RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
16,518
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
14,238
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
GHI HMO Select
NYS Catholic Health Plan
Mandatory
Eff. Sep 2001
NYS Catholic Health Plan
5,649
Univera Community Health
Cayuga
Voluntary
Chautauqua
TOTALS:
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Chemung
TOTALS:
(Partial)
1,867
18,679
16,935
91%
4,236
1,663
Total
Eligibles
22,915
Total
Enrolled
Percent
Enrolled
18,598
81%
58%
10,749
1,271
12,020
64%
1,281
13,301
158
42
200
1%
3
203
1%
2,587
363
2,950
16%
202
3,152
14%
2,781
191
425
355
3,889
1,765
9%
3,136
81%
177
941
298
4,830
1,942
8%
3,434
71%
1,637
202
1,839
47%
215
2,054
43%
1,144
153
1,297
33%
83
1,380
29%
13,621
86%
15,110
76%
3,223
20%
3,930
20%
12,270
1,630
1,351
15,868
197
3,993
1,489
19,861
707
528
34
562
4%
102
664
3%
6,930
846
7,776
49%
496
8,272
42%
478
62
540
3%
47
587
3%
1,308
212
1,520
10%
137
1,657
8%
5,495
89%
6,364
86%
4,973
534
522
6,183
1,214
869
7,397
2,291
217
2,508
41%
640
3,148
43%
1,775
186
1,961
32%
178
2,139
29%
907
119
1,026
17%
51
1,077
15%
6,010
0
632
0
6,642
0
0%
1,172
0
7,814
0
0%
10,386
1,739
1,612
13,237
11,998
91%
2,583
1,681
15,820
13,679
86%
2,902
398
3,300
25%
589
3,889
25%
7,319
1,139
8,458
64%
1,064
9,522
60%
165
7,904
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
11,498
Univera Community Health
Voluntary
2,161
3,026
Excellus Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
15,068
Eligibles
1,574
3,464
Mandatory
Cattaraugus
Enrolled
SNA HR & MA-HR
4,363
75
731
336
8,635
240
2%
4,699
54%
28
2,149
934
10,784
268
2%
5,633
52%
3,174
0
3,174
37%
258
3,432
32%
1,189
336
1,525
18%
676
2,201
20%
TOTALS:
4,689
0
456
0
5,145
0
0%
1,144
0
6,289
0
0%
TOTALS:
6,247
318
805
112
7,052
430
6%
1,711
14
8,763
444
5%
430
6%
444
5%
NYS Catholic Health Plan
318
112
14
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
3,047
NYS Catholic Health Plan
Wellcare Of New York
Cortland
TOTALS:
2,468
Eligibles
298
Enrolled
204
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
3,345
2,672
80%
873
303
Total
Eligibles
4,218
Total
Enrolled
Percent
Enrolled
2,975
71%
47%
1,617
110
1,727
52%
235
1,962
63
10
73
2%
3
76
2%
521
57
578
17%
33
611
14%
267
3,792
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Enrolled
SNA HR & MA-HR
3,269
27
378
358
4,170
294
9%
3,627
87%
32
737
238
4,907
326
8%
3,865
79%
2,498
264
2,762
66%
197
2,959
60%
771
94
865
21%
41
906
18%
3,011
0
425
0
3,436
0
0%
720
0
4,156
0
0%
10,041
8,441
1,192
924
11,233
9,365
83%
2,942
832
14,175
10,197
72%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
733
115
848
8%
61
909
6%
Eff. Apr 2007
Hudson Health Plan
2,764
289
3,053
27%
282
3,335
24%
MVP Health Plan
2,649
328
2,977
27%
255
3,232
23%
406
77
483
4%
14
497
4%
1,889
115
2,004
18%
220
2,224
16%
67,344
87%
78,013
83%
12,242
16%
13,733
15%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
67,278
8,349
77,101
1,193
16,794
10,669
93,895
1,491
15,726
1,594
17,320
22%
2,940
20,260
22%
NYS Catholic Health Plan
14,839
1,168
16,007
21%
1,864
17,871
19%
Univera Community Health
16,917
3,021
19,938
26%
1,411
21,349
23%
Total Full Risk
PCMP II-A Special Care
(Partial)
58,531
6,976
65,507
85%
7,706
73,213
78%
464
1,373
1,837
2%
2,963
4,800
5%
464
1,373
