RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Mandatory
Capital District Physicians Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
17,197
NYS Catholic Health Plan
Wellcare Of New York
SNA HR & MA-HR
Enrolled
15,686
Eligibles
2,992
91%
20,629
85%
12,607
62%
1,637
14,244
58%
268
62
330
2%
16
346
1%
2,935
573
3,508
17%
362
3,870
16%
Mandatory
HealthNow/BCBS-WNY/Community Blue
1,801
Eff. Feb 2007
Univera Community Health
1,143
Broome
TOTALS:
Mandatory
Broome MAX
15,511
Eff. May 1998 Capital District Physicians Health Plan
Excellus Health Plan
GHI HMO Select
NYS Catholic Health Plan
2,944
13,828
261
556
2,321
1,846
9%
3,463
84%
315
2,116
51%
204
1,347
33%
15,920
89%
519
2,092
4,115
17,832
4,185
2,338
24,374
Percent
Enrolled
18,291
1,585
20,189
Total
Enrolled
1,709
TOTALS:
2,605
Total
Eligibles
10,898
Allegany
3,559
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
323
877
4,099
2,169
9%
3,885
78%
300
2,416
48%
122
1,469
29%
18,143
83%
16%
422
2,223
4,992
21,931
2,650
173
2,823
16%
740
3,563
484
36
520
3%
95
615
3%
8,683
1,527
10,210
57%
1,129
11,339
52%
3%
530
84
614
3%
69
683
1,481
272
1,753
10%
190
1,943
9%
5,923
87%
6,948
86%
Cattaraugus
TOTALS:
Mandatory
HealthNow/BCBS-WNY/Community Blue
2,260
265
2,525
37%
672
3,197
40%
Eff. Sep 2001
NYS Catholic Health Plan
1,945
274
2,219
33%
248
2,467
31%
990
189
1,179
17%
105
1,284
16%
250
4%
261
3%
250
4%
13,503
92%
6,052
Univera Community Health
5,195
772
728
6,824
1,249
1,025
8,073
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
TOTALS:
Mandatory
HealthNow/BCBS-WNY/Community Blue
2,923
525
3,448
24%
Eff. Sep 2001
NYS Catholic Health Plan
8,001
1,662
9,663
66%
240
152
392
3%
110
502
3%
4,839
54%
5,761
51%
6,059
214
782
214
12,245
Univera Community Health
11,164
36
6,841
36
2,404
2,339
14,649
1,209
11
8,050
11
2,624
261
3%
15,629
90%
659
4,107
24%
1,357
11,020
64%
2,126
17,273
Chemung
TOTALS:
Voluntary
Southern Tier Pediatrics (Partial)
3,279
0
3,279
36%
284
3,563
32%
Southern Tier Priority (Partial)
1,166
394
1,560
17%
638
2,198
20%
Chenango
Voluntary
Clinton
Voluntary
TOTALS:
TOTALS:
NYS Catholic Health Plan
8,080
4,445
958
394
9,038
2,186
922
11,224
5,123
0
652
0
5,775
0
0%
1,133
0
6,908
0
0%
6,557
570
1,082
249
7,639
819
11%
1,698
22
9,337
841
9%
819
11%
841
9%
570
249
22
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
County
Plan Name
Columbia
TOTALS:
Mandatory
Capital District Physicians Health Plan
Eff. Oct 1997
Eligibles
3,247
SNA HR & MA-HR
Enrolled
81%
3,430
75%
51%
353
2,233
49%
GHI HMO Select
128
20
148
4%
14
162
4%
NYS Catholic Health Plan
708
118
826
23%
69
895
20%
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
TOTALS:
Voluntary
115
3,719
9
588
562
4,940
124
3%
4,281
87%
912
452
4,576
Percent
Enrolled
1,880
4,352
3,664
Total
Enrolled
2,978
Wellcare Of New York
326
Total
Eligibles
179
TOTALS:
417
Enrolled
1,701
Cortland
2,652
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
16
744
428
5,684
140
3%
4,709
83%
2,737
428
3,165
64%
303
3,468
61%
982
134
1,116
23%
125
1,241
22%
3,419
0
552
0
3,971
0
0%
690
0
4,661
0
0%
10,756
9,012
1,670
1,360
12,426
10,372
83%
2,882
1,127
15,308
11,499
75%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
891
168
1,059
9%
89
1,148
7%
Eff. Apr 2007
Hudson Health Plan
2,841
401
3,242
26%
370
3,612
24%
MVP Health Plan
2,976
523
3,499
28%
376
3,875
25%
467
117
584
5%
