RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Mandatory
Capital District Physicians Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
16,565
NYS Catholic Health Plan
Wellcare Of New York
SNA HR & MA-HR
Enrolled
15,158
91%
18,815
82%
64%
1,300
13,401
58%
186
42
228
1%
5
233
1%
2,652
387
3,039
16%
203
3,242
14%
Mandatory
HealthNow/BCBS-WNY/Community Blue
1,632
Eff. Feb 2007
Univera Community Health
1,131
Broome
TOTALS:
Mandatory
Broome MAX
14,254
Eff. May 1998 Capital District Physicians Health Plan
Excellus Health Plan
GHI HMO Select
NYS Catholic Health Plan
5,676
12,367
206
430
1,685
1,761
9%
3,123
80%
203
1,835
47%
157
1,288
33%
13,763
86%
360
1,396
3,919
15,939
4,265
1,686
23,080
Percent
Enrolled
12,101
2,763
18,815
Total
Enrolled
17,129
1,555
3,489
1,971
Total
Eligibles
1,336
TOTALS:
TOTALS:
2,250
Enrolled
10,765
Allegany
Cattaraugus
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
178
943
4,021
1,939
8%
3,458
71%
233
2,068
43%
102
1,390
29%
15,307
77%
20%
335
1,544
4,862
19,960
2,981
201
3,182
20%
713
3,895
512
32
544
3%
103
647
3%
7,058
890
7,948
50%
542
8,490
43%
3%
497
67
564
4%
50
614
1,319
206
1,525
10%
136
1,661
8%
5,458
87%
6,354
85%
4,901
565
557
6,241
1,210
896
7,451
Mandatory
HealthNow/BCBS-WNY/Community Blue
2,271
229
2,500
40%
649
3,149
42%
Eff. Sep 2001
NYS Catholic Health Plan
1,740
199
1,939
31%
189
2,128
29%
1,019
16%
1,077
14%
7
0%
7
0%
7
0%
12,027
89%
Univera Community Health
890
129
58
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
TOTALS:
Mandatory
HealthNow/BCBS-WNY/Community Blue
2,884
409
3,293
24%
Eff. Sep 2001
NYS Catholic Health Plan
7,317
1,174
8,491
63%
164
79
243
2%
29
272
2%
4,660
55%
5,599
52%
6,039
7
647
7
11,638
Univera Community Health
10,365
0
6,686
0
1,813
1,662
13,451
1,178
0
7,864
0
2,574
7
0%
13,749
86%
596
3,889
24%
1,097
9,588
60%
1,722
16,025
Chemung
TOTALS:
Voluntary
Southern Tier Pediatrics (Partial)
3,158
0
3,158
37%
261
3,419
32%
Southern Tier Priority (Partial)
1,175
327
1,502
18%
678
2,180
20%
Chenango
Voluntary
Clinton
Voluntary
TOTALS:
TOTALS:
NYS Catholic Health Plan
7,809
4,333
727
327
8,536
2,150
939
10,686
4,765
0
470
0
5,235
0
0%
1,143
0
6,378
0
0%
6,297
343
833
126
7,130
469
7%
1,707
16
8,837
485
5%
469
7%
485
5%
343
126
16
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Columbia
TOTALS:
Mandatory
Capital District Physicians Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
3,040
NYS Catholic Health Plan
Wellcare Of New York
Cortland
Mandatory
TOTALS:
Enrolled
2,446
Eligibles
299
Enrolled
3,339
80%
2,964
70%
51%
236
1,939
46%
69
11
80
2%
3
83
2%
524
57
581
17%
37
618
15%
30
4,230
294
9%
3,636
86%
4,213
Percent
Enrolled
1,703
365
306
Total
Enrolled
2,658
406
874
Total
Eligibles
114
3,271
212
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
1,589
264
3,824
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
TOTALS:
Voluntary
SNA HR & MA-HR
30
735
248
4,965
324
8%
3,884
78%
2,482
275
2,757
65%
204
2,961
60%
789
90
879
21%
44
923
19%
3,043
0
433
0
3,476
0
0%
717
0
4,193
0
0%
10,045
8,414
1,252
969
11,297
9,383
83%
2,932
843
14,229
10,226
72%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
704
115
819
7%
60
879
6%
Eff. Apr 2007
Hudson Health Plan
2,778
306
3,084
27%
289
3,373
24%
MVP Health Plan
2,650
352
3,002
27%
260
3,262
23%
394
84
478
4%
18
496
3%
1,888
112
2,000
18%
216
2,216
16%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
67,560
67,865
87%
78,829
83%
11,076
1,235
12,311
16%
1,520
