RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Allegany
Eligibles
16,981
2,151
19,469
1,454
17,608
90%
12,248
63%
4,290
1,790
Total
Eligibles
23,759
1,367
Total
Enrolled
Percent
Enrolled
19,398
82%
13,615
57%
215
47
262
1%
5
267
1%
451
3,286
17%
227
3,513
15%
Wellcare Of New York
1,613
199
1,812
9%
191
2,003
8%
3,188
81%
3,551
73%
Univera Community Health
Broome
TOTALS:
3,452
14,686
Mandatory
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
GHI HMO Select
NYS Catholic Health Plan
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
TOTALS:
HealthNow/BCBSWNY/Community Blue
467
Univera Community Health
363
4,852
214
1,885
48%
252
2,137
44%
1,303
33%
111
1,414
29%
14,560
88%
16,275
79%
3,085
19%
3,822
19%
12,939
1,829
1,621
16,515
194
4,082
1,715
20,597
737
507
31
538
3%
97
635
3%
7,657
1,084
8,741
53%
675
9,416
46%
508
79
587
4%
57
644
3%
1,609
10%
5,587
88%
4,976
233
645
611
6,344
149
1,233
973
7,577
1,758
9%
6,560
87%
2,259
239
2,498
39%
678
3,176
42%
1,801
223
2,024
32%
219
2,243
30%
1,065
17%
1,141
15%
80
1%
83
1%
80
1%
12,430
91%
3,349
8,805
24%
64%
71
149
691
10,579
9
6,743
9
2,013
2,896
7,497
NYS Catholic Health Plan
933
173
71
11,706
3,919
1,671
916
6,052
387
1,130
1,376
5,699
Univera Community Health
Cayuga
2,801
2,891
Excellus Health Plan
Chenango
Voluntary
Clinton
Voluntary
Enrolled
2,835
Eff. Feb 2007
Chemung
Voluntary
2,488
10,794
GHI HMO Select
Mandatory
Mandatory
Eff. Sep 2001
15,457
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
NYS Catholic Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
Cattaraugus
Enrolled
SNA HR & MA-HR
1,851
13,719
453
1,308
7,925
3
2,593
1,854
16,312
628
1,179
1%
14,284
88%
3,977
9,984
24%
61%
276
2%
323
2%
4,277
3,164
1,113
767
331
0
331
8,677
4,608
3,164
1,444
53%
36%
17%
2,190
924
257
667
10,867
5,532
3,421
2,111
51%
31%
19%
TOTALS:
4,840
0
511
0
5,351
0
0%
1,124
0
6,475
0
0%
TOTALS:
6,315
404
904
180
7,219
584
8%
1,704
16
8,923
600
7%
584
8%
600
7%
180
47
83
7,910
404
90
3
TOTALS:
(Partial)
Southern Tier Priority (Partial)
NYS Catholic Health Plan
186
76
1,182
16
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Columbia
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
GHI HMO Select
Cortland
NYS Catholic Health Plan
Wellcare Of New York
TOTALS:
Eligibles
3,175
Dutchess
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
2,485
Eligibles
352
1,565
3,874
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Enrolled
SNA HR & MA-HR
Enrolled
234
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
3,527
118
2,719
77%
1,683
48%
912
339
Total
Eligibles
4,439
249
Total
Enrolled
Percent
Enrolled
3,058
69%
1,932
44%
88
12
100
3%
8
108
2%
606
226
3,337
79
25
414
685
251
3,751
19%
7%
87%
43
39
292
728
290
4,043
16%
7%
80%
2,815
936
65%
22%
3,042
1,001
60%
20%
443
2,501
836
4,317
314
100
740
5,057
227
65
3,044
0
448
0
3,492
0
0%
716
0
4,208
0
0%
10,286
8,562
1,383
1,060
11,669
2,921
893
14,590
10,515
72%
9,622
82%
774
128
902
8%
75
977
7%
Hudson Health Plan
2,749
320
3,069
26%
303
3,372
23%
MVP Health Plan
2,799
400
3,199
27%
282
3,481
24%
NYS Catholic Health Plan
Wellcare Of New York
Erie
TOTALS:
HealthNow/BCBS
Mandatory
WNY/Community Blue
Independent Health
Eff. May 1998 Association
68,602
