RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital
District
Health Plan
GHI HMO Select
Mandatory
Eff. Oct 1997
Eligibles
18,011
Wellcare Of New York
Eff. Feb 2007
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health
Broome
TOTALS:
Mandatory
Broome MAX
Mandatory
16,285
GHI HMO Select
NYS Catholic Health Plan
Mandatory
Eff. Sep 2001
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
6,335
Univera Community Health
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Mandatory
Eff. Sep 2001
Voluntary
Chenango
Voluntary
TOTALS:
Southern
Tier
Pediatrics
(Partial)
Southern Tier Priority (Partial)
TOTALS:
3,556
Enrolled
3,051
21,567
19,538
91%
SSI & MA-SSI
Eligibles Enrolled
4,189
2,818
Total
Eligibles
25,756
Total
Enrolled
Percent
Enrolled
22,356
87%
59%
11,373
1,975
13,348
62%
1,886
15,234
328
96
424
2%
28
452
2%
3,093
700
3,793
18%
492
4,285
17%
2,994
280
661
1,973
9%
3,527
81%
412
822
451
5,176
2,385
9%
3,978
77%
48%
333
2,178
50%
321
2,499
200
1,349
31%
130
1,479
29%
16,746
88%
19,388
84%
14,281
2,771
2,465
19,056
4,063
2,642
23,119
2,340
178
2,518
13%
700
3,218
14%
441
37
478
3%
96
574
2%
9,446
1,849
11,295
59%
1,489
12,784
55%
508
89
597
3%
82
679
3%
1,546
312
1,858
10%
275
2,133
9%
6,323
87%
7,404
87%
5,480
914
843
7,249
1,271
1,081
8,520
2,374
306
2,680
37%
696
3,376
40%
1,966
288
2,254
31%
259
2,513
29%
330
12,777
11,674
249
910
53
2,860
2,596
330
5,336
4,354
1,149
1,140
8,661
533
1,845
6,502
Univera Community Health
Chemung
16,487
Eligibles
1,693
3,693
Capital
District
Physicians
Eff. May 1998 Health Plan
Excellus Health Plan
Cattaraugus
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
Physicians
NYS Catholic Health Plan
Allegany
SNA HR & MA-HR
1,389
19%
7,412
383
5%
383
5%
15,637
14,270
91%
53
126
1,234
18
2,682
2,253
1,515
18%
8,646
401
5%
401
5%
18,319
16,523
90%
18
2,939
514
3,453
22%
690
4,143
23%
8,458
1,885
10,343
66%
1,457
11,800
64%
277
197
474
3%
106
580
3%
5,236
53%
6,155
51%
4,759
1,182
477
9,843
2,200
919
12,043
3,489
0
3,489
35%
290
3,779
31%
1,270
477
1,747
18%
629
2,376
20%
0
0%
0
0%
0
750
0
6,086
1,148
0
7,234
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Clinton
Voluntary
Plan Name
Eligibles
TOTALS:
6,880
NYS Catholic Health Plan
Columbia
Mandatory
Eff. Oct 1997
TOTALS:
Capital
District
Health Plan
GHI HMO Select
SNA HR & MA-HR
Enrolled
729
3,523
2,831
TOTALS:
Mandatory
NYS Catholic Health Plan
299
8,136
299
570
460
4,093
1,028
13%
1,028
13%
3,291
80%
Eligibles Enrolled
1,735
32
Total
Eligibles
9,871
32
918
538
5,011
Total
Enrolled
Percent
Enrolled
1,060
11%
1,060
11%
3,829
76%
1,798
244
2,042
50%
423
2,465
49%
155
34
189
5%
26
215
4%
878
4,671
Eff. May 2007 SCHC Total Care
Delaware
TOTALS:
Voluntary
4,004
662
5,390
1,060
26%
4,666
87%
89
736
514
6,126
1,149
23%
5,180
85%
487
3,454
64%
361
3,815
62%
1,037
175
1,212
22%
153
1,365
22%
3,645
0
670
0
4,315
0
0%
697
0
5,012
0
0%
11,941
10,187
2,024
1,670
13,965
11,857
85%
2,991
1,375
16,956
13,232
78%
206
1,236
9%
118
1,354
8%
3,243
500
3,743
27%
443
4,186
25%
3,286
623
3,909
28%
453
4,362
26%
TOTALS:
Mandatory
GHI HMO Select
1,030
Eff. Apr 2007
Hudson Health Plan
MVP Health Plan
NYS Catholic Health Plan
Wellcare Of New York
TOTALS:
HealthNow/BCBSWNY/Community Blue
182
719
2,967
Dutchess
Eff. May 1998
Enrolled
SSI & MA-SSI
Physicians
Cortland
Mandatory
1,256
729
NYS Catholic Health Plan
Erie
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
73,610
