NEW YORK STATE DEPARTMENT OF HEALTH DIVISION OF FAMILY HEALTH BUREAU OF EARLY INTERVENTION NYS EARLY INTERVENTION PROGRAM REPORT TO THE LEGISLATURE JANUARY 1, 2006 – DECEMBER 31, 2006 New York State Department of Health Division of Family Health Bureau of Early Intervention Early Intervention Program Annual Report to the Legislature January 1, 2006 - December 31, 2006 Under Section 2557 of the Public Health Law (PHL), the Department of Health is required to prepare and submit an annual report to the Governor and Legislature, covering the period January 1 through December 31 with respect to certain aspects of the Early Intervention Program (EIP). Specifically, the Department is required to report data, by municipality, on the EIP for the purposes of improving the efficiency, cost effectiveness, and quality of the EIP. This report covers the period from January 1, 2006 - December 31, 2006. Data Collection Methods Since the inception of the EIP, the Department has supplied municipalities with a software application, known as the Kids Integrated Data System (KIDS), to use for the collection of data, local management of EIP activities, payment of bills submitted by providers, and processing of claims to commercial insurers, Medicaid, and the Department. The Department maintains the KIDS application and periodically issues revised versions of the application to municipalities to meet new program requirements and/or improve data collection capabilities. All fifty-eight municipalities use KIDS for data collection and to assist with the management of program activities. All municipalities, with the exception of New York City, use the billing and claiming components of KIDS. New York City has a contract for its provider payment and claiming processes. The following other counties also used fiscal agents during the current reporting period to manage their claiming procedures, but use KIDS for claims processing: Dutchess, Erie, Genesee, Monroe, Niagara, Orleans, Suffolk, and Wayne. KIDS is a distributed data system. Data are collected locally using KIDS and submitted to the Department on a quarterly basis. The Department maintains and regularly updates its state-level database on the EIP, using quarterly data submitted by municipalities. This state-level database is used by the Department for program management purposes and to comply with federal and State reporting requirements, including this report. In addition to KIDS, the Department maintains a Fiscal System application, which it uses to process all claims submitted by municipalities for State reimbursement. In accordance with State law, municipalities must submit claims for payment within two years of the date of service. Page 1 of 6 Data Table Descriptions and Data Limitations Section 2557 of PHL requires the Department to report on data collected from January 1, 2006 through December 31, 2006. Child and provider data included in this report are based on data submitted to the Department by municipalities in February, 2007 and are complete through December 31, 2006. Medicaid data were supplied by the Office of Medicaid Management, using the Medicaid Management Information System. As required under Section 2557(4) of PHL, data are reported by county, New York City, and Rest of State excluding New York City, and State. The following describes the data included in each of the tables, along with limitations that should be considered when interpreting the data. Table 1 presents the number of children enrolled in the EIP by age. Children with an IFSP continuing in the program were assigned to an age group based on their age on January 1, and children entering the program in 2006 were assigned to an age group based on their age on the date of the initial IFSP. Tables 2 and 3 present the number and percent of children authorized to receive a single service and authorized to receive multiple services, respectively, by type of service. For the purposes of these analyses, service coordination, evaluations, transportation, assistive technology devices, and respite services are excluded. For Table 2, a child was counted as receiving a single service if s/he was authorized to receive only one type of general early intervention service (e.g., physical therapy only, speech therapy only, or occupational therapy only.) during the entire time period, regardless of the length of time during the reporting period for which the service was authorized. For example, if a child received an initial IFSP in October, and was authorized to receive speech language therapy and no other service for the months of November and December, the child was counted as receiving a single service. For Table 3, a child was counted as receiving multiple services if s/he was authorized to receive two or more services at any time during the entire time period, regardless of whether authorizations for each type of service were overlapping or consecutive (e.g., consecutive weeks, months, etc. in the period January 1, 2006 – December 31, 2006). Each child was counted under every service type for which they were authorized during this twelve-month period. For example, if a child received an initial IFSP in July, was authorized to receive physical therapy in September, and occupational therapy in December, the child was counted as receiving multiple services, and was counted under both service types. As a result of children being counted repeatedly across different service types, the sum of percentages across the service types is more than 100%. Page 2 of 6 . Table 4 presents the number of State-approved agencies 1 and independent (individual) service providers that were under direct contract with one or more municipalities, and therefore were available to provide services to children during this time period, by service specialty, in full-time equivalents (FTEs). Agency and individual providers that are only approved by the Department and not reported as under contract, either by a municipality or by an approved agency (for individuals), are not included. These data are derived from applications submitted by providers at the time State approval is sought, and do not include changes after the initial application to the Department. Provider contract status is reported periodically to the Department by municipalities. These data likely under represent the current FTEs available to deliver early intervention services, particularly for agency providers. Tables 5 and 6 present the number and percent of children authorized to receive a single service and multiple services, respectively, by the type of provider authorized to deliver the service(s) to the child. Table 5 displays the data by agency and individual provider. Table 6 presents the data by agency only, individual only, and both individual and agency, since children authorized to receive multiple services may be authorized to receive services from both agencies and individual providers. Table 7 displays the number of State-approved providers under contract with municipalities to provide evaluations, and the number and percent of evaluators who delivered services to children whom they evaluated. Table 8 displays the number and percent of children whose families were authorized to receive supportive services, which are defined as family training, counseling, parent support groups, or respite. Table 9 displays the number and percent of children who were reported to have some form of third party insurance coverage during the reporting period. Children with unknown insurance status had no commercial insurance coverage or Medicaid coverage information reported during the time period. Table 10 displays the number and percent of claims submitted to commercial insurers and the claims denied by insurers that were reconciled during the reporting period. Data submitted by municipalities using KIDS include claims submitted to insurers prior to January 1, 2006 that were subsequently denied, paid, or partially paid by insurers and reconciled between January 1, 2006 and December 31, 2006. Data reported by fiscal agents under contract with 1 Under EIP regulations, an agency means incorporated entities, sole proprietorships, partnerships, and state operated facilities operating under the approval of any state early intervention agency. “Individual” providers means qualified individuals with appropriate licensure, certification, or registration identified as