RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
17,063
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
14,874
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
GHI HMO Select
NYS Catholic Health Plan
Mandatory
Eff. Sep 2001
NYS Catholic Health Plan
5,713
Univera Community Health
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
(Partial)
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
19,610
17,411
89%
4,277
1,956
23,887
Total
Enrolled
Percent
Enrolled
19,367
81%
57%
1,499
12,067
62%
1,452
13,519
49
270
1%
6
276
1%
2,798
483
3,281
17%
265
3,546
15%
2,817
210
475
405
3,931
1,793
9%
3,222
82%
233
927
372
4,858
2,026
8%
3,594
74%
1,713
227
1,940
49%
258
2,198
45%
1,104
178
1,282
33%
114
1,396
29%
14,687
87%
16,523
79%
3,021
18%
3,754
18%
12,968
1,931
1,719
16,805
189
4,093
1,836
20,898
733
495
30
525
3%
97
622
3%
7,751
1,185
8,936
53%
792
9,728
47%
500
78
578
3%
59
637
3%
1,390
237
1,627
10%
155
1,782
9%
5,703
90%
6,687
88%
5,064
652
639
6,365
1,237
984
7,602
2,246
250
2,496
39%
676
3,172
42%
1,860
231
2,091
33%
226
2,317
30%
1,116
18%
1,198
16%
119
2%
123
2%
119
1%
12,781
93%
101
158
695
10,852
18
6,688
18
2,072
1,929
13,789
82
1,197
4
7,885
4
2,599
1,932
16,388
123
1%
14,713
90%
2,945
450
3,395
25%
634
4,029
25%
7,700
1,373
9,073
66%
1,238
10,311
63%
207
7,891
2,241
Total
Eligibles
221
101
11,717
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
10,568
958
5,993
Univera Community Health
Chemung
2,547
2,832
Excellus Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
15,170
Eligibles
1,583
3,456
Mandatory
Cattaraugus
Enrolled
SNA HR & MA-HR
4,279
106
817
341
8,708
313
2%
4,620
53%
60
2,178
929
10,886
373
2%
5,549
51%
3,182
0
3,182
37%
267
3,449
32%
1,097
341
1,438
17%
662
2,100
19%
TOTALS:
4,904
0
562
0
5,466
0
0%
1,130
0
6,596
0
0%
TOTALS:
6,355
439
943
192
7,298
631
9%
1,698
18
8,996
649
7%
631
9%
649
7%
NYS Catholic Health Plan
439
192
18
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
3,237
NYS Catholic Health Plan
Wellcare Of New York
Cortland
TOTALS:
2,558
Eligibles
364
Enrolled
253
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
3,601
2,811
78%
910
376
Total
Eligibles
4,511
Total
Enrolled
Percent
Enrolled
3,187
71%
45%
1,607
127
1,734
48%
281
2,015
90
16
106
3%
9
115
3%
647
88
735
20%
50
785
17%
214
4,108
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Enrolled
SNA HR & MA-HR
3,395
22
474
429
4,582
236
7%
3,824
83%
36
728
337
5,310
272
6%
4,161
78%
2,536
325
2,861
62%
254
3,115
59%
859
104
963
21%
83
1,046
20%
3,091
0
472
0
3,563
0
0%
701
0
4,264
0
0%
10,320
8,586
1,438
1,120
11,758
9,706
83%
2,899
932
14,657
10,638
73%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
797
140
937
8%
76
1,013
7%
Eff. Apr 2007
Hudson Health Plan
2,745
335
3,080
26%
321
3,401
23%
MVP Health Plan
2,809
436
3,245
28%
293
3,538
24%
410
89
499
4%
21
520
4%
1,825
120
1,945
17%
221
2,166
15%
70,353
88%
82,303
85%
12,258
15%
13,868
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBS
WNY/Community Blue
68,887
60,519
11,176
10,896
Eff. May 1998 Independent Health Association
9,834
80,063
1,362
17,097
11,950
97,160
1,610
15,758
1,785
17,543
22%
3,268
20,811
21%
NYS Catholic Health Plan
15,759
1,516
17,275
22%
2,328
19,603
