RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
17,856
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
16,165
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
GHI HMO Select
NYS Catholic Health Plan
Mandatory
Eff. Sep 2001
NYS Catholic Health Plan
6,250
Univera Community Health
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
(Partial)
Southern Tier Priority (Partial)
Chenango
Voluntary
TOTALS:
5,254
21,280
19,263
91%
Eligibles Enrolled
4,183
2,716
Total
Eligibles
25,463
Total
Enrolled
Percent
Enrolled
21,979
86%
59%
1,916
13,181
62%
1,842
15,023
88
409
2%
26
435
2%
3,071
688
3,759
18%
452
4,211
17%
3,018
271
644
545
4,298
1,914
9%
3,563
83%
396
834
448
5,132
2,310
9%
4,011
78%
1,857
335
2,192
51%
318
2,510
49%
1,161
210
1,371
32%
130
1,501
29%
16,529
88%
19,112
84%
2,609
14%
3,318
14%
14,153
2,633
2,376
18,798
173
4,089
2,583
22,887
709
454
40
494
3%
92
586
3%
9,221
1,770
10,991
58%
1,449
12,440
54%
517
94
611
3%
78
689
3%
1,525
299
1,824
10%
255
2,079
9%
6,204
87%
7,276
87%
5,391
882
813
7,132
1,266
1,072
8,398
2,326
299
2,625
37%
690
3,315
39%
1,934
281
2,215
31%
259
2,474
29%
1,364
19%
1,487
18%
364
5%
381
4%
364
5%
14,189
93%
316
233
890
11,597
48
7,313
48
2,788
2,592
15,276
123
1,227
17
8,540
17
2,640
2,241
17,916
381
4%
16,430
92%
2,916
532
3,448
23%
681
4,129
23%
8,409
1,866
10,275
67%
1,448
11,723
65%
272
8,505
2,963
SSI & MA-SSI
321
316
12,488
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
11,265
1,131
6,423
Univera Community Health
Chemung
3,424
2,436
Excellus Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
16,300
Eligibles
1,643
3,654
Mandatory
Cattaraugus
Enrolled
SNA HR & MA-HR
4,766
194
1,148
463
9,653
466
3%
5,229
54%
112
2,183
924
11,836
578
3%
6,153
52%
3,503
0
3,503
36%
290
3,793
32%
1,263
463
1,726
18%
634
2,360
20%
0
0%
0
0%
0
740
0
5,994
1,146
0
7,140
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Clinton
Voluntary
Plan Name
TOTALS:
Eligibles
6,833
686
3,466
2,789
NYS Catholic Health Plan
Columbia
Enrolled
SNA HR & MA-HR
Eligibles
1,231
686
Enrolled
288
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
8,064
974
12%
974
12%
4,004
3,221
80%
288
1,741
30
917
518
Total
Eligibles
Total
Enrolled
Percent
Enrolled
9,805
1,004
1,004
10%
4,921
3,739
76%
50%
30
10%
Mandatory
1,804
237
2,041
51%
409
2,450
Eff. Oct 1997
GHI HMO Select
155
32
187
5%
24
211
4%
NYS Catholic Health Plan
830
163
993
25%
85
1,078
22%
4,624
87%
5,125
85%
TOTALS:
4,627
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
3,985
693
432
Eligibles Enrolled
TOTALS:
Capital District Physicians
Health Plan
Cortland
538
SSI & MA-SSI
639
5,320
733
501
6,053
2,962
468
3,430
64%
350
3,780
62%
1,023
171
1,194
22%
151
1,345
22%
3,563
0
649
0
4,212
0
0%
690
0
4,902
0
0%
11,747
9,887
1,957
1,619
13,704
11,506
84%
2,932
1,330
16,636
12,836
77%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
1,009
203
1,212
9%
114
1,326
8%
Eff. Apr 2007
Hudson Health Plan
3,154
481
3,635
27%
422
4,057
24%
MVP Health Plan
3,170
610
3,780
28%
440
4,220
25%
633
164
797
6%
89
886
5%
1,921
161
2,082
15%
265
2,347
14%
76,145
88%
89,479
86%
12,952
15%
14,730
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
72,490
63,917
14,037
11,338
Eff. May 1998 Independent Health Association
