RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
17,562
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Enrolled
Eligibles
15,909
3,232
16,040
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
GHI HMO Select
NYS Catholic Health Plan
20,794
18,626
90%
Eligibles Enrolled
4,207
2,456
Total
Eligibles
25,001
Total
Enrolled
Percent
Enrolled
21,082
84%
58%
1,762
12,735
61%
1,680
14,415
66
348
2%
17
365
1%
3,027
613
3,640
18%
397
4,037
16%
2,982
276
609
531
4,220
1,903
9%
3,513
83%
362
862
441
5,082
2,265
9%
3,954
78%
1,813
326
2,139
51%
308
2,447
48%
1,169
205
1,374
33%
133
1,507
30%
15,945
86%
18,305
81%
2,723
15%
3,449
15%
13,769
2,478
2,176
18,518
166
4,122
2,360
22,640
726
470
37
507
3%
95
602
3%
8,709
1,622
10,331
56%
1,249
11,580
51%
507
85
592
3%
67
659
3%
1,526
266
1,792
10%
223
2,015
9%
6,068
87%
7,107
87%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,310
279
2,589
37%
677
3,266
40%
Eff. Sep 2001
NYS Catholic Health Plan
1,945
278
2,223
32%
252
2,475
30%
Univera Community Health
1,049
207
1,256
18%
110
1,366
17%
293
4%
309
4%
293
4%
13,692
91%
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Chemung
TOTALS:
(Partial)
6,142
2,717
SSI & MA-SSI
282
2,557
Excellus Health Plan
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
10,973
1,627
3,611
Mandatory
Cattaraugus
SNA HR & MA-HR
6,194
12,401
841
11,273
764
41
6,943
7,035
41
2,578
2,419
14,979
1,261
1,220
1,039
16
8,204
8,255
16
2,655
2,138
17,634
309
4%
15,830
90%
2,929
530
3,459
23%
669
4,128
23%
8,087
1,722
9,809
65%
1,360
11,169
63%
257
8,208
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
252
801
252
Univera Community Health
Voluntary
5,304
4,490
167
1,031
413
9,239
424
3%
4,903
53%
109
2,188
920
11,427
533
3%
5,823
51%
3,308
0
3,308
36%
286
3,594
31%
1,182
413
1,595
17%
634
2,229
20%
TOTALS:
5,194
0
696
0
5,890
0
0%
1,147
0
7,037
0
0%
TOTALS:
6,675
600
1,150
267
7,825
867
11%
1,721
24
9,546
891
9%
867
11%
891
9%
NYS Catholic Health Plan
600
267
24
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
1,752
Eff. Oct 1997
GHI HMO Select
150
NYS Catholic Health Plan
764
3,356
Wellcare Of New York
Cortland
TOTALS:
Eligibles
2,672
466
6
4,487
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Enrolled
3,821
Enrolled
344
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
3,822
3,016
79%
195
1,947
51%
21
171
4%
128
892
23%
0
638
593
5,125
6
0%
4,414
86%
SSI & MA-SSI
Eligibles Enrolled
922
459
Total
Eligibles
4,744
Percent
Enrolled
3,475
73%
373
2,320
49%
14
185
4%
72
964
20%
0
744
Total
Enrolled
451
5,869
6
0%
4,865
83%
2,832
448
3,280
64%
320
3,600
61%
989
145
1,134
22%
131
1,265
22%
3,473
0
602
0
4,075
0
0%
695
0
4,770
0
0%
11,118
9,195
1,783
1,414
12,901
10,609
82%
2,902
1,195
15,803
11,804
75%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
922
173
1,095
8%
95
1,190
8%
Eff. Apr 2007
Hudson Health Plan
2,949
432
3,381
26%
391
3,772
24%
MVP Health Plan
3,003
534
3,537
27%
391
3,928
25%
494
126
620
5%
62
682
4%
1,827
149
1,976
15%
256
2,232
14%
74,451
88%
87,520
86%
12,768
15%
14,489
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
71,643
84,931
1,558
17,340
13,069
102,271