1,837
2%
2,963
4,800
5%
436
19%
445
15%
436
1%
445
0%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
Eff. Mar 2007
9,823
11,049
Eff. May 1998 Independent Health Association
Fulton
58,995
2,059
352
253
352
84
2,312
84
594
9
2,906
9
TOTALS:
3,715
0
423
0
4,138
0
0%
1,100
0
5,238
0
0%
TOTALS:
Capital District Physicians
Health Plan
5,334
4,575
583
509
5,917
5,084
86%
1,163
207
7,080
5,291
75%
NYS Catholic Health Plan
1,535
174
1,709
29%
85
1,794
25%
3,040
335
3,375
57%
122
3,497
49%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Rochester Area HMO/Preferred
Care
3,357
TOTALS:
Capital District Physicians
Health Plan
2,773
Mandatory
Eff. Jan 2004
Greene
Mandatory
Eff. Oct 1997
Eligibles
Enrolled
3,061
SNA HR & MA-HR
Eligibles
387
1,777
350
3,744
222
1,284
2,456
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
128
406
364
3,179
3,411
91%
1,999
53%
1,412
38%
2,820
89%
571
259
Total
Eligibles
4,315
109
150
804
378
3,983
Total
Enrolled
Percent
Enrolled
3,670
85%
2,108
49%
1,562
36%
3,198
80%
40%
1,224
109
1,333
42%
246
1,579
GHI HMO Select
488
91
579
18%
38
617
15%
NYS Catholic Health Plan
462
119
581
18%
38
619
16%
327
10%
383
10%
20
9%
22
9%
Wellcare Of New York
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
282
184
19
45
27
19
4,958
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
4,422
1
211
1
570
527
56
39
20
5,528
4,949
2
250
2
90%
991
323
6,519
22
9%
5,272
81%
717
57
774
14%
74
848
13%
3,655
462
4,117
74%
241
4,358
67%
50
8
58
1%
8
66
1%
0
0%
0
0%
Jefferson
Voluntary
Lewis
Voluntary
TOTALS:
1,869
0
198
0
2,067
0
0%
444
0
2,511
0
0%
Livingston
TOTALS:
2,885
2,461
415
328
3,300
2,789
85%
689
311
3,989
3,100
78%
Mandatory
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Eff. Apr 2002
TOTALS:
7,678
0
667
0
8,345
1,864
0
10,209
1,722
223
1,945
59%
198
2,143
54%
739
105
844
26%
113
957
24%
Madison
Voluntary
TOTALS:
4,315
0
394
0
4,709
0
0%
832
0
5,541
0
0%
Monroe
TOTALS:
57,678
49,598
8,785
5,378
66,463
54,976
83%
13,936
5,923
80,399
60,899
76%
Mandatory
Eff. Mar 1998
Excellus Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
NYS Catholic Health Plan
Rochester Area HMO/Preferred
Care
35,194
3,565
38,759
58%
4,412
43,171
54%
1,405
359
1,764
3%
63
1,827
2%
12,999
5,073
4,385
1,454
584
475
5,657
14,453
22%
4,860
86%
1,448
940
277
6,597
15,901
20%
5,137
78%
2,583
257
2,840
50%
205
3,045
46%
1,802
218
2,020
36%
72
2,092
32%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
38,661
3,241
Enrolled
83%
41,431
77%
15%
934
7,098
13%
6,882
355
7,237
17%
798
8,035
15%
HealthPlus
Health Insurance Plan of
Greater New York
2,111
296
2,407
6%
707
3,114
6%
6,487
897
7,384
18%
2,275
9,659
18%
NYS Catholic Health Plan
5,430
306
5,736
14%
909
6,645
12%
5,262
458
5,720
14%
15,395
93%
4,853
29%
1,160
13%
5,475
27%
4,310
661
4,971
30%
995
5,966
30%
3,852
663
4,515
27%
492
5,007
25%
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
895
18,782
United Healthcare Plan Of NY
30,988
16,418
161
1,782
1,550
20,564
1,056
6%
17,968
87%
19,938
88%
NYS Catholic Health Plan
TOTALS:
2,169
6,880
Independent Health Association
658
3,389
17,564
Eff Sep 1998
Univera Community Health
16,549
53,646
Mandatory
4,195
2,143
6,783
TOTALS:
HealthNow/BCBSWNY/Community Blue
Oneida
2,333
11,744
Percent
Enrolled
6,164
13,252
41,902
Total
Enrolled