Independent Health Association
696
180
876
6%
96
972
6%
1,932
161
2,093
15%
265
2,358
14%
76,769
87%
90,141
85%
64,324
14,465
12,445
88,075
17,550
13,372
105,625
11,342
1,622
12,964
15%
1,788
14,752
14%
17,077
2,401
19,478
22%
3,823
23,301
22%
NYS Catholic Health Plan
16,106
1,878
17,984
20%
2,548
20,532
19%
Univera Community Health
19,351
5,040
24,391
28%
2,260
26,651
25%
63,876
10,941
74,817
85%
10,419
85,236
81%
448
1,504
1,952
2%
2,953
4,905
5%
448
1,504
1,952
2%
2,953
4,905
5%
728
25%
737
21%
728
25%
737
21%
0
0%
0
0%
Total Full Risk
PCMP II-A Special
(Partial)
Care
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
2,419
544
464
544
4,068
0
184
2,883
184
689
0
4,757
614
9
3,497
9
1,130
0
5,887
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Plan Name
Fulton
TOTALS:
Capital
District
Physicians
Health Plan
NYS Catholic Health Plan
5,906
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
3,633
Mandatory
Eff. Mar 2007
Genesee
Mandatory
Eff. Jan 2004
Eligibles
NYS Catholic Health Plan
Greene
Mandatory
Eff. Oct 1997
TOTALS:
Capital
District
Health Plan
GHI HMO Select
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
228
5,578
United Healthcare Plan Of NY
TOTALS:
TOTALS:
Livingston
TOTALS:
Mandatory
Excellus Health Plan
Eff. Apr 2002
MVP Health Plan
Madison
TOTALS:
Voluntary
NYS Catholic Health Plan
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
Enrolled
846
6,860
6,015
88%
SSI & MA-SSI
Eligibles Enrolled
1,229
499
Total
Eligibles
8,089
Total
Enrolled
Percent
Enrolled
6,514
81%
19%
1,215
193
1,408
21%
122
1,530
3,954
653
4,607
67%
377
4,984
62%
3,777
90%
4,237
88%
3,300
561
508
4,194
612
429
4,806
1,876
300
2,176
52%
162
2,338
49%
1,398
203
1,601
38%
264
1,865
39%
2,879
5
689
596
4,058
31
1%
3,475
86%
1,575
39%
3
885
591
4,943
34
1%
4,066
82%
1,950
39%
170
683
180
863
21%
89
952
19%
791
246
1,037
26%
127
1,164
24%
58
20%
60
18%
43
56
4,947
15
284
15
995
896
375
42
58
6,573
2
326
2
5,843
89%
1,043
574
7,616
60
18%
6,417
84%
741
93
834
13%
154
988
13%
4,158
794
4,952
75%
414
5,366
70%
48
9
57
1%
6
63
1%
0
1,198
0
9,565
0
0%
1,909
0
11,474
0
0%
2,131
0
262
0
2,393
0
0%
465
0
2,858
0
0%
3,324
2,788
615
462
3,939
759
508
4,698
4,959
3,250
83%
3,758
80%
1,932
304
2,236
57%
327
2,563
55%
856
158
1,014
26%
181
1,195
25%
17
0%
18
0%
17
0%
65,290
88%
16
682
16
62,333
NYS Catholic Health Plan
TOTALS:
Capital
District
Physicians
Health Plan
NYS Catholic Health Plan
1,405
8,367
MVP Health Plan
Eff. Apr 2007
954
43
Eff. May 2003 NYS Catholic Health Plan
Mandatory
5,169
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
Physicians
Hamilton
Montgomery
Enrolled
26
3,369
NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
5,794
55,431
1
5,641
1
11,676
9,859
74,009
876
1
6,517
1
14,248
9,731
88,257
18
0%
75,021
85%
56%
38,095
5,208
43,303
59%
6,346
49,649
3,716
2,446
6,162
8%
861
7,023
8%
13,620
2,205
15,825
21%
2,524
18,349
21%
5,814
89%
6,289
84%
5,122
754
692
6,548
981
475
7,529
2,725
300
3,025
46%
305
3,330
44%
2,397
392
2,789
43%
170
2,959
39%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
43,381
Eff. June 2001 HealthFirst PHSP
HealthPlus
Health Insurance Plan
Greater New York
NYS Catholic Health Plan
Mandatory
Eff Sep 1998
TOTALS:
HealthNow/BCBSWNY/Community Blue
Oneida
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
Enrolled
6,636
50,861
42,167
83%
SSI & MA-SSI
Eligibles Enrolled
11,486
7,244
Total
Eligibles
62,347
Total
Enrolled
