RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Eligibles
17,683
GHI HMO Select
Wellcare Of New York
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
NYS Catholic Health Plan
Eff. Sep 2001
NYS Catholic Health Plan
6,211
Univera Community Health
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Chemung
Voluntary
TOTALS:
(Partial)
Chenango
Voluntary
TOTALS:
12,986
62%
4,202
2,616
25,209
1,778
Percent
Enrolled
21,614
86%
14,764
59%
393
2%
22
415
2%
3,695
18%
432
4,127
16%
2,990
13,958
272
644
540
4,288
341
199
2,562
2,289
18,708
169
1,924
9%
3,530
82%
2,169
51%
1,361
32%
16,247
87%
2,637
14%
384
850
440
5,138
305
135
4,114
2,506
22,822
722
2,308
9%
3,970
77%
2,474
48%
1,496
29%
18,753
82%
3,359
15%
454
38
492
3%
94
586
3%
8,985
1,701
10,686
57%
1,374
12,060
53%
513
90
603
3%
70
673
3%
1,538
291
1,829
10%
246
2,075
9%
6,236
88%
7,286
88%
5,429
839
807
7,050
1,257
1,050
8,307
2,351
306
2,657
38%
673
3,330
40%
1,963
287
2,250
32%
255
2,505
30%
12,445
11,459
214
872
45
2,725
2,537
291
5,234
90%
Total
Enrolled
81
291
Southern Tier Priority (Partial)
18,998
Total
Eligibles
657
1,115
8,207
21,007
Eligibles Enrolled
312
6,251
Univera Community Health
2,848
SSI & MA-SSI
3,038
2,468
GHI HMO Select
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
1,838
1,162
16,146
Excellus Health Plan
Mandatory
3,324
1,828
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
16,150
1,652
3,644
Mandatory
Cattaraugus
Eligibles
11,148
NYS Catholic Health Plan
Allegany
Enrolled
SNA HR & MA-HR
1,329
19%
7,123
336
5%
336
5%
15,170
13,996
92%
45
122
1,224
17
2,644
2,198
1,451
17%
8,347
353
4%
353
4%
17,814
16,194
91%
17
2,921
533
3,454
23%
676
4,130
23%
8,281
1,819
10,100
67%
1,414
11,514
65%
257
185
442
3%
108
550
3%
5,150
55%
6,071
53%
3,458
4,703
0
3,458
37%
290
3,748
33%
1,245
447
1,692
18%
631
2,323
20%
0
0%
0
0%
0
1,085
710
447
0
9,292
5,944
2,168
1,155
921
0
11,460
7,099
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
County
Clinton
Voluntary
Plan Name
TOTALS:
Eligibles
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Cortland
TOTALS:
651
3,410
2,790
Mandatory
Dutchess
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
397
7,992
931
931
12%
3,898
3,187
82%
280
12%
SSI & MA-SSI
Eligibles Enrolled
1,728
27
917
498
Total
Eligibles
Total
Enrolled
Percent
Enrolled
9,720
958
958
10%
4,815
3,685
77%
27
10%
1,807
221
2,028
52%
399
2,427
50%
160
27
187
5%
19
206
4%
3,936
149
674
625
5,263
972
25%
4,561
87%
80
739
480
6,002
1,052
22%
5,041
84%
2,932
472
3,404
65%
343
3,747
62%
1,004
153
1,157
22%
137
1,294
22%
3,518
0
623
0
4,141
0
0%
690
0
4,831
0
0%
9,616
1,885
1,525
13,323
11,141
84%
2,924
1,284
16,247
12,425
76%
950
192
1,142
9%
104
1,246
8%
Hudson Health Plan
3,081
458
3,539
27%
412
3,951
24%
MVP Health Plan
3,143
578
3,721
28%
419
4,140
25%
562
144
706
5%
86
792
5%
1,880
153
2,033
15%
263
2,296
14%
75,454
88%
88,736
86%
12,911
15%
14,656
14%
NYS Catholic Health Plan
Mandatory
488
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
11,438
Wellcare Of New York
Erie
280
823
4,589
Enrolled
1,204
651
NYS Catholic Health Plan
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Eligibles
6,788
NYS Catholic Health Plan
Columbia
Enrolled
SNA HR & MA-HR
TOTALS:
HealthNow/BCBSWNY/Community Blue
