RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Eligibles
16,827
GHI HMO Select
Wellcare Of New York
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Enrolled
15,374
Eligibles
2,374
10,855
NYS Catholic Health Plan
Allegany
SNA HR & MA-HR
19,201
17,480
91%
12,268
64%
4,311
1,744
Total
Eligibles
23,512
1,338
Total
Enrolled
Percent
Enrolled
19,224
82%
13,606
58%
193
43
236
1%
5
241
1%
2,746
436
3,182
17%
215
3,397
14%
2,774
214
440
375
3,918
1,794
9%
3,149
80%
186
933
355
4,851
1,980
8%
3,504
72%
1,676
207
1,883
48%
245
2,128
44%
1,098
168
1,266
32%
110
1,376
28%
14,224
88%
15,852
78%
3,149
19%
3,871
19%
Broome
TOTALS:
Mandatory
Broome MAX
Capital District Physicians
Health Plan
2,961
507
31
538
3%
99
637
3%
Excellus Health Plan
7,392
991
8,383
52%
619
9,002
44%
Eff. May 1998
14,455
2,106
1,413
1,580
3,478
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
GHI HMO Select
NYS Catholic Health Plan
Cattaraugus
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
5,753
Univera Community Health
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBS
WNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
(Partial)
11,708
16,232
4,075
1,628
20,307
722
496
71
567
3%
51
618
3%
1,357
230
1,587
10%
137
1,724
8%
5,513
87%
6,451
85%
4,926
602
587
6,355
1,225
938
7,580
2,255
239
2,494
39%
661
3,155
42%
1,762
212
1,974
31%
209
2,183
29%
1,045
16%
1,113
15%
41
1%
43
1%
41
0%
43
0%
12,309
90%
14,088
87%
34
136
666
10,547
7
6,774
7
1,927
1,762
13,635
68
1,170
2
7,944
2
2,590
1,779
16,225
2,911
433
3,344
25%
610
3,954
24%
7,475
1,249
8,724
64%
1,134
9,858
61%
161
7,944
1,511
188
34
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
1,777
909
6,108
Univera Community Health
Chemung
12,713
4,321
80
768
336
8,712
241
2%
4,657
53%
35
2,183
943
10,895
276
2%
5,600
51%
3,183
0
3,183
37%
265
3,448
32%
1,138
336
1,474
17%
678
2,152
20%
TOTALS:
4,838
0
494
0
5,332
0
0%
1,135
0
6,467
0
0%
TOTALS:
6,338
374
863
143
7,201
517
7%
1,716
16
8,917
533
6%
517
7%
533
6%
NYS Catholic Health Plan
374
143
16
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Columbia
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Eligibles
3,149
SNA HR & MA-HR
Enrolled
2,506
Eligibles
323
1,616
GHI HMO Select
NYS Catholic Health Plan
Wellcare Of New York
225
3,472
118
2,731
79%
1,734
50%
910
325
Total
Eligibles
4,382
250
Total
Enrolled
Percent
Enrolled
3,056
70%
1,984
45%
81
11
92
3%
4
96
2%
553
69
622
18%
40
662
15%
256
3,876
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
8%
31
7%
TOTALS:
3,035
0
438
0
3,473
0
0%
714
0
4,187
0
0%
TOTALS:
10,180
8,518
1,311
1,026
11,491
9,544
83%
2,925
877
14,416
10,421
72%
Mandatory
GHI HMO Select
737
127
864
8%
67
931
6%
Eff. Apr 2007
Hudson Health Plan
2,776
313
3,089
27%
300
3,389
24%
MVP Health Plan
2,753
379
3,132
27%
276
3,408
24%
Eff. May 1998
5,024
79%
Dutchess
Mandatory
280
314
SCHC Total Care
68,207
728
3,986
NYS Catholic Health Plan
TOTALS:
HealthNow/BCBS
WNY/Community Blue
Independent Health
Association
4,296
86%
Eff. May 2007
Delaware
Voluntary
Erie
398
283
Mandatory
Wellcare Of New York
420
3,706
TOTALS:
NYS Catholic Health Plan
3,308
27
Cortland
2,500
293
2,793
65%
223
3,016
60%
808
105
913
21%
57
970
19%
390
88
478
4%
17
495
3%
1,862
119
1,981
17%
217
2,198
15%
69,252
88%
80,589
84%
12,405
16%