12,228
86,527
1,614
17,478
13,334
104,005
1,778
16,876
2,312
19,188
22%
3,808
22,996
22%
NYS Catholic Health Plan
15,994
1,828
17,822
21%
2,544
20,366
20%
Univera Community Health
19,250
4,961
24,211
28%
2,235
26,446
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
63,458
10,715
74,173
86%
10,365
84,538
81%
459
1,513
1,972
2%
2,969
4,941
5%
459
1,513
1,972
2%
2,969
4,941
5%
731
25%
741
21%
731
25%
741
21%
0
0%
0
0%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
2,421
545
461
545
4,048
0
186
2,882
186
697
0
4,745
615
10
3,497
10
1,128
0
5,873
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
Fulton
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Eligibles
5,831
3,533
MVP Health Plan
NYS Catholic Health Plan
Greene
Mandatory
Eff. Oct 1997
TOTALS:
Capital District Physicians
Health Plan
Enrolled
5,061
SNA HR & MA-HR
Eligibles
905
812
6,736
5,873
87%
SSI & MA-SSI
Eligibles Enrolled
1,224
477
Total
Eligibles
7,960
Total
Enrolled
Percent
Enrolled
6,350
80%
19%
1,217
187
1,404
21%
122
1,526
3,844
625
4,469
66%
355
4,824
61%
3,724
91%
4,150
89%
3,239
545
487
4,078
606
424
4,684
1,880
296
2,176
53%
165
2,341
50%
1,357
191
1,548
38%
258
1,806
39%
2
3,339
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
2,910
0
661
590
4,000
2
0%
3,500
88%
1
894
582
4,894
3
0%
4,082
83%
1,420
171
1,591
40%
367
1,958
40%
GHI HMO Select
688
180
868
22%
92
960
20%
NYS Catholic Health Plan
802
239
1,041
26%
123
1,164
24%
283
60
21%
40
2
323
62
19%
62
19%
6,454
5,726
89%
1,027
561
7,481
6,287
84%
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
222
41
5,488
4,853
61
19
966
873
41
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
19
60
2
742
91
833
13%
148
981
13%
4,061
772
4,833
75%
407
5,240
70%
50
10
60
1%
6
66
1%
0
0%
0
0%
Jefferson
Voluntary
Lewis
Voluntary
TOTALS:
2,142
0
262
0
2,404
0
0%
461
0
2,865
0
0%
Livingston
TOTALS:
3,274
2,687
617
445
3,891
3,132
80%
748
493
4,639
3,625
78%
Mandatory
Eff. Apr 2002
Excellus Health Plan
Madison
TOTALS:
Voluntary
NYS Catholic Health Plan
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
TOTALS:
8,328
MVP Health Plan
4,855
61,628
NYS Catholic Health Plan
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
1,196
5,718
0
9,524
1,909
0
11,433
1,864
295
2,159
55%
315
2,474
53%
823
150
973
25%
178
1,151
25%
2
0%
2
0%
2
0%
64,766
89%
2
670
2
MVP Health Plan
Montgomery
0
55,017
0
5,525
0
11,442
9,749
73,070
876
0
6,401
0
14,112
9,673
87,182
2
0%
74,439
85%
57%
37,852
5,161
43,013
59%
6,296
49,309
3,561
2,358
5,919
8%
864
6,783
8%
13,604
2,230
15,834
22%
2,513
18,347
21%
5,714
88%
6,176
83%
5,062
747
652
6,465
987
462
7,452
2,701
296
2,997
46%
307
3,304
44%
2,361
356
2,717
42%
155
2,872
39%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
41,977
48,437
80%
958
7,804
13%
7,642
1,015
8,657
18%
1,017
9,674
16%
HealthPlus
Health Insurance Plan of
Greater New York
2,628
625
3,253
7%
696
3,949
7%
6,821
1,920
8,741
18%
2,348
11,089
18%
NYS Catholic Health Plan
6,051
700
6,751
14%
978
7,729
13%
United Healthcare Plan Of NY
5,823
1,111
6,934
14%
1,258
8,192
14%
18,058
93%
20,685
91%
6,076
31%
731
6,807
30%
31%
Mandatory
Eff Sep 1998
Independent Health Association
4,784
936
5,720
30%
1,241
6,961
NYS Catholic Health Plan
5,077
1,185
6,262