1,721
16,464
2,120
18,584
22%
3,696
22,280
22%
15,947
1,757
17,704
21%
2,533
20,237
20%
Univera Community Health
18,759
4,675
23,434
28%
2,172
25,606
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
62,380
10,110
72,490
85%
10,122
82,612
81%
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
Eff. Mar 2007
11,620
NYS Catholic Health Plan
Total Partial Risk
Mandatory
13,288
11,210
Eff. May 1998 Independent Health Association
Fulton
62,831
2,349
451
1,510
1,961
2%
2,947
4,908
5%
451
1,510
1,961
2%
2,947
4,908
5%
737
22%
737
22%
541
400
541
188
2,749
188
729
27%
729
27%
611
8
3,360
8
TOTALS:
4,000
0
618
0
4,618
0
0%
1,131
0
5,749
0
0%
TOTALS:
Capital District Physicians
Health Plan
5,739
4,929
814
714
6,553
5,643
86%
1,212
411
7,765
6,054
78%
NYS Catholic Health Plan
1,229
171
1,400
21%
113
1,513
19%
3,700
543
4,243
65%
298
4,541
58%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Greene
Mandatory
Eff. Oct 1997
Eligibles
3,468
MVP Health Plan
TOTALS:
Capital District Physicians
Health Plan
3,232
Enrolled
Eligibles
3,141
513
Enrolled
472
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
3,981
3,613
91%
SSI & MA-SSI
Eligibles Enrolled
601
392
Total
Eligibles
4,582
Total
Enrolled
Percent
Enrolled
4,005
87%
50%
1,839
282
2,121
53%
148
2,269
1,302
190
1,492
37%
244
1,736
38%
3,293
86%
3,820
81%
2,728
613
565
3,845
883
527
4,728
1,379
179
1,558
41%
338
1,896
40%
GHI HMO Select
641
156
797
21%
82
879
19%
NYS Catholic Health Plan
703
229
932
24%
106
1,038
22%
5
1
6
0%
1
7
0%
282
68
24%
38
1
320
69
22%
69
22%
6,412
5,485
86%
1,042
499
7,454
5,984
80%
Wellcare Of New York
Hamilton
SNA HR & MA-HR
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
226
44
5,505
4,664
56
24
907
821
44
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
24
68
1
713
90
803
13%
134
937
13%
3,908
721
4,629
72%
359
4,988
67%
43
10
53
1%
6
59
1%
0
0%
0
0%
Jefferson
Voluntary
Lewis
Voluntary
TOTALS:
2,083
0
257
0
2,340
0
0%
466
0
2,806
0
0%
Livingston
TOTALS:
3,164
2,654
591
439
3,755
3,093
82%
745
474
4,500
3,567
79%
Mandatory
Eff. Apr 2002
Madison
Voluntary
Excellus Health Plan
TOTALS:
4,714
0
628
0
5,342
0
0%
871
0
6,213
0
0%
Monroe
TOTALS:
60,630
53,361
11,000
8,939
71,630
62,300
87%
14,840
9,253
86,470
71,553
83%
Mandatory
Eff. Mar 1998
Excellus Health Plan
55%
TOTALS:
8,190
MVP Health Plan
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
5,492
0
1,076
0
9,266
1,901
0
11,167
1,820
297
2,117
56%
300
2,417
54%
834
142
976
26%
174
1,150
26%
36,910
4,759
41,669
58%
5,967
47,636
3,146
2,078
5,224
7%
860
6,084
7%
13,305
2,102
15,407
22%
2,426
17,833
21%
5,468
89%
5,881
82%
4,865
675
603
6,167
965
413
7,132
2,619
283
2,902
47%
277
3,179
45%
2,246
320
2,566
42%
136
2,702
38%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
40,116
Eff Sep 1998
Eligibles
5,508
44,990
79%
956
7,342
13%
7,188
776
7,964
17%
973
8,937
16%
HealthPlus
Health Insurance Plan of
Greater New York
2,371
500
2,871
6%
698
3,569
6%
6,605
1,546
8,151
18%
2,343
10,494
18%
NYS Catholic Health Plan
5,621
515
6,136
13%
974
7,110
12%
834
3,271
4,745
2,867
19,050
955
6,312
14%
17,027
89%
5,700
30%
7,170
57,090
Percent
Enrolled
14%