402
93
495
4%
18
513
4%
1,838
119
1,957
17%
215
2,172
15%
69,889
88%
81,487
84%
12,355
16%
13,936
14%
60,355
10,828
11,022
9,534
79,430
1,333
17,083
11,598
96,513
1,581
15,742
1,735
17,477
22%
3,187
20,664
21%
NYS Catholic Health Plan
15,678
1,458
17,136
22%
2,225
19,361
20%
Univera Community Health
17,439
3,574
21,013
26%
1,641
22,654
23%
Total Full Risk
PCMP II-A Special Care
(Partial)
59,881
8,100
67,981
86%
8,634
76,615
79%
474
1,434
1,908
2%
2,964
4,872
5%
474
1,434
1,908
2%
2,964
4,872
5%
506
21%
513
17%
506
1%
513
1%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
3,811
0
484
0
4,295
0
0%
1,114
0
5,409
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
5,404
4,711
638
536
6,042
5,247
87%
1,157
256
7,199
5,503
76%
Eff. Mar 2007
NYS Catholic Health Plan
2,121
403
276
403
103
2,397
103
599
7
2,996
7
1,318
155
1,473
24%
83
1,556
22%
3,393
381
3,774
62%
173
3,947
55%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Rochester Area HMO/Preferred
Care
3,316
TOTALS:
Capital District Physicians
Health Plan
2,886
Mandatory
Eff. Jan 2004
Greene
Mandatory
Eff. Oct 1997
Eligibles
1,752
141
468
411
3,354
3,410
91%
2,000
54%
1,410
38%
2,930
87%
577
319
4,309
124
195
822
416
4,176
Total
Enrolled
Percent
Enrolled
3,729
87%
2,124
49%
1,605
37%
3,346
80%
116
1,295
39%
263
1,558
37%
108
645
19%
52
697
17%
NYS Catholic Health Plan
Wellcare Of New York
510
293
144
43
654
336
19%
10%
49
52
703
388
17%
9%
34
15%
36
13%
36
13%
NYS Catholic Health Plan
Herkimer
TOTALS:
192
27
34
27
5,024
Mandatory
Excellus Health Plan
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Madison
Voluntary
3,732
248
1,269
2,519
389
Total
Eligibles
537
TOTALS:
Eff. Apr 2002
416
Enrolled
1,179
Voluntary
Livingston
Mandatory
3,021
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
GHI HMO Select
Hamilton
Jefferson
Voluntary
Lewis
Voluntary
Enrolled
SNA HR & MA-HR
4,365
7
226
7
4,985
88%
5,365
80%
775
4,164
14%
73%
86
286
861
4,450
13%
66%
37
9
46
1%
8
54
1%
0
0%
0
0%
1,899
0
220
0
2,119
0
0%
436
0
2,555
0
0%
TOTALS:
Excellus Health Plan
Rochester Area HMO/Preferred
Care
2,940
2,440
1,707
443
338
232
3,383
2,778
1,939
82%
57%
713
392
251
4,096
3,170
2,190
77%
53%
839
25%
980
24%
TOTALS:
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Rochester Area HMO/Preferred
Care
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
0
6,707
TOTALS:
106
1,860
380
7,801
Monroe
Mandatory
Eff. Mar 1998
8,564
1,023
TOTALS:
733
0
5,684
267
2
63
548
763
620
2
712
3,616
0
660
41
34
10,424
141
4,459
0
445
0
4,904
0
0%
853
0
5,757
0
0%
58,615
51,431
35,963
2,172
9,349
6,934
3,978
1,210
67,964
58,365
39,941
3,382
86%
59%
5%
14,285
7,085
4,898
395
82,249
65,450
44,839
3,777
80%
55%
5%
13,296
5,203
4,521
1,746
597
505
5,800
15,042
22%
5,026
87%
1,792
935
308
6,735
16,834
20%
5,334
79%
2,580
259
2,839
49%
224
3,063
45%
1,941
246
2,187
38%
84
2,271
34%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
39,032
Mandatory
Eff Sep 1998
35,750
83%
11,739
7,067
54,792
Percent
Enrolled
42,817
78%
6,235
14%
963
7,198
13%
7,454
17%
912
8,366
15%
HealthPlus
Health Insurance Plan of
Greater New York
2,200
379
2,579
6%
699
3,278
6%
6,550
1,167
7,717
18%
2,327
10,044
18%
NYS Catholic Health Plan
5,521
365
5,886