13,831
15%
15,748
1,629
17,377
22%
3,062
20,439
22%
14,924
1,226
16,150
21%
1,957
18,107
19%
Univera Community Health
17,010
3,177
20,187
26%
1,477
21,664
23%
Total Full Risk
58,758
7,267
66,025
85%
8,016
74,041
78%
PCMP II-A Special Care (Partial)
463
1,377
1,840
2%
2,948
4,788
5%
Total Partial Risk
463
1,377
1,840
2%
2,948
4,788
5%
453
20%
459
16%
453
1%
459
0%
HealthNow/BCBS-WNY/Community Blue
Eff. May 1998 Independent Health Association
NYS Catholic Health Plan
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
2,055
59,221
367
10,009
257
367
8,644
86
77,569
2,312
86
16,965
594
10,964
6
94,534
2,906
6
3,695
0
449
0
4,144
0
0%
1,094
0
5,238
0
0%
5,328
4,578
606
515
5,934
5,093
86%
1,151
214
7,085
5,307
75%
168
1,587
27%
83
1,670
24%
347
3,506
59%
131
3,637
51%
Fulton
TOTALS:
Eff. Mar 2007
Capital District Physicians Health Plan
1,419
NYS Catholic Health Plan
3,159
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Eligibles
SNA HR & MA-HR
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
Genesee
TOTALS:
3,404
90%
3,676
84%
Mandatory
Eff. Jan 2004
HealthNow/BCBS-WNY/Community Blue
1,758
228
1,986
53%
112
2,098
48%
Rochester Area HMO/Preferred Care
1,281
137
1,418
37%
160
1,578
36%
Greene
Mandatory
TOTALS:
2,840
87%
3,224
80%
Capital District Physicians Health Plan
Eff. Oct 1997
GHI HMO Select
Hamilton
3,379
2,823
3,039
2,473
403
425
365
367
3,782
3,248
585
806
272
384
4,367
4,054
1,202
106
1,308
40%
249
1,557
38%
508
91
599
18%
39
638
16%
NYS Catholic Health Plan
480
126
606
19%
40
646
16%
Wellcare Of New York
283
44
327
10%
56
383
9%
216
20
9%
42
2
258
22
9%
22
9%
5,568
4,867
87%
996
345
6,564
5,212
79%
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
TOTALS:
Voluntary
Lewis
TOTALS:
Voluntary
Livingston
TOTALS:
Mandatory
Eff. Apr 2002
Madison
Voluntary
Excellus Health Plan
191
18
4,960
4,315
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
7,639
TOTALS:
Capital District Physicians Health Plan
Eff. Apr. 2007 NYS Catholic Health Plan
552
2
20
2
714
60
774
14%
80
854
13%
3,554
484
4,038
73%
257
4,295
65%
47
8
55
1%
8
63
1%
0
0%
0
0%
0
701
0
8,340
1,856
0
10,196
1,877
0
207
0
2,084
0
0%
442
0
2,526
0
0%
2,456
420
330
3,334
2,786
84%
698
340
4,032
3,126
78%
1,716
224
1,940
58%
209
2,149
53%
740
106
846
25%
131
977
24%
4,336
0
409
0
4,745
0
0%
835
0
5,580
0
0%
57,729
50,152
8,943
5,895
66,672
56,047
84%
14,079
6,148
80,751
62,195
77%
54%
Rochester Area HMO/Preferred Care
Mandatory
608
2,914
NYS Catholic Health Plan
Montgomery
2
18
Rochester Area HMO/Preferred Care
TOTALS:
25
5,133
35,429
3,680
39,109
59%
4,549
43,658
1,661
680
2,341
4%
82
2,423
3%
13,062
1,535
14,597
22%
1,517
16,114
20%
4,885
86%
5,165
78%
2,555
264
2,819
49%
203
3,022
45%
1,831
235
2,066
36%
77
2,143
32%
4,386
571
499
5,704
941
280
6,645
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
38,669
Enrolled
Eligibles
3,381
Enrolled
2,911
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
42,050
11,791
6,856
Total
Eligibles
53,841
Total
Enrolled
Percent
Enrolled
35,105
83%
41,961
78%
5,811
373
6,184
15%
944
7,128
13%
6,905
402
7,307
17%
840
8,147
15%
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
2,140
325
2,465
6%
696
3,161
6%
6,567
985
7,552
18%
2,274
9,826
18%
5,471
332
5,803
14%
918
6,721
12%
United Healthcare Plan Of NY
5,300
494
5,794
14%
1,184
6,978
13%
15,519
92%
17,743
88%
Eff. June 2001 HealthFirst PHSP
32,194
SNA HR & MA-HR
Niagara
TOTALS:
Mandatory
HealthNow/BCBS-WNY/Community Blue
4,197
669
