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 September, 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 18,490 14,936 2,090 1,225 20,580 16,161 79% 92% 85% 4,408 1,138 24,988 17,299 69%
Mandatory Capital District Physicians Health Plan   11,696   888   12,584 61%       985   13,569 54%
  HealthNow/BlueShield of NENY   329   76   405 2%       14   419 2%
  NYS Catholic Health Plan   1,925   207   2,132 10%       101   2,233 9%
  Wellcare Of New York   986   54   1,040 5%       38   1,078 4%
Allegany 3,959 1,140 379 99 4,338 1,239 29% 90% 32% 986 197 5,324 1,436 27%
Voluntary Health Choice (Partial)   220   14   234 5%       136   370 7%
  HealthNow/BCBS-WNY/Community Blue   920   85   1,005 23%       61   1,066 20%
Broome 14,243 12,601 1,435 1,098 15,678 13,699 87% 90% 97% 3,648 1,042 19,326 14,741 76%
Mandatory Broome MAX   4,545   351   4,896 31%       703   5,599 29%
  Capital District Physicians Health Plan   7,648   676   8,324 53%       313   8,637 45%
  NYS Catholic Health Plan   408   71   479 3%       26   505 3%
Cattaraugus 6,693 5,124 447 410 7,140 5,534 78% 91% 85% 1,564 652 8,704 6,186 71%
Mandatory HealthNow/BCBS-WNY/Community Blue   3,598   254   3,852 54%       563   4,415 51%
  NYS Catholic Health Plan   1,526   156   1,682 24%       89   1,771 20%
Cayuga Voluntary 5,759 0 397 0 6,156 0 0% 89% 0% 1,184 0 7,340 0 0%
Chautauqua 13,868 10,127 1,720 1,197 15,588 11,324 73% 85% 85% 2,765 1,149 18,353 12,473 68%
Mandatory HealthNow/BCBS-WNY/Community Blue   4,164   516   4,680 30%       460   5,140 28%
  NYS Catholic Health Plan   5,963   681   6,644 43%       689   7,333 40%
Chemung 9,068 3,906 916 312 9,984 4,218 42% 89% 48% 1,983 888 11,967 5,106 43%
Voluntary Southern Tier Pediatrics (Partial)   2,660       2,660 27%       236   2,896 24%
  Southern Tier Priority (Partial)   1,246   312   1,558 16%       652   2,210 18%
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 2,641 284 183 3,854 2,824 73% 93% 78% 894 246 4,748 3,070 65%
Mandatory Capital District Physicians Health Plan   2,055   138   2,193 57%       206   2,399 51%
  NYS Catholic Health Plan   242   20   262 7%       7   269 6%
  Wellcare Of New York   344   25   369 10%       33   402 8%
Cortland 4,341 518 328 23 4,669 541 12% 91% 13% 772 95 5,441 636 12%
Voluntary NYS Catholic Health Plan   518   23   541 12%       95   636 12%
Delaware 3,140 0 248 0 3,388 0 0% 92% 0% 744 0 4,132 0 0%
Dutchess 10,425 4,747 1,026 201 11,451 4,948 43% 90% 48% 2,797 291 14,248 5,239 37%
Voluntary GHI HMO Select   173   18   191 2%       8   199 1%
  Hudson Health Plan   496   28   524 5%       38   562 4%
  MVP Health Plan   1,128   34   1,162 10%       73   1,235 9%
  Wellcare Of New York   2,950   121   3,071 27%       172   3,243 23%
Erie 72,073 58,966 9,840 6,120 81,913 65,086 79% 93% 86% 17,522 8,196 99,435 73,282 74%
Mandatory HealthNow/BCBS-WNY/Community Blue   13,830   1,411   15,241 19%       1,146   16,387 16%
  Independent Health Association   18,828   1,566   20,394 25%       1,915   22,309 22%
  NYS Catholic Health Plan   14,679   834   15,513 19%       1,464   16,977 17%
  Univera Community Health   11,008   1,082   12,090 15%       470   12,560 13%
    58,345   4,893   63,238 77%       4,995   68,233 69%
  PCMP III (Partial)   4   10   14 0%       242   256 0%
  PCMP II-A Special Care (Partial)   617   1,217   1,834 2%       2,959   4,793 5%
    621   1,227   1,848 2%       3,201   5,049 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 5,439 871 443 39 5,882 910 15% 92% 17% 1,087 59 6,969 969 14%