44
628
4%
1,837
151
1,988
16%
248
2,236
15%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
70,528
73,492
88%
86,401
86%
11,145
1,496
12,641
15%
1,694
14,335
14%
16,180
2,028
18,208
22%
3,640
21,848
22%
15,923
1,725
17,648
21%
2,528
20,176
20%
Univera Community Health
18,581
4,453
23,034
28%
2,104
25,138
25%
Total Full Risk
61,829
9,702
71,531
86%
9,966
81,497
81%
HealthNow/BCBS-WNY/Community Blue
Eff. May 1998 Independent Health Association
NYS Catholic Health Plan
62,283
12,545
11,209
83,073
17,208
12,909
100,281
PCMP II-A Special Care (Partial)
454
1,507
1,961
2%
2,943
4,904
5%
Total Partial Risk
454
1,507
1,961
2%
2,943
4,904
5%
711
26%
719
22%
711
26%
719
22%
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
Fulton
Eff. Mar 2007
TOTALS:
TOTALS:
2,310
532
376
532
179
2,686
179
590
8
3,276
8
3,942
0
575
0
4,517
0
0%
1,114
0
5,631
0
0%
5,549
4,876
753
672
6,302
5,548
88%
1,189
364
7,491
5,912
79%
Capital District Physicians Health Plan
1,235
170
1,405
22%
98
1,503
20%
NYS Catholic Health Plan
3,641
502
4,143
66%
266
4,409
59%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
County
Plan Name
Eligibles
SNA HR & MA-HR
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
Genesee
TOTALS:
3,582
93%
3,959
89%
Mandatory
Eff. Jan 2004
HealthNow/BCBS-WNY/Community Blue
1,833
282
2,115
55%
144
2,259
51%
Rochester Area HMO/Preferred Care
1,288
179
1,467
38%
233
1,700
38%
Greene
Mandatory
TOTALS:
3,217
86%
3,718
81%
Capital District Physicians Health Plan
Eff. Oct 1997
GHI HMO Select
Hamilton
3,351
3,170
3,121
2,675
485
567
461
542
3,836
3,737
588
865
377
501
4,424
4,602
1,269
163
1,432
38%
316
1,748
38%
622
155
777
21%
69
846
18%
NYS Catholic Health Plan
643
206
849
23%
89
938
20%
Wellcare Of New York
141
18
159
4%
27
186
4%
263
64
24%
38
1
301
65
22%
65
22%
6,066
5,372
89%
1,046
484
7,112
5,856
82%
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Excellus Health Plan
Mandatory
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
TOTALS:
Voluntary
Lewis
TOTALS:
Voluntary
Livingston
TOTALS:
Mandatory
Eff. Apr 2002
Madison
Voluntary
Excellus Health Plan
216
43
5,239
4,596
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
21
827
776
43
8,056
21
64
1
702
82
784
13%
133
917
13%
3,853
685
4,538
75%
345
4,883
69%
41
9
50
1%
6
56
1%
0
0%
0
0%
0
994
0
9,050
1,864
0
10,914
2,021
0
249
0
2,270
0
0%
448
0
2,718
0
0%
3,080
2,579
544
420
3,624
2,999
83%
735
463
4,359
3,462
79%
Rochester Area HMO/Preferred Care
TOTALS:
47
1,784
290
2,074
57%
291
2,365
54%
795
130
925
26%
172
1,097
25%
4,600
0
574
0
5,174
0
0%
857
0
6,031
0
0%
59,636
53,554
10,561
8,734
70,197
62,288
89%
14,546
8,887
84,743
71,175
84%
56%
NYS Catholic Health Plan
Rochester Area HMO/Preferred Care
37,079
4,689
41,768
60%
5,712
47,480
3,033
1,967
5,000
7%
859
5,859
7%
13,442
2,078
15,520
22%
2,316
17,836
21%
Montgomery
TOTALS:
5,293
88%
5,688
81%
Mandatory
Capital District Physicians Health Plan
2,581
276
2,857
47%
271
3,128
45%
Eff. Apr 2007
NYS Catholic Health Plan
2,143
293
2,436
40%
124
2,560
37%
5,394
4,724
642
569
6,036
962
395
6,998
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
38,921
Enrolled
Eligibles
5,013
Enrolled
4,418
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
43,934
11,370
7,146
Total
Eligibles
55,304
Total
Enrolled
Percent
Enrolled
37,306
85%
44,452
80%
5,791
566
6,357
14%
949
7,306
13%
7,136
