RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Allegany
Eligibles
18,234
SNA HR & MA-HR
Enrolled
16,608
Eligibles
3,643
Enrolled
3,089
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
21,877
19,697
90%
SSI & MA-SSI
Eligibles Enrolled
4,157
2,953
Total
Eligibles
26,034
Total
Enrolled
Percent
Enrolled
22,650
87%
11,423
1,997
13,420
61%
1,978
15,398
59%
346
100
446
2%
29
475
2%
17%
NYS Catholic Health Plan
3,147
710
3,857
18%
517
4,374
Wellcare Of New York
1,692
282
1,974
9%
429
2,403
9%
3,605
83%
4,059
78%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Mandatory
Broome MAX
Capital District Physicians
Health Plan
2,285
431
39
470
2%
98
568
2%
Excellus Health Plan
9,629
1,877
11,506
59%
1,538
13,044
56%
518
90
608
3%
87
695
3%
1,940
10%
6,407
88%
2,665
37%
Eff. May 1998
3,684
16,534
GHI HMO Select
NYS Catholic Health Plan
Cattaraugus
Mandatory
Eff. Sep 2001
TOTALS:
HealthNow/BCBSWNY/Community Blue
4,344
830
454
5,174
1,869
346
2,215
51%
324
2,539
49%
1,198
192
1,390
32%
130
1,520
29%
16,979
88%
19,697
84%
2,455
13%
3,163
13%
14,470
2,841
5,533
2,509
19,375
170
1,607
6,336
538
333
914
2,356
874
7,250
309
4,076
2,718
23,451
708
287
1,279
1,083
8,529
696
2,227
9%
7,490
88%
3,361
39%
NYS Catholic Health Plan
1,995
298
2,293
32%
262
2,555
30%
1,182
267
1,449
20%
125
1,574
18%
7,456
407
5%
8,701
425
5%
407
5%
425
5%
15,787
14,334
91%
18,449
16,598
90%
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
6,511
350
12,898
11,711
TOTALS:
(Partial)
945
57
2,889
2,623
350
Univera Community Health
Chemung
660
Univera Community Health
Cayuga
Voluntary
3,067
8,843
Southern Tier Priority (Partial)
57
1,245
18
2,662
2,264
18
2,900
502
3,402
22%
685
4,087
22%
8,516
1,921
10,437
66%
1,478
11,915
65%
295
200
495
3%
101
596
3%
6,215
51%
5,303
53%
3,516
4,812
1,224
491
1
10,067
3,517
35%
2,181
912
292
12,248
3,809
31%
1,296
490
1,786
18%
620
2,406
20%
Chenango
Voluntary
TOTALS:
5,344
0
747
0
6,091
0
0%
1,155
0
7,246
0
0%
Clinton
TOTALS:
6,915
785
1,261
304
8,176
1,089
13%
1,738
35
9,914
1,124
11%
Voluntary
NYS Catholic Health Plan
1,089
13%
1,124
11%
785
304
35
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Cortland
TOTALS:
Eligibles
3,546
NYS Catholic Health Plan
SNA HR & MA-HR
Enrolled
2,839
Eligibles
598
505
4,144
3,344
81%
SSI & MA-SSI
Eligibles Enrolled
908
565
Total
Eligibles
5,052
Total
Enrolled
Percent
Enrolled
3,909
77%
1,771
260
2,031
49%
444
2,475
49%
159
40
199
5%
26
225
4%
1,114
27%
4,734
87%
909
4,705
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,058
205
754
676
5,459
95
744
525
6,203
1,209
24%
5,259
85%
Mandatory
NYS Catholic Health Plan
2,991
496
3,487
64%
367
3,854
62%
Eff. May 2007
Delaware
Voluntary
SCHC Total Care
1,067
180
1,247
23%
158
1,405
23%
TOTALS:
3,627
0
684
0
4,311
0
0%
701
0
5,012
0
0%
Dutchess
TOTALS:
12,128
10,311
2,094
1,746
14,222
12,057
85%
3,008
1,435
17,230
13,492
78%
Mandatory
GHI HMO Select
1,043
215
1,258
9%
125
1,383
8%
Eff. Apr 2007
Hudson Health Plan
3,296
507
3,803
27%
454
4,257
