RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
17,187
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
15,125
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
5,790
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)
11,949
2,344
19,888
17,748
89%
4,272
2,079
Total
Eligibles
24,160
Total
Enrolled
Percent
Enrolled
19,827
82%
57%
1,562
12,306
62%
1,501
13,807
244
48
292
1%
9
301
1%
2,813
506
3,319
17%
300
3,619
15%
2,901
228
502
441
3,985
1,831
9%
3,342
84%
269
914
389
4,899
2,100
9%
3,731
76%
1,785
254
2,039
51%
271
2,310
47%
1,116
187
1,303
33%
118
1,421
29%
15,073
88%
17,051
80%
2,946
17%
3,684
17%
13,228
2,055
1,845
17,180
186
4,102
1,978
21,282
738
491
32
523
3%
95
618
3%
8,023
1,296
9,319
54%
923
10,242
48%
523
84
607
4%
61
668
3%
1,431
247
1,678
10%
161
1,839
9%
5,818
90%
6,820
88%
5,144
687
674
6,477
1,249
1,002
7,726
2,248
262
2,510
39%
675
3,185
41%
1,914
245
2,159
33%
231
2,390
31%
1,149
18%
1,245
16%
179
3%
187
2%
179
1%
13,035
92%
154
167
708
10,999
25
6,774
25
2,173
2,036
14,122
96
1,202
8
7,976
8
2,617
2,008
16,739
187
1%
15,043
90%
2,937
468
3,405
24%
642
4,047
24%
7,845
1,442
9,287
66%
1,288
10,575
63%
217
7,957
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
10,744
154
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
2,701
982
6,066
Univera Community Health
Chemung
15,404
Eligibles
2,760
Excellus Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
Enrolled
1,603
3,483
Mandatory
Cattaraugus
SNA HR & MA-HR
4,464
126
868
358
8,825
343
2%
4,822
55%
78
2,181
929
11,006
421
3%
5,751
52%
3,287
0
3,287
37%
275
3,562
32%
1,177
358
1,535
17%
654
2,189
20%
TOTALS:
4,948
0
582
0
5,530
0
0%
1,127
0
6,657
0
0%
TOTALS:
6,474
480
1,001
213
7,475
693
9%
1,713
22
9,188
715
8%
693
9%
715
8%
NYS Catholic Health Plan
480
213
22
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
3,219
NYS Catholic Health Plan
Wellcare Of New York
Cortland
TOTALS:
Enrolled
2,584
Eligibles
368
Enrolled
268
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
3,587
2,852
80%
908
406
Total
Eligibles
4,495
Total
Enrolled
Percent
Enrolled
3,258
72%
47%
1,664
147
1,811
50%
308
2,119
97
16
113
3%
13
126
3%
644
91
735
20%
57
792
18%
179
4,173
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
SNA HR & MA-HR
3,540
14
501
466
4,674
193
5%
4,006
86%
28
730
375
5,404
221
5%
4,381
81%
2,611
349
2,960
63%
279
3,239
60%
929
117
1,046
22%
96
1,142
21%
3,301
0
518
0
3,819
0
0%
702
0
4,521
0
0%
10,613
8,736
1,505
1,217
12,118
9,953
82%
2,917
983
15,035
10,936
73%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
838
149
987
8%
81
1,068
7%
Eff. Apr 2007
Hudson Health Plan
2,747
354
3,101
26%
333
3,434
23%
MVP Health Plan
2,859
474
3,333
28%
323
3,656
24%
434
101
535
4%
23
558
4%
1,858
139
1,997
16%
223
2,220
15%
71,711
88%
84,034
85%
12,351
15%
13,988
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBS
WNY/Community Blue
69,608
61,469
11,689
10,966
Eff. May 1998 Independent Health Association
10,242
81,297
1,385
17,144
12,323
98,441
1,637
15,937
1,872
17,809
22%
3,408
21,217
22%
NYS Catholic Health Plan
15,999
1,613
17,612
22%
2,413
20,025
20%
Univera Community Health
18,098
3,915
22,013
27%
1,902
23,915
24%
Total Full Risk
PCMP II-A Special Care
(Partial)
61,000
8,785
