Monthly Medicaid Managed Care Enrollment Report

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

NYS December, 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 14,756 2,186 1,157 20,645 15,913 77% 92% 84% 4,480 1,173 25,125 17,086 68%
Mandatory Capital District Physicians Health Plan   11,415   810   12,225 59%       1,006   13,231 53%
  HealthNow/BlueShield of NENY   397   86   483 2%       14   497 2%
  NYS Catholic Health Plan   1,967   198   2,165 10%       109   2,274 9%
  Wellcare Of New York   977   63   1,040 5%       44   1,084 4%
Allegany 4,096 968 454 88 4,550 1,056 23% 90% 26% 1,012 101 5,562 1,157 21%
Voluntary HealthNow/BCBS-WNY/Community Blue   968   88   1,056 23%       101   1,157 21%
Broome 14,782 12,407 1,637 1,040 16,419 13,447 82% 90% 91% 3,697 1,051 20,116 14,498 72%
Mandatory Broome MAX   5,266   477   5,743 35%       743   6,486 32%
  Capital District Physicians Health Plan   6,564   458   7,022 43%       278   7,300 36%
  NYS Catholic Health Plan   577   105   682 4%       30   712 4%
Cattaraugus 6,974 5,043 534 397 7,508 5,440 72% 91% 79% 1,589 659 9,097 6,099 67%
Mandatory HealthNow/BCBS-WNY/Community Blue   3,406   244   3,650 49%       566   4,216 46%
  NYS Catholic Health Plan   1,637   153   1,790 24%       93   1,883 21%
Cayuga Voluntary 5,893 0 452 0 6,345 0 0% 89% 0% 1,201 0 7,546 0 0%
Chautauqua 14,086 10,093 1,836 1,209 15,922 11,302 71% 85% 84% 2,780 1,168 18,702 12,470 67%
Mandatory HealthNow/BCBS-WNY/Community Blue   4,141   544   4,685 29%       473   5,158 28%
  NYS Catholic Health Plan   5,952   665   6,617 42%       695   7,312 39%
Chemung 9,202 3,848 1,009 328 10,211 4,176 41% 89% 46% 1,996 870 12,207 5,046 41%
Voluntary Southern Tier Pediatrics (Partial)   2,569       2,569 25%       237   2,806 23%
  Southern Tier Priority (Partial)   1,279   328   1,607 16%       633   2,240 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 2,583 308 187 3,944 2,770 70% 93% 75% 875 254 4,819 3,024 63%
Mandatory Capital District Physicians Health Plan   1,964   131   2,095 53%       208   2,303 48%
  NYS Catholic Health Plan   241   32   273 7%       8   281 6%
  Wellcare Of New York   378   24   402 10%       38   440 9%
Cortland 4,496 528 328 29 4,824 557 12% 91% 13% 771 98 5,595 655 12%
Voluntary NYS Catholic Health Plan   528   29   557 12%       98   655 12%
Delaware 3,194 0 292 0 3,486 0 0% 92% 0% 766 0 4,252 0 0%
Dutchess 10,739 5,338 1,069 194 11,808 5,532 47% 90% 52% 2,840 363 14,648 5,895 40%
Voluntary GHI HMO Select   286   20   306 3%       11   317 2%
  Hudson Health Plan   592   21   613 5%       40   653 4%
  MVP Health Plan   1,481   55   1,536 13%       92   1,628 11%
  Wellcare Of New York   2,979   98   3,077 26%       220   3,297 23%
Erie 74,207 58,262 10,374 6,102 84,581 64,364 76% 93% 82% 17,727 8,312 102,308 72,676 71%
Mandatory HealthNow/BCBS-WNY/Community Blue   13,439   1,344   14,783 17%       1,154   15,937 16%
  Independent Health Association   18,175   1,534   19,709 23%       1,986   21,695 21%
  NYS Catholic Health Plan   14,480   816   15,296 18%       1,453   16,749 16%
  Univera Community Health   11,539   1,210   12,749 15%       492   13,241 13%
  Total Full Risk   57,633   4,904   62,537 74%       5,085   67,622 66%
  PCMP III (Partial)   4   15   19 0%       254   273 0%
  PCMP II-A Special Care (Partial)   625   1,183   1,808 2%       2,973   4,781 5%