Voluntary Capital District Physicians Health Plan   871   39   910 15%       59   969 14%
Genesee 3,649 2,718 185 225 3,834 2,943 77% 89% 86% 653 171 4,487 3,114 69%
Mandatory HealthNow/BCBS-WNY/Community Blue   1,202   103   1,305 34%       44   1,349 30%
  Rochester Area HMO/Preferred Care   1,516   122   1,638 43%       127   1,765 39%
Greene 3,344 2,859 278 204 3,622 3,063 85% 93% 91% 729 279 4,351 3,342 77%
Mandatory Capital District Physicians Health Plan   1,930   141   2,071 57%       219   2,290 53%
  NYS Catholic Health Plan   366   30   396 11%       14   410 9%
  Wellcare Of New York   563   33   596 16%       46   642 15%
Hamilton Voluntary 194 0 19 0 213 0 0% 91% 0% 46 0 259 0 0%
Herkimer 5,356 4,914 316 313 5,672 5,227 92% 92% 100% 910 125 6,582 5,352 81%
Mandatory Excellus Health Plan   1,925   130   2,055 36%       51   2,106 32%
  NYS Catholic Health Plan   2,389   137   2,526 45%       59   2,585 39%
  United Healthcare Plan Of NY   600   46   646 11%       15   661 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 3,111 408 289 4,160 3,400 82% 92% 89% 706 234 4,866 3,634 75%
Mandatory Excellus Health Plan   2,143   183   2,326 56%       132   2,458 51%
  Rochester Area HMO/Preferred Care   968   106   1,074 26%       102   1,176 24%
Madison Voluntary 4,327 0 260 0 4,587 0 0% 91% 0% 783 0 5,370 0 0%
Monroe 59,395 44,467 9,914 4,369 69,309 48,836 70% 91% 77% 12,944 3,641 82,253 52,477 64%
Mandatory Excellus Health Plan   33,749   3,348   37,097 54%       2,870   39,967 49%
  Rochester Area HMO/Preferred Care   10,718   1,021   11,739 17%       771   12,510 15%
Montgomery 4,728 956 432 57 5,160 1,013 20% 92% 21% 839 104 5,999 1,117 19%
Voluntary Capital District Physicians Health Plan   956   57   1,013 20%       104   1,117 19%
Nassau 45,970 43,417 4,491 3,205 50,461 46,622 92% 92% 100% 10,441 2,102 60,902 48,724 80%
Mandatory Affinity Health Plan   8,880   507   9,387 19%       286   9,673 16%
  HealthFirst PHSP   11,777   611   12,388 25%       392   12,780 21%
  Health Insurance Plan of Greater New York   7,530   907   8,437 17%       686   9,123 15%
  NYS Catholic Health Plan   6,695   393   7,088 14%       238   7,326 12%
  United Healthcare Plan Of NY   5,870   588   6,458 13%       339   6,797 11%
  Vytra Health Plans Long Island   2,665   199   2,864 6%       161   3,025 5%
Niagara 14,687 13,946 1,801 1,458 16,488 15,404 93% 93% 101% 3,469 1,779 19,957 17,183 86%
Mandatory HealthNow/BCBS-WNY/Community Blue   5,533   575   6,108 37%       562   6,670 33%
  Independent Health Association   5,687   572   6,259 38%       899   7,158 36%
  NYS Catholic Health Plan   2,726   311   3,037 18%       318   3,355 17%
Oneida 20,357 16,846 1,826 1,287 22,183 18,133 82% 92% 88% 5,374 1,833 27,557 19,966 72%
Mandatory Excellus Health Plan   2,699   270   2,969 13%       151   3,120 11%
  NYS Catholic Health Plan   9,784   732   10,516 47%       1,337   11,853 43%
  United Healthcare Plan Of NY   4,363   285   4,648 21%       345   4,993 18%
Onondaga 36,948 28,845 4,730 2,353 41,678 31,198 75% 89% 84% 8,196 2,765 49,874 33,963 68%
Mandatory Excellus Health Plan   2,993   342   3,335 8%       146   3,481 7%
  NYS Catholic Health Plan   6,510   493   7,003 17%       640   7,643 15%
  SCHC Total Care   10,761   943   11,704 28%       1,246   12,950 26%
  United Healthcare Plan Of NY   8,581   575   9,156 22%       733   9,889 24%