69,785
86%
9,360
79,145
80%
469
1,457
1,926
2%
2,963
4,889
5%
469
1,457
1,926
2%
2,963
4,889
5%
547
22%
555
18%
547
1%
555
1%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
3,866
0
529
0
4,395
0
0%
1,135
0
5,530
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
5,436
4,730
670
602
6,106
5,332
87%
1,181
296
7,287
5,628
77%
Eff. Mar 2007
NYS Catholic Health Plan
2,226
426
307
426
121
2,533
121
596
8
3,129
8
1,230
166
1,396
23%
83
1,479
20%
3,500
436
3,936
64%
213
4,149
57%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Rochester Area HMO/Preferred
Care
3,338
TOTALS:
Capital District Physicians
Health Plan
3,011
Mandatory
Eff. Jan 2004
Greene
Mandatory
Eff. Oct 1997
Eligibles
Enrolled
3,042
Eligibles
448
1,770
434
3,786
265
1,272
2,584
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
169
506
478
3,517
3,476
92%
2,035
54%
1,441
38%
3,062
87%
577
352
Total
Eligibles
4,363
129
223
850
458
4,367
Total
Enrolled
Percent
Enrolled
3,828
88%
2,164
50%
1,664
38%
3,520
81%
38%
1,221
147
1,368
39%
292
1,660
GHI HMO Select
590
136
726
21%
59
785
18%
NYS Catholic Health Plan
567
168
735
21%
62
797
18%
Wellcare Of New York
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
206
203
34
5,064
4,444
27
35
16
743
707
34
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
TOTALS:
7,994
233
7%
238
50
21%
40
1
5,807
5,151
89%
1,038
444
16
45
50
278
6%
278
51
18%
51
18%
6,845
5,595
82%
1
692
72
764
13%
115
879
13%
3,717
626
4,343
75%
322
4,665
68%
35
9
44
1%
7
51
1%
0
0%
0
0%
0
900
0
8,894
1,858
0
10,752
TOTALS:
1,970
0
233
0
2,203
0
0%
442
0
2,645
0
0%
Livingston
TOTALS:
2,966
2,461
476
370
3,442
2,831
82%
731
431
4,173
3,262
78%
Mandatory
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Eff. Apr 2002
1,704
249
1,953
57%
274
2,227
53%
757
121
878
26%
157
1,035
25%
Madison
Voluntary
TOTALS:
4,568
0
506
0
5,074
0
0%
870
0
5,944
0
0%
Monroe
TOTALS:
59,499
52,590
9,883
7,940
69,382
60,530
87%
14,410
7,968
83,792
68,498
82%
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
36,541
4,300
40,841
59%
5,284
46,125
55%
2,660
1,719
4,379
6%
634
5,013
6%
13,389
5,323
4,614
1,921
621
531
5,944
15,310
22%
5,145
87%
2,050
951
333
6,895
17,360
21%
5,478
79%
2,578
268
2,846
48%
230
3,076
45%
2,036
263
2,299
39%
103
2,402
35%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
39,324
4,593
Enrolled
84%
43,826
79%
14%
954
7,278
13%
7,112
605
7,717
18%
936
8,653
16%
HealthPlus
Health Insurance Plan of
Greater New York
2,308
430
2,738
6%
713
3,451
6%
6,586
1,330
7,916
18%
2,337
10,253
18%
NYS Catholic Health Plan
5,557
408
5,965
14%
956
6,921
12%
5,375
675
6,050
14%
16,065
90%
1,220
4,965
28%
645
13%
5,610
26%
4,140
654
4,794
27%
1,071
5,865
28%
4,135
846
4,981
28%
578
5,559
26%
Mandatory
Excellus Health Plan
Eff. Sep 2001
NYS Catholic Health Plan
1,092
19,247
United Healthcare Plan Of NY
31,545
17,127
233
1,996
1,835
21,243
1,325
7%
18,962
89%
21,273
87%
NYS Catholic Health Plan
TOTALS:
2,389
7,270
Independent Health Association
751
3,381
18,454
Eff. Sep 1998
Univera Community Health
17,892
55,436
Mandatory
4,214
2,484
7,116
TOTALS:
HealthNow/BCBS
WNY/Community Blue
Oneida
2,814
11,519
Percent
Enrolled
6,324
13,581
43,917
Total
Enrolled
36,710
15,078
3,952
Total
Eligibles
504