34,648
14,216
2,657
Total
Eligibles
345
United Healthcare Plan Of NY
31,991
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
5,819
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
622
60
5,256
2,529
25,820
1,116
6%
20,497
79%
2,484
267
2,751
13%
280
3,031
12%
11,506
1,004
12,510
61%
1,893
14,403
56%
2,428
279
2,707
13%
356
3,063
12%
27,931
83%
33,052
79%
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
2,902
276
3,178
9%
468
3,646
9%
NYS Catholic Health Plan
6,767
542
7,309
22%
1,204
8,513
20%
10,244
1,118
11,362
34%
2,421
13,783
33%
5,716
366
6,082
18%
1,028
7,110
21%
4,553
88%
5,173
82%
3,974
77%
4,502
71%
SCHC Total Care
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Eff. Mar 1998
TOTALS:
4,685
25,629
4,191
2,707
462
3,663
362
33,695
5,147
311
528
29,588
2,302
579
11%
28,467
89%
811
9,235
29%
274
3,132
10%
465
5,004
16%
9,297
171
9,468
1,523
105
1,628
Orange
Mandatory
26,641
Affinity Health Plan
8,424
Eff. Mar 2007
GHI HMO Select
2,858
Hudson Health Plan
4,539
NYS Catholic Health Plan
Wellcare Of New York
51
2,288
1,826
31,876
8,402
1,175
5,121
620
42,097
6,322
528
92
671
11%
30,293
84%
931
10,166
28%
143
3,275
9%
480
5,484
15%
30%
89
9,557
27%
5%
183
1,811
5%
3,997
1,826
35,873
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,096
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
Oswego
TOTALS:
Excellus Health Plan
Otsego
Mandatory
3,208
90%
1,194
33%
604
262
4,172
113
Percent
Enrolled
3,470
83%
1,307
31%
717
137
854
24%
81
935
22%
1,012
148
1,160
33%
68
1,228
29%
11,509
85%
90%
162
1%
27
189
1%
NYS Catholic Health Plan
2,398
203
2,601
23%
281
2,882
21%
SCHC Total Care
4,472
572
5,044
44%
672
5,716
42%
United Healthcare Plan Of NY
2,234
182
2,416
21%
306
2,722
20%
3,853
3,036
2,865
79%
74%
4,775
3,095
2,921
65%
61%
171
2%
174
1%
1,870
1,461
78%
2,485
1,561
63%
TOTALS:
Amerigroup
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
9,256
3,470
2,706
2,573
1,674
1,313
10,576
GHI HMO Select
Wellcare Of New York
383
330
292
196
148
922
59
56
615
100
13,537
3
11
129
7%
15
144
6%
1,332
71%
85
1,417
57%
10,820
90%
11,807
82%
62%
9,494
1,443
1,326
12,019
2,372
987
14,391
7,194
930
8,124
68%
844
8,968
138
33
171
1%
6
177
1%
1,637
281
1,918
16%
90
2,008
14%
607
5%
31,499
97%
436
2,459
8%
163
1,771
5%
4,069
442
4,511
20,288
701
1,611
158
Affinity Health Plan
2,023
Eff. Mar 2001
GHI HMO Select
1,608
Hudson Health Plan
8,932
1,286
137
Mandatory
Wellcare Of New York
2,167
118
TOTALS:
NYS Catholic Health Plan
11,370
38
525
30,594
967
1,195
Rockland
TOTALS:
997
133
NYS Catholic Health Plan
St Lawrence
Voluntary
3,568
Total
Enrolled
10,223
Mandatory
Eff. Oct 1997
422
137
Total
Eligibles
10
Eff. Mar 2007
Mandatory
472
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
152
TOTALS:
Excellus Health Plan
10,373
Eff. May 2007 NYS Catholic Health Plan
Putnam
2,786
Eligibles
1,057
NYS Catholic Health Plan
Mandatory
Eff. Apr 1999
Enrolled
SNA HR & MA-HR
29,599
0
82
1,981
968
1,900
0
32,575
9,900
47
654
5%
32,871
93%
361
2,820
8%
95
1,866
5%
14%
297
4,808
14%
20,989
64%
507
21,496
61%
1,769
5%
112
1,881
5%
0
0%
0
0%
2,660
2,569
1,372
0
35,235
12,469
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
Schenectady
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
GHI HMO Select
Eligibles
6,666
9,100
NYS Catholic Health Plan