20%
Univera Community Health
17,637
3,731
21,368
27%
1,786
23,154
24%
Total Full Risk
PCMP II-A Special Care
(Partial)
60,050
8,394
68,444
85%
8,992
77,436
80%
469
1,440
1,909
2%
2,958
4,867
5%
469
1,440
1,909
2%
2,958
4,867
5%
522
21%
530
17%
522
0%
530
0%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
3,795
0
513
0
4,308
0
0%
1,116
0
5,424
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
5,461
4,718
653
563
6,114
5,281
86%
1,179
276
7,293
5,557
76%
Eff. Mar 2007
NYS Catholic Health Plan
2,161
419
293
419
103
2,454
103
606
8
3,060
8
1,262
163
1,425
23%
85
1,510
21%
3,456
400
3,856
63%
191
4,047
55%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Rochester Area HMO/Preferred
Care
3,341
TOTALS:
Capital District Physicians
Health Plan
2,945
Mandatory
Eff. Jan 2004
Greene
Mandatory
Eff. Oct 1997
Eligibles
Enrolled
2,969
SNA HR & MA-HR
Eligibles
428
1,731
421
3,769
263
1,238
2,565
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
158
492
412
3,437
3,390
90%
1,994
53%
1,396
37%
2,977
87%
581
330
Total
Eligibles
4,350
120
210
828
435
4,265
Total
Enrolled
Percent
Enrolled
3,720
86%
2,114
49%
1,606
37%
3,412
80%
1,203
127
1,330
39%
277
1,607
38%
GHI HMO Select
567
116
683
20%
56
739
17%
NYS Catholic Health Plan
528
134
662
19%
54
716
17%
Wellcare Of New York
267
35
302
9%
48
350
8%
229
43
19%
38
1
267
44
16%
44
16%
5,754
4,931
86%
1,027
410
6,781
5,341
79%
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
194
31
5,057
4,287
35
12
697
644
31
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
12
43
1
676
62
738
13%
95
833
12%
3,576
573
4,149
72%
307
4,456
66%
35
9
44
1%
8
52
1%
0
0%
0
0%
Jefferson
Voluntary
Lewis
Voluntary
TOTALS:
1,913
0
232
0
2,145
0
0%
441
0
2,586
0
0%
Livingston
TOTALS:
2,927
2,444
475
356
3,402
2,800
82%
720
407
4,122
3,207
78%
Mandatory
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Eff. Apr 2002
TOTALS:
7,801
0
831
0
8,632
1,847
0
10,479
1,695
243
1,938
57%
259
2,197
53%
749
113
862
25%
148
1,010
25%
Madison
Voluntary
TOTALS:
4,545
0
483
0
5,028
0
0%
860
0
5,888
0
0%
Monroe
TOTALS:
58,960
51,720
9,602
7,483
68,562
59,203
86%
14,382
7,556
82,944
66,759
80%
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
36,014
4,152
40,166
59%
5,122
45,288
55%
2,389
1,488
3,877
6%
518
4,395
5%
13,317
5,283
4,582
1,843
617
526
5,900
15,160
22%
5,108
87%
1,916
943
318
6,843
17,076
21%
5,426
79%
2,582
269
2,851
48%
225
3,076
45%
2,000
257
2,257
38%
93
2,350
34%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
38,904
4,244
Enrolled
83%
42,847
78%
14%
949
7,120
13%
6,987
558
7,545
17%
931
8,476
15%
HealthPlus
Health Insurance Plan of
Greater New York
2,247
406
2,653
6%
697
3,350
6%
6,449
1,226
7,675
18%
2,299
9,974
18%
NYS Catholic Health Plan
5,458
389
5,847
14%
949
6,796
12%
5,289
622
5,911
14%
15,842
90%
1,220
4,912
28%
644
13%
5,556
27%
4,190
632
4,822
27%
1,068
5,890
28%
4,025
796
4,821
27%
553
5,374
26%
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
1,070
19,145
United Healthcare Plan Of NY
16,749
Eff. Mar 1998
400
3,342
13%
14,901
57%
2,721
13%
29,296
86%
350
3,436
10%
694
7,836
23%
10,517
1,292
11,809
35%
5,762
453
6,215
18%
4,813
90%
4,221
79%
26,507
4,367
311
3,126
526
3,821
2,789
446
34,126
5,343
400
546