Percent
Enrolled
49,411
79%
6,108
860
6,968
14%
955
7,923
13%
7,748
1,121
8,869
17%
1,032
9,901
16%
2,714
674
3,388
7%
700
4,088
7%
6,883
2,005
8,888
17%
2,309
11,197
18%
6,148
762
6,910
14%
985
7,895
13%
7,144
14%
18,282
93%
1,094
6,178
31%
4,808
963
5,771
5,123
1,210
6,333
15,015
1,214
3,588
5,084
NYS Catholic Health Plan
Mandatory
7,480
5,930
16,137
Independent Health Association
TOTALS:
35,531
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
of
United Healthcare Plan Of NY
Niagara
Enrolled
SNA HR & MA-HR
21,080
United Healthcare Plan Of NY
18,713
2,657
3,267
2,421
19,725
23,737
1,263
8,407
13%
20,924
91%
729
6,907
30%
29%
1,239
7,010
30%
32%
674
7,007
30%
24,799
85%
3,314
5,311
2,642
3,665
23,039
21,134
89%
3,057
471
3,528
15%
665
29,048
4,193
14%
13,171
1,588
14,759
62%
2,551
17,310
60%
2,485
362
2,847
12%
449
3,296
11%
41,184
86%
Onondaga
TOTALS:
34,209
86%
Mandatory
Eff. Nov 1998
Excellus Health Plan
4,190
637
4,827
12%
862
5,689
12%
NYS Catholic Health Plan
9,103
1,213
10,316
26%
1,732
12,048
25%
12,133
1,904
14,037
35%
3,429
17,466
36%
34,638
SCHC Total Care
United Healthcare Plan Of NY
29,870
4,444
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
Mandatory
Affinity Health Plan
8,933
Eff. Mar 2007
GHI HMO Select
3,026
Hudson Health Plan
5,049
NYS Catholic Health Plan
Wellcare Of New York
4,922
5,353
4,821
39,560
585
785
4,200
626
6,138
535
621
33,033
4,339
13%
89%
4,735
77%
712
12%
31,320
86%
1,172
10,105
28%
419
3,445
9%
687
5,736
16%
10,253
296
10,549
1,341
144
1,485
28,602
91
5,029
5,447
3,416
2,718
36,449
8,585
6,975
48,145
952
1,256
844
7,394
700
144
5,981
12%
6,291
85%
5,435
74%
856
12%
33,818
83%
1,145
11,250
28%
252
3,697
9%
670
6,406
16%
29%
196
10,745
26%
4%
235
1,720
4%
4,269
2,498
40,718
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,539
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
NYS Catholic Health Plan
Mandatory
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
12,165
781
Enrolled
722
4,250
86%
34%
173
1,642
33%
193
971
22%
116
1,087
22%
285
1,422
33%
99
1,521
31%
14,222
88%
778
89%
169
1%
35
204
1%
NYS Catholic Health Plan
2,989
410
3,399
24%
409
3,808
24%
SCHC Total Care
5,508
1,020
6,528
47%
984
7,512
46%
Mandatory
Excellus Health Plan
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
3,225
11,361
1,606
14,014
517
4,583
399
530
1,887
1,693
251
620
2,695
NYS Catholic Health Plan
TOTALS:
Capital
District
Health Plan
GHI HMO Select
1,849
2,108
3,963
Eff. May 2007 NYS Catholic Health Plan
Putnam
10,762
118
376
318
2,263
2,359
17%
3,742
82%
3,094
68%
648
5%
1,924
85%
2,173
1,767
4,917
Percent
Enrolled
89%
1,137
388
Total
Enrolled
1,469
244
597
Total
Eligibles
3,862
1,225
4,320
Eligibles Enrolled
12,455
TOTALS:
Eff. Oct 1997
3,140
Eligibles
SSI & MA-SSI
12
Otsego
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
157
United Healthcare Plan Of NY
Rensselaer
SNA HR & MA-HR
16,187
339
973
238
5,556
176
62
642
170
2,905
2,698
17%
3,980
72%
3,270
59%
710
13%
2,094
72%
98
24
122
5%
19
141
5%
1,469
287
1,756
78%
138
1,894
65%
39
7
46
2%
13
59
2%
11,875
89%
13,506
85%
8,389
63%
9,588
60%
9,989
2,023
1,886
13,384
2,507
1,631
15,891
Physicians
7,192
NYS Catholic Health Plan
Wellcare Of New York
1,197
1,199
228
99
327
2%
18
345
2%
1,972
454
2,426
18%
249
2,675
17%
597
136
733
5%
165
898
6%
Rockland
TOTALS:
36,523
96%
38,369
94%
Mandatory
Affinity Health Plan
2,449
728
3,177
8%
464
3,641
9%
Eff. Mar 2001