5,478
11,466
Total
Enrolled
83%
14,160
45,624
Total
Eligibles
6,386
15,779
4,779
Eligibles Enrolled
37,820
TOTALS:
HealthNow/BCBSWNY/Community Blue
33,041
Enrolled
SSI & MA-SSI
608
United Healthcare Plan Of NY
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
5,778
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
1,226
3,329
7,538
13%
19,543
87%
695
6,395
29%
2,516
22,379
Independent Health Association
4,585
831
5,416
28%
1,182
6,598
29%
NYS Catholic Health Plan
4,829
1,081
5,910
31%
638
6,548
29%
1
0
1
0%
1
2
0%
19,648
88%
23,017
83%
Univera Community Health
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
20,034
United Healthcare Plan Of NY
32,597
17,543
2,305
2,105
22,339
5,299
3,369
27,638
2,804
394
3,198
14%
566
3,764
14%
12,304
1,379
13,683
61%
2,368
16,051
58%
2,435
332
2,767
12%
435
3,202
12%
31,511
86%
38,460
85%
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
3,725
513
4,238
12%
856
5,094
11%
NYS Catholic Health Plan
8,288
975
9,263
25%
1,733
10,996
24%
11,362
1,628
12,990
35%
3,377
16,367
36%
4,503
517
5,020
14%
983
6,003
13%
5,248
87%
6,035
83%
72%
SCHC Total Care
United Healthcare Plan Of NY
5,280
27,878
Ontario
TOTALS:
4,654
Mandatory
Eff. Mar 1998
Excellus Health Plan
Orange
Mandatory
TOTALS:
Affinity Health Plan
8,612
Eff. Mar 2007
GHI HMO Select
2,949
Hudson Health Plan
4,004
745
3,633
594
36,601
6,025
8,496
1,238
6,949
787
45,097
7,263
4,040
522
4,562
76%
653
5,215
614
72
686
11%
134
820
11%
30,054
86%
32,320
82%
1,026
9,638
27%
1,076
10,714
27%
396
3,345
10%
213
3,558
9%
4,827
604
5,431
15%
590
6,021
15%
NYS Catholic Health Plan
9,882
244
10,126
29%
162
10,288
26%
Wellcare Of New York
1,386
128
1,514
4%
225
1,739
4%
MVP Health Plan
32,002
27,656
3,083
2,398
35,085
4,203
2,266
39,288
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,481
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
SNA HR & MA-HR
Enrolled
Eligibles
3,123
698
1,183
NYS Catholic Health Plan
669
4,179
225
SSI & MA-SSI
Eligibles Enrolled
597
370
Total
Eligibles
4,776
Total
Enrolled
Percent
Enrolled
3,792
91%
4,162
87%
1,408
34%
162
1,570
33%
22%
779
182
961
23%
111
1,072
1,161
262
1,423
34%
97
1,520
32%
11,614
88%
13,344
86%
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
152
11
163
1%
32
195
1%
NYS Catholic Health Plan
2,791
357
3,148
24%
396
3,544
23%
SCHC Total Care
5,025
905
5,930
45%
958
6,888
45%
United Healthcare Plan Of NY
2,142
231
2,373
18%
344
2,717
18%
4,323
3,481
2,996
81%
69%
5,262
3,651
3,129
69%
59%
485
4%
522
10%
2,084
1,781
85%
2,715
1,917
71%
Otsego
Mandatory
11,624
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
Excellus Health Plan
TOTALS:
Excellus Health Plan
3,794
3,039
2,640
1,764
1,499
Eff. May 2007 NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
10,110
11,092
GHI HMO Select
Wellcare Of New York
320
282
86
939
170
133
631
136
15,452
37
21
134
6%
18
152
6%
1,647
79%
118
1,765
65%
11,704
90%
13,162
85%
61%
9,968
1,863
1,736
12,955
2,449
1,458
15,404
7,200
1,125
8,325
64%
1,117
9,442
206
81
287
2%
18
305
2%
1,961
410
2,371
18%
194
2,565
17%
721
6%
35,173
97%
689
3,050
8%
266
2,191
6%
4,528
624
5,152
21,833
1,048
1,700