592
11%
87%
883
9,288
28%
327
3,159
10%
4,661
505
5,166
NYS Catholic Health Plan
9,594
181
Wellcare Of New York
1,431
102
30,677
7%
81%
2,077
28,921
TOTALS:
1,378
21,357
61%
7,142
Excellus Health Plan
Rochester Area HMO/Preferred
Care
26,316
14%
3,086
Mandatory
2,870
2,942
NYS Catholic Health Plan
4,817
91
5,243
12,824
Excellus Health Plan
TOTALS:
7%
88%
319
Mandatory
Eff. Nov 1998
United Healthcare Plan Of NY
1,287
18,487
1,108
TOTALS:
SCHC Total Care
21,073
2,623
2,410
31,000
1,738
11,716
Onondaga
Ontario
217
1,928
20,941
87%
NYS Catholic Health Plan
TOTALS:
2,356
7,131
Independent Health Association
746
3,387
18,198
Eff Sep 1998
Univera Community Health
17,554
54,828
Mandatory
4,166
2,391
7,045
TOTALS:
HealthNow/BCBS
WNY/Community Blue
Oneida
2,664
11,680
Percent
Enrolled
6,171
13,451
43,148
Total
Enrolled
35,802
14,890
3,661
Total
Eligibles
460
United Healthcare Plan Of NY
32,141
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
5,711
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
Orange
Mandatory
26,923
Affinity Health Plan
8,405
Eff. Mar 2007
GHI HMO Select
2,832
Hudson Health Plan
46
2,569
1,998
33,246
393
8,415
1,203
3,114
12%
35,423
83%
629
4,065
10%
1,446
9,282
22%
2,880
14,689
35%
1,172
7,387
22%
5,512
84%
4,805
73%
6,127
699
42,541
6,546
584
115
707
11%
30,919
83%
986
10,274
28%
187
3,346
9%
16%
520
5,686
15%
9,775
29%
108
9,883
26%
1,533
5%
197
1,730
5%
4,072
1,998
37,318
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,197
Mandatory
Excellus Health Plan
HealthNow/BCBS
Eff. June 2003
WNY/Community Blue
Oswego
TOTALS:
Excellus Health Plan
Otsego
Mandatory
3,723
3,413
92%
1,282
34%
597
321
4,320
136
Total
Enrolled
Percent
Enrolled
3,734
86%
1,418
33%
716
156
872
23%
95
967
22%
1,065
194
1,259
34%
90
1,349
31%
12,553
87%
10,975
90%
163
1%
31
194
1%
NYS Catholic Health Plan
2,567
265
2,832
23%
374
3,206
22%
SCHC Total Care
4,734
737
5,471
45%
835
6,306
44%
United Healthcare Plan Of NY
2,291
218
2,509
21%
338
2,847
20%
4,017
3,223
2,930
80%
73%
4,947
3,322
3,018
67%
61%
293
2%
304
2%
1,889
1,520
80%
2,525
1,639
65%
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
9,743
3,583
2,877
2,630
1,645
1,301
10,970
GHI HMO Select
Wellcare Of New York
434
346
300
244
219
930
99
88
636
119
14,412
11
15
136
7%
16
152
6%
1,384
73%
103
1,487
59%
11,170
89%
12,337
83%
61%
9,689
1,582
1,481
12,552
2,399
1,167
14,951
7,150
986
8,136
65%
964
9,100
176
55
231
2%
13
244
2%
1,804
343
2,147
17%
126
2,273
15%
656
5%
33,009
97%
542
2,724
8%
188
2,063
6%
4,223
531
4,754
20,789
830
1,679
170
Affinity Health Plan
2,182
Eff. Mar 2001
GHI HMO Select
1,875
Hudson Health Plan
8,976
1,578
204
Mandatory
Wellcare Of New York
2,207
121
TOTALS:
NYS Catholic Health Plan
12,205
46
559
31,767
1,232
1,180
Rockland
TOTALS:
1,290
247
NYS Catholic Health Plan
St Lawrence
Voluntary
515
165
Total
Eligibles
12
Putnam
Eff. Oct 1997
526
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
151
TOTALS:
Excellus Health Plan
10,915
Eff. May 2007 NYS Catholic Health Plan
Mandatory
2,898
Eligibles
1,117
NYS Catholic Health Plan
Mandatory
Eff. Apr 1999
Enrolled
SNA HR & MA-HR
30,748
0
97
2,387
1,121
2,261
0
34,154
10,097
64
720
5%
34,623
94%
436
3,160
9%
124
2,187
6%
14%
349
5,103