Schoharie
Enrolled
5,585
Suffolk
TOTALS:
Mandatory
Affinity Health Plan
NYS Catholic Health Plan
Suffolk Health Plan
United Healthcare Plan Of NY
Sullivan
TOTALS:
19%
8,020
81%
9,174
70%
40%
7,426
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
798
594
9,898
3,191
1,154
13,089
4,038
317
4,355
44%
853
5,208
843
103
946
10%
33
979
7%
2,545
174
2,719
27%
268
2,987
23%
2,154
186
9%
2,553
199
8%
186
9%
199
8%
1,426
137
10%
1,701
161
9%
137
10%
161
9%
1,845
1,706
92%
2,300
1,955
85%
1,706
92%
1,955
85%
7,854
1,631
21%
10,103
2,161
21%
162
201
24
176
26
135
129
24
26
1,453
129
745
178
399
13
275
24
455
249
2,249
530
13
24
249
259
0
259
3%
27
286
3%
1,194
178
1,372
17%
503
1,875
19%
48,155
54,708
87%
62,556
82%
6,725
7,972
712
7,437
12%
966
8,403
11%
8,139
837
8,976
14%
937
9,913
13%
9,861
2,392
12,253
19%
2,150
14,403
19%
5,490
654
6,144
10%
926
7,070
9%
10,162
967
11,129
18%
1,530
12,659
17%
7,778
6,062
55%
1,778
1,577
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
74%
5,053
111
55,227
6,831
130
1,577
Southern Tier Priority (Partial)
9,201
553
1,710
Voluntary
683
23%
162
7,109
1,904
62%
111
TOTALS:
Southern Tier Pediatrics
(Partial)
84%
1,648
1,250
Excellus Health Plan
6,148
Percent
Enrolled
4,500
TOTALS:
Steuben
7,297
Total
Enrolled
132
Schuyler
Southern Tier Priority (Partial)
563
Total
Eligibles
431
Voluntary
TOTALS:
631
Enrolled
1,516
1,953
Voluntary
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
4,069
TOTALS:
Capital District Physicians
Health Plan
Seneca
Mandatory
Eff. Jan 2007
SNA HR & MA-HR
5,217
6,553
63,199
991
509
364
6,571
8,769
14%
5,581
85%
13,331
7,848
76,530
1,339
1,500
613
8,071
10,108
13%
6,194
77%
486
43
529
8%
37
566
7%
4,599
310
4,909
75%
569
5,478
68%
132
11
143
2%
7
150
2%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
Eligibles
Total
Enrolled
Percent
Enrolled
Tioga
3,591
254
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
4,905
1,732
Voluntary
SCHC Total Care
Ulster
TOTALS:
Mandatory
GHI HMO Select
834
151
985
9%
72
1,057
8%
Eff Mar 2007
Hudson Health Plan
1,905
255
2,160
20%
199
2,359
18%
MVP Health Plan
2,247
349
2,596
24%
201
2,797
21%
310
58
368
3%
15
383
3%
2,489
151
2,640
25%
372
3,012
23%
882
20%
Wellcare Of New York
TOTALS:
Washington
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
50
673
182
3,190
7,785
780
4,910
2,946
278
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
304
8%
5,578
1,914
34%
964
1,914
34%
8,749
83%
45
10,603
3,468
45
290
207
3,985
8%
825
24%
825
24%
3,153
79%
757
6
1,075
318
2,514
859
4,703
310
310
7%
6,653
2,232
34%
2,232
34%
13,117
9,608
73%
6
318
960
57
4,428
57
1,023
249
5,008
7%
882
20%
3,402
68%
1,185
82
1,267
32%
119
1,386
28%
1,761
125
1,886
47%
130
2,016
40%
2,550
38%
2,122
387
2,122
46,613
304
182
1,226
780
3,695
3,946
50
1,732
NYS Catholic Health Plan
NYS Catholic Health Plan
355
254
9,377
Enrolled
Total
Eligibles
Plan Name
Warren
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
County
Voluntary
Enrolled
SNA HR & MA-HR
39,781
106
5,297
106
6,780
5,490
53,393
2,228
42%
2,228
42%
45,271
85%
1,416
322
6,713
322
9,803
5,600
63,196
2,550
38%
50,871
80%
6,816
1,137
7,953
15%
1,083
9,036
14%
697
237
934
2%
171
1,105
2%
3,448
987
4,435
8%
977
5,412
9%
23,290
2,273
25,563
48%
2,580
28,143
45%
5,527
856
6,383
12%
788
7,171
11%