GHI HMO Select
2,094
294
2,388
6%
155
2,543
6%
Hudson Health Plan
4,680
630
5,310
14%
411
5,721
14%
22,521
1,156
23,677
62%
643
24,320
60%
1,758
213
1,971
5%
173
2,144
5%
0
0%
0
0%
34,665
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Voluntary
TOTALS:
9,711
33,502
0
3,294
1,481
3,021
0
37,959
11,192
2,726
2,690
1,846
0
40,685
13,882
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital
District
Physicians
Health Plan
NYS Catholic Health Plan
Mandatory
Eff. Oct 1997
Schenectady
Mandatory
Eff. Apr 2007
TOTALS:
Capital
District
Health Plan
GHI HMO Select
Eligibles
7,736
10,381
Voluntary
Schuyler
TOTALS:
Capital
District
Physicians
Health Plan
NYS Catholic Health Plan
2,138
TOTALS:
1,466
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern
Tier
Pediatrics
(Partial)
Southern Tier Priority (Partial)
Voluntary
Enrolled
6,877
Eligibles
1,197
Enrolled
1,115
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
8,933
7,992
89%
SSI & MA-SSI
Eligibles Enrolled
1,878
1,156
Total
Eligibles
10,811
Total
Enrolled
Percent
Enrolled
9,148
85%
62%
4,934
816
5,750
64%
899
6,649
1,943
299
2,242
25%
257
2,499
23%
9,627
83%
11,127
74%
40%
8,557
1,283
1,070
11,664
3,317
1,500
14,981
Physicians
NYS Catholic Health Plan
Schoharie
SNA HR & MA-HR
4,431
545
4,976
43%
1,046
6,022
1,038
141
1,179
10%
65
1,244
8%
3,088
384
3,472
30%
389
3,861
26%
331
13%
351
12%
305
12%
325
11%
265
327
246
7
265
104
2,322
Excellus Health Plan
1,939
1,355
41
1,731
41
283
1,939
7,657
2,465
59
19
104
66
257
2,605
257
1,080
210
8,737
26
1%
145
8%
145
8%
2,196
84%
2,196
84%
1,565
18%
408
20
2,873
20
0
302
19
2,033
19
494
328
3,099
328
2,272
498
11,009
26
1%
164
8%
164
8%
2,524
81%
2,524
81%
2,063
19%
251
0
251
3%
29
280
3%
1,104
210
1,314
15%
469
1,783
16%
Suffolk
TOTALS:
67,354
88%
76,424
84%
Mandatory
Affinity Health Plan
7,634
975
8,609
11%
1,040
9,649
11%
Eff. June 2001 HealthFirst PHSP
Health Insurance
Greater New York
9,974
1,362
11,336
15%
1,215
12,551
14%
11,364
3,336
14,700
19%
2,449
17,149
19%
11,253
1,306
12,559
16%
1,700
14,259
16%
6,957
1,098
8,055
10%
1,090
9,145
10%
64,997
Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Sullivan
TOTALS:
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
11,722
10,160
76,719
13,933
9,070
90,652
of
Neighborhood Health Providers
Mandatory
57,194
7,050
0
0
0
0%
1
1
0%
10,012
2,083
12,095
16%
1,575
13,670
15%
6,111
6,817
86%
7,625
81%
495
899
706
92
7,949
587
7%
1,492
808
76
9,441
663
7%
5,136
559
5,695
72%
683
6,378
68%
480
55
535
7%
49
584
6%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Plan Name
Tioga
Voluntary
TOTALS:
Capital
District
Health Plan
Tompkins
TOTALS:
Voluntary
Eligibles
SNA HR & MA-HR
Enrolled
4,034
358
5,321
2,436
Enrolled
508
71
1,023
368
4,542
429
9%
429
9%
6,344
2,804
44%
181
1%
SSI & MA-SSI
Eligibles Enrolled
814
7
1,108
404
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,356
436
8%
436
8%
7,452
3,208
43%
201
3%
Physicians
358
NYS Catholic Health Plan
71
133
SCHC Total Care
48
2,303
Ulster
TOTALS:
Mandatory
GHI HMO Select
1,065
Eff Mar 2007
Hudson Health Plan
2,256
MVP Health Plan
2,657
10,641
NYS Catholic Health Plan
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
4,313
Eff. Mar 2007
TOTALS:
Capital
District
Physicians
Health Plan
NYS Catholic Health Plan
Wayne
TOTALS:
5,761
Voluntary
Excellus Health Plan
Mandatory
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
3,764
8,853
320
2,054
20
2,623