71,932
63,457
13,662
11,311
Eff. May 1998 Independent Health Association
11,997
85,594
1,600
17,454
13,282
103,048
1,745
16,642
2,210
18,852
22%
3,786
22,638
22%
NYS Catholic Health Plan
15,934
1,770
17,704
21%
2,543
20,247
20%
Univera Community Health
19,112
4,890
24,002
28%
2,233
26,235
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
62,999
10,470
73,469
86%
10,307
83,776
81%
458
1,527
1,985
2%
2,975
4,960
5%
458
1,527
1,985
2%
2,975
4,960
5%
722
25%
732
21%
722
25%
732
21%
0
0%
0
0%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
2,423
537
466
537
4,037
0
185
2,889
185
674
0
4,711
620
10
3,509
10
1,146
0
5,857
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
County
Plan Name
Fulton
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Greene
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Eligibles
5,815
Eligibles
5,046
859
1,222
3,274
3,200
Enrolled
780
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
6,674
174
3,824
3,487
606
539
492
4,026
5,826
87%
1,396
21%
4,430
66%
3,692
92%
SSI & MA-SSI
Eligibles Enrolled
1,226
438
Total
Eligibles
7,900
113
325
602
411
4,628
Total
Enrolled
Percent
Enrolled
6,264
79%
1,509
19%
4,755
60%
4,103
89%
50%
1,865
298
2,163
54%
158
2,321
1,335
194
1,529
38%
253
1,782
39%
3,455
88%
4,016
84%
2,862
641
593
3,915
884
561
4,799
1,427
182
1,609
41%
353
1,962
41%
GHI HMO Select
669
172
841
21%
88
929
19%
NYS Catholic Health Plan
766
239
1,005
26%
117
1,122
23%
0
0
0
0%
3
3
0%
278
63
23%
38
1
316
64
20%
64
20%
6,461
5,670
88%
1,028
536
7,489
6,206
83%
Wellcare Of New York
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
219
41
5,505
4,807
59
22
956
863
41
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
Voluntary
Lewis
Voluntary
Enrolled
SNA HR & MA-HR
TOTALS:
8,275
22
63
1
736
95
831
13%
143
974
13%
4,021
757
4,778
74%
387
5,165
69%
50
11
61
1%
6
67
1%
0
0%
0
0%
0
1,162
0
9,437
1,901
0
11,338
TOTALS:
2,105
0
253
0
2,358
0
0%
468
0
2,826
0
0%
Livingston
TOTALS:
3,224
2,712
600
445
3,824
3,157
83%
747
490
4,571
3,647
80%
Mandatory
Excellus Health Plan
Eff. Apr 2002
Madison
Voluntary
MVP Health Plan
TOTALS:
4,754
Monroe
TOTALS:
60,965
Mandatory
Eff. Mar 1998
Excellus Health Plan
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff Apr 2007
NYS Catholic Health Plan
5,580
1,860
298
2,158
56%
310
2,468
54%
852
147
999
26%
180
1,179
26%
0
0%
868
14,772
0
656
54,284
11,214
0
5,410
9,347
72,179
0
6,278
0
0%
9,526
86,951
63,631
88%
73,157
84%
37,576
4,999
42,575
59%
6,148
48,723
56%
3,334
2,177
5,511
8%
873
6,384
7%
13,374
2,171
15,545
22%
2,505
18,050
21%
5,678
90%
6,114
84%
5,036
713
642
6,293
980
436
7,273
2,685
291
2,976
47%
292
3,268
45%
2,351
351
2,702
43%
144
2,846
39%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
40,765
Eligibles
34,433
6,009
6,024
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
Enrolled
5,640
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
46,774
SSI & MA-SSI
Eligibles Enrolled
40,073
86%
710
6,734
14%
11,498
7,242
960
Total
Eligibles
58,272
Total
Enrolled
Percent
Enrolled
47,315
81%
7,694
13%
7,469
930
8,399
18%
1,001
9,400
16%
HealthPlus
Health Insurance Plan of
Greater New York
2,532
579
3,111
7%
695
3,806
7%
6,780
1,794
8,574
18%
2,355
10,929
19%
NYS Catholic Health Plan
