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

NYS November, 2004

County Provider TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR EXPECTED PENETRATION RATE SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled
Eligibles Enrolled Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled Expected Target* % of Target* Eligibles Enrolled
Albany 18,459 14,678 2,186 1,139 20,645 15,817 77% 92% 83% 4,480 1,162 25,125 16,979 68%
Mandatory Capital District Physicians Health Plan   11,438   791   12,229 59%       990   13,219 53%
  HealthNow/BlueShield of NENY   371   91   462 2%       15   477 2%
  NYS Catholic Health Plan   1,911   197   2,108 10%       112   2,220 9%
  Wellcare Of New York   958   60   1,018 5%       45   1,063 4%
Allegany 4,096 961 454 87 4,550 1,048 23% 90% 25% 1,012 100 5,562 1,148 21%
Voluntary HealthNow/BCBS-WNY/Community Blue   961   87   1,048 23%       100   1,148 21%
Broome 14,782 12,493 1,637 1,058 16,419 13,551 83% 90% 91% 3,697 1,053 20,116 14,604 73%
Mandatory Broome MAX   4,820   422   5,242 32%       712   5,954 30%
  Capital District Physicians Health Plan   7,202   551   7,753 47%       319   8,072 40%
  NYS Catholic Health Plan   471   85   556 3%       22   578 3%
Cattaraugus 6,974 5,075 534 393 7,508 5,468 73% 91% 80% 1,589 663 9,097 6,131 67%
Mandatory HealthNow/BCBS-WNY/Community Blue   3,479   239   3,718 50%       568   4,286 47%
  NYS Catholic Health Plan   1,596   154   1,750 23%       95   1,845 20%
Cayuga Voluntary 5,893 0 452 0 6,345 0 0% 89% 0% 1,201 0 7,546 0 0%
Chautauqua 14,086 10,120 1,836 1,204 15,922 11,324 71% 85% 84% 2,780 1,164 18,702 12,488 67%
Mandatory HealthNow/BCBS-WNY/Community Blue   4,144   528   4,672 29%       478   5,150 28%
  NYS Catholic Health Plan   5,976   676   6,652 42%       686   7,338 39%
Chemung 9,202 3,913 1,009 332 10,211 4,245 42% 89% 47% 1,996 881 12,207 5,126 42%
Voluntary Southern Tier Pediatrics (Partial)   2,632   1   2,633 26%       236   2,869 24%
  Southern Tier Priority (Partial)   1,281   331   1,612 16%       645   2,257 18%
Chenango Voluntary 5,339 0 355 0 5,694 0 0% 92% 0% 1,020 0 6,714 0 0%
Clinton Voluntary 6,196 0 587 0 6,783 0 0% 86% 0% 1,623 0 8,406 0 0%
Columbia 3,636 2,594 308 187 3,944 2,781 71% 93% 75% 875 242 4,819 3,023 63%
Mandatory Capital District Physicians Health Plan   1,982   133   2,115 54%       199   2,314 48%
  NYS Catholic Health Plan   242   32   274 7%       8   282 6%
  Wellcare Of New York   370   22   392 10%       35   427 9%
Cortland 4,496 520 328 28 4,824 548 11% 91% 12% 771 100 5,595 648 12%
Voluntary NYS Catholic Health Plan   520   28   548 11%       100   648 12%
Delaware 3,194 0 292 0 3,486 0 0% 92% 0% 766 0 4,252 0 0%
Dutchess 10,739 5,265 1,069 204 11,808 5,469 46% 90% 51% 2,840 344 14,648 5,813 40%
Voluntary GHI HMO Select   262   22   284 2%       10   294 2%
  Hudson Health Plan   571   20   591 5%       41   632 4%
  MVP Health Plan   1,411   48   1,459 12%       89   1,548 11%
  Wellcare Of New York   3,021   114   3,135 27%       204   3,339 23%