25%
MVP Health Plan
3,295
670
3,965
28%
476
4,441
26%
738
186
924
6%
113
1,037
6%
1,939
168
2,107
15%
267
2,374
14%
78,093
88%
91,591
86%
13,026
15%
14,831
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
Eff. May 1998
TOTALS:
HealthNow/BCBSWNY/Community Blue
74,160
65,281
14,738
11,365
12,812
88,898
1,661
17,577
13,498
106,475
1,805
Independent Health Association
17,325
2,496
19,821
22%
3,889
23,710
22%
NYS Catholic Health Plan
16,489
1,977
18,466
21%
2,559
21,025
20%
Univera Community Health
19,665
5,125
24,790
28%
2,309
27,099
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
64,844
11,259
76,103
86%
10,562
86,665
81%
437
1,553
1,990
2%
2,936
4,926
5%
Total Partial Risk
437
1,553
1,990
2%
723
25%
723
25%
2,936
4,926
5%
734
21%
734
21%
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
4,110
0
700
0
4,810
0
0%
1,132
0
5,942
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
5,891
5,118
963
873
6,854
5,991
87%
1,224
517
8,078
6,508
81%
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
2,439
543
466
543
180
2,905
180
605
11
3,510
11
1,187
203
1,390
20%
133
1,523
19%
3,931
670
4,601
67%
384
4,985
62%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Greene
TOTALS:
Capital District Physicians
Health Plan
Eligibles
3,661
NYS Catholic Health Plan
Mandatory
Eff. Oct 1997
Hamilton
Enrolled
3,353
Eligibles
561
503
4,222
3,773
89%
SSI & MA-SSI
Eligibles Enrolled
624
433
Total
Eligibles
4,846
Total
Enrolled
Percent
Enrolled
4,289
89%
1,865
284
2,149
51%
164
2,313
48%
1,418
206
1,624
38%
263
1,887
39%
70
3,397
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
2,897
13
690
1,424
617
4,087
177
83
2%
3,514
86%
1,601
39%
6
896
613
4,983
390
89
2%
4,127
83%
1,991
40%
GHI HMO Select
666
179
845
21%
91
936
19%
NYS Catholic Health Plan
807
261
1,068
26%
132
1,200
24%
282
47
17%
41
2
323
49
15%
49
15%
6,654
5,865
88%
1,053
590
7,707
6,455
84%
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
Eff. May 2003
NYS Catholic Health Plan
231
32
5,635
4,954
51
15
1,019
911
32
United Healthcare Plan Of NY
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
15
47
2
723
94
817
12%
155
972
13%
4,181
806
4,987
75%
429
5,416
70%
50
11
61
1%
6
67
1%
TOTALS:
8,349
0
1,221
0
9,570
0
0%
1,911
0
11,481
0
0%
TOTALS:
2,116
0
265
0
2,381
0
0%
465
0
2,846
0
0%
Livingston
TOTALS:
3,323
2,861
631
496
3,954
756
511
4,710
3,868
82%
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
5,017
62,452
NYS Catholic Health Plan
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
85%
327
2,296
58%
324
2,620
56%
892
169
1,061
27%
187
1,248
26%
54
1%
43
689
43
MVP Health Plan
Montgomery
3,357
1,969
56,000
11,696
5,706
10,132
74,148
50
1%
50
1%
66,132
89%
878
4
6,584
4
14,248
9,807
88,396
54
1%
75,939
86%
38,537
5,376
43,913
59%
6,414
50,327
57%
3,802
2,548
6,350
9%
855
7,205
8%
15,869
21%
5,872
89%
13,661
5,823
7
7
5,164
2,208
808
708
6,631
2,538
998
489
7,629
18,407
21%
6,361
83%
2,719
299
3,018
46%
309
3,327
44%
2,445
409
2,854
43%
180
3,034