United Healthcare Plan Of NY
32,758
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
5,820
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
95
5,285
3,046
26,528
1,420
7%
22,008
83%
2,699
340
3,039
14%
456
3,495
13%
11,997
1,189
13,186
62%
2,177
15,363
58%
2,431
306
2,737
13%
413
3,150
12%
29,873
86%
36,226
84%
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
3,266
379
3,645
10%
676
4,321
10%
NYS Catholic Health Plan
7,399
741
8,140
23%
1,504
9,644
22%
10,791
1,371
12,162
35%
3,034
15,196
35%
5,449
477
5,926
17%
1,139
7,065
20%
4,933
89%
5,649
83%
4,337
78%
4,933
73%
SCHC Total Care
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Eff. Mar 1998
4,977
26,905
4,451
3,351
588
3,904
2,968
482
34,896
5,565
433
547
596
11%
29,436
88%
924
9,450
28%
356
3,263
10%
4,816
527
5,343
NYS Catholic Health Plan
9,683
199
Wellcare Of New York
1,392
106
Orange
Mandatory
TOTALS:
30,911
27,324
Affinity Health Plan
8,526
Eff. Mar 2007
GHI HMO Select
2,907
Hudson Health Plan
49
2,648
2,112
33,559
8,419
1,207
6,353
716
43,315
6,772
596
120
716
11%
31,515
84%
1,011
10,461
28%
199
3,462
9%
16%
547
5,890
16%
9,882
29%
119
10,001
27%
1,498
4%
203
1,701
5%
4,113
2,079
37,672
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,290
Mandatory
Excellus Health Plan
HealthNow/BCBS
Eff. June 2003
WNY/Community Blue
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Otsego
Mandatory
576
3,879
194
3,593
93%
1,348
35%
595
146
340
Total
Eligibles
4,474
Total
Enrolled
Percent
Enrolled
3,933
88%
1,494
33%
758
168
926
24%
103
1,029
23%
1,105
214
1,319
34%
91
1,410
32%
12,840
88%
11,218
90%
168
1%
30
198
1%
NYS Catholic Health Plan
2,645
285
2,930
24%
389
3,319
23%
SCHC Total Care
4,830
779
5,609
45%
853
6,462
44%
United Healthcare Plan Of NY
2,287
224
2,511
20%
350
2,861
19%
4,027
3,276
2,951
81%
73%
4,960
3,389
3,052
68%
62%
325
3%
337
2%
1,935
1,595
82%
2,551
1,720
67%
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
9,916
3,588
2,908
2,643
1,664
1,354
11,029
GHI HMO Select
Wellcare Of New York
439
368
308
271
241
933
113
101
616
125
14,672
12
17
141
7%
16
157
6%
1,454
75%
109
1,563
61%
11,294
89%
12,558
83%
61%
9,745
1,636
1,549
12,665
2,418
1,264
15,083
7,167
1,036
8,203
65%
1,014
9,217
178
59
237
2%
12
249
2%
1,829
359
2,188
17%
151
2,339
16%
666
5%
33,525
97%
574
2,800
8%
205
2,095
6%
4,285
540
4,825
21,065
886
1,678
176
Affinity Health Plan
2,226
Eff. Mar 2001
GHI HMO Select
1,890
Hudson Health Plan
9,217
1,622
224
Mandatory
Wellcare Of New York
2,215
124
TOTALS:
NYS Catholic Health Plan
12,457
60
571
32,074
1,302
1,230
Rockland
TOTALS:
1,366
265
NYS Catholic Health Plan
St Lawrence
Voluntary
589
Enrolled
14
Putnam
Eff. Oct 1997
3,017
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
154
TOTALS:
Excellus Health Plan
11,091
Eff. May 2007 NYS Catholic Health Plan
Mandatory
Enrolled
1,154
NYS Catholic Health Plan
Oswego
SNA HR & MA-HR
31,144
0
95
2,475
1,209
2,381
0
34,549
10,426
87
753
5%
35,168
95%
437
3,237
9%
127
2,222
6%
14%
363
5,188
14%
21,951
64%
563
22,514
61%
1,854
5%
153
2,007
5%
0
0%
0
0%
2,664
2,633
1,643
0
37,213
13,059
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 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
7,155
9,670
NYS Catholic Health Plan
Schoharie