698
7,834
18%
970
8,804
16%
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
2,343
472
2,815
6%
705
3,520
6%
6,620
1,448
8,068
18%
2,341
10,409
19%
5,601
479
6,080
14%
974
7,054
13%
United Healthcare Plan Of NY
5,397
755
6,152
14%
1,207
7,359
13%
16,669
90%
19,136
88%
Eff. June 2001 HealthFirst PHSP
32,888
SNA HR & MA-HR
Niagara
TOTALS:
Mandatory
HealthNow/BCBS-WNY/Community Blue
4,526
867
5,393
29%
668
6,061
28%
Eff Sep 1998
Independent Health Association
4,285
723
5,008
27%
1,136
6,144
28%
NYS Catholic Health Plan
4,455
977
5,432
29%
606
6,038
28%
695
141
836
5%
57
893
4%
19,397
90%
22,686
85%
15,406
Univera Community Health
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
19,347
United Healthcare Plan Of NY
13,961
17,437
15%
541
3,681
14%
63%
2,319
15,848
59%
3,559
8,068
11,235
Mandatory
Eff. Mar 1998
Excellus Health Plan
TOTALS:
27,465
312
3,712
4,603
Rochester Area HMO/Preferred Care
31,296
26,791
3,140
NYS Catholic Health Plan
5,120
3,289
21,804
13,529
Excellus Health Plan
United Healthcare Plan Of NY
5,276
2,467
373
Mandatory
Eff. Nov 1998
SCHC Total Care
21,515
3,354
1,275
2,416
31,935
1,960
18,450
2,767
TOTALS:
TOTALS:
2,168
2,708
12,254
Onondaga
Ontario
3,044
4,568
2,728
13%
30,834
86%
461
4,020
11%
889
8,957
25%
1,533
12,768
36%
3,276
3,369
35,647
486
662
563
5,782
5,089
14%
5,131
89%
429
8,432
3,157
12%
37,627
85%
828
4,848
11%
1,677
10,634
24%
16,044
36%
6,793
44,079
1,012
1,214
766
6,996
6,101
17%
5,897
84%
3,974
493
4,467
77%
639
5,106
73%
594
70
664
11%
127
791
11%
Orange
Mandatory
29,711
87%
31,922
83%
Affinity Health Plan
27,416
8,547
2,833
2,295
984
34,129
9,531
28%
4,137
2,211
1,053
38,266
10,584
28%
Eff. Mar 2007
GHI HMO Select
2,935
383
3,318
10%
211
3,529
9%
Hudson Health Plan
4,767
584
5,351
16%
580
5,931
15%
NYS Catholic Health Plan
9,776
220
9,996
29%
154
10,150
27%
Wellcare Of New York
1,391
124
1,515
4%
213
1,728
5%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
County
Plan Name
TOTALS:
Orleans
Excellus Health Plan
Mandatory
Eff. June 2003 HealthNow/BCBS-WNY/Community Blue
Eligibles
3,401
NYS Catholic Health Plan
SNA HR & MA-HR
Enrolled
3,092
Eligibles
661
Enrolled
650
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
4,062
600
382
Total
Eligibles
4,662
Total
Enrolled
Percent
Enrolled
3,742
92%
4,124
88%
1,179
216
1,395
34%
165
1,560
33%
778
185
963
24%
114
1,077
23%
1,135
249
1,384
34%
103
1,487
32%
11,444
88%
13,157
87%
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
158
10
168
1%
33
201
1%
NYS Catholic Health Plan
2,695
349
3,044
23%
406
3,450
23%
SCHC Total Care
4,962
878
5,840
45%
926
6,766
45%
United Healthcare Plan Of NY
2,166
226
2,392
18%
348
2,740
18%
4,129
3,505
3,070
85%
74%
5,056
3,660
3,197
72%
63%
435
3%
463
3%
2,004
1,731
86%
2,622
1,865
71%
11,429
Excellus Health Plan
Otsego
TOTALS:
Mandatory
Excellus Health Plan
3,651
3,081
2,725
1,700
1,460
Eff. May 2007 NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
Mandatory
Capital District Physicians Health Plan
Eff. Oct 1997
GHI HMO Select
TOTALS:
9,981
10,965
Wellcare Of New York
304
271
79
155
127
618
134
28
138
7%
16
154
6%
1,593
79%
118
1,711
65%
9,849
11,554
91%
12,950
85%
7,176
1,129
8,305
65%
1,088
9,393
62%
202
75
277
2%
16
293
2%
1,888
394
2,282
18%
175
2,457
16%
1,793
1,705
12,758
690
5%
34,663
98%
650
2,988
8%
254
2,152
6%
4,417
608
5,025
21,635
1,006
1,664