13,973
15%
60,054
10,425
11,109
9,198
78,632
1,296
17,068
11,337
95,700
1,568
15,739
1,686
17,425
22%
3,142
20,567
21%
NYS Catholic Health Plan
15,521
1,414
16,935
22%
2,139
19,074
20%
Univera Community Health
17,204
3,375
20,579
26%
1,516
22,095
23%
Total Full Risk
PCMP II-A Special Care
(Partial)
59,573
7,771
67,344
86%
8,365
75,709
79%
481
1,427
1,908
2%
2,972
4,880
5%
481
1,427
1,908
2%
2,972
4,880
5%
489
21%
496
17%
489
1%
496
1%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
3,748
0
470
0
4,218
0
0%
1,104
0
5,322
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
5,392
4,667
626
527
6,018
5,194
86%
1,154
237
7,172
5,431
76%
Eff. Mar 2007
NYS Catholic Health Plan
2,087
398
266
398
91
2,353
91
592
7
2,945
7
1,377
153
1,530
25%
85
1,615
23%
3,290
374
3,664
61%
152
3,816
53%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Rochester Area HMO/Preferred
Care
3,328
TOTALS:
Capital District Physicians
Health Plan
2,825
Mandatory
Eff. Jan 2004
Greene
Mandatory
Eff. Oct 1997
Eligibles
Enrolled
3,049
Eligibles
402
Enrolled
379
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
3,730
3,428
92%
582
298
Total
Eligibles
4,312
Total
Enrolled
Percent
Enrolled
3,726
86%
1,768
243
2,011
54%
121
2,132
49%
1,281
136
1,417
38%
177
1,594
37%
2,935
90%
3,341
82%
38%
2,537
441
398
3,266
820
406
4,086
1,204
115
1,319
40%
254
1,573
GHI HMO Select
530
98
628
19%
49
677
17%
NYS Catholic Health Plan
500
144
644
20%
44
688
17%
Wellcare Of New York
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
Eff. May 2003
NYS Catholic Health Plan
303
181
25
41
26
25
5,029
United Healthcare Plan Of NY
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
TOTALS:
7,704
4,322
4
207
4
14%
59
42
29
249
2
31
12%
87%
5,291
79%
86
858
13%
3,567
524
4,091
72%
281
4,372
65%
44
9
53
1%
8
61
1%
0
0%
0
0%
0
6,700
12%
14%
1,865
375
10%
31
772
8,451
1,022
403
4,916
0
5,678
2
61
747
594
11%
29
711
0
649
344
10,316
TOTALS:
1,890
0
221
0
2,111
0
0%
437
0
2,548
0
0%
Livingston
TOTALS:
2,948
2,447
447
340
3,395
2,787
82%
706
356
4,101
3,143
77%
Mandatory
Eff. Apr 2002
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Madison
Voluntary
TOTALS:
4,405
0
420
0
4,825
0
0%
846
0
5,671
0
0%
Monroe
TOTALS:
58,151
51,063
9,107
6,534
67,258
57,597
86%
14,205
6,750
81,463
64,347
79%
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
1,711
229
1,940
57%
224
2,164
53%
736
111
847
25%
132
979
24%
35,916
3,884
39,800
59%
4,781
44,581
55%
1,933
997
2,930
4%
272
3,202
4%
13,214
5,238
4,474
1,653
593
515
5,831
14,867
22%
4,989
86%
1,697
951
295
6,782
16,564
20%
5,284
78%
2,557
269
2,826
48%
216
3,042
45%
1,917
246
2,163
37%
79
2,242
33%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
39,142
Mandatory
Eff Sep 1998
32,619
3,744
Enrolled
3,216
42,886
35,835
84%
11,817
6,979
Total
Eligibles
54,703
Total
Enrolled
Percent
Enrolled
42,814
78%
420
6,321
15%
950
7,271
13%
7,037
472
7,509
18%
878
8,387
15%
HealthPlus
Health Insurance Plan of
Greater New York
2,172
359
2,531
6%
697
3,228
6%
6,638
1,094
7,732
18%
2,318
10,050
18%
NYS Catholic Health Plan
5,555
348
5,903
14%
936
6,839
13%
United Healthcare Plan Of NY
5,316
523
5,839
14%
1,200
7,039
13%
15,702
91%
17,983
87%
4,929
29%
639
5,568
27%
TOTALS:
HealthNow/BCBS
WNY/Community Blue
Independent Health
Association
14,671