Voluntary
TOTALS:
Capital District Physicians
Health Plan
1,966
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Voluntary
TOTALS:
Affinity Health Plan
58,361
United Healthcare Plan Of NY
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
7,030
88%
1,945
846
9,954
Percent
Enrolled
7,876
79%
5,081
63%
664
5,745
58%
1,949
24%
182
2,131
21%
8,553
80%
9,820
71%
39%
7,788
983
765
10,653
3,275
1,267
13,928
4,146
389
4,535
43%
915
5,450
912
117
1,029
10%
47
1,076
8%
2,730
259
2,989
28%
305
3,294
24%
243
11%
257
10%
10%
197
239
46
2,205
401
14
2,606
195
44
239
11%
14
253
2
2
4
0%
0
4
0%
1,532
123
8%
1,815
142
8%
123
8%
142
8%
2,228
1,885
85%
2,693
2,166
80%
1,885
85%
2,166
80%
1,544
20%
10,164
2,058
20%
219
28
203
180
28
1,365
180
835
179
7,907
283
19
465
281
2,257
514
19
281
248
0
248
3%
31
279
3%
1,117
179
1,296
16%
483
1,779
18%
51,590
59,521
88%
68,167
84%
7,069
9,263
828
7,897
12%
1,053
8,950
11%
8,999
1,146
10,145
15%
1,104
11,249
14%
10,436
2,724
13,160
19%
2,390
15,550
19%
10,564
1,135
11,699
17%
1,618
13,317
16%
5,986
782
6,768
10%
999
7,767
10%
8,536
6,322
8,009
Total
Enrolled
605
1,705
7,072
818
Total
Eligibles
213
95
NYS Catholic Health Plan
Mandatory
854
Enrolled
4,476
1,705
Neighborhood Health Providers
TOTALS:
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
1,736
2,025
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Sullivan
6,212
95
Southern Tier Priority (Partial)
Mandatory
Enrolled
1,313
Excellus Health Plan
Suffolk
SNA HR & MA-HR
5,524
7,931
67,624
1,316
615
467
6,937
9,852
15%
5,991
86%
13,651
8,646
81,275
1,482
1,496
671
8,433
11,334
14%
6,662
79%
483
57
540
8%
55
595
7%
4,735
385
5,120
74%
607
5,727
68%
306
25
331
5%
9
340
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Tioga
3,679
313
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,063
2,012
Voluntary
NYS Catholic Health Plan
TOTALS:
Mandatory
GHI HMO Select
Eff. Mar 2007
Eligibles
9,810
Enrolled
405
55
817
245
313
SCHC Total Care
Ulster
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
4,084
368
368
9%
5,880
2,257
38%
55
9%
777
8
1,068
359
Total
Eligibles
Total
Enrolled
Percent
Enrolled
4,861
376
376
8%
6,948
2,616
38%
8
8%
52
4
56
0%
9
65
0%
1,960
241
2,201
37%
350
2,551
37%
10,481
76%
9,485
83%
927
199
1,126
10%
85
1,211
9%
Hudson Health Plan
2,040
302
2,342
21%
220
2,562
18%
MVP Health Plan
2,491
507
2,998
26%
289
3,287
24%
366
92
458
4%
28
486
4%
2,402
159
2,561
23%
374
2,935
21%
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
3,346
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
881
1,563
351
881
3,939
NYS Catholic Health Plan
Wayne
8,226
5,164
3,193
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
73
11,373
3,697
73
331
261
4,270
954
26%
954
26%
3,454
81%
2,498
973
996
80
13,871
4,670
80
1,050
315
5,320
1,034
22%
1,034
22%
3,769
71%
1,257
110
1,367
32%
143
1,510
28%
1,936
151
2,087
49%
172
2,259
42%
2,808
40%
2,327
436
2,327
47,840
1,259
41,452
153
5,600
153
7,739
6,542
55,579
2,480
44%
2,480
44%
47,994
86%
1,450
328
7,050
328
9,982
6,190
65,561
2,808
40%
54,184
83%
7,172
1,357
8,529
15%
1,179
9,708
15%
847
310
1,157
2%
216
1,373
2%
3,416
1,088
4,504
8%
1,070
5,574
9%
24,073
2,777
26,850
48%
2,822
29,672
45%
5,941
1,009
6,950
13%
903
7,853
12%
3
1