Erie 74,207 58,440 10,374 6,103 84,581 64,543 76% 93% 82% 17,727 8,291 102,308 72,834 71%
Mandatory HealthNow/BCBS-WNY/Community Blue   13,604   1,380   14,984 18%       1,150   16,134 16%
  Independent Health Association   18,325   1,538   19,863 23%       1,981   21,844 21%
  NYS Catholic Health Plan   14,549   819   15,368 18%       1,457   16,825 16%
  Univera Community Health   11,342   1,156   12,498 15%       490   12,988 13%
    57,820   4,893   62,713 74%       5,078   67,791 66%
  PCMP III (Partial)   5   12   17 0%       240   257 0%
  PCMP II-A Special Care (Partial)   615   1,198   1,813 2%       2,973   4,786 5%
    620   1,210   1,830 2%       3,213   5,043 5%
Essex Voluntary 2,296 0 194 0 2,490 0 0% 92% 0% 578 0 3,068 0 0%
Franklin Voluntary 3,810 0 330 0 4,140 0 0% 91% 0% 1,015 0 5,155 0 0%
Fulton 5,608 871 493 39 6,101 910 15% 92% 16% 1,107 61 7,208 971 13%
Voluntary Capital District Physicians Health Plan   871   39   910 15%       61   971 13%
Genesee 3,770 2,739 207 224 3,977 2,963 75% 89% 83% 650 184 4,627 3,147 68%
Mandatory HealthNow/BCBS-WNY/Community Blue   1,237   110   1,347 34%       50   1,397 30%
  Rochester Area HMO/Preferred Care   1,502   114   1,616 41%       134   1,750 38%
Greene 3,415 2,847 311 223 3,726 3,070 82% 93% 88% 746 294 4,472 3,364 75%
Mandatory Capital District Physicians Health Plan   1,954   160   2,114 57%       226   2,340 52%
  NYS Catholic Health Plan   362   29   391 10%       16   407 9%
  Wellcare Of New York   531   34   565 15%       52   617 14%
Hamilton Voluntary 207 0 22 0 229 0 0% 91% 0% 43 0 272 0 0%
Herkimer 5,716 4,870 331 306 6,047 5,176 86% 92% 93% 903 135 6,950 5,311 76%
Mandatory Excellus Health Plan   1,945   124   2,069 34%       53   2,122 31%
  NYS Catholic Health Plan   2,405   147   2,552 42%       68   2,620 38%
  United Healthcare Plan Of NY   520   35   555 9%       14   569 8%
Jefferson Voluntary 9,043 0 781 0 9,824 0 0% 87% 0% 1,889 0 11,713 0 0%
Lewis Voluntary 2,453 0 178 0 2,631 0 0% 93% 0% 429 0 3,060 0 0%
Livingston 3,903 3,028 449 295 4,352 3,323 76% 92% 83% 723 238 5,075 3,561 70%
Mandatory Excellus Health Plan   2,071   189   2,260 52%       131   2,391 47%
  Rochester Area HMO/Preferred Care   957   106   1,063 24%       107   1,170 23%
Madison Voluntary 4,454 0 298 0 4,752 0 0% 91% 0% 797 0 5,549 0 0%
Monroe 60,492 45,448 10,726 4,473 71,218 49,921 70% 91% 77% 13,210 3,786 84,428 53,707 64%
Mandatory Excellus Health Plan   34,568   3,429   37,997 53%       2,975   40,972 49%
  Rochester Area HMO/Preferred Care   10,880   1,044   11,924 17%       811   12,735 15%
Montgomery 4,912 928 485 50 5,397 978 18% 92% 20% 846 114 6,243 1,092 17%
Voluntary Capital District Physicians Health Plan   928   50   978 18%       114   1,092 17%
Nassau 50,040 43,522 5,206 3,423 55,246 46,945 85% 92% 92% 10,530 2,153 65,776 49,098 75%
Mandatory Affinity Health Plan   8,805   544   9,349 17%       286   9,635 15%
  HealthFirst PHSP   11,920   669   12,589 23%       396   12,985 20%