Univera Community Health
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
13,467
United Healthcare Plan Of NY
4,924
29%
1,044
5,968
29%
4,697
27%
525
5,222
25%
16,780
7%
89%
73
5,257
2,663
26,026
1,225
6%
21,067
81%
2,894
14%
328
3,222
12%
12,793
62%
1,963
14,756
57%
2,717
13%
28,869
86%
316
3,388
10%
541
3,929
9%
615
7,630
23%
1,338
8,968
21%
10,448
1,222
11,670
35%
2,657
14,327
34%
5,776
405
6,181
18%
1,125
7,306
22%
4,623
88%
5,294
82%
4,060
77%
4,625
72%
26,311
4,237
297
2,887
475
3,717
26,963
2,558
386
33,760
5,254
343
520
30,229
1,152
18,404
293
7,015
Excellus Health Plan
Rochester Area HMO/Preferred
Care
20,769
1,034
3,072
4,779
1,624
2,601
NYS Catholic Health Plan
Mandatory
174
1,813
11,759
Excellus Health Plan
TOTALS:
20,556
650
Mandatory
Eff. Nov 1998
United Healthcare Plan Of NY
2,281
712
TOTALS:
SCHC Total Care
3,359
4,274
2,420
30,873
17,197
699
978
18,956
2,235
3,985
Onondaga
Ontario
2,526
4,230
NYS Catholic Health Plan
Eff. Mar 1998
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
5,901
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
43
1,973
563
11%
28,936
89%
9,422
29%
671
42,193
6,454
565
106
4,080
1,903
12%
82%
669
10%
30,839
84%
10,381
28%
Mandatory
Affinity Health Plan
Eff. Mar 2007
GHI HMO Select
2,901
299
3,200
10%
167
3,367
9%
Hudson Health Plan
4,644
511
5,155
16%
490
5,645
15%
NYS Catholic Health Plan
9,429
175
9,604
29%
100
9,704
26%
Wellcare Of New York
1,448
107
1,555
5%
187
1,742
5%
959
36,733
3,089
34,530
TOTALS:
881
32,653
1,200
5,661
Orange
8,541
2,424
372
8,433
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,144
Mandatory
Excellus Health Plan
HealthNow/BCBS
Eff. June 2003
WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
2,875
507
3,651
3,328
91%
3,610
85%
34%
121
1,380
32%
740
138
878
24%
85
963
23%
162
1,135
11,727
1,191
33%
10,724
91%
282
4,254
Percent
Enrolled
1,259
1,156
603
Total
Enrolled
153
9,589
453
Total
Eligibles
1,106
1,029
10,571
Enrolled
76
2,165
1,447
13,892
1,267
30%
12,171
88%
163
11
174
1%
30
204
1%
239
2,743
23%
324
3,067
22%
SCHC Total Care
4,600
670
5,270
45%
748
6,018
43%
United Healthcare Plan Of NY
2,322
215
2,537
22%
345
2,882
21%
3,135
79%
3,209
66%
2,907
73%
2,975
61%
Mandatory
Excellus Health Plan
Eff. May 2007
NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,542
2,800
10,872
1,374
6
625
110
2,524
234
2%
1,662
66%
147
8%
15
162
6%
1,405
74%
95
1,500
59%
11,136
90%
12,216
83%
8,193
66%
9,106
62%
9,738
1,523
1,398
12,395
946
2,390
1,080
14,785
913
159
46
205
2%
13
218
1%
1,762
312
2,074
17%
107
2,181
15%
Affinity Health Plan
2,078
Eff. Mar 2001
GHI HMO Select
1,756
9,001
2%
82%
68
14
Mandatory
Wellcare Of New York
228
1,552
4,887
164
TOTALS:
NYS Catholic Health Plan
1,899
74
133
Rockland
Hudson Health Plan
178
918
1,241
570
31,255
3,969
42
220
7,247
Wellcare Of New York
335
293
186
1,679
GHI HMO Select
TOTALS:
427
2,614
NYS Catholic Health Plan
St Lawrence
Voluntary
Eligibles
2,504
TOTALS:
Eff. Oct 1997
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
NYS Catholic Health Plan
Otsego
Mandatory
SNA HR & MA-HR
30,239
94
2,220
664
5%
32,314
97%
488
2,566
8%
182
1,938
6%
2,075
33,475
47
2,669
711
5%
33,834
94%
415
2,981
8%
113
2,051
6%
1,520
36,144
4,188
473
4,661
14%
316
4,977
14%
20,570
766
21,336
64%
541
21,877
61%
1,647
166