4
0%
0
4
0%
Wyoming
Voluntary
TOTALS:
2,007
0
223
0
2,230
0
0%
453
0
2,683
0
0%
Yates
TOTALS:
1,633
1,554
171
172
1,804
1,726
96%
302
192
2,106
1,918
91%
1,726
96%
1,918
91%
589,444
78%
669,769
74%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,554
664,757
518,692
172
90,937
70,752
755,694
192
154,781
80,325
910,475
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
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
78,940
28,748
107,688
6%
14,266
121,954
6%
Mandatory
Amerigroup
50,533
19,727
70,260
4%
4,794
75,054
4%
6,942
3,502
10,444
1%
1,857
12,301
1%
GHI HMO Select
Fully
HealthFirst PHSP
199,211
54,436
253,647
15%
34,099
287,746
15%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
149,730
40,410
190,140
11%
15,964
206,104
11%
117,564
40,015
157,579
9%
21,367
178,946
9%
MetroPlus Health Plan
212,295
47,142
259,437
15%
26,630
286,067
15%
700
955
1,655
0%
1,016
2,671
0%
55,594
14,520
70,114
4%
8,064
78,178
4%
178
393
571
0%
404
975
0%
91,799
Sept 2002
MetroPlus Health Plan SN
Neighborhood Health Providers
NYPS Select Health SN
NYS Catholic Health Plan
30,535
122,334
7%
15,676
138,010
7%
NYS Catholic Health Plan 1199
The New York Presbyterian
Community Health Plan
1,717
232
1,949
0%
64
2,013
0%
66,561
16,622
83,183
5%
10,883
94,066
5%
United Healthcare Plan Of NY
89,082
32,160
121,242
7%
12,952
134,194
7%
VidaCare Inc. SN
Wellcare Of New York
NYC Total
47
510
557
0%
388
945
0%
35,139
19,705
54,844
3%
5,548
60,392
3%
1,305,846
1,156,032
390,042
349,612
1,695,888
1,505,644
89%
239,777
173,972
1,935,665
1,679,616
87%
664,757
518,692
90,937
70,752
755,694
589,444
78%
154,781
80,325
910,475
669,769
74%
NEW YORK CITY TOTALS:
1,305,846
1,156,032
390,042
349,612
1,695,888
1,505,644
89%
239,777
173,972
1,935,665
1,679,616
87%
GRAND TOTALS:
1,970,603
1,674,724
480,979
420,364
2,451,582
2,095,088
85%
394,558
254,297
2,846,140
2,349,385
83%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Eligibles
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
328,485
284,066
76,726
62,699
405,211
346,766
86%
66,302
49,079
471,513
395,844
84%
Brooklyn
467,492
417,061
147,034
132,077
614,526
549,138
89%
77,842
56,085
692,368
605,223
87%
Manhattan
172,523
138,540
60,928
50,266
233,451
188,806
81%
44,547
30,070
277,998
218,876
79%
Queens
297,803
279,641
93,727
93,399
391,530
373,039
95%
42,436
32,344
433,966
405,383
93%
39,543
36,724
11,627
11,171
51,170
47,895
94%
8,650
6,395
59,820
54,289
91%
1,305,846
1,156,032
390,042
349,612
1,695,888
1,505,644
89%
239,777
173,972
1,935,665
1,679,616
87%
Staten Island
Borough Total
NOTES:
Enrolled
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon December, 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 FEBRUARY, 2009
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Clinton
208
752
249
1,001
Wellcare Of New York
225
79
304
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
543
138
681
257
82
339
Univera Community Health Inc
286
56
342
2,186
478
2,664
TOTALS:
121
33
154
1,613
341
1,954
GHI HMO Select
142
32
174
NYS Catholic Health Plan
310
72
382
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
931
201
1,132
223
45
268
NYS Catholic Health Plan
434
88
522
Univera Community Health Inc
274
68
342
TOTALS:
592
121
713
60