41%
10,560
83%
249
1,314
10%
114
1,428
9%
409
2,665
21%
288
2,953
19%
701
3,358
26%
389
3,747
25%
1,707
12,695
384
2,548
1,279
15,243
3,007
40%
11,839
78%
496
147
643
5%
75
718
5%
2,379
201
2,580
20%
413
2,993
20%
1,159
27%
1,266
24%
1,159
27%
3,922
82%
1,042
505
1,042
NYS Catholic Health Plan
7
3,515
117
4,269
117
480
407
4,793
1,013
107
5,282
107
1,037
437
5,830
1,266
24%
4,359
75%
29%
1,292
175
1,467
31%
205
1,672
2,223
232
2,455
51%
232
2,687
46%
2,991
47%
3,356
43%
43%
2,731
630
260
6,391
1,480
365
7,871
2,724
260
2,984
47%
364
3,348
7
0
7
0%
1
8
0%
54,396
87%
60,776
84%
Westchester
TOTALS:
Mandatory
Affinity Health Plan
7,737
1,719
9,456
15%
1,177
10,633
15%
Eff. Oct 1999
GHI HMO Select
1,059
461
1,520
2%
235
1,755
2%
3,671
1,400
5,071
8%
1,076
6,147
8%
26,281
3,808
30,089
48%
2,974
33,063
46%
6,746
1,513
8,259
13%
918
9,177
13%
0
1
1
0%
0
1
0%
Health Insurance
Greater New York
Hudson Health Plan
52,289
Plan
NYS Catholic Health Plan 1199
Yates
Mandatory
Eff. Feb 2007
Upstate Total
TOTALS:
TOTALS:
10,091
8,902
62,380
10,102
6,380
72,482
of
NYS Catholic Health Plan
Wyoming
Voluntary
45,494
2,211
0
306
0
2,517
0
0%
471
0
2,988
0
0%
1,858
1,683
251
220
2,109
1,903
90%
313
225
2,422
2,128
88%
1,903
90%
2,128
88%
655,063
78%
746,406
75%
Excellus Health Plan
1,683
718,831
561,609
220
119,079
93,454
837,910
225
156,540
91,343
994,450
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
NYC
Plan Name
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
HealthFirst PHSP
Implemented:
HealthPlus
Health Insurance Plan
Greater New York
MetroPlus Health Plan
Sept 2002
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
UPSTATE TOTALS:
Enrolled
36,841
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
121,576
7%
14,800
24,886
75,564
4%
Total
Eligibles
4,895
Total
Enrolled
Percent
Enrolled
136,376
7%
80,459
4%
7,804
4,582
12,386
1%
1,919
14,305
1%
214,406
69,986
284,392
16%
36,483
320,875
16%
156,232
49,869
206,101
11%
16,241
222,342
11%
of
MetroPlus Health Plan SN
NYC Total
Enrolled Eligibles
84,735
50,678
GHI HMO Select
Fully
SNA HR & MA-HR
119,084
46,401
165,485
9%
21,378
186,863
9%
223,396
58,612
282,008
15%
27,703
309,711
15%
846
1,065
1,911
0%
1,213
3,124
0%
112,575
32,140
144,715
8%
17,600
162,315
8%
219
604
823
0%
571
1,394
0%
102,117
43,555
145,672
8%
16,720
162,392
8%
1,825
368
2,193
0%
63
2,256
0%
94,629
39,515
134,144
7%
13,093
147,237
7%
109
728
837
0%
562
1,399
0%
34,140
21,347
55,487
3%
5,288
60,775
3%
1,348,239
1,202,795
476,198
430,499
1,824,437
1,633,294
90%
243,954
178,529
2,068,391
1,811,823
88%
718,831
561,609
119,079
93,454
837,910
655,063
78%
156,540
91,343
994,450
746,406
75%
NEW YORK CITY TOTALS:
1,348,239
1,202,795
476,198
430,499
1,824,437
1,633,294
90%
243,954
178,529
2,068,391
1,811,823
88%
GRAND TOTALS:
2,067,070
1,764,404
595,277
523,953
2,662,347
2,288,357
86%
400,494
269,872
3,062,841
2,558,229
84%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Eligibles
Enrolled Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
339,149
294,413
93,674
75,736
432,823
370,148
86%
67,457
50,912
500,280
421,060
84%
Brooklyn
482,668
432,191
179,512
159,794
662,180
591,985
89%
79,198
57,262
741,378
649,247
88%
Manhattan
178,124
141,259
74,386
61,297
252,510
202,557
80%
45,323
30,408
297,833
232,964
78%
Queens
307,471
296,335
114,430
119,640
421,901
415,974
99%
43,175
33,209
465,076
449,183
97%
40,827
38,597
14,196
14,032
55,023
52,629
96%