199
Affinity Health Plan
2,361
Eff. Mar 2001
GHI HMO Select
1,925
Hudson Health Plan
9,599
1,730
261
Mandatory
Wellcare Of New York
2,212
113
TOTALS:
NYS Catholic Health Plan
13,240
1,386
Rockland
TOTALS:
442
356
601
33,329
1,504
529
399
NYS Catholic Health Plan
St Lawrence
Voluntary
1,616
32,347
0
120
2,920
1,388
2,826
0
36,249
10,987
129
850
6%
36,901
95%
450
3,500
9%
142
2,333
6%
14%
371
5,523
14%
22,881
63%
597
23,478
60%
1,899
5%
168
2,067
5%
0
0%
0
0%
2,696
2,682
1,728
0
38,945
13,669
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 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
7,467
9,979
NYS Catholic Health Plan
Schoharie
Voluntary
TOTALS:
Capital District Physicians
Health Plan
2,070
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
Voluntary
Suffolk
TOTALS:
Affinity Health Plan
61,732
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
TOTALS:
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
6,757
8,479
7,430
88%
Eligibles Enrolled
1,882
1,008
Total
Eligibles
10,361
Total
Enrolled
Percent
Enrolled
8,438
81%
716
5,351
63%
791
6,142
59%
250
2,079
25%
217
2,296
22%
8,788
80%
10,185
71%
39%
7,934
1,069
854
11,048
3,295
1,397
14,343
4,109
440
4,549
41%
984
5,533
951
119
1,070
10%
55
1,125
8%
2,874
295
3,169
29%
358
3,527
25%
294
12%
311
11%
11%
238
298
56
2,368
402
17
2,770
226
53
279
12%
17
296
12
3
15
1%
0
15
1%
1,611
140
9%
1,906
158
8%
140
9%
158
8%
2,368
2,049
87%
2,843
2,359
83%
2,359
83%
10,630
2,029
19%
242
39
243
226
39
1,823
7,393
966
SSI & MA-SSI
1,829
101
Neighborhood Health Providers
GHI HMO Select
1,012
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,635
1,823
NYS Catholic Health Plan
Sullivan
6,464
2,125
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Mandatory
Eligibles
101
Southern Tier Priority (Partial)
Mandatory
Enrolled
1,369
Excellus Health Plan
TOTALS:
Southern Tier Pediatrics
(Partial)
SNA HR & MA-HR
1,323
226
976
195
8,369
2,049
87%
1,518
18%
295
18
475
310
2,261
511
18
310
235
0
235
3%
30
265
2%
1,088
195
1,283
15%
481
1,764
17%
53,247
62,094
86%
70,941
83%
7,148
10,393
8,847
868
72,125
8,016
11%
13,691
8,847
1,048
85,816
9,064
11%
9,403
1,223
10,626
15%
1,155
11,781
14%
10,746
3,014
13,760
19%
2,404
16,164
19%
10,507
1,189
11,696
16%
1,664
13,360
16%
6,321
916
7,237
10%
1,040
8,277
10%
0
0
0
0%
1
1
0%
9,122
1,637
10,759
15%
1,535
12,294
14%
7,194
80%
5,818
6,427
85%
471
774
609
75
7,531
546
7%
1,499
67
613
7%
4,940
493
5,433
72%
662
6,095
67%
407
41
448
6%
38
486
5%
767
9,030
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Tioga
3,815
351
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,245
2,254
Voluntary
NYS Catholic Health Plan
Ulster
TOTALS:
GHI HMO Select
Eff Mar 2007
Eligibles
10,217
Enrolled
470
70
945
296
351
SCHC Total Care
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,285
421
421
10%
6,190
2,550
41%
70
10%
SSI & MA-SSI
Eligibles Enrolled
812
7
1,093
384
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,097
428
428
8%
7,283
2,934
40%
7
8%
109
20
129
1%
20
149
2%
2,145
276
2,421
39%
364
2,785
38%
11,168
76%
10,000
83%
943
230
1,173
10%
99
1,272
9%
Hudson Health Plan
2,168
355
2,523
