RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
17,095
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
15,319
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
5,890
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)
12,098
2,527
19,919
18,082
91%
4,250
2,215
Total
Eligibles
24,169
Total
Enrolled
Percent
Enrolled
20,297
84%
58%
1,683
12,502
63%
1,572
14,074
251
55
306
2%
11
317
1%
2,885
546
3,431
17%
336
3,767
16%
2,891
243
515
479
3,963
1,843
9%
3,370
85%
296
897
415
4,860
2,139
9%
3,785
78%
1,764
284
2,048
52%
292
2,340
48%
1,127
195
1,322
33%
123
1,445
30%
15,390
88%
17,497
81%
2,903
17%
3,643
17%
13,436
2,181
1,954
17,500
182
4,089
2,107
21,589
740
485
33
518
3%
95
613
3%
8,273
1,402
9,675
55%
1,043
10,718
50%
531
82
613
4%
64
677
3%
1,426
255
1,681
10%
165
1,846
9%
5,928
89%
6,938
88%
5,221
734
707
6,624
1,253
1,010
7,877
2,285
264
2,549
38%
674
3,223
41%
1,938
265
2,203
33%
236
2,439
31%
1,176
18%
1,276
16%
208
3%
220
3%
208
1%
13,347
93%
176
178
741
11,167
32
6,863
32
2,281
2,180
14,379
100
1,209
12
8,072
12
2,615
2,073
16,994
220
1%
15,420
91%
2,960
487
3,447
24%
658
4,105
24%
7,972
1,559
9,531
66%
1,320
10,851
64%
235
8,050
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
10,819
176
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
2,824
998
6,122
Univera Community Health
Chemung
15,555
Eligibles
2,721
Excellus Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
Enrolled
1,600
3,448
Mandatory
Cattaraugus
SNA HR & MA-HR
4,481
134
911
387
8,961
369
3%
4,868
54%
95
2,189
928
11,150
464
3%
5,796
52%
3,284
0
3,284
37%
282
3,566
32%
1,197
387
1,584
18%
646
2,230
20%
TOTALS:
4,992
0
611
0
5,603
0
0%
1,132
0
6,735
0
0%
TOTALS:
6,519
529
1,018
225
7,537
754
10%
1,705
21
9,242
775
8%
754
10%
775
8%
NYS Catholic Health Plan
529
225
21
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
1,682
Eff. Oct 1997
GHI HMO Select
109
NYS Catholic Health Plan
655
3,236
Wellcare Of New York
Cortland
TOTALS:
2,599
Eligibles
388
153
4,259
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Enrolled
3,658
Enrolled
293
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
3,624
2,892
80%
166
1,848
51%
15
124
3%
95
750
21%
17
541
513
4,800
170
5%
4,171
87%
914
436
Total
Eligibles
4,538
Percent
Enrolled
3,328
73%
335
2,183
48%
12
136
3%
66
816
18%
23
743
Total
Enrolled
392
5,543
193
4%
4,563
82%
2,699
385
3,084
64%
280
3,364
61%
959
128
1,087
23%
112
1,199
22%
3,309
0
526
0
3,835
0
0%
691
0
4,526
0
0%
10,629
8,875
1,578
1,288
12,207
10,163
83%
2,907
1,039
15,114
11,202
74%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
868
154
1,022
8%
86
1,108
7%
Eff. Apr 2007
Hudson Health Plan
2,781
377
3,158
26%
344
3,502
23%
MVP Health Plan
2,933
495
3,428
28%
346
3,774
25%
456
112
568
5%
30
598
4%
1,837
150
1,987
16%
233
2,220
15%
72,931
89%
85,563
86%
12,437
15%
14,089
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
69,969
62,141
12,081
11,012
Eff. May 1998 Independent Health Association
10,790
82,050
1,425
17,241
12,632
99,291
1,652
16,113
1,954
18,067
22%
3,509
21,576
22%
NYS Catholic Health Plan
16,049
1,690
17,739
22%
2,486
20,225
20%
Univera Community Health
18,500
4,213
22,713
28%
2,019
24,732
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