14%
21,619
63%
558
22,177
60%
1,849
5%
147
1,996
5%
0
0%
0
0%
2,679
2,633
1,614
0
36,833
12,730
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
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
6,999
9,550
NYS Catholic Health Plan
Schoharie
Voluntary
TOTALS:
Capital District Physicians
Health Plan
1,954
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
Voluntary
Suffolk
TOTALS:
Affinity Health Plan
Eligibles
799
88%
1,927
776
9,725
7,604
78%
4,973
64%
607
5,580
57%
1,855
24%
169
2,024
21%
8,398
80%
9,634
70%
39%
7,659
945
739
10,495
3,248
1,236
13,743
4,087
384
4,471
43%
892
5,363
910
113
1,023
10%
43
1,066
8%
2,662
242
2,904
28%
301
3,205
23%
235
11%
249
10%
10%
191
223
44
2,177
395
14
2,572
189
44
233
11%
14
247
2
0
2
0%
0
2
0%
1,528
113
7%
1,812
134
7%
113
7%
134
7%
2,155
1,845
86%
2,630
2,114
80%
1,845
86%
2,114
80%
1,513
19%
10,048
2,030
20%
215
24
207
175
24
1,670
Neighborhood Health Providers
6,828
Percent
Enrolled
573
89
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
7,798
Total
Enrolled
186
1,670
57,158
759
Total
Eligibles
4,400
1,948
6,994
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
1,669
89
Southern Tier Priority (Partial)
Mandatory
6,069
1,313
Excellus Health Plan
TOTALS:
Southern Tier Pediatrics
(Partial)
Enrolled
SNA HR & MA-HR
1,349
175
817
164
7,811
284
21
475
269
2,237
517
21
269
254
0
254
3%
30
284
3%
1,095
164
1,259
16%
487
1,746
17%
49,660
57,178
87%
65,700
82%
6,853
8,883
7,518
800
66,041
7,653
12%
13,622
8,522
1,048
79,663
8,701
11%
8,646
1,082
9,728
15%
1,076
10,804
14%
10,157
2,654
12,811
19%
2,368
15,179
19%
16%
10,014
1,049
11,063
17%
1,591
12,654
NYS Catholic Health Plan
5,769
736
6,505
10%
1,002
7,507
9%
United Healthcare Plan Of NY
8,221
1,197
9,418
14%
1,437
10,855
14%
6,419
77%
Sullivan
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
6,242
5,338
5,774
85%
469
585
436
48
6,827
517
8%
1,496
645
50
8,323
567
7%
4,582
364
4,946
72%
586
5,532
66%
287
24
311
5%
9
320
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Tioga
3,595
300
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,025
1,968
Voluntary
NYS Catholic Health Plan
Ulster
TOTALS:
GHI HMO Select
Eff Mar 2007
Eligibles
9,685
Enrolled
400
56
784
240
300
SCHC Total Care
Mandatory
Enrolled
SNA HR & MA-HR
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
3,995
356
356
9%
5,809
2,208
38%
56
9%
776
9
1,076
349
Total
Eligibles
Total
Enrolled
Percent
Enrolled
4,771
365
365
8%
6,885
2,557
37%
9
8%
44
4
48
0%
8
56
0%
1,924
236
2,160
37%
341
2,501
36%
10,137
74%
9,198
83%
923
195
1,118
10%
80
1,198
9%
Hudson Health Plan
1,980
276
2,256
20%
206
2,462
18%
MVP Health Plan
2,410
470
2,880
26%
254
3,134
23%
340
83
423
4%
24
447
3%
2,374
147
2,521
23%
375
2,896
21%
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
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
3,249
8,027
844
1,440
337
844
3,888
5,079
3,140
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
66
11,125
3,586
66
329
246
4,217
910
25%
910
25%
3,386
80%
2,497
975
939
81
13,622
4,561
81
1,050
287
5,267
991
22%
991
22%
3,673
70%
1,234
99
1,333
32%
137
1,470
28%
1,906
147
2,053
49%
150
2,203
42%
2,789
40%
2,323
414
2,323
47,397
1,171
40,660
145
5,493
145
7,406
6,243
54,803