9
69
532
112
644
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,567
433
2,000
325
65
390
NYS Catholic Health Plan
1,192
340
1,532
50
28
78
TOTALS:
949
229
1,178
Excellus Health Plan
641
156
797
GHI
308
73
381
TOTALS:
600
112
712
GHI
600
112
712
TOTALS:
838
206
1,044
23
8
31
NYS Catholic Health Plan
815
198
1,013
TOTALS:
510
105
615
124
27
151
73
17
90
247
42
289
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Wellcare Of New York
Cortland
66
19
85
TOTALS:
677
103
780
NYS Catholic Health Plan
579
87
666
98
16
114
430
93
523
SCHC Total Care
Delaware
TOTALS:
GHI HMO Select
Dutchess
430
93
523
1,542
284
1,826
GHI HMO Select
172
27
199
Hudson Health Plan
422
75
497
MVP Health Plan
594
115
709
TOTALS:
NYS Catholic Health Plan
78
17
95
276
50
326
TOTALS:
9,160
2,743
11,903
Univera Community Health Inc
4,875
1,769
6,644
HealthNow/BCBS-WNY/Community
Blue
1,636
329
1,965
703
181
884
1,946
464
2,410
Wellcare Of New York
Erie
1,210
NYS Catholic Health Plan
Excellus Health Plan
Columbia
2,723
46
Univera Community Health Inc
Chenango
Total Enrolled
606
232
United Healthcare Plan Of NY
Chemung
Enrolled
2,117
162
NYS Catholic Health Plan
Chautauqua
Enrolled
978
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 FEBRUARY, 2009
County
Plan Name
Essex
TOTALS:
Greene
Enrolled
Total Enrolled
9
2
11
NYS Catholic Health Plan
478
132
610
TOTALS:
516
114
630
5
3
8
GHI
511
111
622
TOTALS:
841
189
1,030
Capital District Physicians Health Plan
Genesee
Enrolled
134
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
487
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
621
201
66
267
NYS Catholic Health Plan
640
123
763
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
654
113
767
607
99
706
Rochester Area HMO/Preferred Care
47
14
61
480
76
556
TOTALS:
Capital District Physicians Health Plan
159
21
180
GHI HMO Select
133
26
159
NYS Catholic Health Plan
150
20
170
Wellcare Of New York
38
9
47
Hamilton
TOTALS:
42
5
47
42
5
47
Herkimer
TOTALS:
999
173
1,172
Excellus Health Plan
123
19
142
NYS Catholic Health Plan
854
152
1,006
NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
Lewis
Livingston
22
2
24
TOTALS:
1,375
246
1,621
GHI
1,375
246
1,621
TOTALS:
339
34
373
GHI
339
34
373
TOTALS:
481
87
568
Excellus Health Plan
453
77
530
28
10
38
TOTALS:
722
101
823
Excellus Health Plan
211
31
242
United Healthcare Plan Of NY
511
70
581
TOTALS:
6,558
1,393
7,951
Excellus Health Plan
Rochester Area HMO/Preferred Care
Madison
Monroe
Montgomery
5,435
1,055
6,490
NYS Catholic Health Plan
830
284
1,114
Rochester Area HMO/Preferred Care
293
54
347
TOTALS:
772
164
936
326
61
387
18
6
24
428
97
525
TOTALS:
7,290
2,784
10,074
Affinity Health Plan
1,348
450
1,798
HealthFirst PHSP
1,738
526
2,264
371
211
582
Health Insurance Plan of Greater New
York
1,573
868
2,441
NYS Catholic Health Plan
1,006
248
1,254
1
0
1
United Healthcare Plan Of NY
1,253
481
1,734
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
2,040
457
2,497
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Nassau
HealthPlus
NYS Catholic Health Plan 1199
Niagara
679
145
824
NYS Catholic Health Plan
870
199
1,069
Univera Community Health Inc
491
113
604
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 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