3
0
3
0%
1
4
0%
Wyoming
Voluntary
TOTALS:
1,912
0
170
0
2,082
0
0%
446
0
2,528
0
0%
Yates
TOTALS:
1,544
1,420
141
117
1,685
1,537
91%
309
153
1,994
1,690
85%
1,537
91%
1,690
85%
549,974
77%
618,445
71%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,420
639,713
494,443
117
75,641
55,531
715,354
153
152,655
68,471
868,009
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Eligibles
SNA HR & MA-HR
Enrolled Eligibles
78,839
Enrolled
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
116,147
6%
Mandatory
Amerigroup
50,571
14,581
65,152
4%
4,769
69,921
4%
Eff. Aug 1999
CenterCare
111
21
132
0%
0
132
0%
6,575
2,815
9,390
1%
1,798
11,188
1%
GHI HMO Select
23,338
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Total
Eligibles
Enrolled Enrolled Eligibles Enrolled Eligibles
102,177
6%
13,970
Fully
HealthFirst PHSP
190,717
42,802
233,519
15%
32,231
265,750
14%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
147,723
32,217
179,940
11%
16,019
195,959
11%
117,675
34,584
152,259
9%
21,267
173,526
9%
MetroPlus Health Plan
203,732
39,042
242,774
15%
25,444
268,218
15%
557
690
1,247
0%
789
2,036
0%
54,403
12,036
66,439
4%
8,186
74,625
4%
149
316
465
0%
328
793
0%
86,020
22,350
108,370
7%
15,139
123,509
7%
2,158
0%
63
2,221
0%
Sept 2002
MetroPlus Health Plan SN
Neighborhood Health Providers
NYPS Select Health SN
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
The New York Presbyterian
Community Health Plan
1,956
202
64,746
13,529
78,275
5%
10,504
88,779
5%
United Healthcare Plan Of NY
86,724
26,706
113,430
7%
12,654
126,084
7%
VidaCare Inc. SN
Wellcare Of New York
NYC Total
31
338
369
0%
245
614
0%
36,910
18,070
54,980
3%
5,656
60,636
3%
1,277,972
1,127,439
330,920
283,637
1,608,892
1,411,076
88%
236,527
169,062
1,845,419
1,580,138
86%
639,713
494,443
75,641
55,531
715,354
549,974
77%
152,655
68,471
868,009
618,445
71%
NEW YORK CITY TOTALS:
1,277,972
1,127,439
330,920
283,637
1,608,892
1,411,076
88%
236,527
169,062
1,845,419
1,580,138
86%
GRAND TOTALS:
1,917,685
1,621,882
406,561
339,168
2,324,246
1,961,050
84%
389,182
237,533
2,713,428
2,198,583
81%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
321,473
277,258
65,096
52,640
386,569
329,898
85%
65,403
47,385
451,972
377,283
83%
Brooklyn
457,513
407,885
124,747
109,003
582,260
516,887
89%
76,787
54,836
659,047
571,723
87%
Manhattan
168,840
137,856
51,692
40,898
220,532
178,753
81%
43,943
29,618
264,475
208,371
79%
Queens
291,447
269,234
79,520
72,169
370,967
341,403
92%
41,861
31,069
412,828
372,472
90%
38,699
35,206
9,865
8,927
48,564
44,134
91%
8,533
6,154
57,097
50,288
88%
1,277,972
1,127,439
330,920
283,637
1,608,892
1,411,076
88%
236,527
169,062
1,845,419
1,580,138
86%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon July, 2008 total eligibles adjusted for excluded populations. The counts include recipients who are
exempt
from mandatory
enrollment.
(Seewas
about
statement
for2003
further
(2)
The source
of plan enrollment
counts
revised
in July,
to details)
be based on the primary and secondary roster reports. The roster reports reflect
month. (See about statement for further details)
enrollees
as of the
the to the nearest whole number.
(3)
All percents
arefirst
rounded
(4) New plans added this month : Westchester County - NYS Catholic Health Plan 1199.