  Health Insurance Plan of Greater New York   9,708   1,088   10,796 20%       853   11,649 18%
  NYS Catholic Health Plan   6,769   438   7,207 13%       238   7,445 11%
  United Healthcare Plan Of NY   6,320   684   7,004 13%       380   7,384 11%
Niagara 15,577 13,930 2,007 1,437 17,584 15,367 87% 93% 94% 3,508 1,814 21,092 17,181 81%
Mandatory HealthNow/BCBS-WNY/Community Blue   5,533   561   6,094 35%       562   6,656 32%
  Independent Health Association   5,602   553   6,155 35%       927   7,082 34%
  NYS Catholic Health Plan   2,795   323   3,118 18%       325   3,443 16%
Oneida 20,732 17,047 1,962 1,310 22,694 18,357 81% 92% 88% 5,392 1,871 28,086 20,228 72%
Mandatory Excellus Health Plan   2,761   316   3,077 14%       158   3,235 12%
  NYS Catholic Health Plan   9,999   717   10,716 47%       1,363   12,079 43%
  United Healthcare Plan Of NY   4,287   277   4,564 20%       350   4,914 17%
Onondaga 37,837 28,732 4,807 2,308 42,644 31,040 73% 89% 82% 8,289 2,812 50,933 33,852 66%
Mandatory Excellus Health Plan   3,032   342   3,374 8%       157   3,531 7%
  NYS Catholic Health Plan   6,479   483   6,962 16%       644   7,606 15%
  SCHC Total Care   10,645   916   11,561 27%       1,261   12,822 25%
  United Healthcare Plan Of NY   8,576   567   9,143 21%       750   9,893 23%
Ontario 5,284 4,331 525 294 5,809 4,625 80% 91% 87% 1,191 461 7,000 5,086 73%
Mandatory Excellus Health Plan   3,727   237   3,964 68%       388   4,352 62%
  Rochester Area HMO/Preferred Care   604   57   661 11%       73   734 10%
Orange 29,670 10,127 2,368 577 32,038 10,704 33% 91% 37% 4,291 958 36,329 11,662 32%
Voluntary Affinity Health Plan   6,515   325   6,840 21%       686   7,526 21%
  GHI HMO Select   49   2   51 0%       4   55 0%
  Hudson Health Plan   1,262   114   1,376 4%       107   1,483 4%
  NYS Catholic Health Plan   2   0   2 0%       0   2 0%
  Wellcare Of New York   2,299   136   2,435 8%       161   2,596 7%
Orleans 3,787 2,928 446 290 4,233 3,218 76% 92% 83% 614 163 4,847 3,381 70%
Mandatory Excellus Health Plan   1,045   98   1,143 27%       69   1,212 25%
  HealthNow/BCBS-WNY/Community Blue   783   87   870 21%       39   909 19%
  NYS Catholic Health Plan   1,100   105   1,205 28%       55   1,260 26%
Oswego 11,970 9,903 810 544 12,780 10,447 82% 92% 89% 2,009 791 14,789 11,238 76%
Mandatory Excellus Health Plan   411   44   455 4%       28   483 3%
  NYS Catholic Health Plan   2,056   126   2,182 17%       158   2,340 16%
  SCHC Total Care   3,462   235   3,697 29%       318   4,015 27%
  United Healthcare Plan Of NY   3,974   139   4,113 32%       287   4,400 30%
Otsego Voluntary 3,831 0 297 0 4,128 0 0% 91% 0% 865 0 4,993 0 0%
Putnam 1,319 339 156 30 1,475 369 25% 88% 28% 560 49 2,035 418 21%
Voluntary Careplus, LLC   140   6   146 10%       27   173 9%
  GHI HMO Select   199   24   223 15%       22   245 12%
Rensselaer 9,841 8,632 1,166 963 11,007 9,595 87% 92% 95% 2,258 617 13,265 10,212 77%