8,801
6,739
63,824
59,368
93%
1,348,239
1,202,795
476,198
430,499
1,824,437
1,633,294
90%
243,954
178,529
2,068,391
1,811,823
88%
Staten Island
Borough Total
NOTES:
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon June, 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 AUGUST, 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
2,040
483
2,523
942
202
1,144
162
36
198
NYS Catholic Health Plan
725
191
916
Wellcare Of New York
211
54
265
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
543
78
621
268
40
308
275
38
313
2,099
325
2,424
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
80
10
90
1,603
252
1,855
GHI HMO Select
128
21
149
NYS Catholic Health Plan
288
42
330
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
954
164
1,118
174
33
207
439
72
511
Univera Community Health Inc
341
59
400
TOTALS:
668
108
776
NYS Catholic Health Plan
194
38
232
United Healthcare Plan Of NY
474
70
544
1,432
270
1,702
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
236
45
281
1,119
197
1,316
77
28
105
TOTALS:
919
169
1,088
Excellus Health Plan
675
125
800
GHI
244
44
288
Chenango
TOTALS:
650
92
742
GHI
650
92
742
Clinton
TOTALS:
890
183
1,073
Chemung
Excellus Health Plan
21
4
25
NYS Catholic Health Plan
869
179
1,048
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
495
81
576
114
25
139
82
11
93
NYS Catholic Health Plan
299
45
344
TOTALS:
691
94
785
NYS Catholic Health Plan
572
77
649
SCHC Total Care
119
17
136
Delaware
TOTALS:
455
57
512
Dutchess
TOTALS:
Columbia
Cortland
GHI HMO Select
Erie
455
57
512
1,666
249
1,915
GHI HMO Select
195
22
217
Hudson Health Plan
436
81
517
MVP Health Plan
620
84
704
NYS Catholic Health Plan
146
22
168
Wellcare Of New York
269
40
309
TOTALS:
8,645
1,728
10,373
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,319
958
5,277
1,434
197
1,631
1,124
282
1,406
NYS Catholic Health Plan
1,768
291
2,059
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
County
Plan Name
Essex
TOTALS:
Genesee
Hamilton
Herkimer
Lewis
Livingston
9
463
72
535
TOTALS:
518
80
598
2
1
3
GHI
516
79
595
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
777
139
916
176
39
215
601
100
701
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
626
98
724
501
66
567
114
32
146
11
0
11
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
485
63
548
143
12
155
156
29
185
NYS Catholic Health Plan
186
22
208
TOTALS:
41
7
48
NYS Catholic Health Plan
41
7
48
TOTALS:
986
139
1,125
Excellus Health Plan
122
11
133
NYS Catholic Health Plan
850
128
978
14
0
14
TOTALS:
1,330
166
1,496
GHI
1,330
166
1,496
TOTALS:
321
25
346
GHI
321
25
346
TOTALS:
507
73
580
Excellus Health Plan
432
51
483
75
22
97
TOTALS:
749
81
830
Excellus Health Plan
219
21
240
2
1
3
528
59
587
TOTALS:
6,304
1,048
7,352
Excellus Health Plan
4,768
650
5,418
NYS Catholic Health Plan
1,031
311
1,342
MVP Health Plan
505
87
592
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
790
125
915
313
25
338
10
1
11
NYS Catholic Health Plan
467
99
566
TOTALS:
7,507
1,448
8,955
Affinity Health Plan
1,366
263
1,629
HealthFirst PHSP
1,632
239
1,871
535
138
673
1,438
406
1,844
1,244
190
1,434
1
0
1
United Healthcare Plan Of NY
1,291
212
1,503
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,177
418
2,595
945
163
1,108
1,232
255
1,487
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
Niagara
544
NYS Catholic Health Plan
MVP Health Plan
Madison
Total Enrolled
1
United Healthcare Plan Of NY