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
NYS Catholic Health Plan
Allegany
Broome
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
2,295
813
3,108
1,079
350
1,429
152
51
203
792
303
1,095
Wellcare Of New York
272
109
381
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Univera Community Health Inc
614
192
806
285
110
395
329
82
411
2,332
762
3,094
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
156
47
203
1,688
547
2,235
208
GHI HMO Select
156
52
NYS Catholic Health Plan
332
116
448
1,045
316
1,361
244
83
327
513
134
647
Univera Community Health Inc
288
99
387
Cayuga
TOTALS:
614
189
803
Chautauqua
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
Cattaraugus
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
United Healthcare Plan Of NY
Univera Community Health Inc
614
189
803
1,614
606
2,220
359
115
474
1,201
457
1,658
54
34
88
1,027
325
1,352
Excellus Health Plan
677
230
907
GHI
350
95
445
Chenango
TOTALS:
654
165
819
GHI
654
165
819
Clinton
TOTALS:
890
291
1,181
Chemung
TOTALS:
Excellus Health Plan
Columbia
Cortland
36
12
48
NYS Catholic Health Plan
854
279
1,133
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
536
145
681
132
34
166
63
19
82
NYS Catholic Health Plan
236
60
296
Wellcare Of New York
105
32
137
TOTALS:
717
173
890
NYS Catholic Health Plan
621
145
766
96
28
124
TOTALS:
492
137
629
GHI HMO Select
492
137
629
SCHC Total Care
Delaware
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
County
Plan Name
Dutchess
TOTALS:
Genesee
Greene
Hamilton
Herkimer
2,077
48
231
Hudson Health Plan
455
122
577
MVP Health Plan
581
187
768
74
21
95
329
77
406
TOTALS:
9,519
3,853
13,372
Univera Community Health Inc
HealthNow/BCBS-WNY/Community
Blue
Independent Health
5,378
2,585
7,963
1,759
517
2,276
304
76
380
NYS Catholic Health Plan
2,078
675
2,753
534
170
704
11
2
13
NYS Catholic Health Plan
523
168
691
TOTALS:
539
186
725
6
5
11
GHI
533
181
714
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
934
294
1,228
291
110
401
643
184
827
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Rochester Area HMO/Preferred Care
713
176
889
708
173
881
5
3
8
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
507
115
622
172
33
205
120
33
153
NYS Catholic Health Plan
157
31
188
Wellcare Of New York
58
18
76
TOTALS:
51
13
64
NYS Catholic Health Plan
51
13
64
1,170
269
1,439
TOTALS:
TOTALS:
Excellus Health Plan
144
29
173
NYS Catholic Health Plan
999
237
1,236
United Healthcare Plan Of NY
Jefferson
Lewis
Livingston
27
3
30
TOTALS:
1,440
381
1,821
GHI
1,440
381
1,821
TOTALS:
373
46
419
GHI
373
46
419
TOTALS:
515
135
650
Excellus Health Plan
511
134
645
4
1
5
TOTALS:
748
178
926
Excellus Health Plan
233
56
289
United Healthcare Plan Of NY
515
122
637
TOTALS:
7,211
1,919
9,130
Excellus Health Plan
6,354
1,557
7,911
758
344
1,102
99
18
117
Rochester Area HMO/Preferred Care
Madison
Monroe
Total Enrolled
183
Excellus Health Plan
Fulton
Enrolled
GHI HMO Select
Excellus Health Plan
Franklin
Enrolled
455
Wellcare Of New York
Essex
ADULTS
WITHOUT
CHILDREN
1,622
NYS Catholic Health Plan
Erie
ADULTS
WITH
CHILDREN
NYS Catholic Health Plan
Rochester Area HMO/Preferred Care
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Montgomery
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
862
229
1,091
384
84
468
28
7
35
NYS Catholic Health Plan
450
138
588
TOTALS:
7,741
4,018
11,759
Affinity Health Plan
1,482
705
2,187
HealthFirst PHSP
1,863
778
2,641
325
263
588
1,680
1,189
2,869
1,046
356
1,402
1
0
1
United Healthcare Plan Of NY
1,344
727
2,071
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
2,384
709
3,093
Nassau
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Niagara
Univera Community Health Inc
Oneida
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Orleans
Oswego
1,366
559
170
729
3,357
873
4,230
364
95
459
2,276
581
2,857
717
197
914
4,080
1,518
5,598
348
116
464
437
1,650
SCHC Total Care
1,203
560
1,763
United Healthcare Plan Of NY
1,316
405
1,721
TOTALS:
858
257
1,115
Excellus Health Plan
853
256
1,109
5
1
6
TOTALS:
3,294
785
4,079
Affinity Health Plan
1,420
335
1,755
GHI HMO Select
554
125
679
Hudson Health Plan
586
155
741
NYS Catholic Health Plan
509
113
622
Wellcare Of New York
225
57
282
TOTALS:
653
139
792
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
157
35