32%
655
6,917
31%
20,644
89%
24,209
85%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
20,681
United Healthcare Plan Of NY
18,337
1,060
2,502
3,415
15%
633
4,048
14%
14,398
62%
2,487
16,885
59%
29,234
363
2,831
12%
88%
626
4,692
12%
1,151
9,995
26%
13,676
36%
3,425
4,066
NYS Catholic Health Plan
8,844
11,848
1,828
4,476
Ontario
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
Orange
Mandatory
TOTALS:
Affinity Health Plan
8,950
Eff. Mar 2007
GHI HMO Select
3,036
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
4,543
33,406
Excellus Health Plan
MVP Health Plan
32,556
28,446
445
Mandatory
Eff. Nov 1998
5,310
3,565
1,499
TOTALS:
United Healthcare Plan Of NY
5,263
2,970
Onondaga
SCHC Total Care
23,183
22,664
12,899
2,468
33,541
2,307
2,627
60,202
TOTALS:
HealthNow/BCBSWNY/Community Blue
5,016
3,296
7,255
Percent
Enrolled
14%
19,368
11,542
Total
Enrolled
85%
3,181
48,660
Total
Eligibles
6,846
3,478
6,160
Eligibles Enrolled
41,182
14,877
6,683
Enrolled
SSI & MA-SSI
789
15,890
35,022
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
6,057
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
4,754
4,172
38,084
567
791
623
6,101
5,043
13%
5,377
88%
445
8,518
3,276
12%
40,365
87%
861
5,553
12%
1,721
11,716
25%
17,101
37%
6,959
46,602
952
1,240
834
7,341
5,995
13%
6,211
85%
73%
4,144
538
4,682
77%
689
5,371
610
85
695
11%
145
840
11%
31,218
87%
33,652
84%
1,123
10,073
28%
1,125
11,198
28%
439
3,475
10%
241
3,716
9%
5,078
670
5,748
16%
652
6,400
16%
10,136
277
10,413
29%
187
10,600
26%
1,366
143
1,509
4%
229
1,738
4%
28,566
3,253
2,652
35,809
4,260
2,434
40,069
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,511
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Otsego
Mandatory
12,101
91%
4,264
88%
34%
172
1,627
33%
194
977
23%
118
1,095
23%
281
1,437
34%
105
1,542
32%
12,504
90%
14,255
89%
783
1,156
10,814
1,779
1,690
13,880
2,191
395
1,751
4,863
Percent
Enrolled
1,455
235
597
Total
Enrolled
3,869
1,220
4,266
Total
Eligibles
16,071
13
173
1%
32
205
1%
405
3,370
24%
411
3,781
24%
SCHC Total Care
5,499
1,023
6,522
47%
969
7,491
47%
United Healthcare Plan Of NY
2,190
249
2,439
18%
339
2,778
17%
4,476
3,707
3,111
83%
70%
5,434
3,920
3,273
72%
60%
596
4%
647
12%
2,195
1,899
87%
2,835
2,052
72%
TOTALS:
Excellus Health Plan
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
3,874
3,204
2,719
1,839
1,586
TOTALS:
Capital District Physicians
Health Plan
503
392
356
313
111
NYS Catholic Health Plan
Wellcare Of New York
51
130
6%
20
150
5%
1,757
80%
133
1,890
67%
10,033
0
1,960
1,840
13,240
12
1%
11,873
90%
0
2,471
1,575
15,711
12
0%
13,448
86%
61%
7,214
1,170
8,384
63%
1,174
9,558
223
92
315
2%
18
333
2%
1,991
443
2,434
18%
228
2,662
17%
740
6%
36,105
97%
710
3,145
8%
291
2,312
6%
4,642
627
5,269
22,328
1,110
1,731
210
Mandatory
Affinity Health Plan
2,435
Eff. Mar 2001
GHI HMO Select
2,021
Hudson Health Plan
9,729
153
22
TOTALS:
Wellcare Of New York
640
291
Rockland
NYS Catholic Health Plan
213
162
108
605
34,117
958
1,466
12
11,280
GHI HMO Select
TOTALS:
602
485
NYS Catholic Health Plan
St Lawrence
Voluntary
710
Eligibles Enrolled
160
TOTALS:
Eff. Oct 1997
755
Enrolled
SSI & MA-SSI
2,965
Putnam
Mandatory
3,159
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