  Total Partial Risk   629   1,198   1,827 2%       3,227   5,054 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 5,608 845 493 38 6,101 883 14% 92% 16% 1,107 59 7,208 942 13%
Voluntary Capital District Physicians Health Plan   845   38   883 14%       59   942 13%
Genesee 3,770 2,799 207 234 3,977 3,033 76% 89% 85% 650 185 4,627 3,218 70%
Mandatory HealthNow/BCBS-WNY/Community Blue   1,277   122   1,399 35%       52   1,451 31%
  Rochester Area HMO/Preferred Care   1,522   112   1,634 41%       133   1,767 38%
Greene 3,415 2,827 311 218 3,726 3,045 82% 93% 88% 746 292 4,472 3,337 75%
Mandatory Capital District Physicians Health Plan   1,948   150   2,098 56%       226   2,324 52%
  NYS Catholic Health Plan   353   33   386 10%       15   401 9%
  Wellcare Of New York   526   35   561 15%       51   612 14%
Hamilton Voluntary 207 0 22 0 229 0 0% 91% 0% 43 0 272 0 0%
Herkimer 5,716 4,843 331 298 6,047 5,141 85% 92% 92% 903 141 6,950 5,282 76%
Mandatory Excellus Health Plan   1,928   120   2,048 34%       57   2,105 30%
  NYS Catholic Health Plan   2,425   144   2,569 42%       70   2,639 38%
  United Healthcare Plan Of NY   490   34   524 9%       14   538 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 3,051 449 293 4,352 3,344 77% 92% 84% 723 243 5,075 3,587 71%
Mandatory Excellus Health Plan   2,090   187   2,277 52%       133   2,410 47%
  Rochester Area HMO/Preferred Care   961   106   1,067 25%       110   1,177 23%
Madison Voluntary 4,454 0 298 0 4,752 0 0% 91% 0% 797 0 5,549 0 0%
Monroe 60,492 45,918 10,726 4,493 71,218 50,411 71% 91% 78% 13,210 3,824 84,428 54,235 64%
Mandatory Excellus Health Plan   34,836   3,429   38,265 54%       3,015   41,280 49%
  Rochester Area HMO/Preferred Care   11,082   1,064   12,146 17%       809   12,955 15%
Montgomery 4,912 944 485 52 5,397 996 18% 92% 20% 846 111 6,243 1,107 18%
Voluntary Capital District Physicians Health Plan   944   52   996 18%       111   1,107 18%
Nassau 50,040 44,009 5,206 3,480 55,246 47,489 86% 92% 93% 10,530 2,226 65,776 49,715 76%
Mandatory Affinity Health Plan   8,876   563   9,439 17%       296   9,735 15%
  HealthFirst PHSP   12,113   674   12,787 23%       401   13,188 20%
  Health Insurance Plan of Greater New York   9,688   1,111   10,799 20%       878   11,677 18%
  NYS Catholic Health Plan   6,883   449   7,332 13%       244   7,576 12%
  United Healthcare Plan Of NY   6,449   683   7,132 13%       407   7,539 11%
Niagara 15,577 13,692 2,007 1,405 17,584 15,097 86% 93% 92% 3,508 1,814 21,092 16,911 80%
Mandatory HealthNow/BCBS-WNY/Community Blue   5,404   550   5,954 34%       552   6,506 31%
  Independent Health Association   5,532   541   6,073 35%       926   6,999 33%
  NYS Catholic Health Plan   2,756   314   3,070 17%       336   3,406 16%
Oneida 20,732 17,078 1,962 1,334 22,694 18,412 81% 92% 88% 5,392 1,900 28,086 20,312 72%
Mandatory Excellus Health Plan   2,790   326   3,116 14%       168   3,284 12%
  NYS Catholic Health Plan   10,024   731   10,755 47%       1,377   12,132 43%
  United Healthcare Plan Of NY   4,264   277   4,541 20%       355   4,896 17%
Onondaga 37,837 28,543 4,807 2,243 42,644 30,786 72% 89% 81% 8,289 2,824 50,933 33,610 66%
Mandatory Excellus Health Plan   3,006   320   3,326 8%       158   3,484 7%
  NYS Catholic Health Plan   6,476   471   6,947 16%       652   7,599 15%
  SCHC Total Care   10,573   885   11,458 27%       1,267   12,725 25%
  United Healthcare Plan Of NY   8,488   567   9,055 21%       747   9,802 23%
Ontario 5,284 4,279 525 293 5,809 4,572 79% 91% 86% 1,191 473 7,000 5,045 72%