21%
267
2,790
19%
MVP Health Plan
2,631
615
3,246
27%
347
3,593
25%
429
135
564
5%
55
619
4%
2,316
178
2,494
21%
400
2,894
20%
1,189
24%
NYS Catholic Health Plan
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
3,573
8,487
996
1,876
466
996
4,131
5,429
3,353
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
102
12,093
4,039
102
401
347
4,532
1,098
27%
1,098
27%
3,700
82%
2,541
998
1,168
91
14,634
5,037
91
1,039
382
5,571
1,189
24%
4,082
73%
1,255
152
1,407
31%
182
1,589
29%
2,098
195
2,293
51%
200
2,493
45%
3,052
41%
2,491
532
2,491
49,618
1,513
42,974
205
5,961
205
8,790
7,686
58,408
2,696
45%
2,696
45%
50,660
87%
1,459
356
7,420
356
10,071
6,266
68,479
3,052
41%
56,926
83%
7,317
1,532
8,849
15%
1,186
10,035
15%
949
386
1,335
2%
219
1,554
2%
3,575
1,235
4,810
8%
1,063
5,873
9%
24,864
3,293
28,157
48%
2,888
31,045
45%
6,269
1,239
7,508
13%
910
8,418
12%
0
1
1
0%
0
1
0%
Wyoming
Voluntary
TOTALS:
2,112
0
286
0
2,398
0
0%
464
0
2,862
0
0%
Yates
TOTALS:
1,751
1,649
213
199
1,964
1,848
94%
306
212
2,270
2,060
91%
1,848
94%
2,060
91%
616,655
77%
703,591
74%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,649
690,170
534,546
199
105,577
82,109
795,747
212
156,112
86,936
951,859
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
SNA HR & MA-HR
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
81,385
32,368
113,753
6%
14,577
128,330
6%
Mandatory
Amerigroup
50,336
22,658
72,994
4%
4,838
77,832
4%
GHI HMO Select
7,273
4,175
11,448
1%
1,888
13,336
1%
Fully
HealthFirst PHSP
206,835
62,448
269,283
15%
35,435
304,718
15%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
153,089
46,055
199,144
11%
16,132
215,276
11%
118,654
43,637
162,291
9%
21,453
183,744
9%
MetroPlus Health Plan
217,197
52,755
269,952
15%
27,266
297,218
15%
763
996
1,759
0%
1,126
2,885
0%
114,681
31,420
146,101
8%
17,853
163,954
8%
204
530
734
0%
532
1,266
0%
96,743
37,415
134,158
8%
16,230
150,388
8%
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
311
1,999
0%
59
2,058
0%
36,153
127,777
7%
13,032
140,809
7%
89
687
776
0%
518
1,294
0%
34,972
20,919
55,891
3%
5,459
61,350
3%
1,321,967
1,175,533
433,033
392,527
1,755,000
1,568,060
89%
242,140
176,398
1,997,140
1,744,458
87%
690,170
534,546
105,577
82,109
795,747
616,655
77%
156,112
86,936
951,859
703,591
74%
NEW YORK CITY TOTALS:
1,321,967
1,175,533
433,033
392,527
1,755,000
1,568,060
89%
242,140
176,398
1,997,140
1,744,458
87%
GRAND TOTALS:
2,012,137
1,710,079
538,610
474,636
2,550,747
2,184,715
86%
398,252
263,334
2,948,999
2,448,049
83%
UPSTATE TOTALS:
NYC Boroughs Bronx
332,540
288,250
85,182
69,544
417,722
357,794
86%
66,955
50,129
484,677
407,923
84%
Brooklyn
473,263
423,272
163,240
146,994
636,503
570,265
90%
78,609
56,757
715,112
627,023
88%
Manhattan
174,653
139,034
67,643
56,041
242,296
195,075
81%
44,986
30,210
287,282
225,285
78%
Queens
301,480
287,284
104,058
107,081
405,538
394,366
97%
42,854
32,739
448,392
427,105
95%
40,031
37,693
12,910
12,867
52,941
50,560
96%
8,736
6,562
61,677
57,123
93%
1,321,967
1,175,533
433,033
392,527
1,755,000
1,568,060
89%
242,140
176,398
1,997,140
1,744,458
87%
Staten Island
Borough Total
NOTES:
1,688
91,624
(1) The Managed Care eligible counts are based upon March, 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
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 MAY, 2009
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
2,057
496
2,553
958
205
1,163
153
45
198
NYS Catholic Health Plan
740
187
927
Wellcare Of New York
206
59
265
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
522
90
612
258
50
308
264
40
304
2,069
375
2,444
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
97
16
113
1,561
287
1,848
GHI HMO Select
130
18
148
NYS Catholic Health Plan
281
54
335
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
936
155
1,091
186
34
220
445
67
512
Univera Community Health Inc
305
54
359
TOTALS:
625
93
718
NYS Catholic Health Plan
122
24
146
United Healthcare Plan Of NY
503
69
572
1,396
275
1,671
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
263
42
305
1,084
215
1,299
49
18
67
TOTALS:
868
184
1,052
Excellus Health Plan
615
130
745
GHI
253
54
307
Chenango
TOTALS:
598
88
686
GHI
598
88
686
Clinton
TOTALS:
872
176
1,048
Chemung
Excellus Health Plan
Columbia
Cortland
22
6
28
NYS Catholic Health Plan
850
170
1,020
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
500
97
597
121
27
148
92
18
110
NYS Catholic Health Plan
287
52
339
TOTALS:
652
92
744
NYS Catholic Health Plan
558
71
629
94
21
115
430
66
496
SCHC Total Care
Delaware
TOTALS:
Dutchess
TOTALS:
GHI HMO Select
430
66
496
1,571
272
1,843
GHI HMO Select
188
22
210
Hudson Health Plan
398
80
478
MVP Health Plan
616
104
720
99
17
116
270
49
319
TOTALS:
8,716
1,976
10,692
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,503
1,175
5,678
1,484
237
1,721
944
247
1,191
NYS Catholic Health Plan
1,785
317
2,102
NYS Catholic Health Plan
Wellcare Of New York
Erie
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Lewis
Livingston
Monroe
Montgomery
Nassau
491
11
NYS Catholic Health Plan
408
72
480
TOTALS:
511
74
585
2
1
3
GHI
509
73
582
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
794
152
946
181
47
228
613
105
718
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
609
103
712
523
75
598
86
28
114
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
453
60
513
142
13
155
147
27
174
NYS Catholic Health Plan
164
20
184
TOTALS:
35
5
40
NYS Catholic Health Plan
35
5
40
TOTALS:
957
148
1,105
Excellus Health Plan
109
11
120
NYS Catholic Health Plan
833
136
969
15
1
16
TOTALS:
1,305
175
1,480
GHI
1,305
175
1,480
TOTALS:
318
22
340
GHI
318
22
340
TOTALS:
468
64
532
Excellus Health Plan
412
49
461
56
15
71
TOTALS:
715
71
786
Excellus Health Plan
207
18
225
United Healthcare Plan Of NY
508
53
561
TOTALS:
6,128
1,110
7,238
Excellus Health Plan
4,916
772
5,688
NYS Catholic Health Plan
847
273
1,120
MVP Health Plan
365
65
430
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
750
146
896
296
49
345
14
4
18
NYS Catholic Health Plan
440
93
533
TOTALS:
6,795
1,932
8,727
Affinity Health Plan
1,182
307
1,489
HealthFirst PHSP
1,606
347
1,953
413
162
575
1,450
606
2,056
947
166
1,113
1
0
1
United Healthcare Plan Of NY
1,196
344
1,540
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,049
