 1%       6   147 1%
  Hudson Health Plan   80   18   98 1%       8   106 1%
  MVP Health Plan   640   46   686 6%       16   702 5%
  Wellcare Of New York   2,688   107   2,795 25%       222   3,017 22%
Warren 3,629 2,220 230 22 3,859 2,242 58% 92% 63% 936 85 4,795 2,327 49%
Voluntary HealthNow/BlueShield of NENY   2,220   22   2,242 58%       85   2,327 49%
Washington 4,413 1,833 241 31 4,654 1,864 40% 91% 44% 983 149 5,637 2,013 36%
Voluntary Capital District Physicians Health Plan   613   6   619 13%       35   654 12%
  HealthNow/BlueShield of NENY   1,034   20   1,054 23%       110   1,164 21%
  NYS Catholic Health Plan   186   5   191 4%       4   195 3%
Wayne 5,509 3,132 323 118 5,832 3,250 56% 92% 61% 1,237 246 7,069 3,496 49%
Voluntary Excellus Health Plan   3,132   118   3,250 56%       246   3,496 49%
Westchester 54,282 40,096 7,589 3,650 61,871 43,746 71% 89% 80% 10,537 2,710 72,408 46,456 64%
Mandatory Affinity Health Plan   5,850   631   6,481 10%       438   6,919 10%
  Community Choice Health Plan Of Westchester   6,796   635   7,431 12%       445   7,876 11%
  Health Insurance Plan of Greater New York   2,954   616   3,570 6%       380   3,950 5%
  Hudson Health Plan   20,741   1,270   22,011 36%       1,193   23,204 32%
  NYS Catholic Health Plan   3,755   498   4,253 7%       254   4,507 6%
Wyoming Voluntary 2,125 0 131 0 2,256 0 0% 91% 0% 439 0 2,695 0 0%
Yates 1,761 1,244 112 73 1,873 1,317 70% 93% 76% 296 107 2,169 1,424 66%
Voluntary Excellus Health Plan   1,244   73   1,317 70%       107   1,424 66%
697,027 462,599 74,260 38,086 771,287 500,685 65% 91% 71% 150,488 39,557 921,775 540,242 59%
NYC ABC Health Plan   5,822   1,381   7,203 0%       205   7,408 0%
Mandatory Affinity Health Plan   79,392   19,202   98,594 6%       3,323   101,917 5%
  Americhoice of New York   70,719   20,245   90,964 6%       3,391   94,355 5%
  Careplus, LLC   58,914   11,228   70,142 4%       1,299   71,441 4%
  CenterCare   55,139   11,010   66,149 4%       2,069   68,218 4%
  Community Choice Health Plan Of Westchester   3,475   655   4,130 0%       89   4,219 0%
  Community Premier Plus   47,246   9,191   56,437 3%       1,563   58,000 3%
  FidelisCare HealthierLife SN   4   2   6 0%           6 0%
  GHI HMO Select   660   467   1,127 0%       11   1,138 0%
  HealthFirst PHSP   137,133   28,247   165,380 10%       5,752   171,132 9%
  HealthFirst PHSP SN   57   43   100 0%       63   163 0%
  HealthPlus   142,190   29,693   171,883 11%       3,436   175,319 9%
  Health Insurance Plan of Greater New York   121,686   39,704   161,390 10%       8,116   169,506 9%
  Managed Health Inc/A+ Health Plan   1,097   485   1,582 0%       23   1,605 0%
  MetroPlus Health Plan   131,595   27,737   159,332 10%       5,137   164,469 9%
  MetroPlus Health Plan SN   60   71   131 0%       116   247 0%
  Neighborhood Health Providers   60,425   10,575   71,000 4%       2,042   73,042 4%
  NYPS Select Health SN   71   136   207 0%       178   385 0%
  NYS Catholic Health Plan   65,801   12,478   78,279 5%       2,362   80,641 4%
  St. Barnabas Community Health/Partners In Health   18,697   3,395   22,092 1%       1,137   23,229 1%
  The New York Presbyterian Community Health Plan   34,464   9,838   44,302 3%       1,119   45,421 2%
  United Healthcare Plan Of NY   24,298   9,847   34,145 2%       1,193   35,338 2%
  VidaCare Inc. SN   15   48   63 0%       70   133 0%
  Wellcare Of New York   23,603   6,517   30,120 2%       578   30,698 2%
1,231,681 1,082,563 385,038 252,195 1,616,719 1,334,758 83% 90% 91% 253,433 43,272 1,870,152 1,378,030 74%
                               
  697,027 462,599 74,260 38,086 771,287 500,685 65% 91% 71% 150,488 39,557 921,775 540,242 59%
  1,231,681 1,082,563 385,038 252,195 1,616,719 1,334,758 83% 90% 91% 253,433 43,272 1,870,152 1,378,030 74%
  1,928,708 1,545,162 459,298 290,281 2,388,006 1,835,443 77% 91% 85% 403,921 82,829 2,791,927 1,918,272 69%
NYC Boroughs Bronx 304,490 272,905 88,163 51,980 392,653 324,885 83%     65,821 11,431 458,474 336,316 73%
  Brooklyn 453,632 395,984 145,305 99,880 598,937 495,864 83%     86,856 15,534 685,793 511,397 75%
  Manhattan 172,128 145,844 71,594 40,045 243,722 185,889 76%     48,615 6,810 292,337 192,699 66%
  Queens 268,091 236,864 71,410 53,661 339,501 290,525 86%     44,335 7,484 383,836 298,008 78%
  Staten Island 33,340 30,967 8,566 6,629 41,906 37,596 90%     7,806 2,013 49,712 39,609 80%
  1,231,681 1,082,563 385,038 252,195 1,616,719 1,334,758 83% 90% 91% 253,433 43,272 1,870,152 1,378,030 74%

NOTES:

(1) The Managed Care eligible counts are based upon October 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
    *Primary Health in Chautauqua County and Erie PCMP 2 in Erie County no longer have enrollment.

 

Managed Long Term Care Enrollment by Provider and County

NYS August 2004
PROVIDER COUNTY TOTAL ENROLLMENT
BROADLAWN HEALTH PARTNERS NASSAU 467
  Total 467
CO-OP CARE PLAN NYC 439
  Total 439
COMPREHENSIVE CARE MGT NYC 1,256
  WESTCHESTER 133
  Total 1,389
EDDY SENIORCARE SCHENECTADY 73
  Total 73
ELANT CHOICE ORANGE 82
  Total 82
GUILDNET NYC 2,470
  Total 2,470
HOMEFIRST NYC 972
  Total 972
INDEP CARE SYSTEMS INC NYC 597
  Total 597
INDEP LIVING FOR SENIORS MONROE 313
  Total 313
LORETTO/INDEPENDENT LIVING SERVICES ONONDAGA 245
  Total 245
PARTNERS IN COMMUNITY CARE ORANGE 99
  ROCKLAND 29
  Total 128
SENIOR HEALTH PARTNERS INC NYC 231
  Total 231
SENIOR NETWORK HEALTH HERKIMER 21
  ONEIDA 322
  Total 343
TOTAL AGING IN PLACE ERIE 110
  Total 110
VNS CHOICE NYC 3,764
  Total 3,764
 
  UPSTATE TOTALS: 1,894
  NEW YORK CITY TOTALS: 9,729
  GRAND TOTALS: 11,623
NOTE: The source of enrollment is based on the primary and secondary roster reports.