61,674
9,282
70,956
86%
9,666
80,622
81%
5%
Total Partial Risk
467
1,508
1,975
2%
2,966
4,941
467
1,508
1,975
2%
2,966
4,941
5%
598
23%
605
19%
598
1%
605
1%
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
3,902
0
558
0
4,460
0
0%
1,116
0
5,576
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
5,480
4,756
704
643
6,184
5,399
87%
1,176
330
7,360
5,729
78%
Eff. Mar 2007
NYS Catholic Health Plan
2,279
469
352
469
129
2,631
129
591
7
3,222
7
1,204
168
1,372
22%
92
1,464
20%
3,552
475
4,027
65%
238
4,265
58%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Rochester Area HMO/Preferred
Care
3,302
TOTALS:
Capital District Physicians
Health Plan
3,075
Mandatory
Eff. Jan 2004
Greene
Mandatory
Eff. Oct 1997
Eligibles
Enrolled
3,090
Eligibles
469
1,800
440
3,771
264
1,290
2,619
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
176
533
506
3,608
3,530
94%
2,064
55%
1,466
39%
3,125
87%
582
364
Total
Eligibles
4,353
134
230
854
480
4,462
Total
Enrolled
Percent
Enrolled
3,894
89%
2,198
50%
1,696
39%
3,605
81%
1,225
150
1,375
38%
305
1,680
38%
GHI HMO Select
611
150
761
21%
66
827
19%
NYS Catholic Health Plan
608
180
788
22%
69
857
19%
Wellcare Of New York
175
26
201
6%
40
241
5%
250
56
22%
37
1
287
57
20%
57
20%
5,885
5,325
90%
1,042
465
6,927
5,790
84%
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
208
39
5,097
4,582
42
17
788
743
39
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
TOTALS:
7,938
17
56
1
701
79
780
13%
123
903
13%
3,844
655
4,499
76%
335
4,834
70%
37
9
46
1%
7
53
1%
0
0%
0
0%
0
939
0
8,877
1,852
0
10,729
TOTALS:
1,994
0
236
0
2,230
0
0%
442
0
2,672
0
0%
Livingston
TOTALS:
3,001
2,481
502
376
3,503
2,857
82%
736
442
4,239
3,299
78%
Mandatory
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Eff. Apr 2002
1,709
252
1,961
56%
279
2,240
53%
772
124
896
26%
163
1,059
25%
Madison
Voluntary
TOTALS:
4,557
0
540
0
5,097
0
0%
865
0
5,962
0
0%
Monroe
TOTALS:
59,489
53,233
10,246
8,421
69,735
61,654
88%
14,473
8,460
84,208
70,114
83%
Mandatory
Eff. Mar 1998
Excellus Health Plan
Montgomery
TOTALS:
Capital District Physicians
Health Plan
Mandatory
NYS Catholic Health Plan
Rochester Area HMO/Preferred
Care
Eff. Apr. 2007 NYS Catholic Health Plan
36,887
4,532
41,419
59%
5,511
46,930
56%
2,927
1,869
4,796
7%
748
5,544
7%
13,419
5,341
4,680
2,020
643
539
5,984
15,439
22%
5,219
87%
2,201
964
357
6,948
17,640
21%
5,576
80%
2,616
264
2,880
48%
249
3,129
45%
2,064
275
2,339
39%
108
2,447
35%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
39,030
44,296
80%
15%
961
7,341
13%
7,155
658
7,813
18%
965
8,778
16%
HealthPlus
Health Insurance Plan of
Greater New York
2,363
452
2,815
6%
703
3,518
6%
6,626
1,373
7,999
18%
2,361
10,360
19%
NYS Catholic Health Plan
5,599
436
6,035
14%
953
6,988
13%
United Healthcare Plan Of NY
5,395
702
6,097
14%
1,214
7,311
13%
16,320
90%
18,776
88%
Mandatory
5,046
28%
652
5,698
27%
Eff Sep 1998
4,270
2,569
18,068
776
11,488
3,383
7,157
2,456
55,307
Percent
Enrolled
85%
2,920
43,819
Total
Enrolled
6,380
13,751
4,143
Total
Eligibles
37,139
15,148
4,789
Enrolled
522
TOTALS:
HealthNow/BCBSWNY/Community Blue
32,996
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
5,858
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