5,904
632
6,536
14%
975
7,511
13%
United Healthcare Plan Of NY
5,724
995
6,719
14%
1,256
7,975
14%
17,644
92%
20,216
90%
5,933
31%
721
6,654
30%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
15,805
Eff Sep 1998
Independent Health Association
4,741
890
5,631
29%
1,209
6,840
30%
NYS Catholic Health Plan
4,946
1,133
6,079
32%
642
6,721
30%
1
0
1
0%
0
1
0%
Oneida
TOTALS:
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
20,340
United Healthcare Plan Of NY
18,179
90%
23,897
85%
15%
605
3,947
14%
12,795
1,451
14,246
63%
2,460
16,706
60%
Excellus Health Plan
3,885
NYS Catholic Health Plan
8,559
11,572
4,452
SCHC Total Care
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
5,325
32,256
4,707
22,724
344
4,274
775
2,807
12%
32,397
87%
570
4,455
12%
1,076
9,635
26%
1,743
13,315
36%
540
4,992
13%
5,323
87%
3,929
616
37,317
6,100
5,272
3,502
22,475
3,342
28,468
2,216
2,572
20,395
Mandatory
Eff. Nov 1998
TOTALS:
2,384
3,300
421
TOTALS:
United Healthcare Plan Of NY
19,175
1,020
2,463
33,043
3,043
2,921
Onondaga
Ontario
3,370
4,913
Univera Community Health
Mandatory
14,601
27,996
437
8,510
1,227
3,244
12%
39,362
86%
862
5,317
12%
1,726
11,361
25%
3,406
16,721
36%
971
5,963
13%
6,137
84%
72%
6,965
814
45,827
7,327
4,099
536
4,635
76%
672
5,307
608
80
688
11%
142
830
11%
30,846
87%
33,185
84%
28,284
3,151
2,562
35,407
4,216
2,339
39,623
Mandatory
Affinity Health Plan
8,796
1,097
9,893
28%
1,098
10,991
28%
Eff. Mar 2007
GHI HMO Select
3,022
427
3,449
10%
233
3,682
9%
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
4,987
639
5,626
16%
615
6,241
16%
10,085
264
10,349
29%
172
10,521
27%
1,394
135
1,529
4%
221
1,750
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,518
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
11,776
687
4,257
227
Eligibles Enrolled
605
380
Total
Eligibles
4,862
Total
Enrolled
Percent
Enrolled
3,849
90%
4,229
87%
1,430
34%
167
1,597
33%
22%
795
180
975
23%
114
1,089
1,164
280
1,444
34%
99
1,543
32%
12,340
92%
14,087
90%
10,685
1,685
1,655
13,461
2,201
1,747
15,662
156
13
169
1%
33
202
1%
399
3,332
25%
409
3,741
24%
SCHC Total Care
5,400
1,000
6,400
48%
962
7,362
47%
TOTALS:
Mandatory
Excellus Health Plan
2,196
3,858
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,113
11,221
NYS Catholic Health Plan
Wellcare Of New York
1,578
3,033
69%
557
4%
1,876
88%
343
954
198
5,369
150
48
631
144
2,755
2,782
18%
3,788
71%
3,183
59%
605
11%
2,020
73%
23
131
6%
18
149
5%
275
1,745
82%
126
1,871
68%
11,814
90%
13,339
86%
61%
10,027
1,920
1,787
13,141
2,452
1,525
15,593
7,225
1,144
8,369
64%
1,151
9,520
218
91
309
2%
20
329
2%
1,975
424
2,399
18%
212
2,611
17%
737
6%
35,760
97%
712
3,117
8%
278
2,270
6%
4,613
633
5,246
22,125
1,092
1,709
201
Mandatory
Affinity Health Plan
2,405
Eff. Mar 2001
GHI HMO Select
1,992
Hudson Health Plan
9,651
2,124
18%
81%
108
TOTALS:
Wellcare Of New York
298
2,439
3,590
1,470
Rockland
NYS Catholic Health Plan
4,415
100
336
609
33,774
477
377
457
1,788
GHI HMO Select
TOTALS:
243
557
2,656
Eff. May 2007 NYS Catholic Health Plan
St Lawrence
Voluntary
739
SSI & MA-SSI
2,933
Otsego
Eff. Oct 1997
3,162
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
NYS Catholic Health Plan
United Healthcare Plan Of NY
Mandatory
Eligibles
1,203