qualified personnel for purposes of the EIP. Page 3 of 6 municipalities to perform claiming functions include only those claims that were both submitted and reconciled during the period. Table 11 displays the number and percent of claims submitted by municipalities that were denied by commercial insurers by reason of denial. The following are definitions used to report reasons for denial of claims by insurers: • Service Not Covered - Denial of payment by an insurer for a service known to be in the child benefit package, for one of the following reasons: not a covered service, equipment, or device; or denied based on location of service (e.g., home or community setting). • No Response from Insurer - No response from an insurer after repeated contact attempts by the municipality. • Other Denial - Denial of payment for any reason other than those mentioned. • Not Medically Necessary - Denial of payment by an insurer when preauthorization was sought and denied by the insurer or when the insurer has determined, independent of any preauthorization requirement, that the service was not medically necessary. • Out-of-Network Provider - Denial of payment by an insurer based on the use of a non-participating provider. • No Preauthorization Obtained - Denial of payment because preauthorization for the service was required, but was not sought and/or obtained by the municipality. Several municipalities indicated to the Department that this field was also used to report denials when preauthorization was sought, and the insurer denied the preauthorization. • Benefits Exhausted - Denial of payment when policy limits have been reached (either visit limits or amount of reimbursement). This includes claims not submitted by municipalities to insurers upon notification that benefits have been exhausted. • Exceeds Insurer’s Claiming Limit - Denial of payment by an insurer when the claim exceeds the timeframe from date of service required by the insurer. • Child Not Covered - Denial of payment by the insurer for services delivered to a child at a time when the child was not covered by the insurer (e.g., policy terminated or not renewed or services provided prior to the effective date). • No Primary Care Physician Referral - Denial of payment by an insurer for failure to obtain a referral from the primary care provider prior to the provision of services (including evaluation services). • Technical Errors - Denial of payment by an insurer due to technical errors on the claim, such as incorrect policy number, incorrect procedure code, incorrect or missing diagnosis, incorrect date of service, or duplicate dates of service. • Government Service Blanket Rejection - Denial of payment by an insurer because the service was provided by a governmental program. Page 4 of 6 Tables 12 and 13 display the number and amount of claims submitted to Medicaid by payment status (Table 12), and reasons for denial of claims (Table 13). Department Guidance and Oversight of the EIP The Department used these and other data to improve ongoing state-level management and oversight of the EIP through the actions described below. • A statewide monitoring system to review municipal administration of the EIP and agency and individual providers engaged in the service delivery system. Through its contractor, IPRO, the Department has completed two cycles of monitoring for all agency and individual providers contracted to deliver early intervention services and is in the process of completing a second monitoring cycle of the 58 municipalities as service providers. In addition, one monitoring cycle of the municipalities as local administrator has been completed and another is planned to begin in 2007. A total of 1,906 comprehensive reviews were conducted during the first cycle of monitoring and 941 during the second cycle to date. Corrective Action Plans (CAPs) are required and submitted when deficiencies are identified. Immediate remediation of serious deficiencies is required, with municipal oversight of remediation efforts. Focused site reviews are also conducted to ensure remediation has been completed according to the terms of the approved corrective action plan. • Implementation of an auditing program for the EIP, including development and dissemination of an audit protocol for use in auditing providers and municipalities by the Department, and development of data-driven criteria to prioritize provider audits. • Continuation of State-level matches of the EIP and Medicaid eligibility files to submit retroactive claims for federal Medicaid reimbursement. To date, more than $85 million in federal reimbursement has been achieved through this process since 2001. • The Department continues work to develop a state-of-the-art web-based data system to replace the EIP’s aging legacy system, KIDS. Known as the New York State Early Intervention System (NYEIS), the new system will handle current and future business, statutory, and regulatory requirements and will employ proven hardware and software technology to ensure that data security meets defined performance standards, is cost effective, and easy to maintain and operate. NYEIS will provide controls to support EIP’s legal and financial responsibilities and protect EIP’s administrative and managerial integrity. Page 5 of 6 While NYEIS will serve EIP’s most urgent needs, it will also provide a basis on which additional functional modules can be deployed as needed. It will provide the EIP with effective and efficient management tools on the State and local levels for the administration, reporting, and analysis of integrated EIP data. NYEIS will provide near-real-time interfaces to other systems/agencies and external providers (such as Medicaid), which will maximize reimbursement from Medicaid and third party insurances, thereby reducing the costs for the EIP to the State and localities. • The Department continues to maintain the existing distributed data system, KIDS, which captures information about children participating in the EI program on the local level, and which assists municipalities in claiming reimbursement for EI services from insurance, Medicaid, and the State. These efforts include release of updated versions of KIDS to implement technical improvements and correct identified problems, and providing technical assistance and support to municipalities on the day-today operation of KIDS. • The Department and State Education Department continue to provide ongoing training and technical assistance to municipalities, EIP providers, school district personnel, and parents to provide direction necessary to ensure that children potentially in need of Preschool Special Education receive an evaluation from their school districts by age three; and to ensure the smooth and timely transition of all children from the EIP to other services and supports, as needed. • The Department continues to provide ongoing training and technical assistance to municipalities, EIP providers, and parents to improve evaluation procedures used to determine eligibility for children referred to the EIP. • Training contracts have been established to deliver ongoing statewide training for providers, municipalities, and parents on a variety of topics related to the EIP, and to develop new and revised curricula for the EIP. • The Department holds an annual meeting with Early Intervention Officials/ Managers to disseminate information and discuss policy changes with municipal officials responsible for local implementation of the EIP. It also provides the municipalities with an opportunity to network and problemsolve with each other. • The Department holds bimonthly conference calls with Early Intervention Officials/Managers to provide training, technical assistance, program updates and guidance. Page 6 of 6 Table 1 - Number and Percent of Children Within Municipalities Enrolled in the Early Intervention Program By Age. (Children with an IFSP at Any Time During the Period) January 1, 2006 - December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE All Children Enrolled (1) 497 63 522 176 230 258 184 97 368 144 120 102 1,058 2,386 90 104 88 213 149 2 86 163 59 145 110 1,833 99 4,126 626 503 1,182 167 1,345 117 355 90 190 483 2,159 161 484 302 67 41 70 223 3,294 249 133 295 437 218 152 285 3,456 103 42 34,425 30,701 65,126 Birth -< 1 Year Old Number Percent (3) 66 13.3% 5 7.9% 114 21.8% 26 14.8% 33 14.3% 45 17.4% 33 17.9% 15 15.5% 