14%
950
6,836
12%
United Healthcare Plan Of NY
5,323
556
5,879
14%
1,216
7,095
13%
15,826
91%
18,141
87%
4,945
28%
644
5,589
27%
TOTALS:
HealthNow/BCBS
WNY/Community Blue
Independent Health
Association
14,853
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
TOTALS:
2,590
2,299
17,443
733
3,376
2,315
20,819
4,261
634
4,895
28%
1,058
5,953
29%
4,014
739
4,753
27%
539
5,292
25%
1,040
19,104
16,887
2,609
11,861
31,091
26,366
3,070
7,022
193
1,870
1,677
303
1,069
3,022
2,645
325
645
2,417
4,309
3,777
30,434
26,947
7%
18,564
2,912
12,930
89%
14%
62%
2,722
13%
34,113
29,011
3,395
7,667
85%
10%
22%
11,733
34%
1,250
5,791
4,788
1,233
20,974
305
10,483
United Healthcare Plan Of NY
TOTALS:
Excellus Health Plan
Rochester Area HMO/Preferred
Care
13,527
4,212
SCHC Total Care
Eff. Mar 1998
43,053
Total
Enrolled
508
United Healthcare Plan Of NY
Ontario
Mandatory
3,405
Total
Eligibles
430
Univera Community Health
Onondaga
Mandatory
Eff. Nov 1998
4,021
Enrolled
6,946
NYS Catholic Health Plan
Oneida
Mandatory
Eff Sep 2001
32,345
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
5,805
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
425
499
408
364
2,485
1,993
532
6,216
18%
5,287
4,717
4,141
89%
78%
576
11%
32,919
28,940
88%
44
74
5,268
2,773
369
2,025
8,423
5,879
582
1,384
1,307
6%
26,242
21,337
3,281
14,955
81%
13%
57%
3,101
12%
42,536
34,890
3,977
9,051
82%
9%
21%
14,504
34%
379
2,771
1,142
1,211
679
569
4,077
1,946
7,358
22%
6,498
5,396
4,710
83%
72%
686
11%
36,996
30,886
83%
28%
110
Orange
Mandatory
Affinity Health Plan
8,461
884
9,345
28%
971
10,316
Eff. Mar 2007
GHI HMO Select
2,910
305
3,215
10%
177
3,392
9%
Hudson Health Plan
4,638
518
5,156
16%
504
5,660
15%
NYS Catholic Health Plan
9,487
181
9,668
29%
104
9,772
26%
Wellcare Of New York
1,451
105
1,556
5%
190
1,746
5%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Orleans
Mandatory
TOTALS:
Excellus Health Plan
HealthNow/BCBS
Eff. June 2003
WNY/Community Blue
Eligibles
3,176
NYS Catholic Health Plan
Oswego
Mandatory
Eff. Apr 1999
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
10,627
SCHC Total Care
Mandatory
TOTALS:
Excellus Health Plan
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
996
23%
1,310
31%
10,848
168
2,774
91%
1%
23%
12,362
200
3,119
88%
1%
22%
5,370
45%
6,169
44%
9,666
158
2,525
1,231
1,182
10
249
11,858
708
215
437
333
288
228
199
2,536
21%
3,988
3,101
2,856
78%
72%
245
2%
1,900
1,553
82%
45
2,185
1,514
32
345
14,043
799
338
917
89
81
639
111
2,874
20%
4,905
3,190
2,937
65%
60%
253
2%
2,539
1,664
66%
8
131
15
146
8%
16
162
6%
1,223
184
1,407
74%
95
1,502
59%
11,162
89%
12,253
82%
61%
9,738
1,528
1,424
12,473
2,408
1,091
14,881
7,216
961
8,177
66%
922
9,099
167
51
218
2%
12
230
2%
1,778
320
2,098
17%
110
2,208
15%
Affinity Health Plan
2,140
Eff. Mar 2001
GHI HMO Select
1,791
8,961
87%
33%
90
Mandatory
TOTALS:
3,719
1,413
82
577
Wellcare Of New York
4,282
25%
TOTALS:
NYS Catholic Health Plan
300
128
33%
Rockland
Hudson Health Plan
596
906
200
31,301
93%
35%
1,228
1,354
Wellcare Of New York
3,419
1,285
Percent
Enrolled
160
1,672
GHI HMO Select
3,686
Total
Enrolled
164
2,321
10,945
487
163
Total
Eligibles
746
2,768
2,568
NYS Catholic Health Plan
St Lawrence
Voluntary
510