Ontario 5,206 4,260 422 283 5,628 4,543 81% 91% 88% 1,171 445 6,799 4,988 73%
Mandatory Excellus Health Plan   3,633   226   3,859 69%       374   4,233 62%
  Rochester Area HMO/Preferred Care   627   57   684 12%       71   755 11%
Orange 29,447 9,964 2,250 599 31,697 10,563 33% 91% 37% 4,305 909 36,002 11,472 32%
Voluntary Affinity Health Plan   6,512   344   6,856 22%       651   7,507 21%
  Hudson Health Plan   1,270   121   1,391 4%       101   1,492 4%
  Wellcare Of New York   2,182   134   2,316 7%       157   2,473 7%
Orleans 3,738 2,913 351 292 4,089 3,205 78% 92% 85% 601 152 4,690 3,357 72%
Mandatory Excellus Health Plan   1,015   93   1,108 27%       65   1,173 25%
  HealthNow/BCBS-WNY/Community Blue   761   79   840 21%       33   873 19%
  NYS Catholic Health Plan   1,137   120   1,257 31%       54   1,311 28%
Oswego 11,743 9,866 812 572 12,555 10,438 83% 92% 90% 1,985 769 14,540 11,207 77%
Mandatory Excellus Health Plan   407   47   454 4%       24   478 3%
  NYS Catholic Health Plan   1,974   137   2,111 17%       155   2,266 16%
  SCHC Total Care   3,440   245   3,685 29%       306   3,991 27%
  United Healthcare Plan Of NY   4,045   143   4,188 33%       284   4,472 31%
Otsego Voluntary 3,698 0 251 0 3,949 0 0% 91% 0% 872 0 4,821 0 0%
Putnam 1,300 298 139 25 1,439 323 22% 88% 25% 559 48 1,998 371 19%
Voluntary Careplus, LLC   147   5   152 11%       28   180 9%
  GHI HMO Select   151   20   171 12%       20   191 10%
Rensselaer 9,726 8,599 1,022 948 10,748 9,547 89% 92% 97% 2,233 586 12,981 10,133 78%
Mandatory Capital District Physicians Health Plan   6,759   683   7,442 69%       484   7,926 61%
  HealthNow/BlueShield of NENY   686   129   815 8%       40   855 7%
  NYS Catholic Health Plan   828   91   919 9%       45   964 7%
  Wellcare Of New York   326   45   371 3%       17   388 3%
Rockland 25,984 24,590 1,458 1,067 27,442 25,657 93% 92% 101% 2,621 675 30,063 26,332 88%
Mandatory Affinity Health Plan   1,840   209   2,049 7%       149   2,198 7%
  Community Choice Health Plan Of Westchester   278   60   338 1%       15   353 1%
  GHI HMO Select   87   22   109 0%       6   115 0%
  Hudson Health Plan   3,648   252   3,900 14%       162   4,062 14%
  NYS Catholic Health Plan   16,930   414   17,344 63%       288   17,632 59%
  Wellcare Of New York   1,807   110   1,917 7%       55   1,972 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 5,858 480 322 8,018 6,180 77% 92% 84% 1,918 340 9,936 6,520 66%
Mandatory Capital District Physicians Health Plan   4,549   236   4,785 60%       279   5,064 51%
  HealthNow/BlueShield of NENY   558   40   598 7%       19   617 6%
  NYS Catholic Health Plan   751   46   797 10%       42   839 8%
Schenectady 11,039 5,816 1,017 257 12,056 6,073 50% 90% 56% 2,708 791 14,764 6,864 46%
Voluntary Capital District Physicians Health Plan   4,447   180   4,627 38%       699   5,326 36%
  NYS Catholic Health Plan   1,369   77   1,446 12%       92   1,538 10%
Schoharie 2,241 99 161 13 2,402 112 5% 92% 5% 388 6 2,790 118 4%
Voluntary Capital District Physicians Health Plan   99   13   112 5%       6   118 4%
Schuyler 1,466 185 133 58 1,599 243 15% 92% 17% 304 19 1,903 262 14%
Voluntary Southern Tier Priority (Partial)   185   58   243 15%       19   262 14%
Seneca 2,199 1,462 153 67 2,352 1,529 65% 92% 70% 455 175 2,807 1,704 61%
Voluntary Excellus Health Plan   1,462   67   1,529 65%       175   1,704 61%
Steuben 8,590 2,254 863 235 9,453 2,489 26% 91% 29% 2,078 679 11,531 3,168 27%