40%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
43,675
Eff. June 2001 HealthFirst PHSP
Enrolled
36,036
Eligibles
7,991
Enrolled
7,138
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
51,666
SSI & MA-SSI
Eligibles Enrolled
11,565
7,403
Total
Eligibles
63,231
Total
Enrolled
Percent
Enrolled
43,174
84%
50,577
80%
6,194
939
7,133
14%
969
8,102
13%
7,806
1,205
9,011
17%
1,059
10,070
16%
3,490
7%
711
4,201
7%
HealthPlus
Health Insurance Plan of
Greater New York
2,774
716
6,930
2,118
9,048
18%
2,366
11,414
18%
NYS Catholic Health Plan
6,232
825
7,057
14%
1,009
8,066
13%
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Niagara
SNA HR & MA-HR
0
1
1
0%
0
1
0%
6,100
1,334
7,434
14%
1,289
8,723
14%
18,472
93%
21,142
91%
6,226
31%
740
6,966
30%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff Sep 1998
Independent Health Association
4,838
961
5,799
29%
1,248
7,047
30%
NYS Catholic Health Plan
5,194
1,253
6,447
32%
682
7,129
31%
21,478
89%
25,247
86%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
16,296
15,150
3,643
5,118
21,332
United Healthcare Plan Of NY
34,962
19,005
3,322
19,939
1,108
2,749
2,473
24,081
3,330
5,323
2,670
3,769
23,269
29,404
3,113
485
3,598
15%
685
4,283
15%
13,370
1,625
14,995
62%
2,626
17,621
60%
2,522
363
2,885
12%
458
3,343
11%
35,020
88%
42,036
87%
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
4,320
665
4,985
12%
880
5,865
12%
NYS Catholic Health Plan
9,303
1,271
10,574
26%
1,743
12,317
25%
12,469
1,986
14,455
36%
3,450
17,905
37%
4,443
563
5,006
13%
943
5,949
12%
SCHC Total Care
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
Mandatory
Affinity Health Plan
8,996
Eff. Mar 2007
GHI HMO Select
3,074
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
5,416
30,535
33,400
4,871
5,057
7,016
48,588
5,518
89%
6,374
85%
4,790
77%
708
5,498
73%
637
91
728
12%
148
876
12%
31,748
86%
34,301
83%
1,199
10,195
28%
1,164
11,359
28%
429
3,503
9%
266
3,769
9%
5,188
690
5,878
16%
683
6,561
16%
10,367
315
10,682
29%
205
10,887
26%
1,341
149
1,490
4%
235
1,725
4%
2,782
6,216
8,569
556
3,508
647
40,019
4,234
28,966
800
4,485
36,908
1,267
4,287
856
2,553
7,483
41,195
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,497
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
Oswego
TOTALS:
Excellus Health Plan
12,292
3,912
91%
1,482
35%
592
398
4,875
178
Total
Enrolled
Percent
Enrolled
4,310
88%
1,660
34%
780
199
979
23%
115
1,094
22%
1,139
312
1,451
34%
105
1,556
32%
14,469
88%
90%
1%
35
199
1%
NYS Catholic Health Plan
3,096
423
3,519
25%
410
3,929
24%
SCHC Total Care
5,601
1,035
6,636
47%
986
7,622
47%
Mandatory
Excellus Health Plan
NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
3,241
11,345
NYS Catholic Health Plan
Wellcare Of New York
1,666
117
398
325
2,308
2,385
17%
3,753
81%
3,065
66%
688
5%
1,991
86%
16,352
334
965
259
5,582
186
73
632
174
2,940
2,719
17%
4,012
72%
3,251
58%
761
14%
2,165
74%
118
5%
19
137
5%
1,499
288
1,787
77%
134
1,921
65%
70
16
86
4%
21
107
4%
12,087
90%
13,734
86%
61%