1,813
5%
135
1,948
5%
0
0%
0
0%
0
1,036
0
10,037
2,603
0
12,640
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 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
6,876
5,886
7,658
24%
82%
563
133
3,225
1,179
13,368
7,218
76%
5,297
56%
1,921
20%
9,521
71%
40%
864
5,332
34
1,073
8%
2,624
211
2,835
28%
281
3,116
23%
2,139
228
11%
2,540
243
10%
228
11%
243
10%
1,500
124
8%
1,784
146
8%
124
8%
146
8%
2,049
1,777
87%
2,525
2,038
81%
1,777
87%
2,038
81%
1,588
20%
10,053
2,102
21%
Voluntary
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
1,875
1,623
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Affinity Health Plan
1,788
8,342
9,507
10%
Southern Tier Priority (Partial)
192
206
36
210
26
174
154
36
98
26
1,623
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
10,143
63%
696
44%
192
56,211
684
4,734
1,933
1,039
98
Mandatory
162
861
86%
4,468
1,290
TOTALS:
474
6,522
Percent
Enrolled
118
TOTALS:
Southern Tier Priority (Partial)
7,574
Total
Enrolled
355
Schuyler
7,030
636
Total
Eligibles
921
Voluntary
Excellus Health Plan
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
4,113
1,933
Suffolk
698
1,626
9,282
TOTALS:
Capital District Physicians
Health Plan
Voluntary
Eligibles
4,260
NYS Catholic Health Plan
Schoharie
Enrolled
SNA HR & MA-HR
1,415
154
789
173
7,819
401
15
284
22
476
261
2,234
514
15
22
261
256
0
256
3%
27
283
3%
1,159
173
1,332
17%
487
1,819
18%
55,544
86%
63,795
82%
48,636
8,440
6,908
64,651
13,530
8,251
78,181
6,822
747
7,569
12%
1,026
8,595
11%
8,424
963
9,387
15%
1,023
10,410
13%
10,042
2,502
12,544
19%
2,277
14,821
19%
16%
Neighborhood Health Providers
9,806
943
10,749
17%
1,558
12,307
NYS Catholic Health Plan
5,574
697
6,271
10%
968
7,239
9%
United Healthcare Plan Of NY
7,968
1,056
9,024
14%
1,399
10,423
13%
6,323
78%
Sullivan
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
6,115
5,292
5,705
86%
469
510
413
46
6,625
515
8%
1,519
618
44
8,144
559
7%
4,618
347
4,965
75%
565
5,530
68%
205
20
225
3%
9
234
3%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
3,599
Tompkins
TOTALS:
4,991
Voluntary
NYS Catholic Health Plan
Voluntary
Eligibles
TOTALS:
Mandatory
GHI HMO Select
Eff Mar 2007
Enrolled
282
Eligibles
368
282
SCHC Total Care
Ulster
SNA HR & MA-HR
9,596
1,828
Enrolled
60
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
3,967
60
9%
9
4,754
9
7%
2,375
35%
0%
6
25
0%
1,811
205
2,016
35%
334
2,350
35%
8,997
82%
9,866
73%
879
169
1,048
10%
72
1,120
8%
Hudson Health Plan
1,947
251
2,198
20%
204
2,402
18%
MVP Health Plan
2,354
401
2,755
25%
215
2,970
22%
328
71
399
4%
16
415
3%
2,450
147
2,597
24%
362
2,959
22%
949
21%
949
21%
3,622
70%
NYS Catholic Health Plan
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
Eff. Mar 2007
TOTALS:
Capital District Physicians
Health Plan
3,279
3,801
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
822
287
822
4,977
3,121
299
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
3,566
238
4,100
877
25%
877
25%
3,359
82%
958
72
13,431
4,524
72
1,047
263
5,147
1,235
95
1,330
32%
128
1,458
28%
1,886
143
2,029
49%
135
2,164
42%
2,620
38%
2,174
418
2,174
47,199
55
55
869
6,802
351
36%
2,514
340
7%
19
10,917
1,083
351
2,035
1,039
5,719
342
787
Percent
Enrolled
2
1,321
207
9%
Total
Enrolled
17
7,958
728
342
Total
Eligibles
40,271
131
5,395