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
1,064
3,551
Eff. May 2007 NYS Catholic Health Plan
Putnam
2,932
1,122
Eligibles
4,662
United Healthcare Plan Of NY
Otsego
Enrolled
SNA HR & MA-HR
30,438
92
2,253
669
5%
32,591
97%
510
2,650
8%
183
1,974
6%
2,153
33,554
47
2,673
716
5%
34,146
94%
416
3,066
8%
115
2,089
6%
1,555
36,227
4,167
503
4,670
14%
331
5,001
14%
20,690
791
21,481
64%
552
22,033
61%
1,650
166
1,816
5%
141
1,957
5%
0
0%
0
0%
0
1,063
0
10,024
2,607
0
12,631
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
Schenectady
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
6,956
Enrolled
5,985
7,754
TOTALS:
1,964
20%
9,675
72%
40%
8%
24%
2,177
235
11%
2,573
250
10%
235
11%
250
10%
1,506
114
8%
1,790
134
7%
114
8%
134
7%
2,098
1,814
86%
2,579
2,076
80%
1,814
86%
2,076
80%
1,537
20%
10,004
2,053
21%
196
221
39
207
22
196
165
39
22
1,649
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
13,496
56%
1,083
3,209
92
56,402
1,192
5,430
5,383
1,649
Affinity Health Plan
138
3,242
77%
39
287
1,902
Suffolk
24%
83%
577
7,394
866
92
Mandatory
1,826
8,483
9,637
10%
28%
196
Southern Tier Priority (Partial)
10,254
63%
715
44%
1,299
6,979
729
4,853
1,937
1,044
2,922
TOTALS:
Voluntary
170
883
87%
4,517
Voluntary
TOTALS:
Southern Tier Pediatrics
(Partial)
524
6,679
Percent
Enrolled
112
239
Schuyler
Excellus Health Plan
7,700
Total
Enrolled
378
1,956
Steuben
694
Total
Eligibles
932
2,683
TOTALS:
Capital District Physicians
Health Plan
TOTALS:
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
4,139
Schoharie
Voluntary
744
1,656
9,371
GHI HMO Select
NYS Catholic Health Plan
Seneca
Mandatory
Eff. Jan 2007
Eligibles
4,329
Eff. Apr 2007
Southern Tier Priority (Partial)
SNA HR & MA-HR
1,374
165
795
163
7,774
396
15
284
20
481
262
2,230
516
15
20
262
253
0
253
3%
28
281
3%
1,121
163
1,284
17%
488
1,772
18%
49,172
56,432
87%
64,869
83%
6,862
8,636
7,260
787
65,038
7,649
12%
13,496
8,437
1,051
78,534
8,700
11%
8,547
1,038
9,585
15%
1,062
10,647
14%
10,142
2,592
12,734
20%
2,324
15,058
19%
Neighborhood Health Providers
9,864
989
10,853
17%
1,572
12,425
16%
NYS Catholic Health Plan
5,661
726
6,387
10%
990
7,377
9%
United Healthcare Plan Of NY
Sullivan
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
8,096
6,214
5,389
1,128
546
422
6,760
9,224
14%
5,811
86%
1,438
1,516
632
8,276
10,662
14%
6,443
78%
482
47
529
8%
48
577
7%
4,656
351
5,007
74%
574
5,581
67%
251
24
275
4%
10
285
3%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
3,569
Tompkins
TOTALS:
5,024
Voluntary
NYS Catholic Health Plan
Voluntary
Eligibles
TOTALS:
Mandatory
GHI HMO Select
Eff Mar 2007
300
Eligibles
377
300
SCHC Total Care
Ulster
Enrolled
SNA HR & MA-HR
9,630
1,880
Enrolled
57
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
3,946
57
9%
9
4,722
9
8%
2,456
36%
0%
7
37
0%
1,853
225
2,078
36%
341
2,419
35%
9,970
74%
9,093
83%
901
180
1,081
10%
74
1,155
9%
Hudson Health Plan
1,954
257
2,211
20%
199
2,410
18%
MVP Health Plan
2,395
428
2,823
26%
225
3,048
23%
NYS Catholic Health Plan
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
Voluntary
TOTALS:
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
3,272
345
77
422
4%
19
441
3%
147
2,556
23%
360
2,916
22%
967
21%