Jefferson
Enrolled
8
NYS Catholic Health Plan
Greene
Enrolled
73
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
471
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 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
Putnam
3,407
367
65
432
2,041
268
2,309
585
81
666
3,770
653
4,423
68
451
1,641
SCHC Total Care
1,121
247
1,368
United Healthcare Plan Of NY
836
127
963
TOTALS:
790
142
932
Excellus Health Plan
729
138
867
61
4
65
TOTALS:
3,025
435
3,460
Affinity Health Plan
1,191
181
1,372
GHI HMO Select
545
71
616
Hudson Health Plan
657
103
760
NYS Catholic Health Plan
462
64
526
Wellcare Of New York
170
16
186
TOTALS:
579
58
637
Excellus Health Plan
152
19
171
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
108
17
125
319
22
341
1,864
306
2,170
TOTALS:
15
5
20
NYS Catholic Health Plan
536
64
600
SCHC Total Care
939
178
1,117
United Healthcare Plan Of NY
374
59
433
TOTALS:
685
81
766
Excellus Health Plan
261
29
290
GHI HMO Select
177
20
197
NYS Catholic Health Plan
247
32
279
TOTALS:
379
71
450
GHI HMO Select
362
68
430
17
3
20
1,163
231
1,394
509
99
608
122
17
139
449
92
541
83
23
106
3,648
430
4,078
Affinity Health Plan
449
86
535
GHI HMO Select
255
35
290
Hudson Health Plan
779
92
871
1,991
202
2,193
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Wellcare Of New York
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Total Enrolled
414
211
NYS Catholic Health Plan
Rockland
Enrolled
2,993
383
NYS Catholic Health Plan
Rensselaer
Enrolled
1,430
Excellus Health Plan
Otsego
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
MVP Health Plan
Orange
ADULTS
WITH
CHILDREN
TOTALS:
Excellus Health Plan
GHI
174
15
189
1,158
164
1,322
21
0
21
1,137
164
1,301
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Schoharie
Schuyler
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,534
177
1,711
489
59
548
74
3
77
971
115
1,086
1,163
194
1,357
361
49
410
143
28
171
NYS Catholic Health Plan
659
117
776
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
324
53
377
218
31
249
106
22
128
TOTALS:
252
44
296
Excellus Health Plan
167
24
191
85
20
105
44
422
NYS Catholic Health Plan
Schenectady
ADULTS
WITH
CHILDREN
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
GHI
Seneca
TOTALS:
378
Excellus Health Plan
378
44
422
Steuben
TOTALS:
942
129
1,071
GHI
Suffolk
Sullivan
942
129
1,071
11,812
2,190
14,002
Affinity Health Plan
1,857
323
2,180
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,279
426
2,705
2,330
606
2,936
795
133
928
NYS Catholic Health Plan
1,712
276
1,988
TOTALS:
United Healthcare Plan Of NY
2,839
426
3,265
TOTALS:
1,005
121
1,126
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Tioga
Tompkins
Warren
117
87
932
66
11
77
437
100
537
437
100
537
556
85
641
SCHC Total Care
264
38
302
GHI
234
41
275
58
6
64
1,720
356
2,076
GHI HMO Select
219
46
265
Hudson Health Plan
405
85
490
MVP Health Plan
593
124
717
NYS Catholic Health Plan
133
39
172
Wellcare Of New York
370
62
432
TOTALS:
657
75
732
70
8
78
NYS Catholic Health Plan
587
67
654
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
634
58
692
126
16
142
29
1
30
NYS Catholic Health Plan
479
41
520
TOTALS:
GHI HMO Select
Washington
23
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
NYS Catholic Health Plan
Ulster
94
845
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
County
Plan Name
Wayne
TOTALS:
748
73
821
Excellus Health Plan
724
70
794
24