NYS Catholic Health Plan
Oswego
Enrolled
SNA HR & MA-HR
32,844
0
128
3,112
1,440
2,916
0
36,886
11,091
142
879
6%
37,550
95%
453
3,570
9%
154
2,424
6%
14%
391
5,637
14%
23,217
63%
627
23,844
60%
1,910
5%
165
2,075
5%
0
0%
0
0%
2,704
2,690
1,790
0
39,590
13,781
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 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
7,556
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Schuyler
TOTALS:
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
2,101
Voluntary
1,403
2,188
TOTALS:
Mandatory
Affinity Health Plan
62,208
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Neighborhood Health Providers
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Sullivan
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
8,224
6,830
Enrolled
1,030
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
8,650
760
270
1,132
947
11,198
7,664
89%
5,500
64%
2,164
25%
9,171
82%
SSI & MA-SSI
Eligibles Enrolled
1,892
1,054
Total
Eligibles
10,542
826
228
3,290
1,418
14,488
Total
Enrolled
Percent
Enrolled
8,718
83%
6,326
60%
2,392
23%
10,589
73%
40%
4,293
490
4,783
43%
995
5,778
979
123
1,102
10%
59
1,161
8%
2,952
334
3,286
29%
364
3,650
25%
320
13%
338
12%
256
313
64
2,414
411
18
2,825
241
58
299
12%
18
317
11%
15
6
21
1%
0
21
1%
142
9%
161
8%
142
9%
161
8%
2,451
2,138
87%
2,928
2,464
84%
2,138
87%
2,464
84%
8,434
1,535
18%
10,705
2,043
19%
103
258
1,903
1,324
39
1,661
39
263
1,903
7,436
Southern Tier Priority (Partial)
Suffolk
1,094
103
Excellus Health Plan
TOTALS:
Southern Tier Pediatrics
(Partial)
6,634
1,894
10,066
NYS Catholic Health Plan
Voluntary
Eligibles
4,740
NYS Catholic Health Plan
Schoharie
Enrolled
SNA HR & MA-HR
235
235
998
211
288
19
1,949
19
477
326
2,271
508
326
235
0
235
3%
29
264
2%
1,089
211
1,300
15%
479
1,779
17%
55,173
64,608
89%
73,600
85%
7,314
906
8,220
11%
1,040
9,260
11%
9,710
1,285
10,995
15%
1,199
12,194
14%
11,058
3,164
14,222
19%
2,444
16,666
19%
10,924
1,253
12,177
17%
1,677
13,854
16%
6,635
1,002
7,637
10%
1,072
8,709
10%
0
0
0
0%
1
1
0%
9,532
1,825
11,357
16%
1,559
12,916
15%
7,437
81%
6,005
10,743
828
9,435
649
72,951
7,658
13,724
1,485
8,992
783
86,675
9,143
6,654
87%
479
83
562
7%
71
633
7%
5,073
522
5,595
73%
668
6,263
69%
453
44
497
6%
44
541
6%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
3,873
Tompkins
TOTALS:
5,233
Voluntary
NYS Catholic Health Plan
Voluntary
Eligibles
TOTALS:
Mandatory
GHI HMO Select
Eff Mar 2007
Eligibles
358
480
358
2,358
974
8,694
73
4,353
324
6,207
30
2,236
10,284
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
73
122
SCHC Total Care
Ulster
Enrolled
SNA HR & MA-HR
294
1,940
1,593
12,224
431
10%
431
10%
2,682
43%
152
1%
2,530
41%
10,287
84%
SSI & MA-SSI
Eligibles Enrolled
821
7
Total
Eligibles
5,174
7
1,094
388
7,301
18
370
2,547
1,207
14,771
Total
Enrolled
Percent
Enrolled
438
8%
438
8%
3,070
42%
170
2%
2,900
40%
11,494
78%
987
236
1,223
10%
101
1,324
9%
Hudson Health Plan
2,210
378
2,588
21%
272
2,860
19%
MVP Health Plan
2,734
651
3,385
28%
372
3,757
25%
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
3,619
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
140
570
5%
62
632
4%
188
2,521
21%
400
2,921
20%
1,152
28%
5,106
1,249
24%
1,152
28%
1,249
24%
3,816
83%