967
21%
3,677
71%
830
307
3,156
311
245
4,144
890
25%
890
25%
3,401
82%
971
77
4,550
77
1,048
276
5,192
1,224
99
1,323
32%
132
1,455
28%
146
2,078
50%
144
2,222
43%
424
47,458
40,606
7,219
NYS Catholic Health Plan 1199
3,579
1,932
2,212
2,212
NYS Catholic Health Plan
60
60
5,028
Hudson Health Plan
13,505
2,409
830
3,833
877
6,829
366
37%
2,493
348
8%
30
11,012
1,073
366
2,108
1,089
5,756
357
776
Percent
Enrolled
3
1,382
228
9%
Total
Enrolled
27
8,004
732
357
Total
Eligibles
136
136
5,452
2,348
2,348
43%
43%
1,428
312
312
6,880
2,660
2,660
39%
39%
6,078
54,677
9,963
5,994
64,640
46,684
85%
52,678
81%
6,954
1,269
8,223
15%
1,149
9,372
14%
784
287
1,071
2%
209
1,280
2%
3,438
1,037
4,475
8%
1,030
5,505
9%
23,679
2,561
26,240
48%
2,750
28,990
45%
5,748
924
6,672
12%
856
7,528
12%
3
0
3
0%
0
3
0%
Wyoming
Voluntary
TOTALS:
1,946
0
203
0
2,149
0
0%
456
0
2,605
0
0%
Yates
TOTALS:
1,555
1,467
161
144
1,716
1,611
94%
301
181
2,017
1,792
89%
1,611
94%
1,792
89%
570,986
78%
646,093
73%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,467
652,222
507,024
144
83,643
63,962
735,865
181
154,328
75,107
890,193
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC
County
NYC
Mandatory
Plan Name
Affinity Health Plan
Amerigroup
Fully
Implemented:
HealthFirst PHSP
HealthPlus
Health Insurance Plan of
Greater New York
Eligibles
GHI HMO Select
Sept 2002
MetroPlus Health Plan
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
SNA HR & MA-HR
Enrolled Eligibles
78,912
50,178
Enrolled
26,494
17,544
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
105,406
6%
14,121
67,722
4%
4,722
Total
Eligibles
Total
Enrolled
Percent
Enrolled
119,527
72,444
6%
4%
6,703
195,157
148,526
3,139
49,938
37,103
9,842
245,095
185,629
1%
15%
11%
1,808
33,282
15,967
11,650
278,377
201,596
1%
15%
11%
117,722
209,549
628
37,752
43,945
829
155,474
253,494
1,457
9%
15%
0%
21,452
26,135
918
176,926
279,629
2,375
9%
15%
0%
55,098
13,578
68,676
4%
8,116
76,792
4%
161
342
503
0%
351
854
0%
90,726
27,708
118,434
7%
15,429
133,863
7%
1,678
215
1,893
0%
59
1,952
0%
65,771
15,193
80,964
5%
10,750
91,714
5%
88,433
36
35,904
30,234
393
19,185
118,667
429
55,089
7%
0%
3%
12,917
294
5,566
131,584
723
60,655
7%
0%
3%
1,294,364
1,145,182
362,265
323,592
1,656,629
1,468,774
89%
238,993
171,887
1,895,622
1,640,661
87%
652,222
507,024
83,643
63,962
735,865
570,986
78%
154,328
75,107
890,193
646,093
73%
NEW YORK CITY TOTALS:
1,294,364
1,145,182
362,265
323,592
1,656,629
1,468,774
89%
238,993
171,887
1,895,622
1,640,661
87%
GRAND TOTALS:
1,946,586
1,652,206
445,908
387,554
2,392,494
2,039,760
85%
393,321
246,994
2,785,815
2,286,754
82%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 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
325,597
281,954
71,262
58,568
396,859
340,522
86%
66,085
48,238
462,944
388,760
84%
Brooklyn
463,381
413,223
136,563
122,864
599,944
536,087
89%
77,587
55,539
677,531
591,626
87%
Manhattan
171,006
139,099
56,589
46,929
227,595
186,028
82%
44,401
29,889
271,996
215,917
79%
Queens
295,185
274,988
87,052
84,973
382,237
359,961
94%
42,297
31,905
424,534
391,866
92%
39,195
35,918
10,800
10,258
49,995
46,176
92%
8,623
6,316
58,618
52,491
90%
1,294,364
1,145,182
362,266
323,592
1,656,630