21,451
Independent Health Association
4,193
671
4,864
27%
1,107
5,971
28%
NYS Catholic Health Plan
4,245
889
5,134
28%
601
5,735
27%
Univera Community Health
1,043
233
1,276
7%
96
1,372
6%
19,020
89%
22,215
83%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
19,278
United Healthcare Plan Of NY
31,602
17,137
2,079
1,883
21,357
5,266
3,195
26,623
2,722
346
3,068
14%
516
3,584
13%
12,016
1,230
13,246
62%
2,260
15,506
58%
2,399
307
2,706
13%
419
3,125
12%
30,293
86%
36,854
85%
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
3,437
419
3,856
11%
748
4,604
11%
NYS Catholic Health Plan
7,832
796
8,628
25%
1,600
10,228
23%
11,042
1,455
12,497
36%
3,154
15,651
36%
4,837
475
5,312
15%
1,059
6,371
18%
5,013
89%
5,756
84%
4,379
78%
4,997
73%
SCHC Total Care
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Rochester Area HMO/Preferred
Care
Eff. Mar 1998
5,016
27,148
4,511
3,510
627
3,934
27,276
502
35,112
5,643
445
577
31,134
3,145
57
2,722
2,192
33,856
634
11%
29,468
87%
8,431
1,214
6,561
743
43,543
6,857
618
759
11%
31,594
83%
1,024
10,455
28%
206
3,458
9%
16%
561
5,890
16%
9,937
29%
131
10,068
27%
1,519
4%
204
1,723
5%
Orange
Mandatory
TOTALS:
Affinity Health Plan
8,484
947
9,431
28%
Eff. Mar 2007
GHI HMO Select
2,890
362
3,252
10%
Hudson Health Plan
4,771
558
5,329
NYS Catholic Health Plan
9,729
208
Wellcare Of New York
1,402
117
125
4,110
2,126
37,966
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,323
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Otsego
Mandatory
11,071
3,065
642
Enrolled
615
3,965
93%
4,036
88%
35%
155
1,538
34%
952
24%
107
1,059
23%
1,345
34%
94
1,439
32%
13,191
90%
778
174
1,115
230
11,531
92%
10,132
1,406
1,399
12,477
2,233
1,660
4,564
Percent
Enrolled
1,383
211
356
Total
Enrolled
3,680
1,172
599
Total
Eligibles
14,710
159
13
172
1%
32
204
1%
332
3,059
25%
398
3,457
24%
SCHC Total Care
4,985
826
5,811
47%
885
6,696
46%
United Healthcare Plan Of NY
2,261
228
2,489
20%
345
2,834
19%
4,063
3,363
2,989
83%
74%
4,990
3,493
3,104
70%
62%
374
3%
389
3%
1,920
1,660
86%
2,542
1,790
70%
TOTALS:
Excellus Health Plan
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,597
2,964
2,659
1,645
1,391
10,895
GHI HMO Select
399
330
275
269
Wellcare Of New York
69
15
136
7%
15
151
6%
1,524
79%
115
1,639
64%
11,427
91%
12,752
85%
62%
9,805
1,695
1,622
12,590
2,428
1,325
15,018
7,157
1,082
8,239
65%
1,050
9,289
195
68
263
2%
13
276
2%
1,860
370
2,230
18%
161
2,391
16%
695
6%
33,906
97%
586
2,871
8%
228
2,117
6%
4,330
562
4,892
21,243
939
1,663
181
Affinity Health Plan
2,285
Eff. Mar 2001
GHI HMO Select
1,889
Hudson Health Plan
9,265
130
18
Mandatory
Wellcare Of New York
622
251
TOTALS:
NYS Catholic Health Plan
130
115
118
593
32,401
927
1,273
Rockland
TOTALS:
466
305
NYS Catholic Health Plan
St Lawrence
Voluntary
Eligibles
2,727
Eff. May 2007 NYS Catholic Health Plan
Eff. Oct 1997
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
NYS Catholic Health Plan
Putnam
Mandatory
SNA HR & MA-HR
31,410
0
102
2,622
1,248
2,496
0
35,023
10,513
101
796
5%
35,590
94%
443
3,314
9%
134
2,251
6%
14%
369
5,261
14%
22,182
63%
577
22,759
60%
1,844
5%
161
2,005
5%
0
0%
0
0%
2,674
2,632
1,684
0
37,697
13,145