192
152
42
194
344
62
406
2,019
649
2,668
TOTALS:
23
9
32
NYS Catholic Health Plan
518
115
633
SCHC Total Care
996
390
1,386
United Healthcare Plan Of NY
482
135
617
TOTALS:
691
166
857
Excellus Health Plan
420
108
528
GHI HMO Select
223
51
274
48
7
55
TOTALS:
287
124
411
GHI HMO Select
287
124
411
NYS Catholic Health Plan
Putnam
998
303
1,213
Excellus Health Plan
Otsego
236
NYS Catholic Health Plan
Rochester Area HMO/Preferred Care
Orange
762
1,063
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
County
Plan Name
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
167
666
107
49
156
442
151
593
94
36
130
3,924
882
4,806
Affinity Health Plan
452
165
617
GHI HMO Select
209
74
283
Hudson Health Plan
879
227
1,106
2,195
373
2,568
189
43
232
1,142
362
1,504
TOTALS:
TOTALS:
Excellus Health Plan
36
14
50
GHI
1,106
348
1,454
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
1,609
368
1,977
610
154
764
92
24
116
907
190
1,097
1,233
295
1,528
457
84
541
130
44
174
NYS Catholic Health Plan
646
167
813
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
334
101
435
334
101
435
270
80
350
Excellus Health Plan
152
46
198
GHI
118
34
152
TOTALS:
390
51
441
Excellus Health Plan
390
51
441
TOTALS:
996
246
1,242
NYS Catholic Health Plan
Schoharie
Schuyler
Seneca
Steuben
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
GHI
Suffolk
996
246
1,242
TOTALS:
9,642
2,833
12,475
Affinity Health Plan
1,636
443
2,079
HealthFirst PHSP
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
2,002
582
2,584
2,142
870
3,012
1,128
227
1,355
475
143
618
United Healthcare Plan Of NY
2,259
568
2,827
TOTALS:
1,139
240
1,379
95
36
131
1,017
200
1,217
27
4
31
Suffolk Health Plan
Sullivan
Total Enrolled
499
Wellcare Of New York
Schenectady
Enrolled
1,545
NYS Catholic Health Plan
Saratoga
Enrolled
403
Wellcare Of New York
St Lawrence
ADULTS
WITHOUT
CHILDREN
1,142
NYS Catholic Health Plan
Rockland
ADULTS
WITH
CHILDREN
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Tioga
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
524
136
660
589
185
774
SCHC Total Care
240
63
303
GHI
349
122
471
1,671
655
2,326
Tompkins
Ulster
TOTALS:
Wayne
Westchester
179
76
255
406
149
555
MVP Health Plan
558
243
801
54
45
99
Wellcare Of New York
474
142
616
TOTALS:
606
157
763
85
25
110
NYS Catholic Health Plan
521
132
653
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
683
128
811
157
34
191
31
3
34
NYS Catholic Health Plan
495
91
586
TOTALS:
809
147
956
Excellus Health Plan
809
147
956
TOTALS:
6,188
2,481
8,669
Affinity Health Plan
1,102
516
1,618
132
67
199
GHI HMO Select
Health Insurance Plan of Greater
New York
Hudson Health Plan
650
384
1,034
3,514
1,138
4,652
786
376
1,162
4
0
4
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
TOTALS:
369
80
449
369
80
449
410
82
492
Excellus Health Plan
410
82
492
98,602
31,683
130,285
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Wyoming
Yates
Upstate Total
660
Hudson Health Plan
GHI HMO Select
Washington
136
GHI HMO Select
NYS Catholic Health Plan
Warren
524
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2008
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
NYC
Affinity Health Plan
16,675
16,315
32,990
Amerigroup
15,169
12,472
27,641
CenterCare
GHI HMO Select
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
0
7
1,348
2,614
31,732
26,604
58,336
25,201
17,938
43,139
30,020
18,097
48,117
49,453
MetroPlus Health Plan
30,409
19,044
Neighborhood Health Providers
10,008
5,028
15,036
NYS Catholic Health Plan
15,973
11,333
27,306
2,543
219
2,762
NYS Catholic Health Plan 1199
The New York Presbyterian
Community Health Plan
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
County
7
1,266
10,586
7,305
17,891
19,821
12,498
32,319
11,333
12,244
23,577
220,743
160,445
381,188
98,602
31,683
130,285
NEW YORK CITY TOTALS:
220,743
160,445
381,188
GRAND TOTALS
319,345
192,128
511,473
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
34,876
20,967
55,843
Brooklyn
77,122
54,488
131,610
Manhattan
23,910
26,778
50,688
Queens
77,013
53,041
130,054
Staten Island
Borough Total
NOTES:
7,822
5,171
12,993
220,743
160,445
381,188
(1) The source of plan enrollment counts was revised in July, 2003 to be based on the
primary and secondary roster reports which reflect enrollees as of the first of the
month.