1,468,774
89%
238,993
171,887
1,895,623
1,640,661
87%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon October, 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
first
the
(3) All percents are rounded to the nearest whole number.
(4) New plans added this month : None
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Clinton
218
770
269
1,039
Wellcare Of New York
249
84
333
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
594
161
755
273
96
369
Univera Community Health Inc
321
65
386
2,218
577
2,795
TOTALS:
130
41
171
1,614
417
2,031
GHI HMO Select
157
39
196
NYS Catholic Health Plan
317
80
397
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
971
244
1,215
238
60
298
NYS Catholic Health Plan
454
107
561
Univera Community Health Inc
279
77
356
TOTALS:
621
146
767
25
4
29
596
142
738
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,567
506
2,073
336
77
413
NYS Catholic Health Plan
1,186
399
1,585
45
30
75
TOTALS:
941
270
1,211
Excellus Health Plan
632
186
818
GHI
309
84
393
TOTALS:
623
124
747
GHI
623
124
747
TOTALS:
854
236
1,090
31
9
40
NYS Catholic Health Plan
823
227
1,050
TOTALS:
545
116
661
132
29
161
78
16
94
245
45
290
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Wellcare Of New York
Cortland
90
26
116
TOTALS:
679
122
801
NYS Catholic Health Plan
580
106
686
99
16
115
443
111
554
SCHC Total Care
Delaware
TOTALS:
GHI HMO Select
Dutchess
443
111
554
1,548
346
1,894
GHI HMO Select
167
40
207
Hudson Health Plan
418
96
514
MVP Health Plan
587
137
724
TOTALS:
NYS Catholic Health Plan
77
19
96
299
54
353
TOTALS:
9,263
3,141
12,404
Univera Community Health Inc
5,036
2,071
7,107
HealthNow/BCBS-WNY/Community
Blue
1,665
397
2,062
544
134
678
2,018
539
2,557
Wellcare Of New York
Erie
1,271
NYS Catholic Health Plan
Excellus Health Plan
Columbia
2,861
50
Univera Community Health Inc
Chenango
Total Enrolled
681
278
United Healthcare Plan Of NY
Chemung
Enrolled
2,180
168
NYS Catholic Health Plan
Chautauqua
Enrolled
993
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 DECEMBER, 2008
County
Plan Name
Essex
TOTALS:
Greene
Herkimer
11
NYS Catholic Health Plan
494
150
644
TOTALS:
526
124
650
5
3
8
GHI
521
121
642
TOTALS:
897
223
1,120
Lewis
Livingston
234
78
312
663
145
808
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
671
121
792
639
115
754
Rochester Area HMO/Preferred Care
32
6
38
493
81
574
TOTALS:
158
25
183
GHI HMO Select
128
25
153
NYS Catholic Health Plan
154
20
174
Wellcare Of New York
53
11
64
TOTALS:
47
6
53
NYS Catholic Health Plan
47
6
53
1,053
214
1,267
TOTALS:
Excellus Health Plan
136
23
159
NYS Catholic Health Plan
895
189
1,084
22
2
24
TOTALS:
1,412
285
1,697
GHI
1,412
285
1,697
TOTALS:
358
35
393
GHI
358
35
393
TOTALS:
489
105
594
Excellus Health Plan
470
96
566
19
9
28
TOTALS:
713
138
851
Excellus Health Plan
216
41
257
United Healthcare Plan Of NY
497
97
594
TOTALS:
6,805
1,586
8,391
Excellus Health Plan
Rochester Area HMO/Preferred Care
Madison
Monroe
Montgomery
5,825
1,257
7,082
NYS Catholic Health Plan
757
292
1,049
Rochester Area HMO/Preferred Care
223
37
260
TOTALS:
821
187
1,008
357
68
425
24
7
31
440
112
552
TOTALS:
7,471
3,256
10,727
Affinity Health Plan
1,426
557
1,983
HealthFirst PHSP
1,779