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 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
7,188
9,585
NYS Catholic Health Plan
Schoharie
Voluntary
TOTALS:
Capital District Physicians
Health Plan
1,996
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
Voluntary
TOTALS:
Mandatory
Affinity Health Plan
59,168
United Healthcare Plan Of NY
Mandatory
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
7,167
88%
1,908
917
10,016
Percent
Enrolled
8,084
81%
59%
5,161
64%
715
5,876
2,006
25%
202
2,208
22%
8,718
82%
10,012
72%
40%
7,936
986
782
10,571
3,300
1,294
13,871
4,169
399
4,568
43%
930
5,498
937
116
1,053
10%
51
1,104
8%
2,830
267
3,097
29%
313
3,410
25%
262
12%
277
10%
10%
212
262
50
2,258
396
15
2,654
210
48
258
11%
15
273
2
2
4
0%
0
4
0%
1,535
127
8%
1,823
144
8%
127
8%
144
8%
2,252
1,910
85%
2,721
2,199
81%
1,910
85%
2,199
81%
8,007
1,541
19%
10,267
2,057
20%
232
32
213
198
32
1,354
198
856
187
288
17
469
289
2,260
516
17
289
245
0
245
3%
30
275
3%
1,109
187
1,296
16%
486
1,782
17%
52,637
60,894
89%
69,649
85%
7,072
9,557
847
7,919
12%
1,055
8,974
11%
9,200
1,164
10,364
15%
1,133
11,497
14%
10,584
2,808
13,392
19%
2,400
15,792
19%
10,990
1,203
12,193
18%
1,641
13,834
17%
6,072
824
6,896
10%
1,017
7,913
10%
8,719
6,380
8,108
Total
Enrolled
653
1,712
7,151
876
Total
Eligibles
223
95
NYS Catholic Health Plan
Eff. Apr 2007
920
Enrolled
4,508
1,712
Neighborhood Health Providers
TOTALS:
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
1,783
2,039
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Sullivan
6,291
95
Southern Tier Priority (Partial)
Suffolk
Enrolled
1,303
Excellus Health Plan
TOTALS:
Southern Tier Pediatrics
(Partial)
SNA HR & MA-HR
5,667
8,257
68,725
1,411
635
528
7,015
10,130
15%
6,195
88%
13,641
8,755
82,366
1,509
1,503
711
8,518
11,639
14%
6,906
81%
476
57
533
8%
62
595
7%
4,841
433
5,274
75%
634
5,908
69%
350
38
388
6%
15
403
5%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Tioga
3,658
331
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,039
2,117
Voluntary
NYS Catholic Health Plan
TOTALS:
Mandatory
GHI HMO Select
Eff Mar 2007
Eligibles
9,907
Enrolled
404
59
838
263
331
SCHC Total Care
Ulster
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
4,062
390
390
10%
5,877
2,380
40%
59
10%
789
7
1,074
361
Total
Eligibles
Total
Enrolled
Percent
Enrolled
4,851
397
397
8%
6,951
2,741
39%
7
8%
79
6
85
1%
10
95
1%
2,038
257
2,295
39%
351
2,646
38%
10,745
77%
9,691
84%
961
199
1,160
10%
89
1,249
9%
Hudson Health Plan
2,089
320
2,409
21%
230
2,639
19%
MVP Health Plan
2,554
538
3,092
27%
316
3,408
24%
390
111
501
4%
34
535
4%
2,368
161
2,529
22%
385
2,914
21%
1,093
23%
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
3,364
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
930
1,617
369
930
3,926
NYS Catholic Health Plan
Wayne
8,362
5,169
3,211
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
79
11,524
3,733
79
334
301
4,260
1,009
27%
1,009
27%
3,512
82%
2,496
977
1,054
84
14,020
4,710
84
1,043
340
5,303
1,093
23%
3,852
73%
1,255
137
1,392
33%
159
1,551
29%
1,956
164
2,120
50%
181
2,301
43%
2,936
42%
2,434
446
2,434
47,877
1,329
41,967
163
5,615
163
7,919
6,923
55,796
2,597
46%
2,597
46%
48,890
88%
1,451
339
7,066
339
9,986
6,231
65,782
2,936
42%