193
Affinity Health Plan
2,338
Eff. Mar 2001
GHI HMO Select
1,898
Hudson Health Plan
9,379
927
15,180
19
Mandatory
Wellcare Of New York
1,713
252
583
NYS Catholic Health Plan
2,214
119
TOTALS:
TOTALS:
424
345
12,966
1,341
Rockland
32,665
1,463
478
356
NYS Catholic Health Plan
St Lawrence
Voluntary
1,537
31,952
0
107
2,719
1,312
2,711
0
35,384
10,691
2,453
1,396
15,211
117
807
5%
36,365
96%
445
3,433
9%
136
2,288
6%
14%
370
5,395
14%
22,641
64%
590
23,231
61%
1,857
5%
161
2,018
5%
0
0%
0
0%
2,677
2,638
1,702
0
38,061
13,329
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
Percent
Enrolled
7,290
88%
8,246
82%
Capital District Physicians Health Plan
4,563
676
5,239
64%
746
5,985
59%
Eff. Oct 1997
NYS Catholic Health Plan
1,813
238
2,051
25%
210
2,261
22%
Schenectady
TOTALS:
8,805
83%
10,160
73%
Mandatory
Capital District Physicians Health Plan
40%
Eff. Apr 2007
GHI HMO Select
9,625
NYS Catholic Health Plan
Schoharie
TOTALS:
Voluntary
Capital District Physicians Health Plan
2,018
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
Southern Tier Pediatrics (Partial)
TOTALS:
Affinity Health Plan
Sullivan
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
43%
959
5,556
10%
57
1,126
8%
2,858
281
3,139
30%
339
3,478
25%
281
12%
297
11%
216
55
271
12%
16
287
11%
8
2
10
0%
0
10
0%
1,553
132
8%
1,842
149
8%
132
8%
149
8%
2,291
2,007
88%
2,755
2,306
84%
2,007
88%
2,306
84%
8,180
1,535
19%
10,430
2,051
20%
224
1,341
279
6,512
57
239
36
228
218
938
194
2,297
36
1,789
United Healthcare Plan Of NY
13,927
1,069
7,242
NYS Catholic Health Plan 1199
1,355
10,113
4,597
96
NYS Catholic Health Plan
3,302
956
112
1,789
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of Greater New
York
Neighborhood Health Providers
10,625
1,873
432
2,063
59,954
825
8,240
957
96
Southern Tier Priority (Partial)
Suffolk
1,000
914
4,165
1,314
Excellus Health Plan
Mandatory
7,980
971
Enrolled
Total
Enrolled
Saratoga
Mandatory
6,376
Eligibles
Total
Eligibles
Plan Name
7,269
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
County
TOTALS:
Eligibles
SNA HR & MA-HR
218
390
16
289
17
464
299
2,250
516
2,687
17
299
241
0
241
3%
29
270
3%
1,100
194
1,294
16%
487
1,781
17%
52,302
60,732
87%
69,520
83%
7,113
841
7,954
11%
1,052
9,006
11%
9,265
1,179
10,444
15%
1,150
11,594
14%
10,606
2,924
13,530
19%
2,380
15,910
19%
10,279
1,119
11,398
16%
1,643
13,041
16%
6,174
845
7,019
10%
1,034
8,053
10%
0
0
0
0%
1
1
0%
8,865
1,522
10,387
15%
1,528
11,915
14%
7,062
81%
5,754
9,749
692
8,430
564
69,703
7,204
13,690
1,489
8,788
744
83,393
6,318
88%
454
65
519
7%
62
8,693
581
7%
4,904
458
5,362
74%
656
6,018
69%
396
41
437
6%
26
463
5%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Voluntary
Capital District Physicians Health Plan
Tompkins
TOTALS:
Voluntary
Eligibles
3,732
5,080
NYS Catholic Health Plan
Ulster
TOTALS:
GHI HMO Select
Eff Mar 2007
9,994
429
2,204
Enrolled
68
4,161
68
876
259
5,956
417
10%
417
10%
2,463
41%
800
6
Total
Eligibles
4,961
6
1,078
386
7,034
Total
Enrolled
Percent
Enrolled
423
9%
423
9%
2,849
41%
102
11
113
1%
19
132
2%
2,102
248
2,350
39%
367
2,717
39%
10,960
77%
9,838
84%
211
1,158
10%
95
1,253
9%
Hudson Health Plan
2,142
340
2,482
21%
252
2,734
19%
MVP Health Plan
2,591
565
3,156
27%
337
3,493
25%
392
126
518
4%
41
559
4%
2,347
177
2,524
22%
397
2,921
21%
1,040
27%
1,126
23%
1,040
27%
3,596
82%