4,866
29%
631
5,497
27%
Eff Sep 1998
Independent Health Association
4,294
661
4,955
29%
1,015
5,970
30%
NYS Catholic Health Plan
3,918
680
4,598
27%
507
5,105
25%
927
173
1,100
7%
71
1,171
6%
18,077
88%
20,665
80%
14,458
Univera Community Health
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
18,837
United Healthcare Plan Of NY
13,336
16,506
2,403
1,789
2,183
1,571
16,861
20,626
3,370
5,246
2,224
2,588
20,231
25,872
2,509
289
2,798
14%
287
3,085
12%
11,595
997
12,592
61%
1,943
14,535
56%
2,402
285
2,687
13%
358
3,045
12%
28,273
84%
33,683
80%
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
2,996
292
3,288
10%
500
3,788
9%
NYS Catholic Health Plan
6,896
572
7,468
22%
1,279
8,747
21%
10,248
1,159
11,407
34%
2,566
13,973
33%
5,716
394
6,110
18%
1,065
7,175
21%
4,555
87%
5,196
81%
30,894
SCHC Total Care
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
4,749
Rochester Area HMO/Preferred Care
25,856
4,192
2,743
484
2,417
363
33,637
5,233
8,414
1,177
5,410
641
42,051
6,410
3,681
319
4,000
76%
543
4,543
71%
511
44
555
11%
98
653
10%
Orange
TOTALS:
28,553
89%
30,395
84%
Mandatory
Affinity Health Plan
8,419
829
9,248
29%
928
10,176
28%
Eff. Mar 2007
GHI HMO Select
2,864
280
3,144
10%
152
3,296
9%
Hudson Health Plan
4,563
481
5,044
16%
483
5,527
15%
NYS Catholic Health Plan
9,396
176
9,572
30%
92
9,664
27%
Wellcare Of New York
1,450
95
1,545
5%
187
1,732
5%
29,857
26,692
2,304
1,861
32,161
4,038
1,842
36,199
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
County
Plan Name
TOTALS:
Orleans
Excellus Health Plan
Mandatory
Eff. June 2003 HealthNow/BCBS-WNY/Community Blue
Eligibles
3,071
NYS Catholic Health Plan
SNA HR & MA-HR
Enrolled
2,829
Eligibles
477
Enrolled
433
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
3,548
602
264
Total
Eligibles
4,150
Total
Enrolled
Percent
Enrolled
3,262
92%
3,526
85%
1,068
140
1,208
34%
112
1,320
32%
727
138
865
24%
82
947
23%
1,034
155
1,189
34%
70
1,259
30%
10,290
89%
11,663
85%
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
159
12
171
1%
29
200
1%
NYS Catholic Health Plan
2,416
228
2,644
23%
305
2,949
22%
SCHC Total Care
4,439
608
5,047
44%
711
5,758
42%
United Healthcare Plan Of NY
2,225
203
2,428
21%
328
2,756
20%
3,910
3,038
2,847
78%
73%
4,820
3,102
2,907
64%
60%
191
2%
195
1%
1,882
1,508
80%
2,509
1,613
64%
10,469
Excellus Health Plan
Otsego
TOTALS:
Mandatory
Excellus Health Plan
3,502
2,704
2,554
1,682
1,350
Eff. May 2007 NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Mandatory
Capital District Physicians Health Plan
Eff. Oct 1997
GHI HMO Select
9,239
10,701
Wellcare Of New York
200
158
41
64
60
627
105
4
145
8%
15
160
6%
1,363
72%
90
1,453
58%
10,936
90%
11,962
82%
7,198
9,583
925
8,123
67%
880
9,003
62%
159
40
199
2%
6
205
1%
1,675
296
1,971
16%
96
2,067
14%
1,459
1,353
12,160
643
5%
31,789
96%
449
2,457
7%
163
1,854
6%
4,113
451
4,564
20,404
741
1,610
159
Affinity Health Plan
2,008
Eff. Mar 2001
GHI HMO Select
1,691
Hudson Health Plan
8,957
910
13,707
13
Mandatory
Wellcare Of New York
1,373
145
551
NYS Catholic Health Plan
2,166
132
TOTALS:
TOTALS:
334
293
11,541
1,218
Rockland
30,852
1,051
408
150
NYS Catholic Health Plan
St Lawrence
Voluntary
1,072
29,826
0
92
2,125
986
1,963
0
32,977
9,943
2,363
1,026
14,523
44
687
5%
33,224
93%
390
2,847
8%
102
1,956
5%
14%
303
4,867
14%
21,145
64%
515
21,660
61%
1,769
5%
125
1,894
5%
0
0%
0
0%
2,651
2,591
1,435
0
35,628
12,534
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
Percent