Mandatory Excellus Health Plan   3,695   234   3,929 68%       400   4,329 62%
  Rochester Area HMO/Preferred Care   584   59   643 11%       73   716 10%
Orange 29,670 10,257 2,368 585 32,038 10,842 34% 91% 37% 4,291 971 36,329 11,813 33%
Voluntary Affinity Health Plan   6,605   326   6,931 22%       691   7,622 21%
  GHI HMO Select   77   3   80 0%       5   85 0%
  Hudson Health Plan   1,265   122   1,387 4%       110   1,497 4%
  NYS Catholic Health Plan   4   0   4 0%       0   4 0%
  Wellcare Of New York   2,306   134   2,440 8%       165   2,605 7%
Orleans 3,787 2,966 446 280 4,233 3,246 77% 92% 83% 614 162 4,847 3,408 70%
Mandatory Excellus Health Plan   1,038   97   1,135 27%       68   1,203 25%
  HealthNow/BCBS-WNY/Community Blue   832   83   915 22%       39   954 20%
  NYS Catholic Health Plan   1,096   100   1,196 28%       55   1,251 26%
Oswego 11,970 9,871 810 553 12,780 10,424 82% 92% 88% 2,009 801 14,789 11,225 76%
Mandatory Excellus Health Plan   413   47   460 4%       29   489 3%
  NYS Catholic Health Plan   2,057   127   2,184 17%       160   2,344 16%
  SCHC Total Care   3,519   242   3,761 29%       328   4,089 28%
  United Healthcare Plan Of NY   3,882   137   4,019 31%       284   4,303 29%
Otsego Voluntary 3,831 0 297 0 4,128 0 0% 91% 0% 865 0 4,993 0 0%
Putnam 1,319 359 156 29 1,475 388 26% 88% 30% 560 52 2,035 440 22%
Voluntary Careplus, LLC   142   7   149 10%       26   175 9%
  GHI HMO Select   217   22   239 16%       26   265 13%
Rensselaer 9,841 8,654 1,166 944 11,007 9,598 87% 92% 95% 2,258 633 13,265 10,231 77%
Mandatory Capital District Physicians Health Plan   6,704   678   7,382 67%       525   7,907 60%
  HealthNow/BlueShield of NENY   738   121   859 8%       44   903 7%
  NYS Catholic Health Plan   872   92   964 9%       48   1,012 8%
  Wellcare Of New York   340   53   393 4%       16   409 3%
Rockland 26,816 24,820 1,653 1,071 28,469 25,891 91% 92% 99% 2,618 691 31,087 26,582 86%
Mandatory Affinity Health Plan   1,872   199   2,071 7%       159   2,230 7%
  Community Choice Health Plan Of Westchester   283   68   351 1%       14   365 1%
  GHI HMO Select   133   22   155 1%       10   165 1%
  Hudson Health Plan   3,582   248   3,830 13%       162   3,992 13%
  NYS Catholic Health Plan   17,186   412   17,598 62%       291   17,889 58%
  Wellcare Of New York   1,764   122   1,886 7%       55   1,941 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 5,665 520 331 8,225 5,996 73% 92% 80% 1,914 344 10,139 6,340 63%
Mandatory Capital District Physicians Health Plan   4,298   242   4,540 55%       278   4,818 48%
  HealthNow/BlueShield of NENY   578   38   616 7%       24   640 6%
  NYS Catholic Health Plan   789   51   840 10%       42   882 9%
Schenectady 11,334 5,934 1,055 238 12,389 6,172 50% 90% 55% 2,716 814 15,105 6,986 46%
Voluntary Capital District Physicians Health Plan   4,307   151   4,458 36%       698   5,156 34%
  NYS Catholic Health Plan   1,627   87   1,714 14%       116   1,830 12%
Schoharie 2,308 104 198 17 2,506 121 5% 92% 5% 389 8 2,895 129 4%
Voluntary Capital District Physicians Health Plan   104   17   121 5%       8   129 4%
Schuyler 1,500 187 202 56 1,702 243 14% 92% 16% 298 22 2,000 265 13%
Voluntary Southern Tier Priority (Partial)   187   56   243 14%       22   265 13%
Seneca 2,182 1,502 168 66 2,350 1,568 67% 92% 72% 446 172 2,796 1,740 62%
Voluntary Excellus Health Plan   1,502   66   1,568 67%       172   1,740 62%