Mandatory Capital District Physicians Health Plan   6,737   689   7,426 67%       512   7,938 60%
  HealthNow/BlueShield of NENY   709   126   835 8%       43   878 7%
  NYS Catholic Health Plan   851   95   946 9%       46   992 7%
  Wellcare Of New York   335   53   388 4%       16   404 3%
Rockland 26,816 24,781 1,653 1,059 28,469 25,840 91% 92% 98% 2,618 684 31,087 26,524 85%
Mandatory Affinity Health Plan   1,871   201   2,072 7%       151   2,223 7%
  Community Choice Health Plan Of Westchester   285   65   350 1%       16   366 1%
  GHI HMO Select   113   21   134 0%       10   144 0%
  Hudson Health Plan   3,644   249   3,893 14%       158   4,051 13%
  NYS Catholic Health Plan   17,089   408   17,497 61%       294   17,791 57%
  Wellcare Of New York   1,779   115   1,894 7%       55   1,949 6%
St Lawrence Voluntary 9,957 0 871 0 10,828 0 0% 91% 0% 2,550 0 13,378 0 0%
Saratoga 7,705 5,652 520 313 8,225 5,965 73% 92% 79% 1,914 340 10,139 6,305 62%
Mandatory Capital District Physicians Health Plan   4,320   229   4,549 55%       275   4,824 48%
  HealthNow/BlueShield of NENY   559   38   597 7%       22   619 6%
  NYS Catholic Health Plan   773   46   819 10%       43   862 9%
Schenectady 11,334 6,008 1,055 239 12,389 6,247 50% 90% 56% 2,716 811 15,105 7,058 47%
Voluntary Capital District Physicians Health Plan   4,473   160   4,633 37%       709   5,342 35%
  NYS Catholic Health Plan   1,535   79   1,614 13%       102   1,716 11%
Schoharie 2,308 98 198 15 2,506 113 5% 92% 5% 389 8 2,895 121 4%
Voluntary Capital District Physicians Health Plan   98   15   113 5%       8   121 4%
Schuyler 1,500 187 202 58 1,702 245 14% 92% 16% 298 23 2,000 268 13%
Voluntary Southern Tier Priority (Partial)   187   58   245 14%       23   268 13%
Seneca 2,182 1,480 168 67 2,350 1,547 66% 92% 71% 446 173 2,796 1,720 62%
Voluntary Excellus Health Plan   1,480   67   1,547 66%       173   1,720 62%
Steuben 8,747 2,256 998 219 9,745 2,475 25% 91% 28% 2,067 684 11,812 3,159 27%
Voluntary Southern Tier Pediatrics (Partial)   111       111 1%       10   121 1%
  Southern Tier Priority (Partial)   2,145   219   2,364 24%       674   3,038 26%
Suffolk 66,181 53,195 7,852 4,673 74,033 57,868 78% 91% 86% 13,592 3,415 87,625 61,283 70%
Mandatory Affinity Health Plan   5,874   436   6,310 9%       237   6,547 7%
  HealthFirst PHSP   9,960   724   10,684 14%       671   11,355 13%
  Health Insurance Plan of Greater New York   9,920   1,413   11,333 15%       683   12,016 14%
  NYS Catholic Health Plan   5,266   435   5,701 8%       201   5,902 7%
  Suffolk Health Plan   11,804   909   12,713 17%       1,188   13,901 16%
  United Healthcare Plan Of NY   10,371   755   11,126 15%       435   11,561 13%
  Vytra Health Plans Long Island   0   1   1 0%           1 0%
Sullivan 6,862 3,406 406 124 7,268 3,530 49% 91% 54% 1,490 226 8,758 3,756 43%
Voluntary Hudson Health Plan   3,187   117   3,304 45%       192   3,496 40%
  Wellcare Of New York   219   7   226 3%       34   260 3%
Tioga 3,645 177 327 18 3,972 195 5% 92% 5% 760 3 4,732 198 4%