402
2,451
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Niagara
Total Enrolled
2
MVP Health Plan
Madison
Enrolled
9
United Healthcare Plan Of NY
Jefferson
Enrolled
74
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
417
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
Univera Community Health Inc
882
160
1,042
1,166
242
1,408
1
0
1
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 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
3,517
3,021
496
357
67
424
2,048
331
2,379
616
98
714
3,591
690
4,281
362
59
421
NYS Catholic Health Plan
1,267
211
1,478
SCHC Total Care
1,080
268
1,348
United Healthcare Plan Of NY
882
152
1,034
TOTALS:
820
158
978
Excellus Health Plan
774
154
928
46
4
50
TOTALS:
3,011
485
3,496
Affinity Health Plan
MVP Health Plan
Orange
ADULTS
WITH
CHILDREN
1,209
224
1,433
GHI HMO Select
545
67
612
Hudson Health Plan
612
100
712
NYS Catholic Health Plan
466
73
539
Wellcare Of New York
179
21
200
TOTALS:
567
70
637
Excellus Health Plan
142
20
162
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
116
18
134
309
32
341
1,762
336
2,098
TOTALS:
Excellus Health Plan
18
6
24
NYS Catholic Health Plan
498
67
565
SCHC Total Care
889
194
1,083
United Healthcare Plan Of NY
357
69
426
TOTALS:
652
86
738
Excellus Health Plan
303
39
342
GHI HMO Select
187
24
211
NYS Catholic Health Plan
162
23
185
Putnam
TOTALS:
336
73
409
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Otsego
GHI HMO Select
336
73
409
1,132
256
1,388
490
111
601
109
25
134
457
97
554
76
23
99
3,442
413
3,855
Affinity Health Plan
426
77
503
GHI HMO Select
235
37
272
Hudson Health Plan
752
96
848
1,870
181
2,051
NYS Catholic Health Plan
Wellcare Of New York
Rockland
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
TOTALS:
Excellus Health Plan
GHI
159
22
181
1,162
170
1,332
21
2
23
1,141
168
1,309
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Schoharie
Schuyler
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,512
224
1,736
495
89
584
85
8
93
932
127
1,059
1,092
203
1,295
376
61
437
110
30
140
NYS Catholic Health Plan
606
112
718
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
311
57
368
256
49
305
55
8
63
TOTALS:
237
50
287
Excellus Health Plan
153
23
176
84
27
111
369
34
403
NYS Catholic Health Plan
Schenectady
ADULTS
WITH
CHILDREN
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
GHI
Seneca
TOTALS:
Excellus Health Plan
369
34
403
Steuben
TOTALS:
873
112
985
Suffolk
TOTALS:
GHI
Sullivan
873
112
985
10,550
2,196
12,746
Affinity Health Plan
1,609
326
1,935
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,182
421
2,603
2,213
650
2,863
673
120
793
NYS Catholic Health Plan
1,312
233
1,545
United Healthcare Plan Of NY
2,561
446
3,007
TOTALS:
1,012
128
1,140
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
Tompkins
968
44
9
53
420
98
518
420
98
518
101
677
SCHC Total Care
259
43
302
GHI
281
56
337
36
2
38
1,704
420
2,124
GHI HMO Select
213
46
259
Hudson Health Plan
390
93
483
MVP Health Plan
594
153
747
97
36
133
Wellcare Of New York
410
92
502
TOTALS:
632
81
713
69
11
80
NYS Catholic Health Plan
563
70
633
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