(2) New plans added this month : Genesee County - Rochester Area
HMO/Preferred Care & Nassau County - NYS Catholic Health Plan 1199
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS SEPTEMBER, 2008
MLTC PACE PLAN NAME
COMPREHENSIVE CARE MGMT CORP
EDDY SENIOR CARE
INDEPENDENT LIVING FOR SRS
PACE CNY
COUNTY
NEW YORK
WESTCHESTER
Total
ALBANY
RENSSELAER
SCHENECTADY
SCHOHARIE
Total
MONROE
Total
ONONDAGA
Total
Total MLTC PACE Enrollment
TOTAL
ENROLLMENT
2,128
165
2,293
1
0
97
1
99
250
250
309
309
2,951
MLTC PARTIAL CAPITATION PLAN NAME
AMERIGROUP
NEW YORK
Total
CCM SELECT
NEW YORK
WESTCHESTER
Total
ELANT
ORANGE
ROCKLAND
Total
GUILDNET
NASSAU
NEW YORK
SUFFOLK
Total
HHH CHOICES
NEW YORK
Total
HOMEFIRST
NEW YORK
Total
INDEPENDENT CARE SYSTEMS
NEW YORK
Total
PARTNERS IN COMMUNITY CARE
ORANGE
ROCKLAND
Total
SENIOR HEALTH PARTNERS INC
NEW YORK
Total
SENIOR NETWORK HEALTH
HERKIMER
ONEIDA
Total
TOTAL AGING IN PLACE PROGRAM
ERIE
Total
VNS CHOICE
NEW YORK
Total
WELLCARE
NEW YORK
Total
Total MLTC Partial Capitation Enrollment
366
366
957
16
973
97
36
133
521
5,929
191
6,641
669
669
2,816
2,816
1,333
1,333
148
78
226
1,205
1,205
31
329
360
139
139
6,558
6,558
104
104
21,523
Total Statewide Enrollment
24,474
NOTES:
(1) The source of plan enrollment counts is the
primary and secondary roster reports which
reflect enrollees as of the first of the month.
(2) New plans added this month : None
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS SEPTEMBER, 2008
County
Albany
Cattaraugus
Chautauqua
Dutchess
Erie
Fulton
Genesee
Greene
Herkimer
Montgomery
Nassau
Niagara
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Schenectady
Suffolk
Plan Name
TOTAL
Fidelis
HealthNow
Senior Whole Health
TOTAL
HealthNow
TOTAL
HealthNow
TOTAL
Fidelis
Senior Whole Health
TOTAL
HealthNow
TOTAL
HealthNow
TOTAL
HealthNow
TOTAL
Fidelis
HealthNow
TOTAL
Fidelis
TOTAL
Fidelis
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
TOTAL
HealthNow
TOTAL
Fidelis
TOTAL
Fidelis
Touchstone/Prestige
TOTAL
GHI
TOTAL
Fidelis
TOTAL
Fidelis
HealthNow
Senior Whole Health
TOTAL
GHI
TOTAL
HealthNow
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Health Insurance Plan of
Greater New York
Total
Enrolled
224
6
1
217
2
2
1
1
8
1
7
84
84
1
1
1
1
4
1
3
3
3
2
2
129
12
81
36
5
5
18
18
9
3
6
2
2
3
3
64
8
7
49
41
41
8
3
5
93
19
74
14
14
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS SEPTEMBER, 2008
County
Ulster
Warren
Westchester
Wyoming
Upstate Total:
NYC
NOTES:
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
HealthNow
TOTAL
GHI
Health Insurance Plan of
Greater New York
TOTAL
HealthNow
Total
Enrolled
135
2
133
4
4
46
39
7
0
0
901
44
190
586
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health Providers
Touchstone/Prestige
NYC Total
1,443
421
40
5
209
488
3,426
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
901
3,426
4,327
(1) The source of plan enrollment counts is the
primary and secondary roster reports which reflect
enrollees as of the first of the month.
(2) New plans added this month : None
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS SEPTEMBER, 2008
County
Albany
Rensselaer
Saratoga
Schenectady
Ulster
Upstate Total:
NYC
Plan Name
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Guildnet
VNS Choice Plus
WellCare
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOT
GRAND TOTAL
NOTES:
Total
Enrolled
20
20
13
13
2
2
6
6
18
18
59
89
8
106
203
59
203
262
(1) The source of plan enrollment counts
is the primary and secondary roster
reports which reflect enrollees as of the
first of the month.
(2) New plans added this month : None