NYS Catholic Health Plan
Eff. May 2007 NYS Catholic Health Plan
Rensselaer
Enrolled
SNA HR & MA-HR
33,157
0
135
3,171
1,450
2,948
0
37,288
11,179
155
895
6%
37,927
95%
458
3,603
9%
156
2,468
6%
14%
403
5,672
14%
23,438
63%
636
24,074
60%
1,941
5%
169
2,110
5%
0
0%
0
0%
2,731
2,686
1,822
0
40,019
13,865
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
7,616
Enrolled
6,720
SNA HR & MA-HR
Eligibles
1,124
Enrolled
1,095
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
8,740
7,815
89%
875
6,501
25%
247
2,436
23%
9,482
84%
10,952
75%
1,027
5,917
40%
65
1,245
9%
378
3,790
26%
340
12%
4,359
531
4,890
43%
1,038
142
1,180
10%
NYS Catholic Health Plan
3,045
367
3,412
30%
321
13%
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
Voluntary
1,449
Excellus Health Plan
TOTALS:
Southern Tier Pediatrics
(Partial)
TOTALS:
Mandatory
Affinity Health Plan
63,411
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
257
1,199
323
6,952
1,040
64
11,345
2,449
3,292
418
1,470
19
14,637
2,867
243
58
301
12%
19
320
11%
14
6
20
1%
0
20
1%
149
9%
149
9%
2,178
88%
2,178
88%
1,540
18%
109
260
1,924
1,335
40
1,709
40
261
1,924
7,579
Southern Tier Priority (Partial)
Suffolk
8,442
109
2,215
61%
64%
GHI HMO Select
Schuyler
84%
2,189
Mandatory
NYS Catholic Health Plan
8,937
5,626
Eff. Apr 2007
Voluntary
10,616
Percent
Enrolled
293
TOTALS:
Capital District Physicians
Health Plan
2,126
1,122
Total
Enrolled
802
Schenectady
TOTALS:
Capital District Physicians
Health Plan
1,876
Total
Eligibles
1,896
NYS Catholic Health Plan
Schoharie
Eligibles Enrolled
4,824
Eff. Oct 1997
10,146
SSI & MA-SSI
254
2,476
254
1,035
205
8,614
297
18
2,006
167
8%
167
8%
2,956
2,508
85%
2,508
85%
10,885
2,043
19%
18
480
330
330
2,271
503
244
0
244
3%
29
273
3%
1,091
205
1,296
15%
474
1,770
16%
56,185
65,987
89%
75,018
85%
7,374
11,140
9,802
921
74,551
8,295
11%
13,818
9,031
1,037
88,369
9,332
11%
9,858
1,339
11,197
15%
1,212
12,409
14%
11,174
3,252
14,426
19%
2,444
16,870
19%
11,130
1,286
12,416
17%
1,691
14,107
16%
6,811
1,038
7,849
11%
1,070
8,919
10%
0
0
0
0%
1
1
0%
9,838
1,966
11,804
16%
1,576
13,380
15%
7,450
80%
5,977
6,652
85%
475
872
675
91
7,824
566
7%
1,473
798
74
9,297
640
7%
5,050
534
5,584
71%
678
6,262
67%
452
50
502
6%
46
548
6%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
Tioga
3,968
362
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,234
2,419
Voluntary
NYS Catholic Health Plan
SNA HR & MA-HR
Eligibles
493
74
979
345
362
SCHC Total Care
10,387
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,461
436
436
10%
6,213
2,764
44%
74
10%
SSI & MA-SSI
Eligibles Enrolled
818
7
1,104
388
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,279
443
443
8%
7,317
3,152
43%
7
8%
130
40
170
1%
18
188
3%
2,289
305
2,594
42%
370
2,964
41%
11,694
78%
Ulster
TOTALS:
10,434
84%
Mandatory
GHI HMO Select
1,025
241
1,266
10%
111
1,377
9%
Eff Mar 2007
Hudson Health Plan
2,233
391
2,624
21%
284
2,908
19%
MVP Health Plan
2,726
675
3,401
28%
381
3,782
25%
450
144
594
5%
71
665
4%
2,349
200
2,549
21%
413
2,962
20%
1,187
28%
1,287
25%
1,187
28%
3,892
83%
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
3,733
8,783
1,070
1,976
517
1,070
4,232
5,638
NYS Catholic Health Plan
51,128
3,495
1,651
117
12,363
4,250
117
454