52 14.1% 18 12.5% 8 6.7% 14 13.7% 100 9.5% 217 9.1% 13 14.4% 13 12.5% 5 5.7% 34 16.0% 25 16.8% 0 0.0% 8 9.3% 26 16.0% 16 27.1% 18 12.4% 16 14.5% 226 12.3% 14 14.1% 426 10.3% 63 10.1% 56 11.1% 144 12.2% 28 16.8% 172 12.8% 16 13.7% 40 11.3% 7 7.8% 36 18.9% 67 13.9% 350 16.2% 23 14.3% 49 10.1% 43 14.2% 9 13.4% 6 14.6% 8 11.4% 39 17.5% 355 10.8% 44 17.7% 29 21.8% 48 16.3% 69 15.8% 19 8.7% 16 10.5% 29 10.2% 450 13.0% 13 12.6% 5 11.9% 4,525 13.1% 3,819 12.4% 8,344 12.8% Age Group (2) 1 -< 2 Years Old Number Percent (3) 114 22.9% 23 36.5% 175 33.5% 55 31.3% 64 27.8% 76 29.5% 55 29.9% 29 29.9% 111 30.2% 53 36.8% 42 35.0% 25 24.5% 317 30.0% 676 28.3% 36 40.0% 27 26.0% 30 34.1% 61 28.6% 48 32.2% 1 50.0% 31 36.0% 53 32.5% 19 32.2% 49 33.8% 28 25.5% 548 29.9% 28 28.3% 1,242 30.1% 171 27.3% 129 25.6% 335 28.3% 44 26.3% 456 33.9% 30 25.6% 108 30.4% 36 40.0% 59 31.1% 131 27.1% 678 31.4% 40 24.8% 127 26.2% 93 30.8% 20 29.9% 10 24.4% 24 34.3% 64 28.7% 934 28.4% 74 29.7% 48 36.1% 84 28.5% 134 30.7% 82 37.6% 45 29.6% 75 26.3% 1,052 30.4% 33 32.0% 7 16.7% 10,157 29.5% 9,139 29.8% 19,296 29.6% 2 -< 3 Years Old Number Percent (3) 300 60.4% 32 50.8% 209 40.0% 85 48.3% 122 53.0% 135 52.3% 88 47.8% 51 52.6% 182 49.5% 65 45.1% 60 50.0% 48 47.1% 595 56.2% 1,392 58.3% 40 44.4% 62 59.6% 50 56.8% 100 46.9% 66 44.3% 0 0.0% 44 51.2% 78 47.9% 24 40.7% 61 42.1% 59 53.6% 919 50.1% 56 56.6% 2,236 54.2% 348 55.6% 288 57.3% 639 54.1% 82 49.1% 714 53.1% 68 58.1% 194 54.6% 43 47.8% 92 48.4% 263 54.5% 1,076 49.8% 90 55.9% 278 57.4% 157 52.0% 37 55.2% 25 61.0% 37 52.9% 102 45.7% 1,959 59.5% 127 51.0% 48 36.1% 143 48.5% 218 49.9% 113 51.8% 75 49.3% 169 59.3% 1,809 52.3% 51 49.5% 26 61.9% 17,746 51.5% 16,430 53.5% 34,176 52.5% 3+ Years Old Number Percent (3) 17 3.4% 3 4.8% 24 4.6% 10 5.7% 11 4.8% 2 0.8% 8 4.3% 2 2.1% 23 6.3% 8 5.6% 10 8.3% 15 14.7% 46 4.3% 101 4.2% 1 1.1% 2 1.9% 3 3.4% 18 8.5% 10 6.7% 1 50.0% 3 3.5% 6 3.7% 0 0.0% 17 11.7% 7 6.4% 140 7.6% 1 1.0% 222 5.4% 44 7.0% 30 6.0% 64 5.4% 13 7.8% 3 0.2% 3 2.6% 13 3.7% 4 4.4% 3 1.6% 22 4.6% 55 2.5% 8 5.0% 30 6.2% 9 3.0% 1 1.5% 0 0.0% 1 1.4% 18 8.1% 46 1.4% 4 1.6% 8 6.0% 20 6.8% 16 3.7% 4 1.8% 16 10.5% 12 4.2% 145 4.2% 6 5.8% 4 9.5% 1,997 5.8% 1,313 4.3% 3,310 5.1% Data Source: KIDS data complete as of 12/06 (1) Enrolled in EI - Children were counted as enrolled if they had an IFSP at any time during the year, regardless of the length of time in the EIP. The "All Children Enrolled" total in this table is greater than the sum of "Single Service Children" (Tables 2 & 5) and "Multiple Service Children" (Tables 3 & 6) because some children with IFSPs may only be authorized for services which were excluded in those tables, like service coordination or evaluations. (2) Age - Children with an IFSP continuing in the program were assigned to an age category based on their age on January 1, and children entering the program were assigned to an age category based on the date of the initial IFSP. (3) Sum of percents may not equal 100% due to rounding. Table 2 - Number and Percent of Children Within Municipalities Authorized to Receive A Single Early Intervention Service By Type of Service. January 1, 2006 - December 31, 2006 Service Type (1, 2) Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Single Service Children 182 32 218 102 98 147 88 39 168 55 49 38 470 1,213 47 47 25 53 53 0 26 68 23 50 54 809 35 1,577 276 175 411 63 509 58 125 31 83 162 600 49 194 121 25 25 28 72 1,079 89 66 101 162 128 70 130 1,382 55 19 8,107 12,054 20,161 Fam AT AudioCnsl/ logy Sup (3) Service 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.9% 0.0% 0.0% 1.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.7% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 4.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.6% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 3.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.7% 0.0% 0.1% 0.6% 0.0% 0.0% 0.6% Nutrition 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% OT 2.2% 3.1% 6.9% 1.0% 0.0% 3.4% 3.4% 15.4% 1.2% 3.6% 2.0% 5.3% 1.5% 2.1% 2.1% 4.3% 8.0% 15.1% 0.0% 0.0% 3.8% 1.5% 4.3% 6.0% 3.7% 1.9% 14.3% 1.3% 0.7% 5.7% 2.7% 3.2% 1.6% 10.3% 2.4% 6.5% 6.0% 1.2% 3.5% 2.0% 2.6% 5.0% 8.0% 8.0% 0.0% 4.2% 0.6% 1.1% 4.5% 2.0% 1.9% 2.3% 1.4% 3.8% 2.5% 3.6% 10.5% 4.3% 2.4% 3.2% PT 29.7% 40.6% 27.1% 27.5% 23.5% 24.5% 30.7% 15.4% 17.3% 21.8% 8.2% 2.6% 9.4% 15.3% 21.3% 8.5% 24.0% 24.5% 17.0% 0.0% 11.5% 16.2% 17.4% 24.0% 24.1% 16.3% 17.1% 29.9% 15.6% 20.0% 19.0% 23.8% 24.0% 6.9% 10.4% 22.6% 39.8% 22.2% 31.0% 12.2% 16.5% 18.2% 32.0% 20.0% 17.9% 18.1% 32.5% 36.0% 36.4% 25.7% 22.2% 11.7% 17.1% 13.1% 31.5% 16.4% 21.1% 24.1% 23.6% 23.8% Psych 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.8% 0.0% 0.0% 0.0% 0.0% 0.0% 1.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% Social Wk 0.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 3.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 1.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.6% 0.0% 0.0% 0.5% 0.8% 0.0% 0.0% 0.0% 0.0% 0.0% 2.2% 0.0% 5.9% 2.5% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.2% 0.2% 0.2% Spec Inst 4.9% 21.9% 0.0% 0.0% 10.2% 3.4% 5.7% 2.6% 1.8% 1.8% 8.2% 44.7% 3.6% 2.1% 0.0% 17.0% 4.0% 13.2% 1.9% 0.0% 0.0% 1.5% 13.0% 14.0% 7.4% 1.4% 5.7% 3.6% 0.4% 12.6% 6.8% 3.2% 4.3% 15.5% 48.0% 22.6% 7.2% 0.6% 6.2% 30.6% 3.6% 9.9% 4.0% 4.0% 10.7% 6.9% 4.9% 0.0% 4.5% 2.0% 4.9% 1.6% 1.4% 3.8% 13.7% 3.6% 0.0% 25.1% 5.9% 13.6% Speech 62.6% 34.4% 65.1% 70.6% 66.3% 68.7% 60.2% 64.1% 79.8% 72.7% 81.6% 47.4% 83.4% 80.1% 76.6% 70.2% 64.0% 47.2% 77.4% 0.0% 84.6% 76.5% 65.2% 56.0% 64.8% 79.4% 62.9% 64.1% 83.3% 61.1% 71.3% 68.3% 70.1% 67.2% 39.2% 48.4% 47.0% 75.3% 59.2% 53.1% 75.8% 65.3% 56.0% 68.0% 71.4% 70.8% 57.9% 59.6% 54.5% 64.4% 66.7% 84.4% 80.0% 78.5% 51.9% 76.4% 68.4% 45.4% 67.1% 58.4% Vision 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.4% 0.0% 0.0% 0.0% 1.2% 0.0% 0.0% 0.8% 0.0% 0.0% 0.0% 0.1% 0.1% 0.1% Data Source: KIDS data complete as of 12/06 (1) These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in this table and "Multiple Service Children" in Table 3 will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations. (2) Sum of percents may not equal 100% due to rounding. (3) Fam Cnsl/Sup. - Family Counseling, Family Support Group and Family Training were combined into one category for this report. Table 3 - Number and Percent of Children Within Municipalities Authorized to Receive Multiple Early Intervention Services By Type of Service. January 1, 2006 - December 31, 2006 Service Type (1, 2) Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Mult. Service AT Children Service 294 0.7% 28 0.0% 279 0.0% 73 4.1% 82 0.0% 108 0.0% 91 0.0% 58 0.0% 189 0.0% 87 1.1% 70 0.0% 54 0.0% 578 0.5% 1,096 2.8% 42 0.0% 57 0.0% 61 0.0% 158 14.6% 96 0.0% 0 0.0% 59 1.7% 85 0.0% 36 0.0% 85 4.7% 55 0.0% 1,001 0.4% 62 0.0% 2,456 1.6% 323 6.2% 327 0.0% 743 0.1% 103 0.0% 820 2.4% 57 3.5% 221 0.0% 59 0.0% 103 29.1% 312 1.3% 1,537 0.3% 108 0.0% 279 0.0% 174 0.6% 40 0.0% 16 0.0% 41 0.0% 142 3.5% 2,110 2.2% 153 4.6% 64 0.0% 188 0.0% 272 0.7% 89 0.0% 76 0.0% 151 2.0% 1,942 9.6% 46 4.3% 23 4.3% 24,807 0.4% 17,859 2.5% 42,666 1.3% Audiology 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.4% 0.0% 1.0% 1.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.2% 3.6% 2.8% 0.0% 0.0% 1.2% 0.6% 3.1% 0.0% 3.2% 0.0% 4.1% 0.0% 0.0% 0.6% 0.5% 1.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.7% 0.0% 1.1% 3.7% 0.0% 0.0% 0.7% 0.1% 0.0% 0.0% 0.0% 0.8% 0.4% Fam Cnsl/ Sup (3) 9.5% 17.9% 22.9% 19.2% 0.0% 2.8% 0.0% 1.7% 5.3% 28.7% 4.3% 5.6% 33.2% 12.9% 9.5% 0.0% 1.6% 9.5% 0.0% 0.0% 1.7% 17.6% 8.3% 0.0% 0.0% 14.1% 0.0% 30.3% 42.7% 3.1% 23.0% 3.9% 28.3% 35.1% 2.3% 6.8% 21.4% 5.1% 21.0% 1.9% 7.5% 3.4% 0.0% 0.0% 2.4% 23.9% 43.6% 1.3% 17.2% 17.6% 14.3% 2.2% 0.0% 6.0% 24.9% 28.3% 0.0% 44.9% 22.0% 35.3% Nursing 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.3% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.3% 0.2% 0.9% 0.0% 9.2% 0.0% 0.0% 0.0% 0.0% 0.4% 0.0% 0.0% 0.0% 0.0% 1.