Enrolled
6,259
85%
6,945
75%
Capital District Physicians Health Plan
4,127
442
4,569
62%
556
5,125
55%
Eff. Oct 1997
NYS Catholic Health Plan
1,547
143
1,690
23%
130
1,820
20%
Schenectady
TOTALS:
8,143
82%
9,300
71%
Mandatory
Capital District Physicians Health Plan
40%
Eff. Apr 2007
GHI HMO Select
9,164
NYS Catholic Health Plan
Schoharie
TOTALS:
Voluntary
Capital District Physicians Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
Southern Tier Pediatrics (Partial)
1,948
Mandatory
Affinity Health Plan
656
7,363
9,976
1,924
3,204
686
1,157
9,287
13,180
333
4,388
44%
851
5,239
874
115
989
10%
32
1,021
8%
2,558
208
2,766
28%
274
3,040
23%
198
9%
212
8%
198
9%
1,451
127
9%
127
9%
2,021
1,710
85%
1,710
85%
7,786
1,599
21%
170
102
1,870
1,568
204
7,022
1,416
28
2,152
28
189
25
151
142
764
183
102
25
1,568
55,541
585
4,055
1,262
Southern Tier Priority (Partial)
TOTALS:
812
170
Excellus Health Plan
Suffolk
7,487
662
Enrolled
Total
Enrolled
Saratoga
Mandatory
5,674
Eligibles
Total
Eligibles
Plan Name
6,701
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
County
TOTALS:
Eligibles
SNA HR & MA-HR
142
397
14
2,549
14
281
23
482
256
2,240
520
212
8%
1,732
150
9%
150
9%
2,503
1,966
79%
1,966
79%
10,026
2,119
21%
23
256
249
0
249
3%
27
276
3%
1,167
183
1,350
17%
493
1,843
18%
54,495
86%
62,472
81%
6,661
733
7,394
12%
996
8,390
11%
8,167
885
9,052
14%
973
10,025
13%
9,860
2,427
12,287
19%
2,199
14,486
19%
9,811
915
10,726
17%
1,515
12,241
16%
NYS Catholic Health Plan
5,470
675
6,145
10%
935
7,080
9%
United Healthcare Plan Of NY
7,867
1,024
8,891
14%
1,359
10,250
13%
6,201
76%
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of Greater New
York
Neighborhood Health Providers
Sullivan
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr. 2007 Hudson Health Plan
NYS Catholic Health Plan
6,130
47,836
5,223
8,163
507
6,659
368
63,704
6,637
13,433
1,524
7,977
610
77,137
5,591
84%
482
41
523
8%
40
8,161
563
7%
4,570
314
4,884
74%
561
5,445
67%
171
13
184
3%
9
193
2%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Voluntary
Capital District Physicians Health Plan
Tompkins
TOTALS:
Voluntary
NYS Catholic Health Plan
Eligibles
3,626
Ulster
TOTALS:
GHI HMO Select
Eff Mar 2007
4,932
9,394
361
1,796
Enrolled
57
3,987
57
694
180
5,626
320
8%
320
8%
1,976
35%
773
6
Total
Eligibles
4,760
6
1,083
329
6,709
Total
Enrolled
Percent
Enrolled
326
7%
326
7%
2,305
34%
5
0
5
0%
2
7
0%
1,791
180
1,971
35%
327
2,298
34%
9,624
73%
8,761
82%
164
1,001
9%
71
1,072
8%
Hudson Health Plan
1,873
251
2,124
20%
204
2,328
18%
MVP Health Plan
2,281
378
2,659
25%
209
2,868
22%
308
59
367
3%
16
383
3%
2,468
142
2,610
25%
363
2,973
23%
843
24%
907
21%
843
24%
3,226
80%
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
TOTALS:
Mandatory
Capital District Physicians Health Plan
3,168
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
3,722
Yates
TOTALS:
Mandatory
Eff. Feb 2007
Excellus Health Plan
3,003
1,256
282
994
52
10,650
3,450
52
303
223
4,025
2,519
952
863
64
13,169
4,402
64
1,036
249
5,061
907
21%
3,475
69%
28%
1,197
86
1,283
32%
119
1,402
1,806
137
1,943
48%
130
2,073
41%
5,311
2,240
42%
6,734
2,557
38%
2,240
42%
2,557
38%
53,604
45,337
85%
63,462
51,053
80%
2,126
46,780
39,728
392
114
6,824
5,609
2,126
NYS Catholic Health Plan 1199
TOTALS:
791
4,919
NYS Catholic Health Plan
Wyoming
Voluntary
7,767
791
Eff. Mar. 2007 NYS Catholic Health Plan
Upstate Total
263
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
837