Enrolled
Total Enrolled
3,225
638
378
77
3,863
455
2,182
425
2,607
665
136
801
3,681
988
4,669
353
77
430
279
1,420
SCHC Total Care
1,092
378
1,470
United Healthcare Plan Of NY
1,095
254
1,349
TOTALS:
774
199
973
Excellus Health Plan
744
195
939
30
4
34
TOTALS:
3,157
612
3,769
Affinity Health Plan
1,559
1,291
268
GHI HMO Select
546
91
637
Hudson Health Plan
603
123
726
NYS Catholic Health Plan
514
93
607
Wellcare Of New York
203
37
240
TOTALS:
573
91
664
Excellus Health Plan
148
20
168
HealthNow/BCBS-WNY/Community
Blue
121
26
147
NYS Catholic Health Plan
304
45
349
1,890
450
2,340
TOTALS:
20
4
24
NYS Catholic Health Plan
514
83
597
SCHC Total Care
951
269
1,220
United Healthcare Plan Of NY
405
94
499
TOTALS:
693
131
824
Excellus Health Plan
360
81
441
GHI HMO Select
217
35
252
NYS Catholic Health Plan
116
15
131
TOTALS:
306
93
399
GHI HMO Select
306
93
399
1,149
317
1,466
630
TOTALS:
Capital District Physicians Health Plan
500
130
GHI HMO Select
111
37
148
NYS Catholic Health Plan
454
121
575
Wellcare Of New York
Rockland
Enrolled
1,141
Excellus Health Plan
Otsego
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Rochester Area HMO/Preferred Care
Orange
ADULTS WITH
CHILDREN
84
29
113
3,641
656
4,297
Affinity Health Plan
458
122
580
GHI HMO Select
219
61
280
Hudson Health Plan
807
153
960
1,982
286
2,268
175
34
209
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2009
County
Plan Name
St Lawrence
TOTALS:
41
GHI
1,135
208
1,343
TOTALS:
1,525
273
1,798
539
114
653
85
13
98
901
146
1,047
1,201
230
1,431
493
TOTALS:
Capital District Physicians Health Plan
434
59
138
35
173
NYS Catholic Health Plan
629
136
765
TOTALS:
311
69
380
292
67
359
19
2
21
TOTALS:
240
62
302
Excellus Health Plan
152
33
185
88
29
117
TOTALS:
389
41
430
Excellus Health Plan
389
41
430
TOTALS:
893
172
1,065
NYS Catholic Health Plan
GHI
Steuben
GHI
Suffolk
893
172
1,065
10,052
2,399
12,451
Affinity Health Plan
1,659
365
2,024
HealthFirst PHSP
2,087
455
2,542
Health Insurance Plan of Greater New
York
2,160
734
2,894
582
132
714
NYS Catholic Health Plan
1,204
228
1,432
United Healthcare Plan Of NY
2,360
485
2,845
996
163
1,159
TOTALS:
Neighborhood Health Providers
Sullivan
TOTALS:
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
TOTALS:
Capital District Physicians Health Plan
Tompkins
118
1,002
35
4
39
454
103
557
103
557
583
129
712
SCHC Total Care
259
44
303
GHI
306
84
390
18
1
19
1,676
532
2,208
TOTALS:
GHI HMO Select
204
58
262
Hudson Health Plan
397
113
510
MVP Health Plan
574
195
769
76
48
124
Wellcare Of New York
425
118
543
TOTALS:
599
83
682
75
12
87
NYS Catholic Health Plan
524
71
595
TOTALS:
647
86
733
138
16
154
29
2
31
480
68
548
GHI HMO Select
Washington
26
133
454
NYS Catholic Health Plan
Warren
92
869
TOTALS:
NYS Catholic Health Plan
Ulster
1,384
GHI HMO Select
Capital District Physicians Health Plan
Seneca
Total Enrolled
5
NYS Catholic Health Plan
Schuyler
Enrolled
36
GHI HMO Select
Schoharie
Enrolled
213
Capital District Physicians Health Plan
Schenectady
ADULTS
WITHOUT
CHILDREN
1,171
Excellus Health Plan
Saratoga
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 FEBRUARY, 2009
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
722
97