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.1% Nutrition 7.1% 0.0% 0.4% 0.0% 1.2% 0.0% 0.0% 0.0% 2.1% 4.6% 1.4% 7.4% 19.2% 0.2% 2.4% 0.0% 0.0% 13.3% 8.3% 0.0% 0.0% 0.0% 0.0% 0.0% 1.8% 10.3% 3.2% 7.8% 0.0% 0.0% 2.4% 2.9% 0.6% 10.5% 0.0% 1.7% 1.9% 0.0% 3.4% 4.6% 12.9% 5.2% 0.0% 0.0% 0.0% 0.0% 3.8% 1.3% 0.0% 0.0% 8.5% 3.4% 0.0% 4.0% 1.5% 2.2% 0.0% 2.1% 4.3% 3.0% OT 54.4% 53.6% 66.7% 46.6% 45.1% 55.6% 64.8% 69.0% 58.7% 39.1% 51.4% 53.7% 51.7% 58.1% 54.8% 40.4% 50.8% 56.3% 62.5% 0.0% 64.4% 55.3% 66.7% 48.2% 47.3% 51.8% 74.2% 45.2% 48.0% 42.8% 58.3% 43.7% 48.5% 40.4% 42.1% 20.3% 64.1% 40.4% 51.5% 35.2% 41.9% 45.4% 57.5% 56.3% 26.8% 70.4% 30.0% 47.7% 64.1% 55.9% 51.1% 62.9% 64.5% 57.6% 57.9% 50.0% 60.9% 54.1% 49.4% 52.1% PT 46.3% 67.9% 61.6% 52.1% 53.7% 49.1% 63.7% 55.2% 40.7% 41.4% 48.6% 46.3% 34.8% 53.9% 45.2% 47.4% 42.6% 47.5% 52.1% 0.0% 61.0% 54.1% 80.6% 42.4% 52.7% 44.7% 48.4% 42.4% 39.3% 43.4% 46.8% 55.3% 44.5% 42.1% 47.5% 59.3% 54.4% 47.4% 47.9% 40.7% 44.4% 48.3% 55.0% 50.0% 56.1% 51.4% 38.6% 54.9% 65.6% 52.1% 45.6% 50.6% 46.1% 52.3% 53.9% 52.2% 47.8% 50.8% 46.7% 49.1% Psych 2.4% 0.0% 0.0% 0.0% 0.0% 0.9% 0.0% 0.0% 1.1% 0.0% 0.0% 0.0% 0.2% 1.2% 0.0% 1.8% 0.0% 2.5% 1.0% 0.0% 0.0% 1.2% 0.0% 1.2% 0.0% 6.0% 0.0% 1.8% 4.0% 0.0% 0.0% 5.8% 0.0% 1.8% 0.0% 0.0% 0.0% 0.6% 0.7% 0.0% 1.1% 1.7% 0.0% 6.3% 0.0% 0.0% 0.4% 11.8% 3.1% 9.6% 0.0% 0.0% 0.0% 5.3% 0.9% 0.0% 8.7% 0.4% 1.4% 0.8% Social Wk 17.7% 0.0% 16.5% 0.0% 0.0% 11.1% 0.0% 0.0% 0.5% 17.2% 2.9% 13.0% 10.0% 4.5% 2.4% 0.0% 1.6% 0.0% 16.7% 0.0% 0.0% 0.0% 0.0% 5.9% 3.6% 27.9% 1.6% 6.4% 0.6% 7.3% 10.8% 15.5% 17.6% 1.8% 0.5% 5.1% 26.2% 32.1% 1.6% 3.7% 26.2% 14.4% 27.5% 0.0% 2.4% 0.0% 6.7% 19.0% 3.1% 24.5% 27.2% 0.0% 19.7% 4.0% 2.1% 13.0% 0.0% 13.0% 9.0% 11.3% Spec Inst 73.1% 57.1% 34.4% 54.8% 72.0% 46.3% 46.2% 51.7% 68.3% 51.7% 71.4% 70.4% 57.3% 60.0% 64.3% 68.4% 80.3% 84.2% 60.4% 0.0% 66.1% 65.9% 63.9% 77.6% 83.6% 64.3% 80.6% 75.2% 61.9% 66.1% 72.9% 74.8% 66.7% 77.2% 95.0% 79.7% 67.0% 78.2% 77.6% 87.0% 83.2% 83.9% 65.0% 56.3% 82.9% 62.0% 79.7% 61.4% 29.7% 67.6% 68.8% 58.4% 50.0% 74.2% 66.9% 47.8% 56.5% 64.8% 70.2% 67.1% Speech 89.8% 82.1% 84.6% 87.7% 85.4% 83.3% 84.6% 91.4% 91.0% 89.7% 82.9% 61.1% 89.4% 80.1% 95.2% 87.7% 80.3% 80.4% 84.4% 0.0% 89.8% 88.2% 86.1% 78.8% 90.9% 87.5% 85.5% 90.2% 88.5% 88.7% 82.9% 71.8% 90.5% 75.4% 76.0% 81.4% 77.7% 91.0% 84.7% 82.4% 85.7% 87.9% 87.5% 81.3% 75.6% 84.5% 85.4% 89.5% 89.1% 86.7% 86.8% 92.1% 85.5% 85.4% 80.1% 80.4% 78.3% 76.8% 85.5% 80.4% Vision 3.1% 7.1% 2.5% 1.4% 8.5% 9.3% 0.0% 10.3% 2.6% 3.4% 4.3% 7.4% 0.2% 3.9% 4.8% 1.8% 4.9% 3.2% 0.0% 0.0% 1.7% 0.0% 8.3% 3.5% 7.3% 4.8% 1.6% 1.1% 1.9% 4.0% 3.2% 1.9% 2.0% 0.0% 0.5% 6.8% 1.0% 7.4% 2.5% 4.6% 3.2% 5.2% 7.5% 0.0% 0.0% 2.1% 2.9% 4.6% 6.3% 0.0% 2.6% 0.0% 5.3% 5.3% 1.3% 4.3% 4.3% 1.3% 2.7% 1.9% Data Source: KIDS data complete as of 12/06 (1) These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in Table 2 and "Multiple Service Children" in this table will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations in this time period. (2) Sum of percents may not equal 100% due to rounding. (3) Fam Cnsl/Sup. - Family Counseling, Family Support Group and Family Training services were combined into one category for this report. Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Physical Therapy Assistants Physical Therapists Pediatricians, Other Physicians and Physician Assistants Orientation and Mobility Specialists Occupational Therapists Licensed Practical Nurses, Registered Nurses and Nurse Practitioners Certified Occupational Therapy Assistants Certified Low Vision Specialists Audiologists Municipality Table 4 - Number of NYS Approved Agency and Individual Providers Under Contract with Municipalities to Provide EI Services by Service Specialty (1,2) Expressed as FTEs by Type of Discipline (3) As of December 31, 2006 Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. 2.6 0.0 0.0 0.0 13.6 0.0 6.0 0.0 32.4 10.1 0.2 0.0 4.3 0.0 38.5 6.3 0.3 0.0 1.2 0.0 0.0 0.0 4.1 0.0 2.4 0.0 9.3 1.3 0.3 0.0 1.9 0.0 9.2 2.3 0.5 0.0 0.9 0.5 0.0 0.0 3.5 0.0 8.9 0.0 6.1 2.2 2.0 0.0 3.8 0.0 12.2 1.4 3.2 0.0 4.1 0.5 0.0 0.0 8.6 0.0 1.9 0.0 16.4 1.0 0.3 0.0 2.3 0.0 22.7 3.3 3.5 0.0 5.7 0.0 0.0 0.0 11.3 0.0 2.4 0.0 17.5 2.0 0.6 0.0 0.9 0.0 16.6 2.4 7.6 0.0 4.0 0.0 0.0 0.0 1.0 0.0 7.1 0.0 13.8 1.5 0.0 0.0 2.8 0.0 12.5 5.2 0.0 0.0 1.9 0.0 0.0 0.0 0.2 0.0 3.2 0.0 11.2 1.0 0.0 0.0 2.5 0.0 11.9 2.0 1.0 0.0 0.8 0.0 0.0 0.0 1.7 0.1 0.8 0.0 4.2 4.4 0.0 0.0 2.0 0.0 10.6 1.9 2.3 0.0 1.3 0.0 0.0 0.0 1.0 0.0 6.5 0.0 2.9 0.0 0.0 0.0 2.3 0.0 3.3 0.0 0.0 0.0 1.1 0.0 0.0 0.0 11.3 0.0 5.5 0.0 23.5 2.2 0.2 0.3 4.0 0.0 27.5 1.4 0.3 0.0 2.6 1.0 0.0 0.0 1.2 0.0 5.4 0.0 4.0 0.0 2.5 0.0 2.8 0.0 5.8 0.0 2.0 0.0 5.3 0.0 0.0 0.0 4.5 0.0 18.9 0.0 11.7 2.4 2.0 0.0 12.6 0.0 21.3 0.6 8.9 0.0 1.6 0.0 0.3 0.0 3.4 0.0 7.2 0.0 21.6 0.5 0.0 0.0 4.6 0.0 22.4 0.0 1.3 0.0 7.5 0.0 0.3 0.0 8.3 0.0 11.5 0.0 61.9 0.0 0.3 0.0 5.8 0.0 67.2 0.0 4.3 0.0 0.5 0.0 0.0 0.0 1.1 0.0 4.3 0.0 3.8 0.2 0.1 0.0 2.3 0.0 4.3 1.0 0.0 0.0 0.3 0.0 0.0 0.0 1.1 0.0 17.4 0.0 7.9 0.0 0.0 0.0 4.3 0.0 5.0 0.0 1.5 0.0 0.1 0.0 0.2 0.0 1.1 0.0 17.1 0.0 9.2 0.8 2.7 0.0 2.9 0.0 8.7 0.7 0.6 0.0 3.0 0.2 0.0 0.0 3.9 0.0 3.6 0.0 17.4 0.8 0.3 0.0 0.3 0.0 25.5 1.0 1.7 0.0 3.8 0.0 0.0 0.0 3.8 0.0 9.1 0.0 14.9 3.5 0.2 0.0 3.2 0.0 15.9 2.3 1.2 0.0 0.1 0.0 0.0 0.0 0.1 0.0 0.7 0.0 0.4 0.0 0.1 0.0 0.4 0.0 3.1 0.0 0.0 0.0 2.1 0.0 0.2 0.0 11.2 0.0 21.0 0.0 38.8 2.3 2.5 0.0 5.5 1.0 35.8 1.5 8.6 0.0 0.0 0.0 2.0 0.0 1.2 0.0 10.5 1.1 0.0 0.0 1.0 0.0 10.6 0.0 3.0 0.0 1.0 0.0 2.1 0.0 0.2 0.0 8.0 0.0 2.2 0.0 32.6 1.4 2.6 0.0 2.4 0.0 26.9 1.0 4.5 0.0 1.2 0.0 0.0 0.0 0.0 0.0 1.0 0.0 26.3 1.0 0.0 0.0 2.5 0.0 16.7 0.3 0.0 0.0 5.5 0.0 0.2 0.0 9.5 0.0 2.3 0.0 32.8 0.0 2.5 0.0 1.4 0.0 32.1 0.0 6.0 0.0 4.2 0.0 0.0 0.0 0.8 0.0 0.5 0.0 38.1 4.4 2.0 0.1 3.1 0.0 25.9 2.2 0.7 0.0 4.6 0.0 0.2 0.0 8.8 0.0 66.6 0.0 30.8 2.1 2.7 0.0 10.4 0.0 35.8 1.8 14.5 0.0 32.4 0.0 1.9 0.5 40.0 0.0 15.2 0.0 461.9 3.8 0.8 0.0 25.6 0.0 466.7 5.5 16.0 0.0 0.3 0.0 49.1 0.0 10.6 0.0 76.1 1.7 0.3 0.0 2.2 0.0 63.1 1.8 5.0 0.0 8.1 0.0 2.3 0.0 0.2 0.0 10.2 0.0 8.9 0.0 34.2 0.0 2.5 0.0 1.4 0.0 30.8 0.0 6.0 0.0 9.0 0.0 0.0 0.0 3.1 0.0 4.0 0.0 36.8 3.4 0.6 0.0 6.3 1.0 34.7 2.4 1.1 0.0 3.3 0.0 0.0 0.0 0.1 0.0 1.4 0.0 21.5 1.0 0.0 0.0 2.6 0.0 10.8 0.5 0.1 0.0 5.6 0.0 6.3 0.0 12.6 0.0 12.3 0.0 99.3 4.0 1.0 0.2 8.2 0.0 115.1 2.2 0.4 0.0 0.5 0.0 0.3 0.0 0.9 0.0 0.2 0.0 10.1 0.0 0.3 0.0 1.1 0.0 4.7 0.0 1.7 0.0 7.1 0.0 0.0 0.0 11.0 0.0 0.5 0.0 29.5 0.0 0.5 0.0 2.5 1.0 24.2 0.0 7.5 0.0 13.0 0.0 10.6 0.0 20.5 1.0 2.0 0.0 8.4 0.0 19.2 1.4 6.5 0.0 3.5 0.0 0.0 0.0 3.1 0.5 0.0 0.0 8.0 0.0 8.7 0.0 87.3 1.5 0.0 0.0 5.2 0.0 96.7 0.5 0.0 0.0 0.6 0.0 0.0 0.0 13.3 0.0 5.8 0.0 30.7 6.4 0.2 0.0 4.8 0.0 42.6 5.2 2.9 0.0 8.0 0.0 1.3 0.0 12.6 0.0 17.9 0.0 132.0 6.6 3.0 0.0 9.9 0.0 136.1 6.5 0.0 0.0 2.6 0.0 0.0 0.0 3.2 0.0 1.6 0.0 9.9 0.0 0.1 0.0 0.9 0.0 12.4 0.0 2.0 0.0 6.2 0.0 0.0 0.0 19.8 0.0 66.8 0.0 50.2 10.3 0.3 0.0 14.5 0.0 70.3 7.5 16.3 0.0 4.6 0.0 0.0 0.1 11.8 0.0 66.3 0.0 42.1 1.8 0.2 0.0 12.9 0.0 52.7 1.5 14.5 0.0 10.0 0.0 15.7 0.0 36.6 1.8 0.2 0.0 4.0 0.0 31.9 1.0 0.3 0.0 0.6 0.0 0.0 0.0 1.9 0.0 0.0 0.0 0.4 0.0 2.8 0.0 10.8 1.3 0.0 0.0 2.4 0.0 11.3 0.0 1.0 0.0 0.2 0.0 0.0 0.0 0.3 0.0 1.6 1.0 4.9 0.3 0.1 0.0 1.4 0.0 5.6 0.1 0.1 0.0 3.1 0.0 0.0 0.0 0.0 0.0 8.5 0.0 15.0 3.9 2.0 0.0 2.8 0.0 15.2 4.3 1.0 0.0 36.7 0.0 1.5 2.6 33.4 0.0 387.6 0.0 464.8 9.1 2.7 0.0 92.3 0.0 454.1 15.1 9.8 0.0 3.5 0.0 0.0 0.0 2.9 0.0 13.8 0.0 42.3 3.4 0.0 0.0 5.9 0.0 44.1 1.5 2.0 0.0 0.7 0.0 0.0 0.0 2.7 0.0 7.8 0.0 10.5 1.2 2.0 0.0 0.8 0.0 15.3 1.2 2.8 0.0 3.1 0.0 6.3 0.5 0.5 0.0 1.8 0.0 5.3 0.9 0.5 0.0 2.6 0.0 0.0 0.0 3.2 0.0 0.9 0.0 0.0 0.0 7.9 0.0 5.9 0.0 16.4 7.6 0.0 0.3 4.9 0.0 19.0 2.6 1.9 0.0 1.1 0.0 0.0 0.0 0.5 0.0 5.7 0.0 1.5 0.0 0.1 0.0 2.6 0.0 2.5 0.0 0.5 0.0 1.1 0.0 0.0 0.0 11.1 0.0 4.7 0.0 18.6 3.5 0.1 0.0 2.6 0.0 21.5 2.6 0.6 0.0 3.2 0.0 0.0 0.0 0.1 0.0 2.1 0.0 25.7 2.3 0.1 0.0 3.1 0.0 21.6 0.8 0.1 0.0 16.0 0.5 0.2 0.0 19.7 0.0 38.8 0.0 245.4 4.1 5.2 0.0 27.9 0.0 232.8 8.6 1.0 0.0 0.4 0.0 0.0 0.0 3.1 0.0 0.6 0.0 7.0 0.0 0.3 0.0 0.5 0.0 6.2 0.0 2.5 0.0 8.6 0.0 8.1 2.3 0.0 0.0 2.7 0.0 8.1 1.2 0.5 0.0 2.2 0.0 0.0 0.0 0.0 0.0 39.9 0.0 2.5 0.0 69.9 0.0 68.3 0.0 721.8 0.0 5.7 0.0 56.8 0.0 712.5 0.0 16.5 0.0 123.5 3.2 8.6 3.2 182.7 0.1 654.5 1.0 1,086.5 102.0 18.2 0.5 193.8 1.0 1,113.2 94.8 89.7 0.0 151.0 3.2 10.9 3.2 234.3 0.1 705.0 1.0 1,468.0 102.0 18.2 0.5 232.8 1.0 1,489.1 94.8 105.5 0.0 Data Source: NYS EI Provider Approval database 1/26/07 (1) Providers with contracts in more than one county are counted more than once. (2) Providers with qualified personnel in more than one area of licensure, certification or registration are counted more than once. (3) Full time equivalents and types of qualified personnel were take from provider applications for state approval. Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Agency Ind. Agency Ind. Agency Ind. Agency Ind. 13.1 0.0 0.1 0.0 4.9 3.1 36.9 7.4 2.7 0.2 1.0 0.0 1.7 0.0 7.9 2.9 2.7 0.0 3.6 0.0 6.5 0.0 14.2 1.6 2.1 0.0 7.0 0.0 0.0 0.0 25.0 3.3 3.1 0.0 0.7 1.0 4.8 0.0 20.3 2.8 4.4 0.0 1.1 0.0 3.3 0.3 18.2 2.0 4.1 0.0 0.0 0.0 6.2 0.0 9.3 4.2 2.6 0.0 0.0 0.0 5.6 0.0 9.9 1.4 0.0 0.0 0.0 0.0 0.2 0.0 8.0 0.0 4.9 0.0 2.1 0.0 4.7 1.8 27.2 4.1 2.9 0.0 1.1 0.5 3.5 0.0 17.0 0.0 5.9 0.0 6.3 0.1 8.4 0.6 17.2 1.0 5.2 0.0 2.5 0.0 22.6 0.0 44.5 0.0 13.6 0.0 3.8 0.0 14.5 0.0 67.1 0.0 0.4 0.0 0.0 0.0 0.2 0.3 13.5 0.0 1.1 0.0 1.1 0.1 0.2 0.0 9.0 0.0 2.6 0.0 0.5 0.0 6.3 0.0 17.1 3.0 1.1 0.2 1.5 0.5 3.3 0.3 10.0 1.9 6.2 0.0 0.4 0.3 7.5 1.2 36.1 4.8 0.4 0.0 0.0 0.0 0.0 0.0 5.5 0.0 10.8 0.0 4.0 0.0 12.2 0.0 40.8 0.9 2.6 0.0 0.0 0.0 3.6 0.0 7.3 0.0 9.0 0.0 1.0 0.0 11.4 0.0 39.2 1.0 9.3 0.0 1.0 0.0 6.4 0.5 39.7 1.0 9.1 0.0 1.0 0.0 15.3 0.0 49.7 0.0 10.7 1.2 2.5 0.5 11.4 2.1 65.3 4.6 9.7 0.0 0.9 0.0 13.3 0.0 17.5 5.0 80.5 0.0 16.9 0.0 234.2 0.5 1,046.4 3.4 13.4 0.0 0.8 0.0 14.0 0.0 73.6 2.1 7.9 0.0 1.0 0.0 10.3 0.0 40.3 0.0 9.3 0.0 2.1 0.0 8.0 4.3 65.8 2.8 5.9 0.0 2.1 0.0 4.6 1.0 22.2 0.0 11.1 0.0 2.2 0.5 55.6 1.0 298.4 4.4 1.7 0.0 1.0 0.5 4.0 0.0 11.0 0.0 5.8 0.0 0.0 0.0 6.8 0.0 34.6 0.5 8.8 0.0 2.0 0.0 14.6 0.5 26.8 3.1 13.9 0.0 3.1 0.0 44.6 0.8 245.5 2.0 12.0 0.0 0.1 0.0 4.1 2.4 40.0 3.9 16.7 0.4 6.7 0.0 60.3 0.3 303.6 8.2 15.2 0.0 2.4 0.0 0.2 0.0 1.8 0.0 18.9 0.0 1.4 0.5 15.9 3.5 41.5 13.7 18.5 0.2 2.7 0.0 17.9 0.0 33.4 3.6 8.6 0.0 0.4 0.0 8.5 1.5 43.0 1.3 3.6 0.0 0.0 0.0 6.4 0.0 9.8 2.0 2.6 0.0 0.7 0.0 3.7 0.0 16.1 1.3 4.8 0.0 0.1 0.0 5.7 0.3 10.8 5.1 128.1 0.0 39.1 1.0 324.5 2.5 1,065.2 15.8 9.7 0.0 3.0 0.0 13.4 1.0 36.7 4.0 4.2 0.0 0.1 0.0 8.6 0.2 18.9 2.0 2.5 0.0 0.0 0.0 5.0 0.9 11.5 1.8 5.9 0.0 2.1 0.5 17.3 3.5 43.2 2.9 0.5 0.0 0.7 0.0 0.5 0.0 3.6 0.0 5.1 0.0 0.5 0.0 1.3 0.5 24.0 1.9 7.2 0.0 2.2 0.0 7.0 0.0 33.9 0.9 49.7 2.0 8.3 0.0 202.9 2.6 512.3 4.0 0.9 0.0 0.0 0.5 0.0 0.3 7.4 0.0 2.0 0.0 0.2 0.0 3.3 0.0 9.7 0.0 124.3 0.0 19.3 0.0 392.1 0.0 1,247.1 0.0 267.6 4.0 90.8 5.0 610.0 29.7 1,857.7 114.6 347.2 4.0 103.3 5.0 794.0 29.7 2,443.7 114.6 Teachers of the Speech and Hearing Handicapped Teachers of the Deaf and Hearing Handicapped Teachers of the Blind and Partially Sighted Speech and Language Pathologists and Audiologists Special Education Teachers Social Workers Registered Dieticians Psychologists Municipality Table 4 - Number of NYS Approved Agency and Individual Providers Under Contract with Municipalities to Provide EI Services by Service Specialty (1,2) Expressed as FTEs by Type of Discipline (3) As of December 31, 2006 Agency Ind. Agency Ind. Agency Ind. Agency Ind. 54.2 25.7 0.5 1.4 5.2 0.0 19.2 4.1 10.6 2.8 0.7 0.0 0.0 0.0 1.5 0.3 14.7 14.1 0.3 0.0 0.0 0.0 1.9 4.1 33.8 6.9 0.7 0.0 0.0 0.0 8.1 1.0 20.0 8.1 0.4 0.0 0.0 0.0 9.9 1.9 17.6 3.7 0.0 0.3 0.5 0.0 9.1 0.5 23.8 6.3 0.0 0.0 0.0 0.2 1.0 2.3 0.2 1.4 9.3 4.3 0.0 0.0 0.0 0.0 11.5 0.0 0.0 0.0 0.0 0.0 1.0 0.0 43.2 6.5 2.0 0.5 0.4 0.0 12.3 0.5 9.8 0.9 0.3 0.0 4.0 0.0 0.6 0.0 15.3 3.2 0.8 0.0 0.5 0.1 4.2 0.8 59.0 0.0 0.8 0.0 0.4 0.0 6.0 0.0 129.7 0.0 1.5 0.0 1.1 0.0 15.5 0.0 9.8 4.2 0.0 0.0 0.0 0.0 2.6 1.0 1.0 0.0 8.3 0.0 7.2 0.0 1.0 0.0 10.5 3.3 2.3 0.0 0.0 0.0 0.6 0.5 33.1 1.4 1.2 0.0 0.9 0.3 5.5 0.5 36.9 5.8 1.0 0.4 0.3 0.0 23.3 1.4 0.9 0.3 0.0 0.0 0.0 0.0 0.3 0.3 79.0 2.7 2.1 0.0 2.0 0.0 21.5 0.7 14.9 0.5 0.0 0.0 0.0 0.0 2.0 0.0 72.1 0.8 2.2 0.0 0.2 0.0 8.5 0.0 1.5 1.7 0.0 0.0 0.2 4.1 0.5 78.2 78.9 0.0 2.0 0.0 4.0 0.0 16.8 0.0 105.3 14.3 3.7 1.6 0.9 0.0 11.9 1.4 26.8 2.3 2.3 0.0 0.0 0.0 6.0 0.1 881.3 8.0 12.2 0.0 8.6 0.3 255.8 1.2 125.7 7.6 1.7 0.1 1.9 0.0 12.4 1.9 73.2 1.0 2.0 0.0 2.0 0.0 9.3 0.0 101.8 10.6 0.9 0.4 4.7 0.0 23.5 3.5 43.1 3.8 1.1 0.5 0.0 0.0 2.4 0.3 174.7 6.7 4.2 0.6 2.2 0.0 109.2 2.9 23.5 2.5 1.2 0.0 0.9 0.0 0.5 0.3 64.7 1.2 0.4 0.0 0.8 0.0 10.8 0.5 22.6 4.9 0.6 0.0 0.8 0.0 9.6 1.6 117.3 8.0 2.0 0.0 0.0 0.0 76.7 1.1 48.2 15.0 1.0 1.2 4.3 0.0 20.6 2.4 191.2 13.0 7.2 0.5 1.8 0.5 114.3 1.9 17.4 0.0 0.2 0.0 0.2 0.0 1.2 0.0 64.9 29.2 0.3 0.0 5.2 0.0 25.8 3.5 54.4 10.5 0.3 0.0 4.0 0.0 24.2 2.4 76.0 2.8 0.3 0.0 0.3 0.0 0.5 0.5 19.6 0.3 0.0 0.0 0.0 0.0 1.0 1.0 9.5 1.8 0.1 0.5 0.0 0.0 1.4 0.5 28.0 8.8 1.0 0.0 0.0 0.2 2.5 1.9 967.9 54.8 41.6 1.8 8.9 0.3 314.1 17.2 62.1 2.9 0.5 0.2 0.3 0.0 4.9 0.0 24.1 5.1 0.3 0.0 0.0 0.0 1.8 3.6 7.5 9.2 0.3 0.0 4.0 0.3 1.1 1.9 45.9 10.8 2.0 0.7 0.2 0.0 21.2 1.4 2.2 1.0 0.0 0.0 0.0 0.0 0.0 0.0 36.4 11.0 0.5 0.0 0.0 0.0 13.9 0.8 52.1 5.9 2.3 0.0 0.0 0.0 11.5 0.0 378.3 14.2 8.8 0.5 0.8 0.1 146.5 3.5 8.2 1.6 0.7 0.0 0.0 0.0 0.3 0.6 12.3 4.8 0.0 0.5 0.0 0.1 1.0 0.7 1,120.9 0.0 15.6 0.0 8.8 0.0 338.4 0.0 2,006.4 319.6 69.9 8.4 29.7 2.1 567.0 67.7 2,550.9 319.6 74.3 8.4 37.0 2.1 699.2 67.7 Data Source: NYS EI Provider Approval database 1/26/07 (1) Providers with contracts in more than one county are counted more than once. (2) Providers with qualified personnel in more than one area of licensure, certification or registration are counted more than o (3) Full time equivalents and types of qualified personnel were take from provider applications for state approval. Table 5 - Number and Percent of Children Within Municipalities Authorized to Receive A Single Service (1) By Type of Provider. January 1, 2006 – December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Single Service Children 182 32 218 102 98 147 88 39 168 55 49 38 470 1,213 47 47 25 53 53 0 26 68 23 50 54 809 35 1,577 276 175 411 63 509 58 125 31 83 162 600 49 194 121 25 25 28 72 1,079 89 66 101 162 128 70 130 1,382 55 19 8,107 12,054 20,161 Agency Number 58 20 110 25 41 91 60 5 132 21 49 13 464 1,213 27 47 8 47 18 0 21 68 10 30 52 675 18 1,490 188 174 411 54 380 47 118 2 66 90 527 49 74 42 9 24 17 43 983 49 38 40 116 128 14 79 1,297 46 4 8,107 9,922 18,029 Individual Percent (2) 31.9% 62.5% 50.5% 24.5% 41.8% 61.9% 68.2% 12.8% 78.6% 38.2% 100.0% 34.2% 98.7% 100.0% 57.4% 100.0% 32.0% 88.7% 34.0% na 80.8% 100.0% 43.5% 60.0% 96.3% 83.4% 51.4% 94.5% 68.1% 99.4% 100.0% 85.7% 74.7% 81.0% 94.4% 6.5% 79.5% 55.6% 87.8% 100.0% 38.1% 34.7% 36.0% 96.0% 60.7% 59.7% 91.1% 55.1% 57.6% 39.6% 71.6% 100.0% 20.0% 60.8% 93.8% 83.6% 21.1% 100.0% 82.3% 89.4% Number 124 12 108 77 57 56 28 34 36 34 0 25 6 0 20 0 17 6 35 0 5 0 13 20 2 134 17 87 88 1 0 9 129 11 7 29 17 72 73 0 120 79 16 1 11 29 96 40 28 61 46 0 56 51 85 9 15 0 2132 2132 Percent (2) 68.1% 37.5% 49.5% 75.5% 58.2% 38.1% 31.8% 87.2% 21.4% 61.8% 0.0% 65.8% 1.3% 0.0% 42.6% 0.0% 68.0% 11.3% 66.0% na 19.2% 0.0% 56.5% 40.0% 3.7% 16.6% 48.6% 5.5% 31.9% 0.6% 0.0% 14.3% 25.3% 19.0% 5.6% 93.5% 20.5% 44.4% 12.2% 0.0% 61.9% 65.3% 64.0% 4.0% 39.3% 40.3% 8.9% 44.9% 42.4% 60.4% 28.4% 0.0% 80.0% 39.2% 6.2% 16.4% 78.9% 0.0% 17.7% 10.6% Data Source: KIDS data complete as of 12/06, NYS EI Provider Approval database as of 2/7/2007 (1) Single Service Children - A child was counted as a 'single service child' if only one type of service was authorized in the reporting period. These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in this table and "Multiple Service Children" in Table 6 will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations in this time period. (2) Sum of percents may not equal 100% due to rounding. Table 6 - Number and Percent of Children Within Municipalities Authorized to Receive Multiple Services (1) By Type of Provider. January 1, 2006 – December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Multi Service Children 294 28 279 73 82 108 91 58 189 87 70 54 578 1,096 42 57 61 158 96 0 59 85 36 85 55 1,001 62 2,456 323 327 743 103 820 57 221 59 103 312 1,537 108 279 174 40 16 41 142 2,110 153 64 188 272 89 76 151 1,942 46 23 24,807 17,859 42,666 Agency Only Number Percent (2) 43 14.6% 7 25.0% 74 26.5% 5 6.8% 3 3.7% 31 28.7% 35 38.5% 0 0.0% 146 77.2% 10 11.5% 68 97.1% 3 5.6% 552 95.5% 1,096 100.0% 10 23.8% 57 100.0% 6 9.8% 121 76.6% 5 5.2% 0 N/A 11 18.6% 83 97.6% 5 13.9% 48 56.5% 48 87.3% 607 60.6% 4 6.5% 2,131 86.8% 212 65.6% 317 96.9% 743 100.0% 72 69.9% 310 37.8% 46 80.7% 204 92.3% 1 1.7% 54 52.4% 127 40.7% 1,201 78.1% 108 100.0% 29 10.4% 72 41.4% 2 5.0% 12 75.0% 33 80.5% 22 15.5% 1,603 76.0% 44 28.8% 15 23.4% 36 19.1% 109 40.1% 65 73.0% 4 5.3% 89 58.9% 1,588 81.8% 32 69.6% 10 43.5% 24,807 100.0% 12,369 69.3% 37,176 87.1% Individual Only Number Percent (2) 113 38.4% 3 10.7% 39 14.0% 30 41.1% 32 39.0% 13 12.0% 3 3.3% 36 62.1% 0 0.0% 33 37.9% 0 0.0% 12 22.2% 0 0.0% 0 0.0% 1 2.4% 0 0.0% 15 24.6% 1 0.6% 32 33.3% 0 N/A 2 3.4% 0 0.0% 7 19.4% 7 8.2% 0 0.0% 40 4.0% 15 24.2% 1 0.0% 4 1.2% 0 0.0% 0 0.0% 