NYS Catholic Health Plan
Wayne
Enrolled
263
SCHC Total Care
Mandatory
SNA HR & MA-HR
114
1,423
317
9,858
5,716
317
6,825
1,167
7,992
15%
1,105
9,097
14%
710
261
971
2%
181
1,152
2%
3,421
991
4,412
8%
999
5,411
9%
23,274
2,314
25,588
48%
2,626
28,214
44%
5,495
876
6,371
12%
804
7,175
11%
3
0
3
0%
1
4
0%
1,946
0
176
0
2,122
0
0%
446
0
2,568
0
0%
1,564
1,396
137
130
1,701
1,526
90%
301
164
2,002
1,690
84%
1,526
90%
1,690
84%
553,829
77%
624,098
71%
1,396
642,490
496,026
130
77,551
57,803
720,041
164
153,355
70,269
873,396
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
TANF ADC & MA-ADC
County
NYC
Plan Name
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
SNA HR & MA-HR
Enrolled Eligibles
78,467
50,357
GHI HMO Select
Enrolled
24,142
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Total
Eligibles
Enrolled
Enrolled Eligibles Enrolled Eligibles
102,609
6%
14,009
15,384
65,741
4%
4,762
Total
Enrolled
Percent
Enrolled
116,618
6%
70,503
4%
6,537
2,877
9,414
1%
1,795
11,209
1%
Fully
HealthFirst PHSP
191,261
44,841
236,102
15%
32,524
268,626
15%
Implemented:
HealthPlus
Health Insurance Plan of Greater New
York
MetroPlus Health Plan
147,419
33,530
180,949
11%
15,990
196,939
11%
117,402
35,438
152,840
9%
21,349
174,189
9%
205,057
40,501
245,558
15%
25,642
271,200
15%
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
United Healthcare Plan Of NY
VidaCare Inc. SN
Wellcare Of New York
NYC Total
720
1,292
0%
813
2,105
0%
12,390
66,671
4%
8,171
74,842
4%
145
322
467
0%
335
802
0%
86,950
23,988
110,938
7%
15,226
126,164
7%
2,017
222
2,239
0%
65
2,304
0%
65,049
14,016
79,065
5%
10,609
89,674
5%
87,299
27,804
115,103
7%
12,740
127,843
7%
31
361
392
0%
261
653
0%
36,539
18,195
54,734
3%
5,632
60,366
3%
1,276,795
1,129,383
334,525
294,731
1,611,320
1,424,114
88%
237,604
169,923
1,848,924
1,594,037
86%
642,490
496,026
77,551
57,803
720,041
553,829
77%
153,355
70,269
873,396
624,098
71%
NEW YORK CITY TOTALS:
1,276,795
1,129,383
334,525
294,731
1,611,320
1,424,114
88%
237,604
169,923
1,848,924
1,594,037
86%
GRAND TOTALS:
1,919,285
1,625,409
412,076
352,534
2,331,361
1,977,943
85%
390,959
240,192
2,722,320
2,218,135
81%
UPSTATE TOTALS:
NYC Boroughs Bronx
321,177
277,713
65,805
54,148
386,982
331,861
86%
65,701
47,631
452,683
379,493
84%
Brooklyn
457,092
408,403
126,106
112,795
583,198
521,198
89%
77,136
55,049
660,334
576,247
87%
Manhattan
168,685
137,688
52,255
42,765
220,940
180,453
82%
44,143
29,681
265,083
210,135
79%
Queens
291,178
270,243
80,386
75,792
371,564
346,035
93%
42,051
31,339
413,615
377,375
91%
38,663
35,335
9,973
9,231
48,636
44,566
92%
8,573
6,222
57,209
50,788
89%
1,276,795
1,129,383
334,525
294,731
1,611,320
1,424,114
88%
237,604
169,923
1,848,924
1,594,037
86%
Staten Island
Borough Total
NOTES:
572
54,281
(1) The Managed Care eligible counts are based upon August, 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 : Cayuga & Tompkins Counties - NYS Catholic Health Plan; Suffolk County - Neighborhood Health Providers
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Enrolled
Total Enrolled
2,214
765
2,979
1,356
324
150
50
200
NYS Catholic Health Plan
769
288
1,057
Wellcare Of New York
263
103
366
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
599
177
776
282
103
385
Univera Community Health Inc
317
74
391
2,258
695
2,953
TOTALS:
146
46
192
1,631
492
2,123
204
GHI HMO Select
154
50
NYS Catholic Health Plan
327
107
434
1,020
283
1,303
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