Steuben 8,747 2,266 998 209 9,745 2,475 25% 91% 28% 2,067 684 11,812 3,159 27%
Voluntary Southern Tier Pediatrics (Partial)   115   0   115 1%       10   125 1%
  Southern Tier Priority (Partial)   2,151   209   2,360 24%       674   3,034 26%
Suffolk 66,181 53,300 7,852 4,794 74,033 58,094 78% 91% 86% 13,592 3,397 87,625 61,491 70%
Mandatory Affinity Health Plan   5,796   452   6,248 8%       235   6,483 7%
  HealthFirst PHSP   10,117   757   10,874 15%       664   11,538 13%
  Health Insurance Plan of Greater New York   9,824   1,434   11,258 15%       671   11,929 14%
  NYS Catholic Health Plan   5,292   435   5,727 8%       200   5,927 7%
  Suffolk Health Plan   11,836   941   12,777 17%       1,188   13,965 16%
  United Healthcare Plan Of NY   10,435   775   11,210 15%       439   11,649 13%
Sullivan 6,862 3,525 406 122 7,268 3,647 50% 91% 55% 1,490 233 8,758 3,880 44%
Voluntary Hudson Health Plan   3,298   113   3,411 47%       197   3,608 41%
  Wellcare Of New York   227   9   236 3%       36   272 3%
Tioga 3,645 177 327 19 3,972 196 5% 92% 5% 760 4 4,732 200 4%
Voluntary Capital District Physicians Health Plan   177   19   196 5%       4   200 4%
Tompkins 5,237 878 713 67 5,950 945 16% 90% 18% 1,024 97 6,974 1,042 15%
Voluntary SCHC Total Care   878   67   945 16%       97   1,042 15%
Ulster 10,568 4,085 988 217 11,556 4,302 37% 91% 41% 2,637 290 14,193 4,592 32%
Voluntary GHI HMO Select   283   31   314 3%       19   333 2%
  Hudson Health Plan   150   20   170 1%       15   185 1%
  MVP Health Plan   1,074   72   1,146 10%       37   1,183 8%
  Wellcare Of New York   2,578   94   2,672 23%       219   2,891 20%
Warren 3,801 1,998 247 24 4,048 2,022 50% 92% 55% 938 86 4,986 2,108 42%
Voluntary HealthNow/BlueShield of NENY   1,998   24   2,022 50%       86   2,108 42%
Washington 4,572 1,756 246 30 4,818 1,786 37% 91% 41% 1,014 169 5,832 1,955 34%
Voluntary Capital District Physicians Health Plan   601   6   607 13%       37   644 11%
  HealthNow/BlueShield of NENY   971   18   989 21%       119   1,108 19%
  NYS Catholic Health Plan   184   6   190 4%       13   203 3%
Wayne 5,633 2,835 360 72 5,993 2,907 49% 92% 53% 1,246 260 7,239 3,167 44%
Voluntary Excellus Health Plan   2,835   72   2,907 49%       260   3,167 44%
Westchester 54,890 38,899 8,019 3,444 62,909 42,343 67% 89% 76% 10,666 2,731 73,575 45,074 61%
Mandatory Affinity Health Plan   5,695   565   6,260 10%       435   6,695 9%
  Community Choice Health Plan Of Westchester   6,463   581   7,044 11%       466   7,510 10%
  Health Insurance Plan of Greater New York   3,055   613   3,668 6%       367   4,035 5%
  Hudson Health Plan   20,006   1,215   21,221 34%       1,205   22,426 30%
  NYS Catholic Health Plan   3,680   470   4,150 7%       258   4,408 6%
Wyoming Voluntary 2,120 0 166 0 2,286 0 0% 91% 0% 422 0 2,708 0 0%
Yates 1,792 1,251 132 72 1,924 1,323 69% 93% 74% 292 111 2,216 1,434 65%
Voluntary Excellus Health Plan   1,251   72   1,323 69%       111   1,434 65%
  717,116 463,943 81,097 38,352 798,213 502,295 63% 91% 69% 151,899 40,873 950,112 543,168 57%
NYC ABC Health Plan   5,651   1,413   7,064 0%       228   7,292 0%
Mandatory Affinity Health Plan   79,125   19,718   98,843 6%       3,415   102,258 5%
  Americhoice of New York   71,417   20,247   91,664 6%       3,463   95,127 5%
  Careplus, LLC   59,055   11,955   71,010 4%       1,451   72,461 4%
  CenterCare   54,444   10,764   65,208 4%       2,144   67,352 4%