4 3.9% 41 5.0% 0 0.0% 1 0.5% 37 62.7% 2 1.9% 31 9.9% 69 4.5% 0 0.0% 86 30.8% 21 12.1% 23 57.5% 0 0.0% 0 0.0% 23 16.2% 24 1.1% 18 11.8% 4 6.3% 23 12.2% 6 2.2% 0 0.0% 35 46.1% 13 8.6% 6 0.3% 0 0.0% 6 26.1% 0 0.0% 912 5.1% 912 2.1% Individual & Agency Number Percent (2) 138 46.9% 18 64.3% 166 59.5% 38 52.1% 47 57.3% 64 59.3% 53 58.2% 22 37.9% 43 22.8% 44 50.6% 2 2.9% 39 72.2% 26 4.5% 0 0.0% 31 73.8% 0 0.0% 40 65.6% 36 22.8% 59 61.5% 0 N/A 46 78.0% 2 2.4% 24 66.7% 30 35.3% 7 12.7% 354 35.4% 43 69.4% 324 13.2% 107 33.1% 10 3.1% 0 0.0% 27 26.2% 469 57.2% 11 19.3% 16 7.2% 21 35.6% 47 45.6% 154 49.4% 267 17.4% 0 0.0% 164 58.8% 81 46.6% 15 37.5% 4 25.0% 8 19.5% 97 68.3% 483 22.9% 91 59.5% 45 70.3% 129 68.6% 157 57.7% 24 27.0% 37 48.7% 49 32.5% 348 17.9% 14 30.4% 7 30.4% 0 0.0% 4578 25.6% 4578 10.7% Data Source: KIDS data complete as of 12/06, NYS EI Provider Approval database as of 2/7/2007 (1) Multiple Service Children - A child was counted as a 'multiple service child' if more than one type of service was authorized in the reporting period. These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in Table 5 and "Multiple Service Children" in this table will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations in this time period. (2) Sum of percents may not equal 100% due to rounding. Table 7 - Number and Percent of Evaluators Contracted with Municipalities to Provide Evaluations Who also Provided Services to Children Whom They Evaluated. January 1, 2006 - December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Number of Evaluators (1) 97 23 48 34 37 27 24 21 7 41 10 34 17 24 16 9 20 17 45 3 20 10 18 9 13 66 28 105 15 13 29 20 14 6 16 31 10 79 82 11 122 52 24 7 10 53 245 37 35 23 39 4 35 36 46 7 19 108 1,330 1,415 Evaluators providing services to children whom they evaluated (2) Number Percent 44 45.4% 12 52.2% 24 50.0% 15 44.1% 24 64.9% 15 55.6% 15 62.5% 7 33.3% 4 57.1% 23 56.1% 5 50.0% 12 35.3% 10 58.8% 20 83.3% 7 43.8% 5 55.6% 8 40.0% 8 47.1% 22 48.9% 2 66.7% 9 45.0% 7 70.0% 13 72.2% 7 77.8% 10 76.9% 44 66.7% 12 42.9% 76 72.4% 12 80.0% 9 69.2% 17 58.6% 15 75.0% 11 78.6% 6 100.0% 9 56.3% 9 29.0% 7 70.0% 46 58.2% 45 54.9% 10 90.9% 53 43.4% 26 50.0% 16 66.7% 7 100.0% 9 90.0% 22 41.5% 82 33.5% 15 40.5% 21 60.0% 12 52.2% 25 64.1% 3 75.0% 19 54.3% 25 69.4% 35 76.1% 7 100.0% 10 52.6% 97 89.8% 602 45.3% 676 47.8% Data Source: KIDS data complete as of December 31, 2006, NYS Provider Approval database January 26, 2007 (1) Evaluators are providers approved by NYSDOH and under contract with that municipality to provide evaluation services. A provider may contract with more than one municipality. (2) Evaluators who provided general services between 1/1/06 and 12/31/06 to a child from any municipalty whom they had evaluated at any time. Table 8 - Number and Percent of Children Whose Families Were Authorized to Receive Supportive Services. January 1, 2006 – December 31, 2006 Municipality Total Children (1) Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Number 497 63 522 176 230 258 184 97 368 144 120 102 1,058 2,386 90 104 88 213 149 2 86 163 59 145 110 1,833 99 4,126 626 503 1,182 167 1,345 117 355 90 190 483 2,159 161 484 302 67 41 70 223 3,294 249 133 295 437 218 152 285 3,456 103 42 34,425 30,701 65,126 Received Supportive Service (2) Percent 41 14 74 15 13 3 4 2 10 28 5 11 231 166 5 0 1 19 7 0 1 19 7 1 8 283 0 782 150 25 214 42 249 25 33 8 32 34 326 14 39 16 6 0 4 46 962 17 12 36 49 4 12 42 508 15 0 11,232 4,670 15,902 Data Source: KIDS data complete as of December 31, 2006 (1) Total Children - Children were included if they had an IFSP at any time during the period, regardless of the length of time. (2) Supportive Services - Family Counseling, Family Support Group, Family Training, and Respite services. 8.2% 22.2% 14.2% 8.5% 5.7% 1.2% 2.2% 2.1% 2.7% 19.4% 4.2% 10.8% 21.8% 7.0% 5.6% 0.0% 1.1% 8.9% 4.7% 0.0% 1.2% 11.7% 11.9% 0.7% 7.3% 15.4% 0.0% 19.0% 24.0% 5.0% 18.1% 25.1% 18.5% 21.4% 9.3% 8.9% 16.8% 7.0% 15.1% 8.7% 8.1% 5.3% 9.0% 0.0% 5.7% 20.6% 29.2% 6.8% 9.0% 12.2% 11.2% 1.8% 7.9% 14.7% 14.7% 14.6% 0.0% 32.6% 15.2% 24.4% Table 9 - Number and Percent Of Children Within Municipalities with Sources of Third Party Reimbursement (Medicaid and Commercial Insurance). January 1, 2006 – December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Enrolled in EI (1,4) 497 63 522 176 230 258 184 97 368 144 120 102 1,058 2,386 90 104 88 213 149 2 86 163 59 145 110 1,833 99 4,126 626 503 1,182 167 1,345 117 355 90 190 483 2,159 161 484 302 67 41 70 223 3,294 249 133 295 437 218 152 285 3,456 103 42 34,425 30,701 65,126 Medicaid Only (2,4) Number 182 28 213 44 113 107 105 58 191 60 59 47 173 718 47 55 50 84 71 1 57 56 31 52 41 603 44 612 191 213 345 44 281 45 185 39 14 187 119 95 86 153 26 14 29 121 559 81 49 116 113 62 56 78 804 29 24 18,946 8,060 27,006 Percent 36.6% 44.4% 40.8% 25.0% 49.1% 41.5% 57.1% 59.8% 51.9% 41.7% 49.2% 46.1% 16.4% 30.1% 52.2% 52.9% 56.8% 39.4% 47.7% 50.0% 66.3% 34.4% 52.5% 35.9% 37.3% 32.9% 44.4% 14.8% 30.5% 42.3% 29.2% 26.3% 20.9% 38.5% 52.1% 43.3% 7.4% 38.7% 5.5% 59.0% 17.8% 50.7% 38.8% 34.1% 41.4% 54.3% 17.0% 32.5% 36.8% 39.3% 25.9% 28.4% 36.8% 27.4% 23.3% 28.2% 57.1% 55.0% 26.3% 41.5% Commercial Insurance Only (3,4) Number Percent 264 53.1% 25 39.7% 217 41.6% 70 39.8% 104 45.2% 67 26.0% 57 31.0% 24 24.7% 157 42.7% 72 50.0% 50 41.7% 37 36.3% 657 62.1% 1,286 53.9% 30 33.3% 39 37.5% 27 30.7% 107 50.2% 69 46.3% 1 50.0% 24 27.9% 86 52.8% 17 28.8% 85 58.6% 55 50.0% 1079 58.9% 31 31.3% 3,354 81.3% 368 58.8% 216 42.9% 596 50.4% 93 55.7% 862 64.1% 42 35.9% 136 38.3% 33 36.7% 166 87.4% 241 49.9% 1,190 55.1% 45 28.0% 311 64.3% 126 41.7% 31 46.3% 12 29.3% 30 42.9% 73 32.7% 2,498 75.8% 104 41.8% 61 45.9% 155 52.5% 228 52.2% 116 53.2% 64 42.1% 149 52.3% 2,467 71.4% 58 56.3% 12 28.6% 6,034 17.5% 18,574 60.5% 24,608 37.8% Both (4) Number 21 8 59 54 10 79 18 10 19 9 9 9 58 365 5 9 6 12 3 0 3 13 5 6 13 105 16 146 42 21 167 23 120 30 5 17 8 17 792 16 47 18 7 0 6 21 107 57 18 18 50 24 19 41 172 10 1 981 2,944 3,925 Percent 4.2% 12.7% 11.3% 30.7% 4.3% 30.6% 9.8% 10.3% 5.2% 6.3% 7.5% 8.8% 5.5% 15.3% 5.6% 8.7% 6.8% 5.6% 2.0% 0.0% 3.5% 8.0% 8.5% 4.1% 11.8% 5.7% 16.2% 3.5% 6.7% 4.2% 14.1% 13.8% 8.9% 25.6% 1.4% 18.9% 4.2% 3.5% 36.7% 9.9% 9.7% 6.0% 10.4% 0.0% 8.6% 9.4% 3.2% 22.9% 13.5% 6.1% 11.4% 11.0% 12.5% 14.4% 5.0% 9.7% 2.4% 2.8% 9.6% 6.0% Unknown (4) Number 30 2 33 8 3 5 4 5 1 3 2 9 170 17 8 1 5 10 6 0 2 8 6 2 1 46 8 14 25 53 74 7 82 0 29 1 2 38 58 5 40 5 3 15 5 8 130 7 5 6 46 16 13 17 13 6 5 8,464 1,123 9,587 Percent 6.0% 3.2% 6.3% 4.5% 1.3% 1.9% 2.2% 5.2% 0.3% 2.1% 1.7% 8.8% 16.1% 0.7% 8.9% 1.0% 5.7% 4.7% 4.0% 0.0% 2.3% 4.9% 10.2% 1.4% 0.9% 2.5% 8.1% 0.3% 4.0% 10.5% 6.3% 4.2% 6.1% 0.0% 8.2% 1.1% 1.1% 7.9% 2.7% 3.1% 8.3% 1.7% 4.5% 36.6% 7.1% 3.6% 3.9% 2.8% 3.8% 2.0% 10.5% 7.3% 8.6% 6.0% 0.4% 5.8% 11.9% 24.6% 3.7% 14.7% Data Source: KIDS data complete as of December 31, 2006 (1) Enrolled in EI - Children were included if they had an IFSP at any time during the period, regardless of the length of time. (2) Medicaid - Children were counted as having Medicaid if the "Medicaid" field in KIDS was equal to 'Yes'. (3) Commercial Insurance - Children were counted as having insurance if there was an insurance record present for the child in KIDS. This includes both insurance companies that are regulated by NYS and those that are not. It is estimated that 27.9% of the children enrolled in EI are covered by an insurance company regulated by NYS. (4) Sum of percents may not equal 100% due to rounding. Table 10 - Number and Percent of Claims Submitted to Commercial Insurers And Percent of Claims Denied by Insurers. January 1, 2006 - December 31, 2006 Claims Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess (1) Erie (1) Essex Franklin Fulton Genesee (1) Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe (1) Montgomery Nassau Niagara (1) Oneida Onondaga Ontario Orange Orleans(1) Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk(1) Sullivan Tioga Tompkins Ulster Warren Washington Wayne (1) Westchester Wyoming Yates New York City (1) ROS STATE Submitted 12,740 1,578 12,935 2,459 5,103 5,472 3,695 1,896 11,087 1,476 2,318 1,523 11,211 50,205 701 1,347 506 5,021 2,411 80 3,034 2,074 926 3,089 2,164 39,571 3,018 93,350 16,188 12,531 19,453 9,003 72,413 1,551 3,767 1,418 5,938 15,746 45,813 1,374 10,530 2,240 4,266 483 1,354 2,074 130,677 6,581 2,764 9,630 13,423 8,870 4,101 9,343 119,104 