3
27
TOTALS:
6,451
1,243
7,694
Affinity Health Plan
1,188
260
1,448
221
50
271
NYS Catholic Health Plan
Westchester
GHI HMO Select
Health Insurance Plan of Greater
New York
Hudson Health Plan
638
141
779
3,315
559
3,874
NYS Catholic Health Plan
1,089
233
1,322
0
0
0
353
43
396
NYS Catholic Health Plan 1199
Wyoming
Yates
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
Excellus Health Plan
43
396
43
410
367
43
410
16,077
111,200
Affinity Health Plan
13,817
8,384
22,201
Amerigroup
12,348
6,293
18,641
1,276
675
1,951
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
26,960
14,018
40,978
19,919
8,428
28,347
24,996
8,858
33,854
MetroPlus Health Plan
25,361
9,473
34,834
Neighborhood Health Providers
14,959
5,233
20,192
NYS Catholic Health Plan
17,545
8,795
26,340
1,894
124
2,018
17,705
6,731
24,436
GHI HMO Select
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
County
353
367
95,123
Upstate Total
NYC
Total Enrolled
7,282
5,266
12,548
184,062
82,278
266,340
95,123
16,077
111,200
NEW YORK CITY TOTALS:
184,062
82,278
266,340
GRAND TOTALS
279,185
98,355
377,540
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
29,790
10,620
40,410
Brooklyn
63,479
27,657
91,136
Manhattan
18,767
12,894
31,661
Queens
64,604
28,550
93,154
7,422
2,557
9,979
184,062
82,278
266,340
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 AUGUST, 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
7
NASSAU
2,139
NEW YORK
55
SUFFOLK
172
WESTCHESTER
2,373
Total
1
ALBANY
109
SCHENECTADY
0
SCHOHARIE
110
Total
MONROE
234
Total
234
1
CHAUTAUQUA
318
ONONDAGA
319
Total
CATTARAUGUS
21
Total
21
3,057
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
555
555
1,237
17
1,254
107
34
141
470
5,625
266
6,361
748
748
3,236
3,236
1,356
1,356
163
116
279
1,644
1,644
43
339
382
141
141
7,266
7,266
379
379
23,742
Total Statewide Enrollment
26,799
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
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS AUGUST, 2009
County
Albany
Allegany
Cattaraugus
Chautauqua
Dutchess
Erie
Fulton
Genesee
Greene
Herkimer
Montgomery
Nassau
Niagara
Oneida
Onondaga
Orange
Orleans
Oswego
Rensselaer
Rockland
Saratoga
Schenectady
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
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
HealthNow
Senior Whole Health
TOTAL
Fidelis
HealthNow
Senior Whole Health
Total
Enrolled
287
4
1
282
1
1
2
2
4
4
13
1
12
131
131
2
2
1
1
7
3
4
3
3
1
1
176
18
of
127
31
12
12
18
18
23
3
20
7
7
1
1
2
2
99
10
4
85
42
42
12
5
7
109
12
1
96
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS AUGUST, 2009
County
Suffolk
Ulster
Warren
Westchester
Wyoming
Plan Name
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
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
Total
Enrolled
65
10
of
55
138
3
135
5
5
65
46
of
14
5
1
1
1,227
81
190
794
of
1,838
602
50
8
193
430
4,186
1,227
4,186
5,413
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
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS AUGUST, 2009
County
Plan Name
Albany
Total
Senior Whole Health
Rensselaer
Total
Senior Whole Health
Saratoga
Total
Senior Whole Health
Schenectady
Total
Senior Whole Health
Ulster
Total
Senior Whole Health
Upstate Total:
NYC
Guildnet
VNS Choice Plus
WellCare
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
Total Enrolled
43
43
40
40
3
3
6
6
54
54
146
151
21
103
275
146
275
421
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