131
7,031
5,848
54,230
2,305
43%
2,305
43%
46,119
85%
1,426
315
6,821
315
9,923
5,879
64,153
2,620
38%
51,998
81%
6,905
1,230
8,135
15%
1,134
9,269
14%
745
267
1,012
2%
193
1,205
2%
3,463
1,037
4,500
8%
1,016
5,516
9%
23,494
2,416
25,910
48%
2,697
28,607
45%
5,661
898
6,559
12%
838
7,397
12%
3
0
3
0%
1
4
0%
Wyoming
Voluntary
TOTALS:
1,966
0
193
0
2,159
0
0%
449
0
2,608
0
0%
Yates
TOTALS:
1,579
1,452
142
144
1,721
1,596
93%
303
177
2,024
1,773
88%
1,596
93%
1,773
88%
565,505
77%
638,606
72%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,452
649,135
504,131
144
80,876
61,374
730,011
177
154,220
73,101
884,231
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
SNA HR & MA-HR
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
NYC
Affinity Health Plan
79,026
25,735
104,761
6%
14,078
118,839
6%
Mandatory
Amerigroup
50,763
16,848
67,611
4%
4,739
72,350
4%
6,658
3,015
9,673
1%
1,811
11,484
1%
GHI HMO Select
Fully
HealthFirst PHSP
194,022
47,843
241,865
15%
32,982
274,847
15%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
148,756
35,723
184,479
11%
16,010
200,489
11%
117,953
36,869
154,822
9%
21,440
176,262
9%
MetroPlus Health Plan
208,488
42,630
251,118
15%
25,963
277,081
15%
590
741
1,331
0%
832
2,163
0%
55,143
13,217
68,360
4%
8,138
76,498
4%
Sept 2002
MetroPlus Health Plan SN
Neighborhood Health Providers
NYPS Select Health SN
NYS Catholic Health Plan
339
487
0%
339
826
0%
26,166
115,334
7%
15,335
130,669
7%
2,285
0%
68
2,353
0%
NYS Catholic Health Plan 1199
The New York Presbyterian
Community Health Plan
2,056
229
65,578
14,671
80,249
5%
10,705
90,954
5%
United Healthcare Plan Of NY
88,268
29,229
117,497
7%
12,835
130,332
7%
VidaCare Inc. SN
Wellcare Of New York
NYC Total
32
371
403
0%
274
677
0%
36,232
18,736
54,968
3%
5,626
60,594
3%
1,287,682
1,142,881
349,726
312,362
1,637,408
1,455,243
89%
238,073
171,175
1,875,481
1,626,418
87%
649,135
504,131
80,876
61,374
730,011
565,505
77%
154,220
73,101
884,231
638,606
72%
NEW YORK CITY TOTALS:
1,287,682
1,142,881
349,726
312,362
1,637,408
1,455,243
89%
238,073
171,175
1,875,481
1,626,418
87%
GRAND TOTALS:
1,936,817
1,647,012
430,602
373,736
2,367,419
2,020,748
85%
392,293
244,276
2,759,712
2,265,024
82%
UPSTATE TOTALS:
NYC Boroughs Bronx
323,916
281,045
68,795
56,745
392,711
337,790
86%
65,831
47,992
458,542
385,782
84%
Brooklyn
460,989
412,477
131,836
119,103
592,825
531,581
90%
77,288
55,380
670,113
586,961
88%
Manhattan
170,123
139,048
54,630
45,238
224,753
184,286
82%
44,230
29,820
268,983
214,107
80%
Queens
293,661
274,525
84,039
81,436
377,700
355,960
94%
42,134
31,708
419,834
387,668
92%
38,993
35,785
10,426
9,840
49,419
45,625
92%
8,589
6,275
58,008
51,900
89%
1,287,682
1,142,881
349,726
312,362
1,637,408
1,455,243
89%
238,072
171,175
1,875,480
1,626,418
87%
Staten Island
Borough Total
NOTES:
148
89,168
(1) The Managed Care eligible counts are based upon September, 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 : None
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Clinton
214
776
283
1,059
Wellcare Of New York
257
93
350
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
583
165
748
269
98
367
Univera Community Health Inc
314
67
381
2,246
639
2,885
TOTALS:
139
45
184
1,627
457
2,084
GHI HMO Select
155
45
200
NYS Catholic Health Plan
325