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
Eff. Mar 2007
TOTALS:
3,466
4,003
Capital District Physicians Health Plan
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
Yates
TOTALS:
Mandatory
Eff. Feb 2007
Excellus Health Plan
3,289
1,736
398
1,419
89
11,730
3,864
89
365
307
4,368
2,515
989
1,122
86
14,245
4,853
86
1,038
363
5,406
1,126
23%
3,959
73%
29%
1,257
136
1,393
32%
169
1,562
2,032
171
2,203
50%
194
2,397
44%
5,792
2,644
46%
7,239
2,993
41%
2,644
46%
2,993
41%
56,752
49,782
88%
66,751
56,059
84%
2,457
48,504
42,516
486
187
8,248
7,266
2,457
NYS Catholic Health Plan 1199
TOTALS:
951
5,306
NYS Catholic Health Plan
Wyoming
Voluntary
8,419
951
NYS Catholic Health Plan
Upstate Total
349
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
947
NYS Catholic Health Plan
Wayne
Enrolled
349
SCHC Total Care
Mandatory
SNA HR & MA-HR
187
1,447
349
9,999
6,277
349
7,234
1,496
8,730
15%
1,179
9,909
15%
904
352
1,256
2%
219
1,475
2%
3,567
1,186
4,753
8%
1,087
5,840
9%
24,612
3,068
27,680
49%
2,881
30,561
46%
6,199
1,163
7,362
13%
911
8,273
12%
0
1
1
0%
0
1
0%
2,044
0
266
0
2,310
0
0%
459
0
2,769
0
0%
1,707
1,618
206
196
1,913
1,814
95%
304
204
2,217
2,018
91%
1,814
95%
2,018
91%
607,586
79%
692,709
75%
1,618
674,297
529,227
196
98,827
78,359
773,124
204
154,824
85,123
927,948
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
TANF ADC & MA-ADC
County
NYC
Plan Name
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
SNA HR & MA-HR
Enrolled Eligibles
80,393
50,250
GHI HMO Select
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Total
Enrolled
Enrolled Eligibles Enrolled Eligibles
Enrolled Eligibles
30,917
111,310
6%
14,486
21,897
72,147
4%
4,823
Total
Enrolled
Percent
Enrolled
125,796
6%
76,970
4%
7,221
3,933
11,154
1%
1,877
13,031
1%
Fully
HealthFirst PHSP
204,444
59,881
264,325
15%
35,069
299,394
15%
Implemented:
HealthPlus
Health Insurance Plan of Greater New
York
MetroPlus Health Plan
152,004
44,476
196,480
11%
16,113
212,593
11%
118,584
42,621
161,205
9%
21,440
182,645
9%
216,198
51,042
267,240
16%
27,069
294,309
15%
Sept 2002
MetroPlus Health Plan SN
Neighborhood Health Providers
NYPS Select Health SN
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
VidaCare Inc. SN
Wellcare Of New York
NYC Total
748
976
1,724
0%
1,087
2,811
0%
117,739
31,622
149,361
9%
18,108
167,469
9%
202
505
707
0%
500
1,207
0%
94,984
35,373
130,357
8%
15,991
146,348
7%
1,738
268
2,006
0%
58
2,064
0%
90,830
34,992
125,822
7%
13,025
138,847
7%
82
649
731
0%
498
1,229
0%
35,173
20,433
55,606
3%
5,489
61,095
3%
1,306,721
1,170,590
413,950
379,585
1,720,671
1,550,175
90%
240,934
175,633
1,961,605
1,725,808
88%
674,297
529,227
98,827
78,359
773,124
607,586
79%
154,824
85,123
927,948
692,709
75%
NEW YORK CITY TOTALS:
1,306,721
1,170,590
413,950
379,585
1,720,671
1,550,175
90%
240,934
175,633
1,961,605
1,725,808
88%
GRAND TOTALS:
1,981,018
1,699,817
512,777
457,944
2,493,795
2,157,761
87%
395,758
260,756
2,889,553
2,418,517
84%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 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
328,705
287,291
81,429
67,396
410,134
354,687
86%
66,622
49,775
476,756
404,462
85%
Brooklyn
467,805
421,487
156,047
142,592
623,852
564,079
90%
78,217
56,559
702,069
620,638
88%
Manhattan
172,639
138,981
64,662
54,404
237,301
193,385
81%
44,762
30,197
282,063
223,582
79%
Queens