5,662
4,212
74%
1,034
494
1,034
4,184
NYS Catholic Health Plan
Wayne
430
2,333
3,452
118
438
4,622
97
1,040
396
97
152
1,434
31%
185
1,619
29%
212
2,382
52%
211
2,593
46%
6,155
2,826
46%
7,624
3,185
42%
2,826
46%
3,185
42%
59,730
52,563
88%
69,876
58,900
84%
50,481
44,322
591
235
9,249
8,241
2,591
NYS Catholic Health Plan 1199
364
993
1,282
2,591
NYS Catholic Health Plan
4,113
2,170
5,564
Hudson Health Plan
118
235
1,469
359
10,146
6,337
359
7,558
1,635
9,193
15%
1,192
10,385
15%
998
425
1,423
2%
231
1,654
2%
3,627
1,296
4,923
8%
1,068
5,991
9%
25,648
3,523
29,171
49%
2,920
32,091
46%
6,491
1,361
7,852
13%
926
8,778
13%
0
1
1
0%
0
1
0%
Wyoming
Voluntary
TOTALS:
2,194
0
294
0
2,488
0
0%
469
0
2,957
0
0%
Yates
TOTALS:
1,794
1,671
220
214
2,014
1,885
94%
310
217
2,324
2,102
90%
1,885
94%
2,102
90%
635,442
79%
724,514
75%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,671
697,293
548,138
214
110,150
87,304
807,443
217
156,333
89,072
963,776
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
Total
Eligibles
Total
Enrolled
Percent
Enrolled
Plan Name
NYC
Affinity Health Plan
83,051
34,394
132,129
7%
Mandatory
Amerigroup
50,550
23,680
74,230
4%
4,891
79,121
4%
7,568
4,365
11,933
1%
1,908
13,841
1%
GHI HMO Select
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Total
Eligibles
Enrolled
Enrolled Eligibles Enrolled
117,445
7%
14,684
County
Eligibles
Enrolled
SNA HR & MA-HR
Fully
HealthFirst PHSP
210,458
65,128
275,586
16%
35,943
311,529
15%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
154,800
47,889
202,689
11%
16,269
218,958
11%
118,929
44,798
163,727
9%
21,468
185,195
9%
MetroPlus Health Plan
220,541
55,187
275,728
16%
27,552
303,280
15%
810
1,016
1,826
0%
1,160
2,986
0%
113,518
31,698
145,216
8%
17,742
162,958
8%
210
563
773
0%
559
1,332
0%
99,099
40,239
139,338
8%
16,496
155,834
8%
1,786
333
2,119
0%
60
2,179
0%
92,738
37,464
130,202
7%
13,056
143,258
7%
97
727
824
0%
556
1,380
0%
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
56,105
3%
61,564
3%
1,326,478
1,189,033
446,194
408,708
1,772,672
1,597,741
90%
242,458
177,803
2,015,130
1,775,544
88%
697,293
548,138
110,150
87,304
807,443
635,442
79%
156,333
89,072
963,776
724,514
75%
NEW YORK CITY TOTALS:
1,326,478
1,189,033
446,194
408,708
1,772,672
1,597,741
90%
242,458
177,803
2,015,130
1,775,544
88%
GRAND TOTALS:
2,023,771
1,737,171
556,344
496,012
2,580,115
2,233,183
87%
398,791
266,875
2,978,906
2,500,058
84%
NYC Total
UPSTATE TOTALS:
34,878
21,227
5,459
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Total
Eligibles
Enrolled
Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
333,675
291,609
87,771
72,377
421,446
363,986
86%
67,043
50,566
488,489
414,552
85%
Brooklyn
474,878
427,688
168,202
152,400
643,080
580,088
90%
78,712
57,174
721,792
637,261
88%
Manhattan
175,249
140,161
69,699
58,358
244,948
198,519
81%
45,045
30,353
289,993
228,871
79%
Queens
302,509
291,406
107,220
112,203
409,729
403,608
99%
42,910
33,055
452,639
436,663
96%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
40,167
38,169
13,302
13,370
53,469
51,540
96%
8,748
6,656
62,217
58,196
94%
1,326,478
1,189,033
446,194
408,708
1,772,672
1,597,741
90%
242,458
177,803
2,015,130
1,775,544
88%