92
417
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
978
261
1,239
228
66
294
NYS Catholic Health Plan
476
116
592
Univera Community Health Inc
274
79
353
TOTALS:
613
161
774
15
1
16
598
160
758
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,582
530
2,112
344
87
431
NYS Catholic Health Plan
1,191
412
1,603
47
31
78
TOTALS:
988
291
1,279
Excellus Health Plan
661
201
862
GHI
327
90
417
TOTALS:
622
141
763
GHI
622
141
763
TOTALS:
871
258
1,129
33
11
44
NYS Catholic Health Plan
838
247
1,085
TOTALS:
533
125
658
129
32
161
69
16
85
NYS Catholic Health Plan
233
50
283
Wellcare Of New York
102
27
129
TOTALS:
706
131
837
NYS Catholic Health Plan
609
113
722
97
18
115
449
118
567
Capital District Physicians Health Plan
GHI HMO Select
Cortland
SCHC Total Care
Delaware
TOTALS:
GHI HMO Select
Dutchess
449
118
567
1,565
371
1,936
GHI HMO Select
162
42
204
Hudson Health Plan
425
99
524
MVP Health Plan
592
150
742
TOTALS:
NYS Catholic Health Plan
73
21
94
313
59
372
TOTALS:
9,329
3,408
12,737
Univera Community Health Inc
5,129
2,265
7,394
HealthNow/BCBS-WNY/Community
Blue
1,687
440
2,127
474
112
586
2,039
591
2,630
Wellcare Of New York
Erie
1,330
NYS Catholic Health Plan
Excellus Health Plan
Columbia
2,953
52
Univera Community Health Inc
Chenango
Total Enrolled
731
303
United Healthcare Plan Of NY
Chemung
Enrolled
2,222
162
NYS Catholic Health Plan
Chautauqua
Enrolled
1,027
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
GHI HMO Select
Capital District Physicians Health Plan
Cattaraugus
ADULTS WITH
CHILDREN
Independent Health
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
County
Plan Name
Essex
TOTALS:
Greene
Herkimer
11
NYS Catholic Health Plan
490
150
640
TOTALS:
530
130
660
5
3
8
GHI
525
127
652
TOTALS:
899
246
1,145
Lewis
Livingston
248
92
340
651
154
805
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
680
134
814
657
129
786
Rochester Area HMO/Preferred Care
23
5
28
508
90
598
TOTALS:
162
26
188
GHI HMO Select
136
27
163
NYS Catholic Health Plan
155
22
177
Wellcare Of New York
55
15
70
TOTALS:
46
8
54
NYS Catholic Health Plan
46
8
54
1,077
226
1,303
TOTALS:
Excellus Health Plan
140
25
165
NYS Catholic Health Plan
915
199
1,114
22
2
24
TOTALS:
1,403
317
1,720
GHI
1,403
317
1,720
TOTALS:
356
36
392
GHI
356
36
392
TOTALS:
495
113
608
Excellus Health Plan
480
110
590
15
3
18
TOTALS:
733
150
883
Excellus Health Plan
222
47
269
United Healthcare Plan Of NY
511
103
614
TOTALS:
6,980
1,701
8,681
Excellus Health Plan
6,026
1,353
7,379
NYS Catholic Health Plan
773
316
1,089
Rochester Area HMO/Preferred Care
181
32
213
TOTALS:
845
191
1,036
373
70
443
24
6
30
448
115
563
TOTALS:
7,610
3,532
11,142
Affinity Health Plan
1,455
606
2,061
HealthFirst PHSP
1,822
691
2,513
348
250
598
Health Insurance Plan of Greater New
York
1,643
1,058
2,701
NYS Catholic Health Plan
1,042
314
1,356
1
0
1
United Healthcare Plan Of NY
1,299
613
1,912
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
2,230
590
2,820
Rochester Area HMO/Preferred Care
Madison
Monroe
Montgomery
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Nassau
HealthPlus
NYS Catholic Health Plan 1199
Niagara
651
NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
Total Enrolled
2
Capital District Physicians Health Plan
Hamilton
Enrolled
9