630
2,409
360
241
601
Health Insurance Plan of Greater New
York
1,616
986
2,602
NYS Catholic Health Plan
1,016
287
1,303
1
0
1
United Healthcare Plan Of NY
1,273
555
1,828
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
2,172
535
2,707
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Nassau
HealthPlus
NYS Catholic Health Plan 1199
Niagara
655
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
503
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
685
171
856
NYS Catholic Health Plan
960
231
1,191
Univera Community Health Inc
527
133
660
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 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
81
3,993
456
2,225
483
2,708
675
154
829
3,831
1,212
5,043
431
1,476
SCHC Total Care
1,129
448
1,577
United Healthcare Plan Of NY
1,224
335
1,559
TOTALS:
822
220
1,042
Excellus Health Plan
805
219
1,024
17
1
18
TOTALS:
3,169
680
3,849
Affinity Health Plan
1,306
291
1,597
GHI HMO Select
539
108
647
Hudson Health Plan
609
135
744
NYS Catholic Health Plan
510
103
613
Wellcare Of New York
205
43
248
TOTALS:
611
111
722
Excellus Health Plan
162
26
188
HealthNow/BCBS-WNY/Community
Blue
138
32
170
NYS Catholic Health Plan
311
53
364
1,962
524
2,486
TOTALS:
24
6
30
NYS Catholic Health Plan
523
97
620
SCHC Total Care
972
315
1,287
United Healthcare Plan Of NY
443
106
549
TOTALS:
697
145
842
Excellus Health Plan
390
94
484
GHI HMO Select
226
39
265
81
12
93
301
109
410
TOTALS:
TOTALS:
301
109
410
1,144
338
1,482
633
496
137
GHI HMO Select
104
41
145
NYS Catholic Health Plan
452
129
581
Wellcare Of New York
92
31
123
3,698
739
4,437
Affinity Health Plan
446
136
582
GHI HMO Select
209
71
280
Hudson Health Plan
830
172
1,002
2,034
321
2,355
179
39
218
1,118
239
1,357
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
375
89
Capital District Physicians Health Plan
Rockland
Total Enrolled
718
340
GHI HMO Select
Rensselaer
Enrolled
3,275
342
NYS Catholic Health Plan
Putnam
Enrolled
1,136
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
39
9
48
1,079
230
1,309
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 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
695
19
115
878
170
1,048
1,217
274
1,491
515
172
161
804
TOTALS:
325
83
408
325
83
408
TOTALS:
241
68
309
Excellus Health Plan
137
36
173
GHI
104
32
136
TOTALS:
387
54
441
Excellus Health Plan
387
54
441
TOTALS:
900
189
1,089
900
189
1,089
TOTALS:
9,851
2,525
12,376
Affinity Health Plan
1,655
393
2,048
HealthFirst PHSP
2,022
490
2,512
Health Insurance Plan of Greater New
York
2,152
766
2,918
534
140
674
NYS Catholic Health Plan
1,184
223
1,407
United Healthcare Plan Of NY
2,304
513
2,817
TOTALS:
1,066
193
1,259
91
29
120
936
160
1,096
TOTALS:
39
4
43
469
103
572
469
103
572
TOTALS:
573
148
721
SCHC Total Care
246
48
294
GHI
318
100
418
NYS Catholic Health Plan
TOTALS:
9
0
9
1,685
585
2,270
GHI HMO Select
198
62
260
Hudson Health Plan
388
129
517
MVP Health Plan
566
219
785
73
47
120
Wellcare Of New York
460
128
588
TOTALS:
600
114
714
79
18
97
NYS Catholic Health Plan
521
96
617
TOTALS:
665
101
766
144
25
169
27
2
29
494
74
568
NYS Catholic Health Plan
GHI HMO Select
Washington
133
96
643
Capital District Physicians Health Plan
Warren
562