55,121
84%
7,207
1,421
8,628
15%
1,176
9,804
15%
881
338
1,219
2%
224
1,443
2%
3,476
1,146
4,622
8%
1,074
5,696
9%
24,308
2,943
27,251
49%
2,847
30,098
46%
6,095
1,074
7,169
13%
910
8,079
12%
0
1
1
0%
0
1
0%
Wyoming
Voluntary
TOTALS:
2,027
0
245
0
2,272
0
0%
458
0
2,730
0
0%
Yates
TOTALS:
1,660
1,571
181
189
1,841
1,760
96%
304
200
2,145
1,960
91%
1,760
96%
1,960
91%
599,730
79%
682,569
74%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,571
667,440
525,091
189
94,497
74,639
761,937
200
154,915
82,839
916,852
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
SNA HR & MA-HR
Percent
Enrolled
Plan Name
NYC
Affinity Health Plan
Mandatory
Amerigroup
7,035
3,691
10,726
1%
1,855
12,581
1%
Fully
HealthFirst PHSP
201,355
57,064
258,419
15%
34,605
293,024
15%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
150,265
42,231
192,496
11%
16,053
208,549
11%
117,980
41,249
159,229
9%
21,417
180,646
9%
MetroPlus Health Plan
213,847
48,872
262,719
15%
26,856
289,575
15%
723
983
1,706
0%
1,062
2,768
0%
55,982
15,087
71,069
4%
8,070
79,139
4%
182
457
639
0%
451
1,090
0%
92,854
32,816
125,670
7%
15,825
141,495
7%
1,780
250
2,030
0%
61
2,091
0%
50,343
GHI HMO Select
Sept 2002
MetroPlus Health Plan SN
Neighborhood Health Providers
NYPS Select Health SN
NYS Catholic Health Plan
Enrolled
Total
Enrolled
County
Eligibles
Enrolled Eligibles
79,474
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Total
Eligibles
Enrolled Enrolled Eligibles Enrolled Eligibles
109,308
6%
14,317
29,834
20,718
71,061
4%
4,792
123,625
6%
75,853
4%
NYS Catholic Health Plan 1199
The New York Presbyterian
Community Health Plan
65,449
16,765
82,214
5%
10,778
92,992
5%
United Healthcare Plan Of NY
89,760
33,404
123,164
7%
13,004
136,168
7%
VidaCare Inc. SN
Wellcare Of New York
NYC Total
58
576
634
0%
445
1,079
0%
35,142
19,952
55,094
3%
5,521
60,615
3%
1,305,505
1,162,229
399,955
363,949
1,705,460
1,526,178
89%
241,063
175,112
1,946,523
1,701,290
87%
667,440
525,091
94,497
74,639
761,937
599,730
79%
154,915
82,839
916,852
682,569
74%
NEW YORK CITY TOTALS:
1,305,505
1,162,229
399,955
363,949
1,705,460
1,526,178
89%
241,063
175,112
1,946,523
1,701,290
87%
GRAND TOTALS:
1,972,945
1,687,320
494,452
438,588
2,467,397
2,125,908
86%
395,978
257,951
2,863,375
2,383,859
83%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Eligibles
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
328,399
285,518
78,676
64,948
407,075
350,465
86%
66,657
49,536
473,732
400,002
84%
Brooklyn
467,370
419,061
150,771
137,279
618,141
556,340
90%
78,259
56,416
696,400
612,755
88%
Manhattan
172,478
138,670
62,476
52,328
234,954
190,999
81%
44,786
30,194
279,740
221,193
79%
Queens
297,726
281,976
96,109
97,657
393,835
379,633
96%
42,663
32,518
436,498
412,151
94%
39,532
37,004
11,923
11,738
51,455
48,742
95%
8,698
6,448
60,153
55,190
92%
1,305,505
1,162,229
399,955
363,949
1,705,460
1,526,178
89%
241,063
175,112
1,946,523
1,701,290
87%
Staten Island
Borough Total
NOTES:
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon January, 2009 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 MARCH, 2009
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Enrolled
Total Enrolled
2,062
575
2,637
226
1,179
153
48
201
NYS Catholic Health Plan