298,003
285,422
99,472
102,808
397,475
388,231
98%
42,641
32,609
440,116
420,840
96%
39,569
37,410
12,340
12,384
51,909
49,794
96%
8,692
6,493
60,601
56,287
93%
1,306,721
1,170,590
413,950
379,585
1,720,671
1,550,175
90%
240,934
175,633
1,961,605
1,725,808
88%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon February, 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 : Suffolk County - NYS Catholic Health Plan 1199
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Chautauqua
Enrolled
Enrolled
Total Enrolled
2,077
542
2,619
968
223
1,191
148
46
194
NYS Catholic Health Plan
744
211
955
Wellcare Of New York
217
62
279
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
522
93
615
259
54
313
Univera Community Health Inc
263
39
302
2,081
407
2,488
TOTALS:
107
22
129
1,546
299
1,845
GHI HMO Select
135
22
157
NYS Catholic Health Plan
293
64
357
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
936
163
1,099
204
38
242
NYS Catholic Health Plan
443
72
515
Univera Community Health Inc
289
53
342
TOTALS:
615
96
711
NYS Catholic Health Plan
110
14
124
United Healthcare Plan Of NY
505
82
587
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,411
281
1,692
267
40
307
NYS Catholic Health Plan
1,095
224
1,319
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
GHI HMO Select
Capital District Physicians Health Plan
Cattaraugus
ADULTS WITH
CHILDREN
Univera Community Health Inc
49
17
66
TOTALS:
878
191
1,069
Excellus Health Plan
614
133
747
GHI
264
58
322
Chenango
TOTALS:
598
98
696
GHI
598
98
696
Clinton
TOTALS:
840
179
1,019
Chemung
Excellus Health Plan
Columbia
22
8
30
NYS Catholic Health Plan
818
171
989
TOTALS:
491
99
590
116
24
140
80
18
98
259
48
307
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
Wellcare Of New York
Cortland
36
9
45
TOTALS:
652
89
741
NYS Catholic Health Plan
553
71
624
99
18
117
424
76
500
SCHC Total Care
Delaware
TOTALS:
Dutchess
TOTALS:
GHI HMO Select
424
76
500
1,521
270
1,791
GHI HMO Select
167
27
194
Hudson Health Plan
409
76
485
MVP Health Plan
593
104
697
86
17
103
266
46
312
TOTALS:
8,839
2,181
11,020
Univera Community Health Inc
4,619
1,334
5,953
HealthNow/BCBS-WNY/Community
Blue
1,519
259
1,778
875
231
1,106
1,826
357
2,183
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 APRIL, 2009
County
Plan Name
Essex
TOTALS:
Greene
Enrolled
Total Enrolled
7
2
9
NYS Catholic Health Plan
411
70
481
TOTALS:
524
79
603
4
1
5
GHI
520
78
598
TOTALS:
791
158
949
245
Capital District Physicians Health Plan
Genesee
Enrolled
72
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
418
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
490
189
56
NYS Catholic Health Plan
602
102
704
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
612
100
712
538
76
614
Rochester Area HMO/Preferred Care
74
24
98
464
61
525
TOTALS:
Capital District Physicians Health Plan
153
14
167
GHI HMO Select
138
23
161
NYS Catholic Health Plan
145
20
165
Wellcare Of New York
28
4
32
Hamilton
TOTALS:
37
5
42
37
5
42
Herkimer
TOTALS:
949
144
1,093
Excellus Health Plan
110
13
123
NYS Catholic Health Plan
825
129
954
14
2
16
TOTALS:
1,300
179
1,479
GHI
NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
Lewis
Livingston
1,300
179
1,479
TOTALS:
330
26
356
GHI
330
26
356
TOTALS:
465
69
534
Excellus Health Plan
416
54
470
49
15
64
TOTALS:
706
78
784
Excellus Health Plan
207
25
232