397
4,686
2,555
993
1,260
100
14,918
5,243
100
1,050
417
5,736
1,287
25%
4,309
75%
1,295
171
1,466
31%
195
1,661
29%
2,200
226
2,426
52%
222
2,648
46%
2,878
46%
3,242
42%
2,635
2,637
241
2,876
46%
364
3,240
42%
2
0
2
0%
0
2
0%
53,586
88%
59,948
85%
7,655
1,667
9,322
15%
1,165
10,487
15%
GHI HMO Select
Health Insurance Plan of
Greater New York
1,026
435
1,461
2%
237
1,698
2%
Upstate Total
6,362
7,724
Affinity Health Plan
Yates
Mandatory
Eff. Feb 2007
10,093
364
Eff. Oct 1999
Wyoming
Voluntary
60,787
1,473
Mandatory
NYS Catholic Health Plan 1199
8,564
6,251
TOTALS:
NYS Catholic Health Plan
9,659
241
Westchester
Hudson Health Plan
45,022
613
70,880
3,647
1,347
4,994
8%
1,075
6,069
9%
26,052
3,665
29,717
49%
2,957
32,674
46%
6,642
1,449
8,091
13%
928
9,019
13%
0
1
1
0%
0
1
0%
TOTALS:
2,210
0
298
0
2,508
0
0%
469
0
2,977
0
0%
TOTALS:
1,806
1,711
230
213
2,036
1,924
94%
313
220
2,349
2,144
91%
1,924
94%
2,144
91%
646,108
79%
736,498
75%
Excellus Health Plan
1,711
706,384
555,413
213
114,240
90,695
820,624
220
155,872
90,390
976,496
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
GHI HMO Select
SNA HR & MA-HR
Enrolled Eligibles
83,336
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
35,150
118,486
7%
14,732
133,218
7%
50,671
24,184
74,855
4%
4,908
79,763
4%
7,695
4,478
12,173
1%
1,906
14,079
1%
Fully
HealthFirst PHSP
212,351
67,839
280,190
16%
36,245
316,435
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
155,389
48,848
204,237
11%
16,290
220,527
11%
118,895
45,596
164,491
9%
21,497
185,988
9%
MetroPlus Health Plan
221,764
56,999
278,763
16%
27,643
306,406
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
846
1,074
1,920
0%
1,184
3,104
0%
112,761
31,742
144,503
8%
17,674
162,177
8%
212
574
786
0%
572
1,358
0%
100,548
41,842
142,390
8%
16,600
158,990
8%
1,779
346
2,125
0%
63
2,188
0%
93,761
38,529
132,290
7%
13,039
145,329
7%
105
738
843
0%
568
1,411
0%
34,496
21,235
55,731
3%
5,377
61,108
3%
1,333,193
1,194,609
460,006
419,174
1,793,199
1,613,783
90%
243,839
178,298
2,037,038
1,792,081
88%
706,384
555,413
114,240
90,695
820,624
646,108
79%
155,872
90,390
976,496
736,498
75%
NEW YORK CITY TOTALS:
1,333,193
1,194,609
460,006
419,174
1,793,199
1,613,783
90%
243,839
178,298
2,037,038
1,792,081
88%
GRAND TOTALS:
2,039,577
1,750,022
574,246
509,869
2,613,823
2,259,891
86%
399,711
268,688
3,013,534
2,528,579
84%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled 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
335,364
292,401
90,488
73,952
425,852
366,354
86%
67,425
50,744
493,277
417,097
85%
Brooklyn
477,282
429,582
173,408
155,834
650,690
585,416
90%
79,160
57,263
729,850
642,679
88%
Manhattan
176,136
140,559
71,857
59,931
247,993
200,490
81%
45,302
30,357
293,295
230,847
79%
Queens
304,040
293,690
110,539
115,760
414,579
409,450
99%
43,155
33,212
457,734
442,662
97%
40,371
38,377
13,714
13,697
54,085
52,074
96%
8,797
6,722
62,882
58,795
94%
1,333,193
1,194,609
460,006
419,174
1,793,199
1,613,783
90%
243,839
178,298
2,037,038
1,792,081
88%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon May, 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 : NYS Catholic Health Plan - Genesee, Madison, Putnam, & Wayne Counties
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