2,468
45%
2,468
45%
46,903
86%
1,437
321
6,930
321
9,949
6,126
64,752
2,789
40%
53,029
82%
6,998
1,288
8,286
15%
1,172
9,458
15%
792
305
1,097
2%
203
1,300
2%
3,378
1,042
4,420
8%
1,069
5,489
8%
23,703
2,654
26,357
48%
2,786
29,143
45%
5,786
953
6,739
12%
896
7,635
12%
3
1
4
0%
0
4
0%
Wyoming
Voluntary
TOTALS:
1,974
0
201
0
2,175
0
0%
455
0
2,630
0
0%
Yates
TOTALS:
1,605
1,492
171
156
1,776
1,648
93%
301
183
2,077
1,831
88%
1,648
93%
1,831
88%
575,555
77%
653,210
73%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,492
656,133
508,656
156
86,766
66,899
742,899
183
154,520
77,655
897,419
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
TANF ADC & MA-ADC
County
NYC
Plan Name
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
GHI HMO Select
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
78,784
27,406
106,190
6%
14,179
120,369
6%
50,290
18,591
68,881
4%
4,705
73,586
4%
6,766
3,291
10,057
1%
1,820
11,877
1%
Fully
HealthFirst PHSP
197,033
52,025
249,058
15%
33,659
282,717
15%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
MetroPlus Health Plan
148,768
38,659
187,427
11%
15,939
203,366
11%
117,361
38,681
156,042
9%
21,407
177,449
9%
210,484
45,158
255,642
15%
26,351
281,993
15%
656
893
1,549
0%
981
2,530
0%
55,247
13,987
69,234
4%
8,093
77,327
4%
173
356
529
0%
363
892
0%
92,012
29,280
121,292
7%
15,584
136,876
7%
1,646
226
1,872
0%
63
1,935
0%
66,040
15,828
81,868
5%
10,805
92,673
5%
88,455
31,079
119,534
7%
12,953
132,487
7%
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
39
444
483
0%
345
828
0%
35,514
19,331
54,845
3%
5,556
60,401
3%
1,295,957
1,149,268
374,428
335,235
1,670,385
1,484,503
89%
238,534
172,803
1,908,919
1,657,306
87%
656,133
508,656
86,766
66,899
742,899
575,555
77%
154,520
77,655
897,419
653,210
73%
NEW YORK CITY TOTALS:
1,295,957
1,149,268
374,428
335,235
1,670,385
1,484,503
89%
238,534
172,803
1,908,919
1,657,306
87%
GRAND TOTALS:
1,952,090
1,657,924
461,194
402,134
2,413,284
2,060,058
85%
393,054
250,458
2,806,338
2,310,516
82%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
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
325,997
282,720
73,654
60,431
399,651
343,151
86%
65,958
48,654
465,609
391,805
84%
Brooklyn
463,952
414,527
141,148
126,921
605,100
541,448
89%
77,438
55,748
682,538
597,197
87%
Manhattan
171,217
138,879
58,489
48,484
229,706
187,363
82%
44,316
29,976
274,022
217,339
79%
Queens
295,548
276,899
89,975
88,743
385,523
365,642
95%
42,216
32,057
427,739
397,698
93%
39,243
36,243
11,162
10,655
50,405
46,898
93%
8,606
6,368
59,011
53,267
90%
1,295,957
1,149,268
374,428
335,235
1,670,385
1,484,503
89%
238,534
172,803
1,908,919
1,657,306
87%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon November, 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 : Schoharie County - NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
County
Plan Name
Albany
TOTALS:
Allegany
Broome
974
253
1,227
GHI HMO Select
170
46
216
NYS Catholic Health Plan
745
253
998
Wellcare Of New York
239
81
320
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
560
148
708
263
88
351
Univera Community Health Inc
297
60
357
2,177
517
2,694
TOTALS:
Clinton
148
38
186
76
390
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