(1) The Managed Care eligible counts are based upon April, 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 JUNE, 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
2,053
508
2,561
943
224
1,167
161
37
198
NYS Catholic Health Plan
739
190
929
Wellcare Of New York
210
57
267
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
544
83
627
260
46
306
284
37
321
2,102
335
2,437
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
91
14
105
1,600
253
1,853
GHI HMO Select
127
18
145
NYS Catholic Health Plan
284
50
334
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
955
160
1,115
174
30
204
452
72
524
Univera Community Health Inc
329
58
387
TOTALS:
643
99
742
NYS Catholic Health Plan
155
27
182
United Healthcare Plan Of NY
488
72
560
1,389
278
1,667
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
250
45
295
1,083
213
1,296
56
20
76
TOTALS:
878
182
1,060
Excellus Health Plan
619
130
749
GHI
259
52
311
Chenango
TOTALS:
608
76
684
GHI
608
76
684
Clinton
TOTALS:
883
171
1,054
Chemung
Excellus Health Plan
Columbia
Cortland
22
5
27
NYS Catholic Health Plan
861
166
1,027
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
484
84
568
121
23
144
90
15
105
NYS Catholic Health Plan
273
46
319
TOTALS:
675
93
768
NYS Catholic Health Plan
582
73
655
93
20
113
450
57
507
SCHC Total Care
Delaware
TOTALS:
Dutchess
TOTALS:
GHI HMO Select
Erie
450
57
507
1,568
249
1,817
GHI HMO Select
191
18
209
Hudson Health Plan
392
79
471
MVP Health Plan
613
93
706
NYS Catholic Health Plan
112
17
129
Wellcare Of New York
260
42
302
TOTALS:
8,570
1,847
10,417
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,420
1,056
5,476
1,442
226
1,668
964
267
1,231
NYS Catholic Health Plan
1,744
298
2,042
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Lewis
Livingston
Monroe
Montgomery
Nassau
518
9
NYS Catholic Health Plan
437
72
509
TOTALS:
517
73
590
2
1
3
GHI
515
72
587
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
791
147
938
173
44
217
618
103
721
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
602
95
697
501
68
569
101
27
128
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
480
60
540
137
10
147
165
29
194
NYS Catholic Health Plan
178
21
199
TOTALS:
36
7
43
NYS Catholic Health Plan
36
7
43
TOTALS:
929
148
1,077
Excellus Health Plan
103
10
113
NYS Catholic Health Plan
811
138
949
15
0
15
TOTALS:
1,306
173
1,479
GHI
1,306
173
1,479
TOTALS:
323
23
346
GHI
323
23
346
TOTALS:
473
61
534
Excellus Health Plan
406
47
453
67
14
81
TOTALS:
737
75
812
Excellus Health Plan
218
20
238
United Healthcare Plan Of NY
519
55
574
TOTALS:
6,184
1,072
7,256
Excellus Health Plan
4,852
732
5,584
NYS Catholic Health Plan
938
267
1,205
MVP Health Plan
394
73
467
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
772
138
910
306
39
345
11
3
14
NYS Catholic Health Plan
455
96
551
TOTALS:
6,946
1,706
8,652
Affinity Health Plan
1,238
284
1,522
HealthFirst PHSP
1,594
287
1,881
467
154
621
1,458
530
1,988
990
162
1,152
1
0
1
United Healthcare Plan Of NY
1,198
289
1,487
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,089
389
2,478
906
165
1,071
1,183
224
1,407
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Niagara
Total Enrolled
1
MVP Health Plan
Madison
Enrolled
8
United Healthcare Plan Of NY
Jefferson
Enrolled
73