Voluntary Southern Tier Pediatrics (Partial)   109       109 1%       13   122 1%
  Southern Tier Priority (Partial)   2,145   235   2,380 25%       666   3,046 26%
Suffolk 64,259 52,805 6,905 4,501 71,164 57,306 81% 91% 88% 13,534 3,355 84,698 60,661 72%
Mandatory Affinity Health Plan   5,865   434   6,299 9%       230   6,529 8%
  HealthFirst PHSP   9,262   667   9,929 14%       646   10,575 12%
  Health Insurance Plan of Greater New York   6,665   1,003   7,668 11%       424   8,092 10%
  NYS Catholic Health Plan   5,270   410   5,680 8%       178   5,858 7%
  Suffolk Health Plan   11,755   862   12,617 18%       1,177   13,794 16%
  United Healthcare Plan Of NY   9,869   635   10,504 15%       358   10,862 13%
  Vytra Health Plans Long Island   4,119   490   4,609 6%       342   4,951 6%
Sullivan 6,651 3,353 352 107 7,003 3,460 49% 91% 54% 1,506 205 8,509 3,665 43%
Voluntary Hudson Health Plan   3,174   106   3,280 47%       173   3,453 41%
  Wellcare Of New York   179   1   180 3%       32   212 2%
Tioga 3,541 178 263 17 3,804 195 5% 92% 6% 733 3 4,537 198 4%
Voluntary Capital District Physicians Health Plan   178   17   195 5%       3   198 4%
Tompkins 5,023 769 605 68 5,628 837 15% 90% 17% 1,016 85 6,644 922 14%
Voluntary SCHC Total Care   769   68   837 15%       85   922 14%
Ulster 10,425 3,670 929 201 11,354 3,871 34% 91% 37% 2,610 266 13,964 4,137 30%
Voluntary GHI HMO Select   151   19   170 1%       14   184 1%
  Hudson Health Plan   104   25   129 1%       10   139 1%
  MVP Health Plan   756   54   810 7%       22   832 6%
  Wellcare Of New York   2,659   103   2,762 24%       220   2,982 21%
Warren 3,629 2,152 230 23 3,859 2,175 56% 92% 62% 936 85 4,795 2,260 47%
Voluntary HealthNow/BlueShield of NENY   2,152   23   2,175 56%       85   2,260 47%
Washington 4,413 1,799 241 34 4,654 1,833 39% 91% 43% 983 152 5,637 1,985 35%
Voluntary Capital District Physicians Health Plan   606   8   614 13%       36   650 12%
  HealthNow/BlueShield of NENY   1,006   22   1,028 22%       109   1,137 20%
  NYS Catholic Health Plan   187   4   191 4%       7   198 4%
Wayne 5,509 3,050 323 102 5,832 3,152 54% 92% 59% 1,237 243 7,069 3,395 48%
Voluntary Excellus Health Plan   3,050   102   3,152 54%       243   3,395 48%
Westchester 54,282 40,463 7,589 3,618 61,871 44,081 71% 89% 81% 10,537 2,701 72,408 46,782 65%
Mandatory Affinity Health Plan   5,926   640   6,566 11%       439   7,005 10%
  Community Choice Health Plan Of Westchester   6,853   612   7,465 12%       447   7,912 11%
  Health Insurance Plan of Greater New York   3,010   614   3,624 6%       374   3,998 6%
  Hudson Health Plan   20,890   1,255   22,145 36%       1,195   23,340 32%
  NYS Catholic Health Plan   3,784   497   4,281 7%       246   4,527 6%
Wyoming Voluntary 2,125 0 131 0 2,256 0 0% 91% 0% 439 0 2,695 0 0%
Yates 1,761 1,227 112 72 1,873 1,299 69% 93% 75% 296 104 2,169 1,403 65%
Voluntary Excellus Health Plan   1,227   72   1,299 69%       104   1,403 65%
697,027 463,286 74,260 38,148 771,287 501,434 65% 91% 71% 150,488 39,779 921,775 541,213 59%
NYC ABC Health Plan   5,811   1,386   7,197 0%       215   7,412 0%
Mandatory Affinity Health Plan   79,633   19,379   99,012 6%       3,325   102,337 5%
  Americhoice of New York   70,908   20,295   91,203 6%       3,372   94,575 5%
  Careplus, LLC   58,890   11,415   70,305 4%       1,338   71,643 4%
  CenterCare   55,072   10,964   66,036 4%       2,065   68,101 4%