Voluntary Capital District Physicians Health Plan   177   18   195 5%       3   198 4%
Tompkins 5,237 823 713 66 5,950 889 15% 90% 17% 1,024 89 6,974 978 14%
Voluntary SCHC Total Care   823   66   889 15%       89   978 14%
Ulster 10,568 3,972 988 212 11,556 4,184 36% 91% 40% 2,637 284 14,193 4,468 31%
Voluntary GHI HMO Select   237   27   264 2%       15   279 2%
  Hudson Health Plan   143   19   162 1%       14   176 1%
  MVP Health Plan   992   67   1,059 9%       32   1,091 8%
  Wellcare Of New York   2,600   99   2,699 23%       223   2,922 21%
Warren 3,801 2,039 247 23 4,048 2,062 51% 92% 56% 938 87 4,986 2,149 43%
Voluntary HealthNow/BlueShield of NENY   2,039   23   2,062 51%       87   2,149 43%
Washington 4,572 1,791 246 32 4,818 1,823 38% 91% 42% 1,014 167 5,832 1,990 34%
Voluntary Capital District Physicians Health Plan   618   6   624 13%       37   661 11%
  HealthNow/BlueShield of NENY   985   20   1,005 21%       120   1,125 19%
  NYS Catholic Health Plan   188   6   194 4%       10   204 3%
Wayne 5,633 2,905 360 77 5,993 2,982 50% 92% 54% 1,246 259 7,239 3,241 45%
Voluntary Excellus Health Plan   2,905   77   2,982 50%       259   3,241 45%
Westchester 54,890 39,298 8,019 3,437 62,909 42,735 68% 89% 77% 10,666 2,721 73,575 45,456 62%
Mandatory Affinity Health Plan   5,744   555   6,299 10%       435   6,734 9%
  Community Choice Health Plan Of Westchester   6,473   567   7,040 11%       463   7,503 10%
  Health Insurance Plan of Greater New York   3,040   617   3,657 6%       371   4,028 5%
  Hudson Health Plan   20,297   1,224   21,521 34%       1,205   22,726 31%
  NYS Catholic Health Plan   3,744   474   4,218 7%       247   4,465 6%
Wyoming Voluntary 2,120 0 166 0 2,286 0 0% 91% 0% 422 0 2,708 0 0%
Yates 1,792 1,255 132 74 1,924 1,329 69% 93% 74% 292 112 2,216 1,441 65%
Voluntary Excellus Health Plan   1,255   74   1,329 69%       112   1,441 65%
  717,116 463,604 81,097 38,227 798,213 501,831 63% 91% 69% 151,899 40,587 950,112 542,418 57%
NYC ABC Health Plan   5,746   1,434   7,180 0%       227   7,407 0%
Mandatory Affinity Health Plan   79,832   19,793   99,625 6%       3,420   103,045 5%
  Americhoice of New York   71,438   20,293   91,731 6%       3,460   95,191 5%
  Careplus, LLC   59,019   11,902   70,921 4%       1,422   72,343 4%
  CenterCare   54,832   10,929   65,761 4%       2,144   67,905 4%
  Community Choice Health Plan Of Westchester   3,486   622   4,108 0%       93   4,201 0%
  Community Premier Plus   48,687   9,450   58,137 4%       1,668   59,805 3%
  FidelisCare HealthierLife SN   3   2   5 0%       0   5 0%
  GHI HMO Select   1,069   751   1,820 0%       30   1,850 0%
  HealthFirst PHSP   145,526   30,540   176,066 11%       6,091   182,157 10%
  HealthFirst PHSP SN   79   44   123 0%       77   200 0%
  HealthPlus   146,622   30,231   176,853 11%       3,740   180,593 10%
  Health Insurance Plan of Greater New York   123,330   39,840   163,170 10%       8,280   171,450 9%
  Managed Health Inc/A+ Health Plan   1,363   599   1,962 0%       25   1,987 0%