244
76
320
NYS Catholic Health Plan
494
120
614
Univera Community Health Inc
282
87
369
TOTALS:
619
172
791
NYS Catholic Health Plan
1
0
1
618
172
790
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,591
567
2,158
349
105
454
NYS Catholic Health Plan
1,194
430
1,624
United Healthcare Plan Of NY
Chautauqua
Enrolled
1,032
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
GHI HMO Select
Capital District Physicians Health Plan
Cattaraugus
ADULTS WITH
CHILDREN
Univera Community Health Inc
48
32
80
1,013
305
1,318
Excellus Health Plan
666
213
879
GHI
347
92
439
Chenango
TOTALS:
633
148
781
GHI
633
148
781
Clinton
TOTALS:
873
271
1,144
Chemung
TOTALS:
Excellus Health Plan
Columbia
35
12
47
NYS Catholic Health Plan
838
259
1,097
TOTALS:
526
136
662
130
33
163
65
19
84
230
55
285
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Cortland
Wellcare Of New York
101
29
130
TOTALS:
698
150
848
NYS Catholic Health Plan
607
124
731
91
26
117
455
126
581
SCHC Total Care
Delaware
TOTALS:
Dutchess
TOTALS:
GHI HMO Select
126
581
414
1,999
GHI HMO Select
176
46
222
Hudson Health Plan
440
109
549
MVP Health Plan
569
172
741
72
20
92
328
67
395
TOTALS:
9,472
3,626
13,098
Univera Community Health Inc
5,254
2,443
7,697
HealthNow/BCBS-WNY/Community
Blue
1,736
462
2,198
402
94
496
2,080
627
2,707
NYS Catholic Health Plan
Wellcare Of New York
Erie
455
1,585
Independent Health
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
County
Plan Name
Essex
TOTALS:
Greene
Enrolled
Total Enrolled
10
2
12
NYS Catholic Health Plan
506
160
666
TOTALS:
527
161
688
6
4
10
GHI
521
157
678
TOTALS:
901
269
1,170
362
Capital District Physicians Health Plan
Genesee
Enrolled
162
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
516
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
678
262
100
NYS Catholic Health Plan
639
169
808
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
701
156
857
686
153
839
Rochester Area HMO/Preferred Care
15
3
18
491
105
596
TOTALS:
Capital District Physicians Health Plan
165
30
195
GHI HMO Select
122
30
152
NYS Catholic Health Plan
151
28
179
Wellcare Of New York
53
17
70
Hamilton
TOTALS:
50
10
60
Herkimer
TOTALS:
NYS Catholic Health Plan
Lewis
Livingston
Monroe
Montgomery
144
25
169
950
216
1,166
22
3
25
TOTALS:
1,412
350
1,762
GHI
1,412
350
1,762
TOTALS:
355
44
399
GHI
355
44
399
TOTALS:
493
122
615
Excellus Health Plan
483
120
603
10
2
12
TOTALS:
737
162
899
Excellus Health Plan
222
53
275
United Healthcare Plan Of NY
515
109
624
TOTALS:
7,041
1,813
8,854
Excellus Health Plan
6,145
1,465
7,610
NYS Catholic Health Plan
761
321
1,082
Rochester Area HMO/Preferred Care
135
27
162
TOTALS:
838
208
1,046
381
71
452
24
6
30
433
131
564
TOTALS:
7,687
3,782
11,469
Affinity Health Plan
1,466
662
2,128
HealthFirst PHSP
1,853
738
2,591
334
262
596
Health Insurance Plan of Greater New
York
1,662
1,125
2,787
NYS Catholic Health Plan
1,046
334
1,380
1
0
1
United Healthcare Plan Of NY
1,325
661
1,986
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
2,316
663
2,979
743
218
961
NYS Catholic Health Plan
1,038
291
1,329
535
154
689
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Nassau
HealthPlus
NYS Catholic Health Plan 1199
Niagara
60
1,360
NYS Catholic Health Plan
Rochester Area HMO/Preferred Care
Madison
10
244
Excellus Health Plan
United Healthcare Plan Of NY
Jefferson
50
1,116
Univera Community Health Inc
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
County
Plan Name