  Community Choice Health Plan Of Westchester   3,527   652   4,179 0%       91   4,270 0%
  Community Premier Plus   47,590   9,317   56,907 4%       1,553   58,460 3%
  FidelisCare HealthierLife SN   4   2   6 0%           6 0%
  GHI HMO Select   834   573   1,407 0%       16   1,423 0%
  HealthFirst PHSP   140,074   28,676   168,750 10%       5,801   174,551 9%
  HealthFirst PHSP SN   80   44   124 0%       76   200 0%
  HealthPlus   144,481   29,743   174,224 11%       3,514   177,738 10%
  Health Insurance Plan of Greater New York   122,417   39,855   162,272 10%       8,045   170,317 9%
  Managed Health Inc/A+ Health Plan   1,175   518   1,693 0%       21   1,714 0%
  MetroPlus Health Plan   132,766   27,936   160,702 10%       5,139   165,841 9%
  MetroPlus Health Plan SN   68   74   142 0%       116   258 0%
  Neighborhood Health Providers   60,915   10,744   71,659 4%       2,045   73,704 4%
  NYPS Select Health SN   76   143   219 0%       177   396 0%
  NYS Catholic Health Plan   65,740   12,416   78,156 5%       2,383   80,539 4%
  St. Barnabas Community Health/Partners In Health   18,832   3,338   22,170 1%       1,144   23,314 1%
  The New York Presbyterian Community Health Plan   34,650   9,829   44,479 3%       1,148   45,627 2%
  United Healthcare Plan Of NY   24,364   9,847   34,211 2%       1,191   35,402 2%
  VidaCare Inc. SN   15   50   65 0%       71   136 0%
  Wellcare Of New York   23,673   6,540   30,213 2%       587   30,800 2%
1,231,681 1,091,595 385,038 253,736 1,616,719 1,345,331 83% 90% 92% 253,433 43,433 1,870,152 1,388,764 74%
                               
  697,027 463,286 74,260 38,148 771,287 501,434 65% 91% 71% 150,488 39,779 921,775 541,213 59%
  1,231,681 1,091,595 385,038 253,736 1,616,719 1,345,331 83% 90% 92% 253,433 43,433 1,870,152 1,388,764 74%
  1,928,708 1,554,881 459,298 291,884 2,388,006 1,846,765 77% 91% 85% 403,921 83,212 2,791,927 1,929,977 69%
NYC Boroughs Bronx 304,490 274,954 88,163 52,161 392,653 327,115 83%     65,821 11,503 458,474 338,618 74%
  Brooklyn 453,632 399,150 145,305 100,359 598,937 499,509 83%     86,856 15,633 685,793 515,142 75%
  Manhattan 172,128 146,951 71,594 40,304 243,722 187,255 77%     48,615 6,821 292,337 194,076 66%
  Queens 268,091 239,215 71,410 54,244 339,501 293,459 86%     44,335 7,447 383,836 300,906 78%
  Staten Island 33,340 31,326 8,566 6,667 41,906 37,993 91%     7,806 2,029 49,712 40,023 81%
  1,231,681 1,091,595 385,038 253,736 1,616,719 1,345,331 83% 90% 92% 253,433 43,433 1,870,152 1,388,764 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

 

Managed Long Term Care Enrollment by Provider and County

NYS September 2004
PROVIDER COUNTY TOTAL ENROLLMENT
CO-OP CARE PLAN NYC 434
  Total 434
COMPREHENSIVE CARE MGT NYC 1,286
  WESTCHESTER 133
  Total 1,419
EDDY SENIORCARE SCHENECTADY 74
  Total 74
ELANT CHOICE ORANGE 85
  Total 85
GUILDNET NYC 2,552
  Total 2,552
HEALTH PARTNERS OF NY NASSAU 474
  Total 474
HOMEFIRST NYC 991
  Total 991
INDEP CARE SYSTEMS INC NYC 613
  Total 613
INDEP LIVING FOR SENIORS MONROE 309
  Total 309
PACE CNY ONONDAGA 240
  Total 240
PARTNERS IN COMMUNITY CARE ORANGE 97
  ROCKLAND 28
  Total 125
SENIOR HEALTH PARTNERS INC NYC 250
  Total 250
SENIOR NETWORK HEALTH HERKIMER 22
  ONEIDA 319
  Total 341
TOTAL AGING IN PLACE ERIE 115
  Total 115
VNS CHOICE NYC 3,773
  Total 3,773
 
  UPSTATE TOTALS: 1,896
  NEW YORK CITY TOTALS: 9,899
  GRAND TOTALS: 11,795
NOTE: The source of enrollment is based on the primary and secondary roster reports.