Capital District Physicians Health Plan
Genesee
Enrolled
152
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
499
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
710
192
902
NYS Catholic Health Plan
988
255
1,243
Univera Community Health Inc
532
143
675
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 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
84
4,058
451
2,223
517
2,740
696
171
867
3,875
1,296
5,171
442
1,518
SCHC Total Care
1,134
486
1,620
United Healthcare Plan Of NY
1,236
355
1,591
TOTALS:
832
234
1,066
Excellus Health Plan
820
233
1,053
12
1
13
TOTALS:
3,245
705
3,950
Affinity Health Plan
1,365
296
1,661
GHI HMO Select
557
114
671
Hudson Health Plan
600
142
742
NYS Catholic Health Plan
511
107
618
Wellcare Of New York
212
46
258
TOTALS:
615
120
735
Excellus Health Plan
157
29
186
HealthNow/BCBS-WNY/Community
Blue
141
36
177
NYS Catholic Health Plan
317
55
372
1,958
555
2,513
TOTALS:
23
6
29
NYS Catholic Health Plan
525
103
628
SCHC Total Care
957
331
1,288
United Healthcare Plan Of NY
453
115
568
TOTALS:
695
149
844
Excellus Health Plan
408
100
508
GHI HMO Select
223
40
263
64
9
73
299
114
413
TOTALS:
TOTALS:
299
114
413
1,134
361
1,495
641
494
147
GHI HMO Select
102
45
147
NYS Catholic Health Plan
444
134
578
Wellcare Of New York
94
35
129
3,798
772
4,570
Affinity Health Plan
444
143
587
GHI HMO Select
208
72
280
Hudson Health Plan
829
190
1,019
2,127
324
2,451
190
43
233
1,126
271
1,397
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
367
95
Capital District Physicians Health Plan
Rockland
Total Enrolled
772
360
GHI HMO Select
Rensselaer
Enrolled
3,286
347
NYS Catholic Health Plan
Putnam
Enrolled
1,158
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
41
8
49
1,085
263
1,348
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 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
Seneca
Steuben
139
728
93
18
111
906
177
1,083
1,238
277
1,515
524
169
662
160
822
TOTALS:
333
87
420
333
87
420
TOTALS:
238
72
310
Excellus Health Plan
131
39
170
GHI
107
33
140
TOTALS:
388
52
440
Excellus Health Plan
388
52
440
TOTALS:
925
207
1,132
925
207
1,132
TOTALS:
9,770
2,615
12,385
Affinity Health Plan
1,638
410
2,048
HealthFirst PHSP
1,999
519
2,518
Health Insurance Plan of Greater New
York
2,173
802
2,975
500
137
637
NYS Catholic Health Plan
1,156
225
1,381
United Healthcare Plan Of NY
2,304
522
2,826
TOTALS:
1,090
209
1,299
92
32
124
958
171
1,129
TOTALS:
Capital District Physicians Health Plan
40
6
46
484
109
593
484
109
593
TOTALS:
570
159
729
SCHC Total Care
243
48
291
GHI
319
111
430
NYS Catholic Health Plan
TOTALS:
8
0
8
1,697
610
2,307
GHI HMO Select
194
69
263
Hudson Health Plan
403
134
537
MVP Health Plan
573
230
803
66
46
112
Wellcare Of New York
461
131
592
TOTALS:
607
121
728
83
19
102
524
102
626
NYS Catholic Health Plan
Warren
589
NYS Catholic Health Plan
NYS Catholic Health Plan
Ulster
1,922
38
Hudson Health Plan
Tompkins
Total Enrolled
334
79
GHI HMO Select
Tioga
Enrolled
1,588
131
Neighborhood Health Providers
Sullivan
Enrolled
445
GHI
Suffolk
ADULTS
WITHOUT
CHILDREN
GHI HMO Select
Capital District Physicians Health Plan
Schuyler
ADULTS WITH
CHILDREN
GHI HMO Select
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2008
County
Plan Name
Washington
TOTALS:
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
111
794
149
26
175
30
2
32
NYS Catholic Health Plan
504
83
587
TOTALS:
769
124
893
Excellus Health Plan
769
124
893
TOTALS:
6,088
2,205
8,293
Affinity Health Plan
1,082
444
1,526
151
60
211
Capital District Physicians Health Plan
GHI HMO Select
Wayne
Westchester
Total Enrolled
683
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
NYS Catholic Health Plan
604
338
942
3,453
1,030
4,483
794
333
1,127
4
0
4
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
360
63
423
360
63
423
Yates
TOTALS:
388
73
461
Excellus Health Plan
388
73
461
96,257
27,723
123,980
Affinity Health Plan
15,849
14,467
30,316
Amerigroup
14,469
10,981
25,450
GHI HMO Select
1,237
1,204
2,441
HealthFirst PHSP
29,854
22,987
52,841
Health Insurance Plan of Greater New
York
24,286
16,110
40,396
HealthPlus
28,789
16,223
45,012
MetroPlus Health Plan
29,195
17,180
46,375
9,587
4,544
14,131
16,250
11,012
27,262
2,560
189
2,749
Upstate Total
NYC
Neighborhood Health Providers
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
The New York Presbyterian
Community Health Plan
10,156
6,687
16,843
United Healthcare Plan Of NY
19,109
11,333
30,442
Wellcare Of New York
10,269
10,643
20,912
211,610
143,560
355,170
NYC Total
UPSTATE TOTALS:
County
96,257
27,723
123,980
NEW YORK CITY TOTALS:
211,610
143,560
355,170
GRAND TOTALS
307,867
171,283
479,150
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
33,558
18,680
52,238
Brooklyn
73,717
48,766
122,483
Manhattan
22,804
23,709
46,513
Queens
73,866
47,707
121,573
Staten Island
Borough Total
NOTES:
7,665
4,698
12,363
211,610
143,560
355,170
(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 : Tompkins County - NYS Catholic Health Plan
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS NOVEMBER, 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
2,161
WESTCHESTER
170
Total
2,331
ALBANY
1
RENSSELAER
0
SCHENECTADY
97
SCHOHARIE
1
Total
99
MONROE
239
Total
239
ONONDAGA
308
Total
308
2,977
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:
380
380
988
16
1,004
103
35
138
514
5,836
205
6,555
685
685
2,889
2,889
1,332
1,332
150
86
236
1,281
1,281
37
321
358
138
138
6,678
6,678
142
142
21,816
24,793
(1) The source of plan enrollment counts
are 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 NOVEMBER, 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
235
5
1
229
2
2
1
1
7
1
6
93
93
1
1
1
1
4
1
3
3
3
2
2
117
11
77
29
5
5
19
19
9
3
6
2
2
3
3
73
7
8
58
40
40
9
4
5
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS NOVEMBER, 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
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health Providers
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
Total
Enrolled
102
19
83
14
14
138
2
136
4
4
45
38
7
1
1
930
50
179
580
1,456
424
40
6
184
447
3,366
930
3,366
4,296
(1) The source of plan enrollment counts are 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 NOVEMBER, 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
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
Total
Enrolled
30
30
23
23
3
3
6
6
27
27
89
138
8
122
268
89
268
357
(1) The source of plan enrollment counts are
the primary and secondary roster reports
which reflect enrollees as of the first of the
month.
(2) New plans added this month : None