  MetroPlus Health Plan   135,404   28,308   163,712 10%       5,369   169,081 9%
  MetroPlus Health Plan SN   76   73   149 0%       117   266 0%
  Neighborhood Health Providers   61,184   11,074   72,258 4%       2,152   74,410 4%
  NYPS Select Health SN   104   159   263 0%       194   457 0%
  NYS Catholic Health Plan   65,218   12,264   77,482 5%       2,464   79,946 4%
  St. Barnabas Community Health/Partners In Health   18,784   3,320   22,104 1%       1,179   23,283 1%
  The New York Presbyterian Community Health Plan   35,096   9,963   45,059 3%       1,230   46,289 2%
  United Healthcare Plan Of NY   24,444   9,831   34,275 2%       1,299   35,574 2%
  VidaCare Inc. SN   15   52   67 0%       70   137 0%
  Wellcare Of New York   23,703   6,705   30,408 2%       633   31,041 2%
  1,239,205 1,105,060 393,181 258,179 1,632,386 1,363,239 84% 90% 92% 254,468 45,384 1,886,854 1,408,623 75%
                               
  717,116 463,604 81,097 38,227 798,213 501,831 63% 91% 69% 151,899 40,587 950,112 542,418 57%
  1,239,205 1,105,060 393,181 258,179 1,632,386 1,363,239 84% 90% 92% 254,468 45,384 1,886,854 1,408,623 75%
  1,956,321 1,568,664 474,278 296,406 2,430,599 1,865,070 77% 91% 85% 406,367 85,971 2,836,966 1,951,041 69%
NYC Boroughs Bronx 311,117 278,455 91,922 53,065 403,039 331,520 82%     66,626 11,964 469,665 343,484 73%
  Brooklyn 452,902 402,711 145,808 101,482 598,710 504,193 84%     87,280 16,271 685,990 520,464 76%
  Manhattan 168,915 148,877 71,540 40,874 240,455 189,751 79%     48,553 7,167 289,008 196,918 68%
  Queens 274,160 243,374 75,136 55,910 349,296 299,285 86%     44,594 7,876 393,890 307,160 78%
  Staten Island 32,111 31,642 8,775 6,848 40,886 38,490 94%     7,415 2,107 48,301 40,597 84%
  1,239,205 1,105,060 393,181 258,179 1,632,386 1,363,239 84% 90% 92% 254,468 45,384 1,886,854 1,408,623 75%

Notes

  1. The Managed Care eligible counts are based upon April, 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 : None

*Vytra Health Plans Long Island in Nassau County no longer has enrollment.

Managed Long Term Care Enrollment by Provider And County

NYS November, 2004

Provider County Total Enrollment
CO-OP CARE PLAN NYC 440
  Total 440
COMPREHENSIVE CARE MGT NYC 1,320
  WESTCHESTER 131
  Total 1,451
EDDY SENIORCARE SCHENECTADY 75
  Total 75
ELANT CHOICE ORANGE 84
  Total 84
GUILDNET NYC 2,695
  Total 2,695
HEALTH PARTNERS OF NY NASSAU 467
  Total 467
HOMEFIRST NYC 1,002
  Total 1,002
INDEP CARE SYSTEMS INC NYC 630
  Total 630
INDEP LIVING FOR SENIORS MONROE 306
  Total 306
PACE CNY ONONDAGA 255
  Total 255
PARTNERS IN COMMUNITY CARE ORANGE 91
  ROCKLAND 28
  Total 119
SENIOR HEALTH PARTNERS INC NYC 289
  Total 289
SENIOR NETWORK HEALTH HERKIMER 23
  ONEIDA 322
  Total 345
TOTAL AGING IN PLACE ERIE 120
Total 120
VNS CHOICE NYC 3,729
  Total 3,729
  UPSTATE TOTALS: 1,902
NEW YORK CITY TOTALS: 10,105
GRAND TOTALS: 12,007

NOTE: The source of enrollment is based on the primary and secondary roster reports.