3,365 715 229,818 815,705 1,045,523 Reconciled (2) 14,590 1,485 13,045 2,519 4,195 4,837 188 1,774 10,060 1,469 2,649 1,438 10,560 49,659 183 1,364 481 4,946 2,827 28 1,833 1,724 869 3,670 2,219 39,187 3,044 77,468 16,041 13,166 15,596 7,530 74,021 1,551 3,668 1,143 7,515 12,395 53,106 1,247 6,330 2,512 4,538 212 1,360 1,385 110,641 6,275 2,048 9,435 15,328 8,189 4,169 9,343 133,869 3,298 860 229,818 785,082 1,014,900 Denied 10,872 628 7,342 1,476 3,387 2,763 83 302 5,740 730 1,756 1,169 8,242 28,909 70 457 275 4,324 1,738 20 1,741 947 422 1,069 986 33,176 2,541 29,170 12,347 5,455 9,594 6,147 58,214 1,174 3,114 844 6,022 10,234 28,192 621 4,574 1,633 4,032 65 916 1,101 79,144 4,246 860 3,975 13,279 6,859 3,433 8,030 106,512 2,397 745 171,452 534,094 705,546 Percent Denied / Reconciled (3) 74.5% 42.3% 56.3% 58.6% 80.7% 57.1% 44.1% 17.0% 57.1% 49.7% 66.3% 81.3% 78.0% 58.2% 38.3% 33.5% 57.2% 87.4% 61.5% 71.4% 95.0% 54.9% 48.6% 29.1% 44.4% 84.7% 83.5% 37.7% 77.0% 41.4% 61.5% 81.6% 78.6% 75.7% 84.9% 73.8% 80.1% 82.6% 53.1% 49.8% 72.3% 65.0% 88.8% 30.7% 67.4% 79.5% 71.5% 67.7% 42.0% 42.1% 86.6% 83.8% 82.3% 85.9% 79.6% 72.7% 86.6% 74.6% 68.0% 69.5% Data Sources: KIDS data complete as of 12/06. Municipal Fiscal Agent Reports submitted 2/07. (1) Data from these counties were submitted via a special report created to capture data from fiscal agents. All other data were collected and submitted by counties using KIDS. (2) Claims Reconciled - These are claims submitted to insurers that were subsequently denied, paid, or partially paid between January 1, 2006 and December 31, 2006. Reconcilation data from fiscal agents include only claims submitted in the reporting period. Reconcilation data from KIDS include claims reconciled during the period, regardless of when they were submitted. The number of claims submitted may not equal the number reconciled since some reconciled claims were submitted prior to January 1. (3) Percent Denied/Reconciled - Number of claims denied divided by claims reconciled in reporting period. Table 11 - Reasons for Commercial Insurers' Denial of Early Intervention Claims by Number and Percent of Denials. January 1, 2006 – December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess (1) Erie (1) Essex Franklin Fulton Genesee (1) Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe (1) Montgomery Nassau Niagara (1) Oneida Onondaga Ontario Orange Orleans(1) Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk (1) Sullivan Tioga Tompkins Ulster Warren Washington Wayne (1) Westchester Wyoming Yates New York City (1) ROS STATE Claims Denied In Reporting Period (2) Reasons For Denial Service Not Covered 10,872 1,864 628 151 7,342 2,034 1,476 411 3,387 2,790 2,763 1,388 83 14 302 0 5,740 99 730 413 1,756 1,234 1,169 611 8,242 1,122 28,909 1,177 70 41 457 88 275 40 4,324 102 1,738 624 20 19 1,741 850 947 467 422 72 1,069 535 986 131 33,176 2,033 2,541 1,186 29,170 8,345 12,347 264 5,455 1,832 9,594 3,352 6,147 1,591 58,214 12,666 1,174 69 3,114 2,418 844 201 6,022 1,791 10,234 3,433 28,192 12,473 621 74 4,574 1,886 1,633 502 4,032 3,849 65 0 916 638 1,101 362 79,144 22,355 4,246 430 860 493 3,975 1,662 13,279 2,360 6,859 3,030 3,433 943 8,030 313 106,512 33,311 2,397 569 745 272 171,452 15,134 534,094 140,980 705,546 156,114 No Response From Insurer 17.3% 520 24.0% 3 27.7% 947 27.8% 0 82.4% 2 50.7% 256 16.9% 0 0.0% 0 1.7% 515 56.7% 0 70.6% 0 52.3% 51 13.6% 161 4.1% 16 58.6% 0 19.3% 0 14.5% 0 2.4% 25 15 35.9% 95.0% 0 48.8% 85 49.3% 39 17.1% 24 50.0% 0 13.3% 0 6.1% 68 46.7% 156 29.8% 122 2.1% 13 33.6% 5 35.2% 0 25.9% 92 21.8% 10,531 5.9% 0 77.6% 355 23.8% 99 29.7% 1,389 33.5% 271 44.2% 64 12.6% 0 41.5% 0 30.7% 0 95.5% 150 0.0% 0 69.7% 44 32.9% 3 28.2% 5,865 10.1% 181 57.7% 101 41.8% 35 17.8% 545 44.4% 20 27.5% 430 3.9% 7 31.3% 16,591 23.7% 6 36.5% 94 8.8% 109,884 26.5% 39,896 22.2% 149,780 4.8% 0.5% 12.9% 0.0% 0.1% 9.3% 0.0% 0.0% 9.0% 0.0% 0.0% 4.4% 2.0% 0.1% 0.0% 0.0% 0.0% 0.6% 0.9% 0.0% 4.9% 4.1% 5.7% 0.0% 0.0% 0.2% 6.1% 0.4% 0.1% 0.1% 0.0% 1.5% 18.1% 0.0% 11.4% 11.7% 23.1% 2.6% 0.2% 0.0% 0.0% 0.0% 3.7% 0.0% 4.8% 0.3% 7.4% 4.3% 11.8% 0.9% 4.1% 0.3% 12.5% 0.1% 15.6% 0.3% 12.6% 64.1% 7.5% 21.3% Other Denial 3,563 33.0% 92 14.6% 1,061 14.5% 2 0.1% 97 2.9% 323 11.8% 0 0.0% 302 100.0% 545 9.5% 147 20.2% 135 7.7% 105 9.0% 536 6.5% 4,120 14.3% 0 0.0% 344 75.3% 159 57.8% 75 1.7% 223 12.8% 0 0.0% 49 2.8% 73 7.7% 32 7.6% 60 5.6% 267 27.2% 447 1.3% 55 2.2% 4,837 17.3% 135 1.1% 542 9.9% 2,129 22.4% 351 5.7% 7,666 13.2% 13 1.1% 52 1.7% 27 3.2% 554 9.2% 705 6.9% 10,449 37.1% 141 24.1% 156 3.4% 447 27.4% 1 0.0% 0 0.0% 9 1.0% 296 26.9% 19,879 25.1% 1,161 27.3% 146 17.1% 1,675 42.1% 1,391 10.5% 422 6.2% 15 0.4% 81 1.0% 5,294 5.0% 139 5.8% 34 4.6% 2,218 1.3% 71,559 13.4% 73,777 10.5% Not Medically Necessary 95 0 62 0 48 0 0 0 366 48 43 0 2,233 10 0 1 0 674 1 0 0 0 0 0 71 16,101 0 3,832 32 1,366 256 3,407 5,745 240 0 14 17 755 7 12 1 9 0 0 7 9 41 83 2 18 8 106 20 4,884 8,285 0 0 14,315 48,909 63,224 0.9% 0.0% 0.8% 0.0% 1.4% 0.0% 0.0% 0.0% 6.4% 6.6% 2.5% 0.0% 27.1% 0.0% 0.0% 0.2% 0.0% 15.6% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 7.2% 48.5% 0.0% 13.7% 0.3% 25.0% 2.7% 55.4% 9.9% 20.4% 0.0% 1.7% 0.3% 7.4% 0.0% 2.1% 0.0% 0.6% 0.0% 0.0% 0.8% 0.8% 0.1% 2.0% 0.2% 0.5% 0.1% 1.6% 0.6% 60.8% 7.8% 0.0% 0.0% 8.3% 9.2% 9.0% Out-of-Network Provider 1,923 0 429 27 0 0 0 0 1,878 15 0 53 1,056 432 0 0 0 1,718 152 0 0 7 0 27 2 2,886 137 5,101 5,175 340 621 0 4,653 602 0 150 709 3,594 737 32 303 180 0 0 2 0 6,663 159 8 1 1,379 490 0 725 12,679 93 34 3,033 55,172 58,205 17.8% 0.0% 5.8% 1.8% 0.0% 0.0% 0.0% 0.0% 32.8% 2.1% 0.0% 4.5% 12.8% 1.5% 0.0% 0.0% 0.0% 39.7% 8.7% 0.0% 0.0% 0.7% 0.0% 2.5% 0.2% 8.7% 5.4% 18.2% 41.9% 6.2% 6.5% 0.0% 8.0% 51.3% 0.0% 17.8% 11.8% 35.1% 2.6% 5.5% 6.7% 11.0% 0.0% 0.0% 0.2% 0.0% 8.4% 3.7% 0.9% 0.0% 10.4% 7.2% 0.0% 9.0% 11.9% 3.9% 4.6% 1.8% 10.4% 8.3% No Preauthorization Obtained (3) 1,704 0 1,058 203 0 0 0 0 14 18 54 114 2,453 1,021 3 0 0 10 322 1 508 109 21 11 0 1 528 1,365 45 565 683 0 10,864 44 107 0 60 546 924 4 1,571 10 0 0 11 0 7,609 671 2 66 6,088 1,311 1,086 4 10,175 451 57 3,869 52,472 56,341 15.8% 0.0% 14.4% 13.8% 0.0% 0.0% 0.0% 0.0% 0.2% 2.5% 3.1% 9.8% 29.8% 3.5% 4.3% 0.0% 0.0% 0.2% 18.5% 5.0% 29.2% 11.5% 5.0% 1.0% 0.0% 0.0% 20.8% 4.9% 0.4% 10.4% 7.2% 0.0% 18.7% 3.7% 3.4% 0.0% 1.0% 5.3% 3.3% 0.7% 34.6% 0.6% 0.0% 0.0% 1.2% 0.0% 9.6% 15.8% 0.2% 1.7% 45.8% 19.2% 31.6% 0.0% 9.6% 18.8% 7.7% 2.3% 9.9% 8.0% Data Sources: KIDS data complete as of 12/06. Municipal Fiscal Agent Reports submitted 2/07. (1) Data from these counties were submitted via a special report created to capture data from fiscal agents. All other data were collected and submitted by counties using KIDS. (2) 1,675 claims were excluded because the reason for denial was not recorded. (3) Data reported in this column include both denials by insurers when municipalities sought preauthorization, and denials when preauthorization was not sought. Table 11 - Reasons for Commercial Insurers' Denial of Early Intervention Claims by Number and Percent of Denials. January 1, 2006 – December 31, 2006 Reasons For Denial Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess (1) Erie (1) Essex Franklin Fulton Genesee (1) Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe (1) Montgomery Nassau Niagara (1) Oneida Onondaga Ontario Orange Orleans(1) Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk (1) Sullivan Tioga Tompkins Ulster Warren Washington Wayne (1) Westchester Wyoming Yates New York City (1) ROS STATE Benefits Exhausted 483 189 277 743 41 550 0 0 1,289 5 133 1 228 20,647 25 4 71 273 31 0 0 28 240 267 125 6,690 342 1,235 2,340 493 474 589 2,135 61 0 0 42 395 705 166 191 331 0 0 89 0 2,799 275 0 148 7 442 271 879 6,170 760 81 1,073 53,760 54,833 4.5% 30.1% 3.8% 50.3% 1.2% 20.1% 0.0% 0.0% 22.5% 0.7% 7.6% 0.1% 2.8% 71.4% 35.7% 0.9% 25.8% 6.3% 1.8% 0.0% 0.0% 3.0% 56.9% 25.0% 12.7% 20.2% 13.5% 4.4% 19.0% 9.0% 5.0% 9.6% 3.7% 5.2% 0.0% 0.0% 0.7% 3.9% 2.5% 28.4% 4.2% 20.3% 0.0% 0.0% 9.7% 0.0% 3.5% 6.5% 0.0% 3.7% 0.1% 6.5% 7.9% 10.9% 5.8% 31.7% 10.9% 0.6% 10.1% 7.8% Exceeds Insurer's Claiming Limit 0 0 243 4 220 97 46 0 802 15 13 18 108 1,014 0 0 0 1,441 7 0 0 30 23 123 73 3,738 0 468 3,233 80 532 98 1,469 119 50 34 574 257 2,576 10 29 62 0 65 28 225 6,791 340 0 105 511 248 239 874 7,868 89 53 2,737 35,042 37,779 0.0% 0.0% 3.3% 0.3% 6.5% 3.5% 55.4% 0.0% 14.0% 2.1% 0.7% 1.5% 1.3% 3.5% 0.0% 0.0% 0.0% 33.3% 0.4% 0.0% 0.0% 3.2% 5.5% 11.5% 7.4% 11.3% 0.0% 1.7% 26.2% 1.5% 5.6% 1.6% 2.5% 10.1% 1.6% 4.0% 9.5% 2.5% 9.1% 1.7% 0.6% 3.8% 0.0% 100.0% 3.1% 20.4% 8.6% 8.0% 0.0% 2.6% 3.8% 3.6% 7.0% 10.9% 7.4% 3.7% 7.1% 1.6% 6.6% 5.4% Child Not Covered 502 193 612 43 187 126 23 0 175 25 134 18 187 472 1 20 5 6 99 0 249 171 10 45 0 948 137 1,879 117 232 997 19 2,014 8 61 84 414 272 198 118 388 77 32 0 37 134 7,127 795 67 149 683 747 418 135 3,425 289 104 11,705 25,408 37,113 4.6% 30.7% 8.3% 2.9% 5.5% 4.6% 27.7% 0.0% 3.1% 3.4% 7.7% 1.5% 2.3% 1.6% 1.4% 4.4% 1.8% 0.1% 5.7% 0.0% 14.3% 18.1% 2.4% 4.2% 0.0% 2.9% 5.4% 6.7% 0.9% 4.3% 10.5% 0.3% 3.5% 0.7% 2.0% 10.0% 6.9% 2.7% 0.7% 20.2% 8.5% 4.7% 0.8% 0.0% 4.0% 12.2% 9.0% 18.7% 7.8% 3.7% 5.1% 10.9% 12.2% 1.7% 3.2% 12.1% 14.0% 6.8% 4.8% 5.3% No Primary Care Physician Referral 47 0 619 9 0 0 0 0 0 0 2 95 158 0 0 0 0 0 0 0 0 23 0 0 23 264 0 657 993 0 473 0 324 18 26 235 471 6 59 8 8 0 0 0 2 72 0 151 21 115 307 10 11 128 2,565 0 16 1,704 7,916 9,620 0.4% 0.0% 8.4% 0.