NYS Catholic Health Plan
NYS Catholic Health Plan
Ulster
1,858
39
Hudson Health Plan
Tompkins
Total Enrolled
322
74
GHI HMO Select
Tioga
Enrolled
1,536
133
Neighborhood Health Providers
Sullivan
Enrolled
441
GHI
Suffolk
ADULTS
WITHOUT
CHILDREN
GHI HMO Select
Capital District Physicians Health Plan
Schuyler
ADULTS WITH
CHILDREN
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
743
114
Excellus Health Plan
743
114
857
TOTALS:
6,071
2,117
8,188
Affinity Health Plan
1,085
439
1,524
159
55
214
Westchester
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
NYS Catholic Health Plan
857
594
325
919
3,443
978
4,421
786
320
1,106
4
0
4
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
368
60
428
368
60
428
Yates
TOTALS:
383
69
452
Excellus Health Plan
383
69
452
95,186
25,983
121,169
Affinity Health Plan
15,554
13,676
29,230
Amerigroup
14,168
10,450
24,618
GHI HMO Select
1,236
1,140
2,376
HealthFirst PHSP
29,545
22,106
51,651
Health Insurance Plan of Greater New
York
23,714
15,260
38,974
HealthPlus
28,307
15,469
43,776
MetroPlus Health Plan
28,769
16,361
45,130
9,447
4,291
13,738
16,538
10,915
27,453
2,435
174
2,609
Upstate Total
NYC
Neighborhood Health Providers
NYS Catholic Health Plan
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
9,930
6,355
16,285
18,764
10,833
29,597
9,978
10,102
20,080
208,385
137,132
345,517
95,186
25,983
121,169
NEW YORK CITY TOTALS:
208,385
137,132
345,517
GRAND TOTALS
303,571
163,115
466,686
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
33,286
17,782
51,068
Brooklyn
72,481
46,530
119,011
Manhattan
22,338
22,579
44,917
Queens
72,605
45,774
118,379
Staten Island
Borough Total
NOTES:
7,675
4,467
12,142
208,385
137,132
345,517
(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 : None
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS DECEMBER, 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
2,177
WESTCHESTER
169
Total
2,346
ALBANY
1
RENSSELAER
0
SCHENECTADY
105
SCHOHARIE
1
Total
107
MONROE
234
Total
234
ONONDAGA
319
Total
319
3,006
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:
428
428
1,026
16
1,042
104
33
137
522
5,846
217
6,585
699
699
2,954
2,954
1,338
1,338
154
89
243
1,348
1,348
38
321
359
144
144
6,750
6,750
147
147
22,174
25,180
(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 DECEMBER, 2008
County
Albany
Cattaraugus
Chautauqua
Dutchess
Erie
Fulton
Genesee
Greene
Herkimer
Montgomery
Nassau
Niagara
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
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
Enrolled
239
4
1
234
2
2
1
1
8
1
7
94
94
1
1
1
1
4
1
3
3
3
2
2
115
11
75
29
5
5
19
19
9
3
6
2
2
3
3
77
7
7
63
40
40
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS DECEMBER, 2008
County
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Wyoming
Plan Name
TOTAL
HealthNow
Senior Whole Health
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
8
4
4
101
19
82
13
13
130
2
128
4
4
43
36
7
1
1
925
56
180
582
1,461
417
46
6
179
440
3,367
925
3,367
4,292
(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 DECEMBER, 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
32
32
28
28
4
4
6
6
34
34
104
143
9
147
299
104
299
403
(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