Excellus Health Plan
722
97
819
TOTALS:
6,035
1,850
7,885
Affinity Health Plan
1,080
394
1,474
162
57
219
Westchester
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
NYS Catholic Health Plan
819
616
270
886
3,348
850
4,198
825
279
1,104
4
0
4
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
393
54
447
393
54
447
Yates
TOTALS:
363
59
422
Excellus Health Plan
363
59
422
93,577
22,712
116,289
Affinity Health Plan
14,913
12,272
27,185
Amerigroup
13,635
9,319
22,954
GHI HMO Select
1,212
983
2,195
HealthFirst PHSP
28,799
20,174
48,973
Health Insurance Plan of Greater New
York
22,582
13,418
36,000
HealthPlus
27,361
13,650
41,011
MetroPlus Health Plan
27,593
14,380
41,973
9,181
3,776
12,957
16,328
10,153
26,481
2,431
159
2,590
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
9,556
5,614
15,170
18,144
9,658
27,802
9,261
8,785
18,046
200,996
122,341
323,337
93,577
22,712
116,289
NEW YORK CITY TOTALS:
200,996
122,341
323,337
GRAND TOTALS
294,573
145,053
439,626
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
32,190
15,734
47,924
Brooklyn
69,815
41,263
111,078
Manhattan
21,214
19,929
41,143
Queens
70,170
41,457
111,627
Staten Island
Borough Total
NOTES:
7,607
3,958
11,565
200,996
122,341
323,337
(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 FEBRUARY, 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
2,171
WESTCHESTER
169
Total
2,340
ALBANY
1
SCHENECTADY
106
SCHOHARIE
1
Total
108
MONROE
243
Total
243
CHAUTAUQUA
1
ONONDAGA
325
Total
326
3,017
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
441
441
1,072
19
1,091
99
34
133
513
5,760
227
6,500
713
713
2,996
2,996
1,339
1,339
158
97
255
1,408
1,408
39
314
353
144
144
6,772
6,772
154
154
22,299
Total Statewide Enrollment
25,316
NOTES:
(1) The source of plan enrollment counts
is the primary and secondary roster
reports which reflect enrollees as of the
first of the month.
(2) New plans added this month : None
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS FEBRUARY, 2009
County
Albany
Cattaraugus
Chautauqua
Dutchess
Erie
Fulton
Genesee
Greene
Herkimer
Montgomery
Nassau
Niagara
Oneida
Onondaga
Orange
Oswego
Rensselaer
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
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
Enrolled
248
4
1
243
2
2
1
1
7
1
6
101
101
1
1
1
1
4
1
3
3
3
2
2
112
8
of
75
29
7
7
19
19
9
3
6
2
2
3
3
89
9
5
75
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS FEBRUARY, 2009
County
Rockland
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Wyoming
Plan Name
TOTAL
GHI
TOTAL
HealthNow
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Health Insurance Plan
Greater New York
TOTAL
Fidelis
Senior Whole Health
TOTAL
HealthNow
TOTAL
GHI
Health Insurance Plan
Greater New York
TOTAL
HealthNow
Total
Enrolled
40
40
9
5
4
95
15
80
14
of
14
132
3
129
5
5
48
37
of
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:
11
1
1
955
57
182
752
1,735
470
46
7
213
514
3,976
955
3,976
4,931
(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 FEBRUARY, 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
Total
Enrolled
35
35
35
35
4
4
7
7
37
37
118
150
14
161
325
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
118
325
443
(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