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 8.1% 1.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.4% 0.0% 0.0% 2.3% 0.8% 0.0% 2.3% 8.0% 0.0% 5.0% 0.0% 0.6% 1.5% 0.8% 27.8% 7.8% 0.1% 0.2% 1.4% 0.2% 0.0% 0.0% 0.0% 0.2% 6.5% 0.0% 3.6% 2.5% 2.9% 2.3% 0.1% 0.3% 1.6% 2.4% 0.0% 2.1% 1.0% 1.5% 1.4% Technical Error 65 0 0 0 2 0 0 0 41 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 1 0 0 0 0 15 0 0 49 0 4 0 14 0 0 0 0 0 3 0 0 5,731 231 5,962 0.6% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.7% 2.3% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.3% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.9% 0.0% 0.0% 5.3% 0.0% 0.0% 0.0% 1.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 3.3% 0.0% 0.8% Government Service Blanket Rejection 35 0 0 34 0 0 0 0 0 25 0 103 0 0 0 0 0 0 264 0 0 0 0 1 290 0 0 122 0 0 0 0 119 0 35 0 0 0 0 20 14 0 0 0 0 0 11 0 0 0 0 0 0 0 0 1 0 49 1,074 1,123 0.3% 0.0% 0.0% 2.3% 0.0% 0.0% 0.0% 0.0% 0.0% 3.4% 0.0% 8.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 15.2% 0.0% 0.0% 0.0% 0.0% 0.1% 29.5% 0.0% 0.0% 0.4% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 1.1% 0.0% 0.0% 0.0% 0.0% 3.4% 0.3% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.2% Data Sources: KIDS data complete as of 12/06. Municipal Fiscal Agent Reports submitted 2/07. (1) Data from these counties were submitted via a special report created to capture data from fiscal agents. All other data were collected and submitted by counties using KIDS. (2) 1,675 claims were excluded because the reason for denial was not recorded. (3) Data reported in this column include both denials by insurers when municipalities sought preauthorization, and denials when preauthorization was not sought. Table 12 - Number and Amount of Claims Submitted By Municipalities to Medicaid By Payment Status. January 1, 2006 – December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Claims Submitted 15,763 2,415 15,928 2,267 1,168 11,314 5,230 2,015 17,605 2,960 3,759 2,302 12,829 67,355 1,085 2,822 3,499 9,620 3,677 0 3,433 4,364 2,713 2,855 3,386 30,047 4,255 58,991 16,789 18,036 38,428 6,855 25,337 4,080 11,325 3,696 2,031 14,492 68,903 5,747 6,551 11,099 2,900 479 1,321 8,660 40,638 7,663 3,092 6,332 624 3,318 5,168 10,343 76,851 2,694 2,032 2,464,257 699,141 3,163,398 Data Source: OMM/DOIT, report received 2/16/07 Claims 15,495 2,373 15,896 2,160 1,164 11,184 5,122 1,899 17,463 2,889 3,759 2,246 12,307 67,302 1,085 2,787 3,402 9,619 3,517 0 3,372 4,336 2,655 2,837 3,362 29,951 4,151 57,039 16,582 17,832 38,254 6,733 24,083 4,058 11,280 3,689 1,977 14,332 68,869 5,700 6,456 10,419 2,829 421 1,177 8,587 39,792 7,416 3,006 5,946 579 3,259 4,800 10,129 75,757 2,688 2,028 2,154,267 688,050 2,842,317 Claims Paid Amount Percent 98.3% $964,024.40 98.3% $173,005.82 99.8% $1,020,118.46 95.3% $136,796.43 99.7% $75,089.00 98.9% $700,504.03 97.9% $334,203.50 94.2% $152,793.32 99.2% $1,148,363.97 97.6% $181,340.91 100.0% $208,154.20 97.6% $158,941.25 95.9% $798,992.34 99.9% $3,715,368.70 100.0% $69,073.00 98.8% $161,982.20 97.2% $223,769.00 100.0% $710,540.46 95.6% $225,423.00 na $0.00 98.2% $200,606.00 99.4% $267,490.86 97.9% $136,964.61 99.4% $169,048.62 99.3% $199,246.50 99.7% $2,011,745.79 97.6% $279,586.00 96.7% $4,837,911.36 98.8% $934,293.75 98.9% $1,067,457.64 99.5% $2,251,132.87 98.2% $387,632.99 95.1% $1,735,313.66 $292,063.12 99.5% 99.6% $723,060.50 99.8% $218,148.53 97.3% $138,485.14 98.9% $914,798.00 100.0% $5,495,263.42 99.2% $376,650.22 98.5% $398,383.50 93.9% $576,162.12 97.6% $183,633.90 87.9% $26,707.75 89.1% $62,244.37 99.2% $572,853.75 97.9% $3,485,833.81 96.8% $572,029.75 97.2% $203,213.15 93.9% $344,042.49 92.8% $44,289.50 98.2% $202,420.53 92.9% $295,872.50 97.9% $677,575.83 98.6% $4,715,607.02 99.8% $174,007.12 99.8% $119,726.00 87.4% $175,713,369.95 98.4% $46,449,986.66 89.9% $222,163,356.61 Claims 268 42 32 107 4 130 108 116 142 71 0 56 522 53 0 35 97 1 160 0 61 28 58 18 24 96 104 1,952 207 204 174 122 1,254 22 45 7 54 160 34 47 95 680 71 58 144 73 846 247 86 386 45 59 368 214 1,094 6 4 309,990 11,091 321,081 Claims Denied Percent 1.7% 1.7% 0.2% 4.7% 0.3% 1.1% 2.1% 5.8% 0.8% 2.4% 0.0% 2.4% 4.1% 0.1% 0.0% 1.2% 2.8% 0.0% 4.4% na 1.8% 0.6% 2.1% 0.6% 0.7% 0.3% 2.4% 3.3% 1.2% 1.1% 0.5% 1.8% 4.9% 0.5% 0.4% 0.2% 2.7% 1.1% 0.0% 0.8% 1.5% 6.1% 2.4% 12.1% 10.9% 0.8% 2.1% 3.2% 2.8% 6.1% 7.2% 1.8% 7.1% 2.1% 1.4% 0.2% 0.2% 12.6% 1.6% 10.1% Amount $18,172.00 $2,982.50 $2,336.00 $6,402.00 $206.00 $9,700.00 $4,702.00 $9,640.00 $7,689.00 $4,455.00 $0.00 $2,870.75 $36,478.00 $1,660.00 $0.00 $2,820.25 $5,239.00 $165.00 $6,867.00 $0.00 $3,641.00 $1,680.00 $3,500.75 $655.50 $826.50 $11,562.25 $6,929.00 $166,074.00 $11,257.00 $13,010.25 $11,837.75 $8,145.50 $84,060.25 $1,184.00 $3,914.50 $134.00 $3,465.00 $9,559.00 $2,605.00 $3,094.50 $6,466.00 $28,597.00 $5,436.00 $2,593.00 $8,577.00 $4,942.25 $74,658.00 $19,993.75 $5,820.00 $21,675.00 $3,784.75 $2,982.00 $20,792.00 $13,859.75 $56,110.00 $326.00 $70.00 $25,599,979.75 $746,202.75 $26,346,182.50 Table 13 - Number of Claims Submitted By Municipalities and Denied by Medicaid By Reason for Denial. January 1, 2006 – December 31, 2006 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City ROS STATE Total Denials 268 42 32 107 4 130 108 116 142 71 0 56 522 53 0 35 97 1 160 0 61 28 58 18 24 96 104 1,951 207 204 174 122 1,254 22 45 7 54 160 34 47 95 680 71 58 144 73 846 247 86 386 45 59 368 214 1,094 6 4 309,989 11,090 321,079 Data Source: OMM/DOIT Third Party Recipient Coverage Service Recipient Recipient Recipient Indicated/O Indicates Date Not Duplicate Sex or Ineligible Not On ther Capitation Claims Within 90 Claim In Birth Date On Restricted Insurance And Prepaid Days Of History Not Equal Service Recipient Amt Not Capitation Plan Receipt File Date File Submitted Refer Service Only Date 0 4 1 1 4 0 17 11 0 2 0 0 1 5 0 0 17 0 1 0 0 0 0 0 0 4 0 184 0 1 14 6 90 0 9 0 0 0 14 1 0 0 0 0 92 17 20 10 1 8 0 25 0 37 29 6 0 94,164 632 94,796 105 26 31 48 0 111 0 105 22 58 0 0 179 0 0 33 20 0 0 0 33 0 0 0 0 8 90 1,149 9 62 95 99 311 6 23 0 12 66 0 1 29 0 47 0 2 28 53 4 64 67 30 12 32 114 29 0 0 81,272 3,213 84,485 69 0 0 0 0 19 44 0 0 0 0 0 52 0 0 2 0 0 6 0 0 0 0 0 0 0 14 37 0 0 40 0 19 0 8 0 18 8 16 0 66 22 0 0 0 28 73 233 0 35 14 0 0 2 9 0 0 77,009 834 77,843 92 12 0 37 0 0 0 0 120 0 0 56 289 0 0 0 49 1 88 0 28 28 58 0 1 62 0 467 147 141 25 17 609 1 5 7 24 70 0 45 0 477 24 0 2 0 123 0 21 187 0 0 336 59 749 0 3 54,958 4,460 59,418 0 0 0 8 0 0 0 0 0 3 0 0 1 12 0 0 0 0 41 0 0 0 0 7 7 0 0 89 6 0 0 0 125 8 0 0 0 0 0 0 0 84 0 52 0 0 0 0 0 26 0 0 0 0 136 0 1 910 606 1,516 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 23 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 22 0 0 0 0 0 1,372 55 1,427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 577 0 0 0 0 0 0 0 0 0 0 0 626 626 Claim Recipient Not Provider Authorized For Not Equal CMCM/MSC/ Restriction IRA On Service Recipient Date File Provider 0 0 0 9 0 0 7 0 0 2 0 0 0 30 0 0 0 0 11 0 0 0 0 10 0 0 0 24 43 0 0 0 37 7 0 0 0 0 4 0 0 55 0 5 0 0 0 0 0 0 0 0 0 0 132 0 0 12 376 388 0 0 0 4 0 0 40 0 0 6 0 0 0 6 0 0 0 0 12 0 0 0 0 1 16 0 0 1 0 0 0 0 12 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 63 0 0 0 2 10 0 0 4 210 214 Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 22 0 1 0 0 0 0 28 0 0 0 0 16 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 289 79 368
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