622
65
687
124
18
142
22
1
23
NYS Catholic Health Plan
476
46
522
TOTALS:
GHI HMO Select
Washington
119
91
576
NYS Catholic Health Plan
Warren
28
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
NYS Catholic Health Plan
Ulster
91
877
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
723
75
Excellus Health Plan
723
75
798
TOTALS:
5,833
1,385
7,218
Affinity Health Plan
1,032
288
1,320
188
50
238
Westchester
GHI HMO Select
Health Insurance Plan of Greater
New York
Hudson Health Plan
NYS Catholic Health Plan
628
185
813
3,122
658
3,780
862
204
1,066
1
0
1
364
34
398
NYS Catholic Health Plan 1199
Wyoming
Yates
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
Excellus Health Plan
34
398
50
388
338
50
388
17,519
108,299
Affinity Health Plan
14,011
9,835
23,846
Amerigroup
12,813
7,450
20,263
1,229
800
2,029
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
27,837
16,915
44,752
21,012
10,641
31,653
26,046
10,876
36,922
MetroPlus Health Plan
26,095
11,321
37,416
Neighborhood Health Providers
16,297
6,758
23,055
NYS Catholic Health Plan
16,894
9,337
26,231
2,020
132
2,152
17,832
8,012
25,844
GHI HMO Select
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
8,245
6,836
15,081
190,331
98,913
289,244
UPSTATE TOTALS:
County
364
338
90,780
Upstate Total
NYC
798
90,780
17,519
108,299
NEW YORK CITY TOTALS:
190,331
98,913
289,244
GRAND TOTALS
281,111
116,432
397,543
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,493
12,570
43,063
Brooklyn
66,042
33,445
99,487
Manhattan
19,839
15,970
35,809
Queens
66,460
33,795
100,255
Staten Island
Borough Total
NOTES:
7,497
3,133
10,630
190,331
98,913
289,244
(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 MAY, 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
3
NASSAU
2,191
NEW YORK
38
SUFFOLK
168
WESTCHESTER
2,400
Total
1
ALBANY
104
SCHENECTADY
1
SCHOHARIE
106
Total
MONROE
230
Total
230
1
CHAUTAUQUA
312
ONONDAGA
313
Total
CATTARAUGUS
9
Total
9
3,058
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:
512
512
1,168
19
1,187
101
33
134
491
5,714
249
6,454
742
742
3,131
3,131
1,338
1,338
165
101
266
1,510
1,510
44
335
379
139
139
7,085
7,085
229
229
23,106
26,164
(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 : Nassau County - Comprehensive Care Mgmt
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS MAY, 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
267
4
1
262
2
2
3
3
9
1
8
121
121
1
1
1
1
4
1
3
3
3
1
1
166
18
118
30
8
8
18
18
7
3
4
2
2
3
3
95
10
4
81
37
37
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS MAY, 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
99
13
86
60
10
50
143
3
140
5
5
59
46
13
2
2
1,124
74
156
802
1,791
520
62
8
196
531
4,140
1,124
4,140
5,264
(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 MAY, 2009
County
Albany
Rensselaer
Saratoga
Schenectady
Ulster
Plan Name
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Upstate Total:
NYC
Guildnet
VNS Choice Plus
WellCare
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
Total
Enrolled
32
32
37
37
3
3
6
6
43
43
121
152
19
148
319
121
319
440
(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