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
445
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 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
3,436
3,003
433
367
58
425
2,027
293
2,320
609
82
691
3,708
658
4,366
359
65
424
NYS Catholic Health Plan
1,372
212
1,584
SCHC Total Care
1,106
247
1,353
United Healthcare Plan Of NY
871
134
1,005
TOTALS:
794
157
951
Excellus Health Plan
745
155
900
49
2
51
TOTALS:
2,984
445
3,429
Affinity Health Plan
MVP Health Plan
Orange
ADULTS
WITH
CHILDREN
1,199
200
1,399
GHI HMO Select
549
68
617
Hudson Health Plan
618
92
710
NYS Catholic Health Plan
445
66
511
Wellcare Of New York
173
19
192
TOTALS:
574
71
645
Excellus Health Plan
139
20
159
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
114
20
134
321
31
352
1,846
320
2,166
TOTALS:
Excellus Health Plan
17
5
22
NYS Catholic Health Plan
507
66
573
SCHC Total Care
959
181
1,140
United Healthcare Plan Of NY
363
68
431
TOTALS:
672
82
754
Excellus Health Plan
288
36
324
GHI HMO Select
180
20
200
NYS Catholic Health Plan
204
26
230
Putnam
TOTALS:
353
71
424
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Otsego
GHI HMO Select
353
71
424
1,156
241
1,397
503
101
604
111
20
131
461
99
560
81
21
102
3,524
416
3,940
Affinity Health Plan
440
81
521
GHI HMO Select
236
37
273
Hudson Health Plan
761
91
852
1,932
187
2,119
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
155
20
175
1,140
162
1,302
23
1
24
1,117
161
1,278
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Schoharie
Schuyler
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,560
200
1,760
499
72
571
80
4
84
981
124
1,105
1,110
196
1,306
371
58
429
128
32
160
NYS Catholic Health Plan
611
106
717
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
324
54
378
241
38
279
83
16
99
TOTALS:
240
48
288
Excellus Health Plan
159
24
183
81
24
105
35
402
NYS Catholic Health Plan
Schenectady
ADULTS
WITH
CHILDREN
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
GHI
Seneca
TOTALS:
367
Excellus Health Plan
367
35
402
Steuben
TOTALS:
907
107
1,014
GHI
Suffolk
Sullivan
907
107
1,014
10,975
2,166
13,141
Affinity Health Plan
1,666
302
1,968
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,211
424
2,635
2,266
628
2,894
711
128
839
NYS Catholic Health Plan
1,457
245
1,702
United Healthcare Plan Of NY
2,664
439
3,103
980
124
1,104
TOTALS:
TOTALS:
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
Tompkins
935
49
9
58
427
95
522
427
95
522
91
664
SCHC Total Care
258
40
298
GHI
271
46
317
44
5
49
1,662
392
2,054
GHI HMO Select
207
47
254
Hudson Health Plan
386
84
470
MVP Health Plan
587
150
737
98
34
132
Wellcare Of New York
384
77
461
TOTALS:
651
77
728
TOTALS:
GHI HMO Select
Washington
111
90
573
NYS Catholic Health Plan
Warren
25
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
NYS Catholic Health Plan
Ulster
86
845
68
9
77
NYS Catholic Health Plan
583
68
651
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
630
57
687
127
13
140
27
1
28
NYS Catholic Health Plan
476
43
519
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
725
73
Excellus Health Plan
725
73
798
TOTALS:
5,930
1,273
7,203
Affinity Health Plan
1,069
268
1,337
207
46
253
Westchester
GHI HMO Select
Health Insurance Plan of Greater
New York
Hudson Health Plan