939
223
1,162
225
52
277
NYS Catholic Health Plan
439
97
536
Univera Community Health Inc
275
74
349
TOTALS:
597
138
735
32
9
41
565
129
694
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,560
471
2,031
328
72
400
NYS Catholic Health Plan
1,187
370
1,557
45
29
74
TOTALS:
929
235
1,164
Excellus Health Plan
631
161
792
GHI
298
74
372
TOTALS:
603
114
717
GHI
603
114
717
TOTALS:
849
214
1,063
29
8
37
NYS Catholic Health Plan
820
206
1,026
TOTALS:
506
111
617
Capital District Physicians Health Plan
121
27
148
68
17
85
237
43
280
104
NYS Catholic Health Plan
Wellcare Of New York
80
24
TOTALS:
686
111
797
NYS Catholic Health Plan
587
95
682
SCHC Total Care
Delaware
Dutchess
99
16
115
TOTALS:
438
102
540
GHI HMO Select
438
102
540
1,553
302
1,855
TOTALS:
GHI HMO Select
166
32
198
Hudson Health Plan
418
85
503
MVP Health Plan
596
119
715
76
17
93
297
49
346
NYS Catholic Health Plan
Wellcare Of New York
Erie
159
1,959
314
GHI HMO Select
Cortland
36
367
NYS Catholic Health Plan
Excellus Health Plan
Columbia
123
1,592
GHI HMO Select
Univera Community Health Inc
Chenango
Total Enrolled
Capital District Physicians Health Plan
United Healthcare Plan Of NY
Chemung
Enrolled
2,761
NYS Catholic Health Plan
Chautauqua
Enrolled
633
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
2,128
Capital District Physicians Health Plan
Cattaraugus
ADULTS WITH
CHILDREN
TOTALS:
9,174
2,898
12,072
Univera Community Health Inc
HealthNow/BCBS-WNY/Community
Blue
4,927
1,894
6,821
1,653
354
2,007
626
160
786
1,968
490
2,458
Independent Health
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Lewis
Livingston
Monroe
Montgomery
11
NYS Catholic Health Plan
477
138
615
TOTALS:
525
122
647
5
3
8
GHI
520
119
639
TOTALS:
850
198
1,048
209
66
275
NYS Catholic Health Plan
641
132
773
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
671
116
787
632
103
735
Rochester Area HMO/Preferred Care
39
13
52
TOTALS:
475
84
559
Capital District Physicians Health Plan
156
24
180
GHI HMO Select
124
30
154
NYS Catholic Health Plan
145
19
164
Wellcare Of New York
50
11
61
TOTALS:
37
7
44
NYS Catholic Health Plan
37
7
44
1,209
TOTALS:
1,016
193
Excellus Health Plan
126
23
149
NYS Catholic Health Plan
866
168
1,034
24
2
26
TOTALS:
1,401
255
1,656
GHI
1,401
255
1,656
TOTALS:
347
33
380
GHI
347
33
380
TOTALS:
482
99
581
Excellus Health Plan
458
88
546
24
11
35
TOTALS:
701
112
813
Excellus Health Plan
214
36
250
United Healthcare Plan Of NY
487
76
563
TOTALS:
6,650
1,464
8,114
Excellus Health Plan
5,600
1,121
6,721
NYS Catholic Health Plan
789
296
1,085
Rochester Area HMO/Preferred Care
261
47
308
TOTALS:
809
175
984
Capital District Physicians Health Plan
346
66
412
22
6
28
441
103
544
TOTALS:
7,336
2,987
10,323
Affinity Health Plan
1,356
501
1,857
HealthFirst PHSP
1,778
561
2,339
365
225
590
NYS Catholic Health Plan
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Niagara
626
Capital District Physicians Health Plan
GHI HMO Select
Nassau
Total Enrolled
2
Rochester Area HMO/Preferred Care
Madison
Enrolled
9
United Healthcare Plan Of NY
Jefferson
Enrolled
140
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
486
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
1,583
923
2,506