739
228
967
Wellcare Of New York
217
73
290
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
543
125
668
254
77
331
Univera Community Health Inc
289
48
337
2,135
445
2,580
TOTALS:
115
28
143
1,574
323
1,897
GHI HMO Select
135
28
163
NYS Catholic Health Plan
311
66
377
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
937
177
1,114
220
41
261
NYS Catholic Health Plan
437
76
513
Univera Community Health Inc
280
60
340
TOTALS:
588
103
691
NYS Catholic Health Plan
71
11
82
517
92
609
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,528
375
1,903
309
57
366
NYS Catholic Health Plan
1,169
294
1,463
United Healthcare Plan Of NY
Chautauqua
Enrolled
953
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
GHI HMO Select
Capital District Physicians Health Plan
Cattaraugus
ADULTS WITH
CHILDREN
Univera Community Health Inc
50
24
74
TOTALS:
901
207
1,108
Excellus Health Plan
613
144
757
GHI
288
63
351
Chenango
TOTALS:
589
104
693
GHI
589
104
693
Clinton
TOTALS:
844
181
1,025
Chemung
Excellus Health Plan
Columbia
23
8
31
NYS Catholic Health Plan
821
173
994
TOTALS:
499
102
601
124
29
153
79
17
96
246
42
288
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Wellcare Of New York
Cortland
50
14
64
TOTALS:
655
86
741
NYS Catholic Health Plan
559
71
630
96
15
111
433
81
514
SCHC Total Care
Delaware
TOTALS:
Dutchess
TOTALS:
GHI HMO Select
433
81
514
1,529
289
1,818
GHI HMO Select
168
30
198
Hudson Health Plan
403
80
483
MVP Health Plan
594
113
707
85
16
101
279
50
329
TOTALS:
8,979
2,435
11,414
Univera Community Health Inc
4,745
1,531
6,276
HealthNow/BCBS-WNY/Community
Blue
1,556
299
1,855
782
200
982
1,896
405
2,301
NYS Catholic Health Plan
Wellcare Of New York
Erie
Independent Health
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
County
Plan Name
Essex
TOTALS:
Greene
Herkimer
11
NYS Catholic Health Plan
456
126
582
TOTALS:
536
103
639
4
3
7
GHI
532
100
632
TOTALS:
819
169
988
Lewis
Livingston
258
196
62
623
107
730
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
649
110
759
588
90
678
Rochester Area HMO/Preferred Care
61
20
81
469
69
538
TOTALS:
158
17
175
GHI HMO Select
124
23
147
NYS Catholic Health Plan
153
22
175
Wellcare Of New York
34
7
41
TOTALS:
37
8
45
NYS Catholic Health Plan
37
8
45
TOTALS:
965
163
1,128
Excellus Health Plan
119
18
137
NYS Catholic Health Plan
823
143
966
23
2
25
TOTALS:
1,341
223
1,564
GHI
1,341
223
1,564
TOTALS:
334
34
368
GHI
334
34
368
TOTALS:
479
81
560
Excellus Health Plan
438
69
507
41
12
53
TOTALS:
724
86
810
Excellus Health Plan
214
27
241
United Healthcare Plan Of NY
510
59
569
TOTALS:
6,388
1,266
7,654
Excellus Health Plan
Rochester Area HMO/Preferred Care
Madison
Monroe
Montgomery
5,244
937
6,181
NYS Catholic Health Plan
825
277
1,102
Rochester Area HMO/Preferred Care
319
52
371
TOTALS:
761
159
920
314
56
370
14
4
18
433
99
532
TOTALS:
7,052
2,534
9,586
Affinity Health Plan
1,295
414
1,709
HealthFirst PHSP
1,681
463
2,144
370
197
567
1,520
804
2,324
978
222
1,200
1
0
1
United Healthcare Plan Of NY
1,207
434
1,641
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
2,030
416
2,446
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Nassau
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Niagara