2,053
492
2,545
949
210
1,159
160
39
199
NYS Catholic Health Plan
726
184
910
Wellcare Of New York
218
59
277
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
535
73
608
247
40
287
288
33
321
2,103
325
2,428
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
TOTALS:
Capital District Physicians
Health Plan
Excellus Health Plan
81
11
92
1,606
254
1,860
GHI HMO Select
129
18
147
NYS Catholic Health Plan
287
42
329
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
953
165
1,118
172
31
203
445
70
515
Univera Community Health Inc
336
64
400
TOTALS:
651
102
753
NYS Catholic Health Plan
175
31
206
United Healthcare Plan Of NY
476
71
547
1,406
281
1,687
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
Chemung
Chenango
Clinton
237
46
283
1,099
210
1,309
70
25
95
TOTALS:
921
183
1,104
Excellus Health Plan
665
128
793
GHI
256
55
311
TOTALS:
620
84
704
GHI
620
84
704
TOTALS:
884
179
1,063
Excellus Health Plan
22
4
26
NYS Catholic Health Plan
862
175
1,037
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
482
82
564
113
24
137
88
12
100
NYS Catholic Health Plan
281
46
327
TOTALS:
685
93
778
NYS Catholic Health Plan
583
75
658
SCHC Total Care
102
18
120
Delaware
TOTALS:
459
52
511
Dutchess
TOTALS:
Columbia
Cortland
GHI HMO Select
459
52
511
1,622
251
1,873
GHI HMO Select
191
20
211
Hudson Health Plan
408
80
488
MVP Health Plan
619
86
705
NYS Catholic Health Plan
138
22
160
Wellcare Of New York
266
43
309
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Erie
TOTALS:
8,664
1,794
10,458
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,377
998
5,375
1,469
221
1,690
1,058
288
1,346
NYS Catholic Health Plan
1,760
287
2,047
453
72
525
8
1
9
NYS Catholic Health Plan
445
71
516
TOTALS:
522
78
600
2
1
3
GHI
520
77
597
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
770
147
917
164
41
205
606
106
712
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
599
99
698
486
69
555
109
30
139
NYS Catholic Health Plan
4
0
4
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
473
65
538
141
12
153
154
32
186
NYS Catholic Health Plan
178
21
199
TOTALS:
35
6
41
NYS Catholic Health Plan
35
6
41
TOTALS:
962
144
1,106
Excellus Health Plan
118
9
127
NYS Catholic Health Plan
829
135
964
15
0
15
TOTALS:
1,324
178
1,502
GHI
Essex
TOTALS:
Excellus Health Plan
Franklin
Excellus Health Plan
Fulton
Genesee
Greene
Hamilton
Herkimer
United Healthcare Plan Of NY
Jefferson
Lewis
Livingston
1,324
178
1,502
TOTALS:
323
25
348
GHI
323
25
348
TOTALS:
497
63
560
Excellus Health Plan
423
47
470
74
16
90
TOTALS:
748
81
829
Excellus Health Plan
224
20
244
0
1
1
524
60
584
TOTALS:
6,319
1,069
7,388
Excellus Health Plan
4,787
691
5,478
NYS Catholic Health Plan
1,046
296
1,342
MVP Health Plan
486
82
568
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
777
128
905
303
32
335
10
1
11
NYS Catholic Health Plan
464
95
559
TOTALS:
7,329
1,567
8,896
Affinity Health Plan
1,366
277
1,643
HealthFirst PHSP
1,602
255
1,857
505
157
662
1,469
453
1,922
1,155
181
1,336
1
0
1
1,231
244
1,475
MVP Health Plan
Madison
NYS Catholic Health Plan
United Healthcare Plan Of NY
Monroe
Montgomery
Nassau
HealthPlus
Health Insurance Plan of
Greater New York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,119