997
261
1,258
1
0
1
United Healthcare Plan Of NY
1,256
516
1,772
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
2,103
491
2,594
677
159
836
NYS Catholic Health Plan
903
210
1,113
Univera Community Health Inc
523
122
645
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
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
Putnam
Rensselaer
Total Enrolled
670
379
79
3,927
458
2,202
448
2,650
676
143
819
3,735
1,111
4,846
88
435
304
1,410
SCHC Total Care
1,109
415
1,524
United Healthcare Plan Of NY
1,173
304
1,477
TOTALS:
809
212
1,021
Excellus Health Plan
786
209
995
23
3
26
TOTALS:
3,122
659
3,781
Affinity Health Plan
1,564
1,281
283
GHI HMO Select
535
101
636
Hudson Health Plan
589
129
718
NYS Catholic Health Plan
506
103
609
Wellcare Of New York
211
43
254
TOTALS:
587
99
686
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Blue
153
22
175
131
30
161
NYS Catholic Health Plan
303
47
350
1,922
477
2,399
TOTALS:
20
6
26
NYS Catholic Health Plan
505
85
590
SCHC Total Care
966
285
1,251
United Healthcare Plan Of NY
431
101
532
TOTALS:
705
144
849
Excellus Health Plan
375
92
467
GHI HMO Select
226
37
263
NYS Catholic Health Plan
104
15
119
TOTALS:
296
104
400
GHI HMO Select
296
104
400
1,148
332
1,480
Capital District Physicians Health Plan
505
138
643
GHI HMO Select
111
39
150
NYS Catholic Health Plan
445
126
571
TOTALS:
87
29
116
3,702
711
4,413
Affinity Health Plan
450
130
580
GHI HMO Select
209
66
275
Hudson Health Plan
823
169
992
2,045
308
2,353
175
38
213
1,162
234
1,396
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Enrolled
3,257
347
Wellcare Of New York
Rockland
Enrolled
1,106
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
10
49
1,123
224
1,347
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
County
Plan Name
Saratoga
TOTALS:
119
668
92
14
106
892
151
1,043
1,192
255
1,447
Capital District Physicians Health Plan
434
63
497
GHI HMO Select
131
39
170
NYS Catholic Health Plan
627
153
780
TOTALS:
316
71
387
Capital District Physicians Health Plan
312
67
379
4
4
8
TOTALS:
239
63
302
Excellus Health Plan
145
33
178
94
30
124
TOTALS:
394
51
445
Excellus Health Plan
394
51
445
TOTALS:
877
184
1,061
TOTALS:
GHI
Steuben
GHI
Suffolk
877
184
1,061
TOTALS:
9,918
2,458
12,376
Affinity Health Plan
1,645
373
2,018
HealthFirst PHSP
Health Insurance Plan of Greater New
York
2,052
482
2,534
2,145
741
2,886
562
136
698
NYS Catholic Health Plan
1,188
226
1,414
United Healthcare Plan Of NY
2,326
500
2,826
TOTALS:
1,041
181
1,222
92
30
122
908
147
1,055
Neighborhood Health Providers
Sullivan
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
Tompkins
41
4
45
TOTALS:
456
105
561
Capital District Physicians Health Plan
456
105
561
TOTALS:
589
143
732
SCHC Total Care
259
49
308
GHI
315
93
408
15
1
16
1,649
555
2,204
NYS Catholic Health Plan
Ulster
TOTALS:
GHI HMO Select
201
55
256
Hudson Health Plan
383
125
508
MVP Health Plan
564
205
769
71
48
119
Wellcare Of New York
430
122
552
TOTALS:
625
93
718
75
14
89
NYS Catholic Health Plan
550
79
629
TOTALS:
669
95
764
Capital District Physicians Health Plan
141
21
162
29
2
31
499
72
571
NYS Catholic Health Plan
Warren
GHI HMO Select
Washington
Total Enrolled
549
NYS Catholic Health Plan
Seneca