Oneida
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Orleans
Oswego
Total Enrolled
822
362
87
4,113
449
2,228
546
2,774
701
189
890
4,024
1,409
5,433
114
467
395
1,595
SCHC Total Care
1,186
525
1,711
United Healthcare Plan Of NY
1,285
375
1,660
TOTALS:
846
245
1,091
Excellus Health Plan
838
244
1,082
8
1
9
TOTALS:
3,245
742
3,987
Affinity Health Plan
1,375
317
1,692
GHI HMO Select
559
120
679
Hudson Health Plan
591
146
737
NYS Catholic Health Plan
511
108
619
Wellcare Of New York
209
51
260
TOTALS:
643
129
772
Excellus Health Plan
161
32
193
HealthNow/BCBS-WNY/Community
Blue
152
37
189
NYS Catholic Health Plan
330
60
390
1,966
607
2,573
TOTALS:
21
7
28
NYS Catholic Health Plan
516
110
626
SCHC Total Care
969
362
1,331
United Healthcare Plan Of NY
460
128
588
TOTALS:
676
154
830
Excellus Health Plan
404
101
505
GHI HMO Select
220
44
264
52
9
61
301
120
421
Putnam
TOTALS:
Rensselaer
TOTALS:
GHI HMO Select
Capital District Physicians Health Plan
301
120
421
1,142
382
1,524
502
158
660
GHI HMO Select
101
46
147
NYS Catholic Health Plan
439
142
581
Wellcare Of New York
100
36
136
3,866
831
4,697
Affinity Health Plan
443
153
596
GHI HMO Select
203
73
276
Hudson Health Plan
868
211
1,079
2,166
351
2,517
186
43
229
1,146
313
1,459
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Enrolled
3,291
353
NYS Catholic Health Plan
Rockland
Enrolled
1,200
Excellus Health Plan
Otsego
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Rochester Area HMO/Preferred Care
Orange
ADULTS WITH
CHILDREN
TOTALS:
Excellus Health Plan
GHI
38
10
48
1,108
303
1,411
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Schenectady
TOTALS:
Capital District Physicians Health Plan
Schoharie
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,572
349
1,921
595
147
742
93
22
115
884
180
1,064
1,216
285
1,501
449
76
525
GHI HMO Select
127
42
169
NYS Catholic Health Plan
640
167
807
TOTALS:
324
101
425
Capital District Physicians Health Plan
324
101
425
TOTALS:
260
74
334
Excellus Health Plan
148
40
188
GHI
112
34
146
Seneca
TOTALS:
396
45
441
Excellus Health Plan
396
45
441
Steuben
TOTALS:
976
219
1,195
976
219
1,195
Suffolk
TOTALS:
9,690
2,724
12,414
Affinity Health Plan
1,638
432
2,070
HealthFirst PHSP
1,989
550
2,539
Health Insurance Plan of Greater New
York
2,164
827
2,991
480
140
620
NYS Catholic Health Plan
1,159
233
1,392
United Healthcare Plan Of NY
2,260
542
2,802
TOTALS:
1,117
223
1,340
94
32
126
986
186
1,172
Schuyler
GHI
Neighborhood Health Providers
Sullivan
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
TOTALS:
Capital District Physicians Health Plan
Tompkins
Ulster
5
42
125
626
501
125
626
TOTALS:
576
181
757
SCHC Total Care
235
62
297
GHI
341
119
460
1,691
632
2,323
TOTALS:
GHI HMO Select
192
72
264
Hudson Health Plan
403
143
546
MVP Health Plan
562
236
798
57
45
102
Wellcare Of New York
477
136
613
TOTALS:
601
142
743
82
23
105
519
119
638
NYS Catholic Health Plan
Warren
37
501
GHI HMO Select
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2008
County
Plan Name
Washington
TOTALS:
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
116
807
155
26
181
30
2
32
NYS Catholic Health Plan
506
88
594
TOTALS:
787
142
929
Excellus Health Plan
787
142
929
TOTALS:
6,090
2,344
8,434
Affinity Health Plan
1,082
473
1,555
131
67
198
Capital District Physicians Health Plan
GHI HMO Select
Wayne
Westchester
Total Enrolled
691
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
NYS Catholic Health Plan
620