NYS Catholic Health Plan
633
150
783
3,134
607
3,741
886
202
1,088
1
0
1
358
40
398
NYS Catholic Health Plan 1199
Wyoming
Yates
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
Excellus Health Plan
40
398
44
396
352
44
396
16,590
108,547
Affinity Health Plan
13,853
9,125
22,978
Amerigroup
12,715
6,929
19,644
1,259
750
2,009
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
27,513
15,647
43,160
20,634
9,705
30,339
25,614
9,973
35,587
MetroPlus Health Plan
25,765
10,409
36,174
Neighborhood Health Providers
15,692
6,066
21,758
NYS Catholic Health Plan
17,085
8,942
26,027
1,942
133
2,075
17,767
7,464
25,231
GHI HMO Select
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
County
358
352
91,957
Upstate Total
NYC
798
7,903
6,250
14,153
187,742
91,393
279,135
91,957
16,590
108,547
NEW YORK CITY TOTALS:
187,742
91,393
279,135
GRAND TOTALS
279,699
107,983
387,682
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,122
11,661
41,783
Brooklyn
64,941
30,777
95,718
Manhattan
19,527
14,661
34,188
Queens
65,651
31,420
97,071
7,501
2,874
10,375
187,742
91,393
279,135
Staten Island
Borough Total
NOTES:
(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 JUNE, 2009
MLTC PACE PLAN NAME
COMPREHENSIVE CARE MGMT
EDDY SENIOR CARE
INDEPENDENT LIVING FOR SENIORS
PACE CNY
TOTAL SENIOR CARE
COUNTY
NASSAU
NEW YORK
SUFFOLK
WESTCHESTER
Total
ALBANY
SCHENECTADY
SCHOHARIE
Total
MONROE
Total
CHAUTAUQUA
ONONDAGA
Total
CATTARAUGUS
Total
Total MLTC PACE Enrollment
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:
TOTAL
ENROLLMENT
4
2,203
43
167
2,417
1
101
1
103
226
226
1
316
317
16
16
3,079
547
547
1,178
19
1,197
100
33
133
476
5,664
259
6,399
747
747
3,164
3,164
1,341
1,341
165
103
268
1,556
1,556
45
340
385
140
140
7,099
7,099
276
276
23,252
26,331
(1) The source of plan enrollment counts is the primary and secondary roster reports which reflect
enrollees as of the first of the month.
(2) New plans added this month : None
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JUNE, 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
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
279
4
1
274
2
2
4
4
12
1
11
128
128
1
1
1
1
6
3
3
3
3
1
1
167
17
of
119
31
9
9
18
18
7
3
4
7
7
3
3
95
10
4
81
40
40
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JUNE, 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
Greater New York
TOTAL
Fidelis
Senior Whole Health
TOTAL
HealthNow
TOTAL
GHI
Health Insurance Plan
Greater New York
Touchstone/Prestige
TOTAL
HealthNow
Total
Enrolled
9
5
4
97
12
85
58
9
of
49
141
3
138
5
5
65
47
of
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health Providers
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
13
5
2
2
1,160
82
169
786
1,774
579
51
8
193
500
4,142
1,160
4,142
5,302
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
Touchstone/Prestige
this
month
:
Westchester
County
-
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS JUNE, 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
Total
Enrolled
37
37
39
39
3
3
6
6
50
50
135
160
21
123
304
135
304
439
NOTES:
(1) The source of plan enrollment counts is the primary and
secondary roster reports which reflect enrollees as of the first of
the month.
(2) New plans added this month : None