Enrolled
1,817
NYS Catholic Health Plan
Schuyler
Enrolled
284
GHI HMO Select
Schoharie
ADULTS
WITHOUT
CHILDREN
1,533
Capital District Physicians Health Plan
Schenectady
ADULTS WITH
CHILDREN
GHI HMO Select
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2009
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
723
107
830
Excellus Health Plan
723
107
830
TOTALS:
5,980
1,970
7,950
Affinity Health Plan
1,062
419
1,481
155
56
211
Westchester
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
NYS Catholic Health Plan
589
291
880
3,359
902
4,261
811
302
1,113
4
0
4
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
367
59
426
367
59
426
Yates
TOTALS:
372
64
436
Excellus Health Plan
372
64
436
118,157
Upstate Total
NYC
93,973
24,184
Affinity Health Plan
15,296
12,945
28,241
Amerigroup
13,936
9,898
23,834
GHI HMO Select
1,223
1,051
2,274
HealthFirst PHSP
Health Insurance Plan of Greater New
York
29,208
21,105
50,313
23,196
14,296
37,492
HealthPlus
27,756
14,587
42,343
MetroPlus Health Plan
28,239
15,448
43,687
9,353
4,071
13,424
16,677
10,716
27,393
2,453
163
2,616
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
9,755
6,007
15,762
18,451
10,247
28,698
9,640
9,470
19,110
205,183
130,004
335,187
93,973
24,184
118,157
NEW YORK CITY TOTALS:
205,183
130,004
335,187
GRAND TOTALS
299,156
154,188
453,344
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
32,898
16,809
49,707
Brooklyn
71,195
44,053
115,248
Manhattan
21,977
21,315
43,292
Queens
71,452
43,613
115,065
Staten Island
Borough Total
NOTES:
7,661
4,214
11,875
205,183
130,004
335,187
(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 : Schoharie County - NYS Catholic Health Plan
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS JANUARY, 2009
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
2,184
WESTCHESTER
170
Total
2,354
ALBANY
1
SCHENECTADY
108
SCHOHARIE
1
Total
110
MONROE
246
Total
246
CHAUTAUQUA
1
ONONDAGA
317
Total
318
3,028
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:
431
431
1,040
17
1,057
104
34
138
519
5,810
217
6,546
706
706
2,976
2,976
1,331
1,331
157
91
248
1,375
1,375
36
319
355
142
142
6,783
6,783
158
158
22,246
25,274
(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 :
Chautauqua County - PACE CNY
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JANUARY, 2009
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
247
4
1
242
2
2
1
1
8
1
7
99
99
1
1
1
1
4
1
3
3
3
2
2
111
8
75
28
6
6
19
19
9
3
6
2
2
3
3
82
7
5
70
40
40
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JANUARY, 2009
County
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Wyoming
Upstate Total:
NYC
NOTES:
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
Total
Enrolled
9
5
4
103
19
84
13
13
129
3
126
4
4
48
37
11
1
1
947
54
193
692
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health Providers
Touchstone/Prestige
NYC Total
1,705
421
47
6
178
510
3,806
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
947
3,806
4,753
(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 BY COUNTY AND PLAN
NYS JANUARY, 2009
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
33
33
4
4
6
6
33
33
108
150
11
151
312
108
312
420
(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