United Healthcare Plan Of NY
499
53
552
TOTALS:
6,186
1,162
7,348
Excellus Health Plan
Rochester Area HMO/Preferred Care
Madison
Monroe
Montgomery
5,011
828
5,839
NYS Catholic Health Plan
835
272
1,107
Rochester Area HMO/Preferred Care
340
62
402
TOTALS:
754
161
915
297
55
352
12
4
16
445
102
547
TOTALS:
6,797
2,195
8,992
Affinity Health Plan
1,205
359
1,564
HealthFirst PHSP
1,607
392
1,999
380
175
555
1,474
697
2,171
953
193
1,146
1
0
1
United Healthcare Plan Of NY
1,177
379
1,556
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
2,014
408
2,422
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
789
152
941
NYS Catholic Health Plan
954
212
1,166
Univera Community Health Inc
271
44
315
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 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
3,088
551
358
77
3,639
435
2,090
364
2,454
640
110
750
3,625
772
4,397
355
66
421
NYS Catholic Health Plan
1,245
241
1,486
SCHC Total Care
1,103
299
1,402
United Healthcare Plan Of NY
922
166
1,088
TOTALS:
792
172
964
Excellus Health Plan
749
167
916
43
5
48
TOTALS:
2,991
510
3,501
Affinity Health Plan
Rochester Area HMO/Preferred Care
Orange
ADULTS WITH
CHILDREN
1,209
232
1,441
GHI HMO Select
530
71
601
Hudson Health Plan
611
110
721
NYS Catholic Health Plan
463
74
537
Wellcare Of New York
178
23
201
TOTALS:
554
72
626
Excellus Health Plan
149
21
170
HealthNow/BCBS-WNY/Community
Blue
116
19
135
NYS Catholic Health Plan
289
32
321
1,812
356
2,168
TOTALS:
Excellus Health Plan
17
6
23
NYS Catholic Health Plan
497
75
572
SCHC Total Care
906
200
1,106
United Healthcare Plan Of NY
392
75
467
TOTALS:
681
113
794
Excellus Health Plan
334
58
392
GHI HMO Select
207
33
240
NYS Catholic Health Plan
140
22
162
Putnam
TOTALS:
320
81
401
Rensselaer
TOTALS:
Otsego
GHI HMO Select
Capital District Physicians Health Plan
401
1,391
495
117
612
106
23
129
NYS Catholic Health Plan
450
98
548
79
23
102
3,429
436
3,865
Affinity Health Plan
430
78
508
GHI HMO Select
231
37
268
Hudson Health Plan
759
106
865
1,851
190
2,041
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
81
261
GHI HMO Select
Wellcare Of New York
Rockland
320
1,130
TOTALS:
Excellus Health Plan
GHI
158
25
183
1,154
175
1,329
27
2
29
1,127
173
1,300
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 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
1,494
223
1,717
491
95
586
85
8
93
918
120
1,038
1,141
210
1,351
396
57
453
GHI HMO Select
117
30
147
NYS Catholic Health Plan
628
123
751
TOTALS:
305
58
363
269
51
320
36
7
43
TOTALS:
246
53
299
Excellus Health Plan
161
24
185
85
29
114
356
38
394
Capital District Physicians Health Plan
NYS Catholic Health Plan
Schuyler
ADULTS WITH
CHILDREN
GHI
Seneca
TOTALS:
Excellus Health Plan
356
38
394
Steuben
TOTALS:
885
128
1,013
Suffolk
TOTALS:
GHI
885
128
1,013
10,271
2,229
12,500
Affinity Health Plan
1,631
334
1,965
HealthFirst PHSP
2,124
426
2,550
Health Insurance Plan of Greater New
York
2,186
676
2,862
635
117
752
NYS Catholic Health Plan
1,241
223
1,464
United Healthcare Plan Of NY
2,454
453
2,907
996
130
1,126
96
24
120
860
100
960
40
6
46
422
103
525
Neighborhood Health Providers
Sullivan
TOTALS:
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
TOTALS:
Capital District Physicians Health Plan
Tompkins
422
103
525
TOTALS:
561
119
680
SCHC Total Care
251
50
301
GHI
282
67
349
28
2
30
1,691
454