  Community Choice Health Plan Of Westchester   3,428   600   4,028 0%       89   4,117 0%
  Community Premier Plus   49,189   9,420   58,609 4%       1,717   60,326 3%
  FidelisCare HealthierLife SN   3   2   5 0%       0   5 0%
  GHI HMO Select   1,118   801   1,919 0%       34   1,953 0%
  HealthFirst PHSP   146,510   30,599   177,109 11%       6,196   183,305 10%
  HealthFirst PHSP SN   77   42   119 0%       76   195 0%
  HealthPlus   146,715   30,185   176,900 11%       3,810   180,710 10%
  Health Insurance Plan of Greater New York   123,206   39,594   162,800 10%       8,350   171,150 9%
  Managed Health Inc/A+ Health Plan   1,405   630   2,035 0%       23   2,058 0%
  MetroPlus Health Plan   135,704   28,343   164,047 10%       5,410   169,457 9%
  MetroPlus Health Plan SN   72   76   148 0%       118   266 0%
  Neighborhood Health Providers   60,998   11,054   72,052 4%       2,172   74,224 4%
  NYPS Select Health SN   103   167   270 0%       204   474 0%
  NYS Catholic Health Plan   64,817   12,220   77,037 5%       2,482   79,519 4%
  St. Barnabas Community Health/Partners In Health   18,578   3,269   21,847 1%       1,185   23,032 1%
  The New York Presbyterian Community Health Plan   35,195   9,949   45,144 3%       1,237   46,381 2%
  United Healthcare Plan Of NY   24,421   9,820   34,241 2%       1,326   35,567 2%
  VidaCare Inc. SN   15   57   72 0%       76   148 0%
  Wellcare Of New York   23,864   6,762   30,626 2%       646   31,272 2%
  1,239,205 1,105,110 393,181 257,687 1,632,386 1,362,797 83% 90% 92% 254,468 45,852 1,886,854 1,408,649 75%
  717,116 463,943 81,097 38,352 798,213 502,295 63% 91% 69% 151,899 40,873 950,112 543,168 57%
  1,239,205 1,105,110 393,181 257,687 1,632,386 1,362,797 83% 90% 92% 254,468 45,852 1,886,854 1,408,649 75%
  1,956,321 1,569,053 474,278 296,039 2,430,599 1,865,092 77% 91% 85% 406,367 86,725 2,836,966 1,951,817 69%
NYC Boroughs Bronx 311,117 278,520 91,922 52,694 403,039 331,214 82%     66,626 12,092 469,665 343,305 73%
  Brooklyn 452,902 402,229 145,808 101,313 598,710 503,542 84%     87,280 16,406 685,990 519,948 76%
  Manhattan 168,915 149,008 71,540 40,834 240,455 189,842 79%     48,553 7,255 289,008 197,097 68%
  Queens 274,160 243,750 75,136 56,018 349,296 299,768 86%     44,594 7,969 393,890 307,737 78%
  Staten Island 32,111 31,604 8,775 6,827 40,886 38,432 94%     7,415 2,130 48,301 40,561 84%
  1,239,205 1,105,110 393,181 257,687 1,632,386 1,362,797 83% 90% 92% 254,468 45,852 1,886,854 1,408,649 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 Suffolk County no longer has enrollment.

MANAGED LONG TERM CARE ENROLLMENT BY PROVIDER AND COUNTY

NYS December, 2004

PROVIDER COUNTY TOTAL ENROLLMENT
PROVIDER COUNTY NUMB
CO-OP CARE PLAN NYC 446
  Total 446
COMPREHENSIVE CARE MGT NYC 1,330
  WESTCHESTER 131
  Total 1,461
EDDY SENIORCARE SCHENECTADY 76
  Total 76
ELANT CHOICE ORANGE 87
  Total 87
GUILDNET NYC 2,754
  Total 2,754
HEALTH PARTNERS OF NY NASSAU 478
  Total 478
HOMEFIRST NYC 998
  Total 998
INDEP CARE SYSTEMS INC NYC 636
  Total 636
INDEP LIVING FOR SENIORS MONROE 307
  Total 307
PACE CNY ONONDAGA 262
  Total 262
PARTNERS IN COMMUNITY CARE ORANGE 92
  ROCKLAND 26
  Total 118
SENIOR HEALTH PARTNERS INC NYC 309
  Total 309
SENIOR NETWORK HEALTH HERKIMER 24
  ONEIDA 320
  Total 344
TOTAL AGING IN PLACE ERIE 123
  Total 123
VNS CHOICE NYC 3,707
  Total 3,707
     
  UPSTATE TOTALS: 1,926
  NEW YORK CITY TOTALS: 10,180
  GRAND TOTALS: 12,106

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