593
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
128
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
465
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
674
135
809
NYS Catholic Health Plan
914
187
1,101
Univera Community Health Inc
442
94
536
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 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
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
3,180
599
368
76
3,779
444
2,143
398
2,541
669
125
794
3,678
893
4,571
353
70
423
NYS Catholic Health Plan
1,212
260
1,472
SCHC Total Care
1,125
346
1,471
United Healthcare Plan Of NY
988
217
1,205
TOTALS:
795
185
980
Excellus Health Plan
754
180
934
41
5
46
TOTALS:
3,004
546
3,550
Affinity Health Plan
Rochester Area HMO/Preferred Care
Orange
ADULTS WITH
CHILDREN
1,217
236
1,453
GHI HMO Select
522
83
605
Hudson Health Plan
590
115
705
NYS Catholic Health Plan
478
83
561
Wellcare Of New York
197
29
226
TOTALS:
566
82
648
Excellus Health Plan
147
20
167
HealthNow/BCBS-WNY/Community
Blue
117
25
142
NYS Catholic Health Plan
302
37
339
1,866
411
2,277
TOTALS:
Excellus Health Plan
20
6
26
NYS Catholic Health Plan
504
83
587
SCHC Total Care
942
237
1,179
United Healthcare Plan Of NY
400
85
485
TOTALS:
690
132
822
Excellus Health Plan
349
75
424
GHI HMO Select
218
36
254
NYS Catholic Health Plan
123
21
144
Putnam
TOTALS:
309
88
397
Rensselaer
TOTALS:
Otsego
GHI HMO Select
Capital District Physicians Health Plan
397
1,456
507
122
629
110
33
143
NYS Catholic Health Plan
460
111
571
85
28
113
3,620
604
4,224
Affinity Health Plan
456
114
570
GHI HMO Select
226
54
280
Hudson Health Plan
796
140
936
1,977
263
2,240
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
88
294
GHI HMO Select
Wellcare Of New York
Rockland
309
1,162
TOTALS:
Excellus Health Plan
GHI
165
33
198
1,170
191
1,361
33
3
36
1,137
188
1,325
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Schenectady
TOTALS:
Capital District Physicians Health Plan
Schoharie
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,496
244
1,740
511
101
612
85
11
96
900
132
1,032
1,179
223
1,402
425
58
483
GHI HMO Select
133
34
167
NYS Catholic Health Plan
621
131
752
TOTALS:
305
66
371
284
61
345
21
5
26
TOTALS:
251
57
308
Excellus Health Plan
163
29
192
88
28
116
372
40
412
Capital District Physicians Health Plan
NYS Catholic Health Plan
Schuyler
ADULTS WITH
CHILDREN
GHI
Seneca
TOTALS:
Excellus Health Plan
372
40
412
Steuben
TOTALS:
907
155
1,062
Suffolk
TOTALS:
GHI
907
155
1,062
10,083
2,323
12,406
Affinity Health Plan
1,651
354
2,005
HealthFirst PHSP
2,080
439
2,519
Health Insurance Plan of Greater New
York
2,169
714
2,883
598
137
735
NYS Catholic Health Plan
1,203
223
1,426
United Healthcare Plan Of NY
2,382
456
2,838
999
145
1,144
87
23
110
875
117
992
37
5
42
454
106
560
Neighborhood Health Providers
Sullivan
TOTALS:
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
TOTALS:
Capital District Physicians Health Plan
Tompkins
454
106
560
TOTALS:
561
124
685
SCHC Total Care
247
46
293
GHI
295
77
372
19
1
20
1,703
483
2,186
NYS Catholic Health Plan
Ulster
TOTALS:
GHI HMO Select
208
55
263
Hudson Health Plan
388
100
488
MVP Health Plan
588
174
762
88
45
133
Wellcare Of New York
431
109
540
TOTALS:
614
77
691
NYS Catholic Health Plan
Warren
GHI HMO Select
Washington
74
12
86
NYS Catholic Health Plan
540
65
605
TOTALS:
652
73
725
138
15
153
28
2
30
486
56
542
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2009
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
745
97
Excellus Health Plan
745
97
842
TOTALS:
5,976
1,646
7,622
Affinity Health Plan
1,059
353
1,412
171
52
223
Westchester
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
NYS Catholic Health Plan
842
610
233
843
3,286
758
4,044
849
250
1,099
1
0
1
46
436
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
390
390
46
436
Yates
TOTALS:
350
58
408
Excellus Health Plan
350
58
408
92,348
20,822
113,170
Affinity Health Plan
14,544
11,385
25,929
Amerigroup
13,284
8,795
22,079
GHI HMO Select
1,201
908
2,109
HealthFirst PHSP
28,522
19,399
47,921
Health Insurance Plan of Greater New
York
21,944
12,461
34,405
HealthPlus
26,935
12,793
39,728
MetroPlus Health Plan
26,880
13,271
40,151
9,026
3,509
12,535
16,409
9,846
26,255
2,328
147
2,475
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
9,017
5,108
14,125
17,933
9,100
27,033
8,870
8,164
17,034
196,893
114,886
311,779
92,348
20,822
113,170
NEW YORK CITY TOTALS:
196,893
114,886
311,779
GRAND TOTALS
289,241
135,708
424,949
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Plan Name
Total Enrolled
NYC
Borough
Bronx
31,541
14,647
46,188
Brooklyn
68,410
38,708
107,118
Manhattan
20,695
18,651
39,346
Queens
68,686
39,192
107,878
Staten Island
Borough Total
NOTES:
7,561
3,688
11,249
196,893
114,886
311,779
(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 MARCH, 2009
MLTC PACE PLAN NAME
COMPREHENSIVE CARE MGMT
EDDY SENIOR CARE
INDEPENDENT LIVING FOR SENIORS
PACE CNY
Total MLTC PACE Enrollment
TOTAL
COUNTY
ENROLLMENT
NEW YORK
2,171
SUFFOLK
22
WESTCHESTER
170
Total
2,363
ALBANY
1
SCHENECTADY
107
SCHOHARIE
1
Total
109
MONROE
237
Total
237
CHAUTAUQUA
1
ONONDAGA
317
Total
318
3,027
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:
443
443
1,099
19
1,118
98
34
132
518
5,721
229
6,468
719
719
3,063
3,063
1,333
1,333
160
99
259
1,442
1,442
41
331
372
141
141
6,805
6,805
172
172
22,467
25,494
(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 : Suffolk County - Comprehensive Care Management
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS MARCH, 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
248
4
1
243
2
2
2
2
9
1
8
102
102
1
1
1
1
4
1
3
3
3
2
2
155
16
110
29
7
7
18
18
7
3
4
2
2
3
3
89
10
5
74
40
40
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS MARCH, 2009
County
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Wyoming
Plan Name
TOTAL
HealthNow
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
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
9
5
4
94
13
81
44
7
37
133
3
130
5
5
48
37
11
1
1
1,029
54
159
776
1,767
493
45
7
212
536
4,049
1,029
4,049
5,078
(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 : Suffolk County GHI
MEDICAID ADVANTAGE PLUS ENROLLMENT
BY COUNTY AND PLAN
NYS MARCH, 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
33
33
35
35
3
3
6
6
41
41
118
148
14
173
335
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
118
335
453
(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