2,145
GHI HMO Select
211
52
263
Hudson Health Plan
377
98
475
MVP Health Plan
588
163
751
94
42
136
Wellcare Of New York
421
99
520
TOTALS:
620
86
706
NYS Catholic Health Plan
Ulster
TOTALS:
NYS Catholic Health Plan
Warren
GHI HMO Select
Washington
78
12
90
NYS Catholic Health Plan
542
74
616
TOTALS:
641
70
711
129
17
146
27
1
28
485
52
537
Capital District Physicians Health Plan
GHI HMO Select
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2009
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
733
76
Excellus Health Plan
733
76
809
TOTALS:
5,845
1,503
7,348
Affinity Health Plan
1,053
313
1,366
176
51
227
Westchester
GHI HMO Select
Health Insurance Plan of Greater New
York
Hudson Health Plan
NYS Catholic Health Plan
809
624
218
842
3,148
695
3,843
843
226
1,069
1
0
1
37
396
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
359
359
37
396
Yates
TOTALS:
336
55
391
Excellus Health Plan
336
55
391
90,710
18,733
109,443
Affinity Health Plan
14,225
10,607
24,832
Amerigroup
13,140
8,193
21,333
GHI HMO Select
1,217
862
2,079
HealthFirst PHSP
28,269
18,184
46,453
Health Insurance Plan of Greater New
York
21,474
11,588
33,062
HealthPlus
26,505
11,732
38,237
MetroPlus Health Plan
26,575
12,268
38,843
Neighborhood Health Providers
17,146
7,545
24,691
NYS Catholic Health Plan
16,667
9,589
26,256
2,035
133
2,168
17,991
8,603
26,594
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
County
8,597
7,524
16,121
193,841
106,828
300,669
90,710
18,733
109,443
NEW YORK CITY TOTALS:
193,841
106,828
300,669
GRAND TOTALS
284,551
125,561
410,112
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Plan Name
Total Enrolled
NYC
Borough
Bronx
30,965
13,555
44,520
Brooklyn
67,369
36,056
103,425
Manhattan
20,284
17,300
37,584
Queens
67,669
36,492
104,161
Staten Island
Borough Total
NOTES:
7,554
3,425
10,979
193,841
106,828
300,669
(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 APRIL, 2009
MLTC PACE PLAN NAME
COMPREHENSIVE CARE MGMT
EDDY SENIOR CARE
INDEPENDENT LIVING FOR SENIORS
PACE CNY
TOTAL SENIOR CARE
Total MLTC PACE Enrollment
TOTAL
COUNTY
ENROLLMENT
2,180
NEW YORK
37
SUFFOLK
169
WESTCHESTER
2,386
Total
1
ALBANY
107
SCHENECTADY
1
SCHOHARIE
109
Total
MONROE
230
Total
230
1
CHAUTAUQUA
308
ONONDAGA
309
Total
CATTARAUGUS
4
Total
4
3,038
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
479
479
1,144
19
1,163
100
34
134
509
5,706
242
6,457
728
728
3,069
3,069
1,335
1,335
160
100
260
1,470
1,470
41
330
371
141
141
6,944
6,944
195
195
22,746
Total Statewide Enrollment
25,784
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 : Cattaraugus County - Total Senior Care
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS APRIL, 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
256
4
1
251
3
3
3
3
9
1
8
114
114
1
1
1
1
4
1
3
3
3
1
1
160
18
112
30
8
8
18
18
7
3
4
2
2
3
3
94
10
5
79
39
39
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS APRIL, 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
8
5
3
100
13
87
55
10
45
130
3
127
5
5
46
36
10
2
2
1,072
63
155
794
1,779
505
61
8
199
529
4,093
1,072
4,093
5,165
(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 APRIL, 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
34
34
35
35
3
3
6
6
41
41
119
144
16
165
325
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
119
325
444
(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