411
2,530
917
168
1,085
1,202
243
1,445
TOTALS:
2,977
419
3,396
Oneida
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Orleans
Oswego
Putnam
Rensselaer
76
662
661
4,424
71
442
217
1,620
SCHC Total Care
1,374
1,130
244
United Healthcare Plan Of NY
859
129
988
TOTALS:
783
150
933
Excellus Health Plan
729
147
876
54
3
57
TOTALS:
3,021
436
3,457
Affinity Health Plan
1,210
191
1,401
GHI HMO Select
547
66
613
Hudson Health Plan
653
95
748
NYS Catholic Health Plan
438
63
501
Wellcare Of New York
173
21
194
TOTALS:
574
65
639
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
140
19
159
109
20
129
325
26
351
1,864
303
2,167
TOTALS:
17
5
22
NYS Catholic Health Plan
529
67
596
SCHC Total Care
952
175
1,127
United Healthcare Plan Of NY
366
56
422
TOTALS:
689
78
767
Excellus Health Plan
283
32
315
GHI HMO Select
182
18
200
NYS Catholic Health Plan
224
28
252
TOTALS:
372
71
443
GHI HMO Select
428
359
69
NYS Catholic Health Plan
13
2
15
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
1,173
238
1,411
514
103
617
113
19
132
NYS Catholic Health Plan
465
95
560
81
21
102
3,620
422
4,042
Affinity Health Plan
450
82
532
GHI HMO Select
251
36
287
Hudson Health Plan
771
96
867
1,979
193
2,172
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
586
3,763
371
Wellcare Of New York
Rockland
416
2,318
1,403
Excellus Health Plan
Otsego
61
282
NYS Catholic Health Plan
MVP Health Plan
Orange
355
2,036
TOTALS:
Excellus Health Plan
GHI
169
15
184
1,142
159
1,301
21
0
21
1,121
159
1,280
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
1,557
191
1,748
495
71
566
81
4
85
NYS Catholic Health Plan
981
116
1,097
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
1,153
197
1,350
366
55
421
140
30
170
NYS Catholic Health Plan
647
112
759
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
322
56
378
230
35
265
92
21
113
TOTALS:
240
44
284
Excellus Health Plan
161
25
186
79
19
98
38
408
Schenectady
Schoharie
Schuyler
GHI
Seneca
TOTALS:
370
Excellus Health Plan
370
38
408
Steuben
TOTALS:
943
111
1,054
Suffolk
TOTALS:
GHI
Sullivan
943
111
1,054
11,571
2,201
13,772
Affinity Health Plan
1,849
325
2,174
HealthFirst PHSP
Health Insurance Plan of
Greater New York
Neighborhood Health Providers
2,254
433
2,687
2,295
622
2,917
770
130
900
NYS Catholic Health Plan
1,628
259
1,887
United Healthcare Plan Of NY
2,775
432
3,207
TOTALS:
1,007
120
1,127
GHI HMO Select
96
22
118
849
88
937
NYS Catholic Health Plan
62
10
72
TOTALS:
Capital District Physicians
Health Plan
TOTALS:
436
102
538
436
102
538
570
91
661
SCHC Total Care
265
41
306
GHI
255
43
298
50
7
57
1,721
375
2,096
GHI HMO Select
218
47
265
Hudson Health Plan
415
84
499
MVP Health Plan
597
138
735
NYS Catholic Health Plan
121
35
156
Wellcare Of New York
370
71
441
TOTALS:
654
75
729
65
7
72
NYS Catholic Health Plan
589
68
657
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
638
59
697
132
14
146
29
1
30
NYS Catholic Health Plan
477
44
521
Hudson Health Plan
Tioga
Tompkins
NYS Catholic Health Plan
Ulster
Warren
TOTALS:
GHI HMO Select
Washington
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
731
75
806
Excellus Health Plan
719
73
792
12
2
14
TOTALS:
6,343
1,259
7,602
Affinity Health Plan
1,154
269
1,423
214
49
263
NYS Catholic Health Plan