362
982
3,457
1,091
4,548
796
351
1,147
4
0
4
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
363
71
434
363
71
434
Yates
TOTALS:
401
75
476
Excellus Health Plan
401
75
476
97,135
29,688
126,823
Affinity Health Plan
16,133
15,257
31,390
Amerigroup
14,854
11,767
26,621
GHI HMO Select
1,251
1,261
2,512
HealthFirst PHSP
30,828
24,684
55,512
Health Insurance Plan of Greater New
York
24,740
17,075
41,815
HealthPlus
29,351
17,119
46,470
MetroPlus Health Plan
29,788
18,146
47,934
9,762
4,775
14,537
16,048
11,083
27,131
2,573
206
2,779
Upstate Total
NYC
Neighborhood Health Providers
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
The New York Presbyterian
Community Health Plan
10,353
6,955
17,308
United Healthcare Plan Of NY
19,441
11,967
31,408
Wellcare Of New York
10,642
11,336
21,978
215,764
151,631
367,395
NYC Total
UPSTATE TOTALS:
County
97,135
29,688
126,823
NEW YORK CITY TOTALS:
215,764
151,631
367,395
GRAND TOTALS
312,899
181,319
494,218
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
34,096
19,767
53,863
Brooklyn
75,309
51,541
126,850
Manhattan
23,300
25,182
48,482
Queens
75,370
50,231
125,601
Staten Island
Borough Total
NOTES:
7,689
4,910
12,599
215,764
151,631
367,395
(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 : Cayuga County - NYS Catholic Health Plan
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS OCTOBER, 2008
MLTC PACE PLAN NAME
COMPREHENSIVE CARE MGMT CORP
EDDY SENIOR CARE
INDEPENDENT LIVING FOR SENIORS
PACE CNY
Total MLTC PACE Enrollment
TOTAL
COUNTY
ENROLLMENT
NEW YORK
2,119
WESTCHESTER
165
Total
2,284
ALBANY
1
RENSSELAER
0
SCHENECTADY
100
SCHOHARIE
1
Total
102
MONROE
240
Total
240
ONONDAGA
308
Total
308
2,934
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
Total Statewide Enrollment
NOTES:
363
363
970
16
986
104
35
139
512
5,948
199
6,659
664
664
2,854
2,854
1,326
1,326
148
87
235
1,238
1,238
32
324
356
138
138
6,613
6,613
122
122
21,693
24,627
(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 OCTOBER, 2008
County
Albany
Cattaraugus
Chautauqua
Dutchess
Erie
Fulton
Genesee
Greene
Herkimer
Montgomery
Nassau
Niagara
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
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
Enrolled
221
5
1
215
2
2
1
1
7
1
6
88
88
1
1
1
1
4
1
3
3
3
2
2
126
12
79
35
6
6
19
19
9
3
6
2
2
3
3
68
7
7
54
40
40
8
3
5
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS OCTOBER, 2008
County
Schenectady
Suffolk
Ulster
Warren
Westchester
Wyoming
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
Health Insurance Plan of
Greater New York
TOTAL
Fidelis
Senior Whole Health
TOTAL
HealthNow
TOTAL
GHI
Health Insurance Plan of
Greater New York
TOTAL
HealthNow
Total
Enrolled
101
19
82
14
14
137
2
135
4
4
46
39
7
1
1
914
43
209
584
Upstate Total:
Affinity
NYC
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health Prov
Touchstone/Prestige
NYC Total
1,465
422
41
6
187
479
3,436
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
914
3,436
4,350
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 PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS OCTOBER, 2008
County
Albany
Rensselaer
Saratoga
Schenectady
Ulster
Plan Name
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Upstate Total:
NYC
Guildnet
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
25
25
19
19
2
2
6
6
23
23
75
98
9
114
221
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
75
221
296
(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