Westchester
GHI HMO Select
Health Insurance Plan of
Greater New York
Hudson Health Plan
648
143
791
3,290
572
3,862
NYS Catholic Health Plan
1,037
226
1,263
0
0
0
364
40
404
NYS Catholic Health Plan 1199
Wyoming
Yates
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
Excellus Health Plan
404
407
361
46
407
16,371
110,618
Affinity Health Plan
13,718
8,785
22,503
Amerigroup
12,495
6,557
19,052
1,259
705
1,964
HealthFirst PHSP
Health Insurance Plan of
Greater New York
HealthPlus
27,290
14,775
42,065
20,216
9,005
29,221
25,250
9,360
34,610
MetroPlus Health Plan
25,448
9,889
35,337
Neighborhood Health Providers
15,209
5,566
20,775
NYS Catholic Health Plan
17,283
8,794
26,077
1,881
121
2,002
17,711
7,060
24,771
GHI HMO Select
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
County
40
46
94,247
Upstate Total
NYC
364
361
7,582
5,699
13,281
185,342
86,316
271,658
110,618
94,247
16,371
NEW YORK CITY TOTALS:
185,342
86,316
271,658
GRAND TOTALS
279,589
102,687
382,276
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
29,885
11,107
40,992
Brooklyn
64,061
29,036
93,097
Manhattan
19,060
13,626
32,686
Queens
64,944
29,851
94,795
7,392
2,696
10,088
185,342
86,316
271,658
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 : NYS Catholic Health Plan - Genesee,
Madison, Putnam, & Wayne Counties
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS JULY, 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
4
NASSAU
2,166
NEW YORK
51
SUFFOLK
169
WESTCHESTER
2,390
Total
1
ALBANY
105
SCHENECTADY
1
SCHOHARIE
107
Total
MONROE
229
Total
229
1
CHAUTAUQUA
320
ONONDAGA
321
Total
CATTARAUGUS
20
Total
20
3,067
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:
547
547
1,214
16
1,230
108
34
142
471
5,617
266
6,354
754
754
3,192
3,192
1,358
1,358
165
106
271
1,584
1,584
44
334
378
139
139
7,103
7,103
318
318
23,370
26,437
(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 JULY, 2009
County
Albany
Allegany
Cattaraugus
Chautauqua
Dutchess
Erie
Fulton
Genesee
Greene
Herkimer
Montgomery
Nassau
Niagara
Oneida
Onondaga
Orange
Orleans
Oswego
Rensselaer
Rockland
Plan Name
TOTAL
Fidelis
HealthNow
Senior Whole Health
TOTAL
HealthNow
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
HealthNow
TOTAL
Fidelis
TOTAL
Fidelis
HealthNow
Senior Whole Health
TOTAL
GHI
Total
Enrolled
285
4
1
280
1
1
2
2
4
4
13
1
12
129
129
1
1
1
1
7
4
3
3
3
1
1
173
18
125
30
10
10
18
18
6
3
3
7
7
1
1
3
3
99
11
4
84
42
42
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JULY, 2009
County
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Wyoming
Plan Name
TOTAL
HealthNow
Senior Whole Health
TOTAL
Fidelis
HealthNow
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
Touchstone/Prestige
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
Total
Enrolled
9
5
4
103
13
1
89
62
9
53
142
3
139
5
5
64
46
13
5
2
2
1,193
80
174
794
1,818
581
51
8
193
459
4,158
1,193
4,158
5,351
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 : HealthNow - Allegany, Orleans, &
Schenectady Counties
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS JULY, 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
39
39
42
42
3
3
6
6
51
51
141
154
22
111
287
141
287
428
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