10,105
2,070
1,982
13,415
2,509
1,647
15,924
7,293
1,250
8,543
64%
1,209
9,752
231
106
337
3%
19
356
2%
1,969
486
2,455
18%
252
2,707
17%
752
6%
37,034
97%
751
3,216
8%
2,128
307
2,435
6%
163
2,598
6%
4,786
651
5,437
14%
420
5,857
14%
22,744
1,219
23,963
63%
643
24,606
60%
1,770
213
1,983
5%
173
2,156
5%
0
0%
0
0%
Mandatory
Affinity Health Plan
2,465
Eff. Mar 2001
GHI HMO Select
Hudson Health Plan
9,779
4,617
1,765
21
TOTALS:
Wellcare Of New York
512
2,174
97
Rockland
NYS Catholic Health Plan
14,178
395
612
34,953
1,718
248
630
571
1,910
GHI HMO Select
TOTALS:
1,886
2,670
GHI HMO Select
TOTALS:
Capital District Physicians
Health Plan
10,986
2,137
3,987
NYS Catholic Health Plan
St Lawrence
Voluntary
4,283
Total
Eligibles
164
Eff. May 2007
Eff. Oct 1997
765
254
Eligibles Enrolled
12,704
TOTALS:
Mandatory
786
Enrolled
SSI & MA-SSI
12
Otsego
Rensselaer
3,147
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
152
United Healthcare Plan Of NY
Eff. Mar 2007
Enrolled
1,228
NYS Catholic Health Plan
Mandatory
Eff. Apr 1999
SNA HR & MA-HR
33,893
0
140
3,343
1,512
3,141
0
38,296
11,291
167
2,766
1,879
41,062
480
2,704
0
13,995
919
6%
38,913
95%
3,696
9%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
7,754
SNA HR & MA-HR
Enrolled
7,087
6,844
63%
2,587
24%
10,131
85%
11,700
77%
583
5,147
43%
1,091
6,238
41%
158
1,250
10%
68
1,318
9%
450
3,734
31%
410
4,144
27%
336
14%
359
12%
3,284
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Voluntary
1,474
Excellus Health Plan
TOTALS:
Mandatory
Affinity Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
7,131
1,191
68
11,918
2,474
3,305
415
1,569
23
15,223
2,889
245
60
305
12%
23
328
11%
23
8
31
1%
0
31
1%
142
8%
161
8%
142
8%
2,580
2,176
84%
2,176
84%
8,860
1,578
18%
254
3%
101
268
1,910
1,359
58,105
41
1,742
41
287
266
266
1,111
219
0
1,105
65,663
Neighborhood Health Providers
TOTALS:
348
254
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Sullivan
268
1,368
1,910
7,749
Southern Tier Priority (Partial)
Suffolk
8,940
101
2,293
87%
926
NYS Catholic Health Plan
Southern Tier Priority (Partial)
9,431
249
1,092
TOTALS:
10,856
66%
4,564
Voluntary
1,175
26%
GHI HMO Select
Schuyler
1,873
5,918
Eff. Apr 2007
NYS Catholic Health Plan
92%
Percent
Enrolled
2,338
Mandatory
Voluntary
8,256
Total
Enrolled
844
TOTALS:
Capital District Physicians
Health Plan
2,126
8,983
Total
Eligibles
325
Schenectady
TOTALS:
Capital District Physicians
Health Plan
1,169
Eligibles Enrolled
5,074
NYS Catholic Health Plan
Schoharie
1,229
Enrolled
SSI & MA-SSI
2,013
Eff. Oct 1997
10,550
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
219
12,063
10,589
77,726
1,324
15%
68,694
88%
299
19
2,041
19
492
325
2,253
496
161
8%
3,072
2,501
81%
2,501
81%
11,113
2,074
19%
283
3%
325
29
467
13,972
9,175
91,698
1,791
16%
77,869
85%
7,785
1,027
8,812
11%
1,051
9,863
11%
10,118
1,406
11,524
15%
1,228
12,752
14%
11,490
3,403
14,893
19%
2,471
17,364
19%
11,381
1,348
12,729
16%
1,714
14,443
16%
7,102
1,180
8,282
11%
1,096
9,378
10%
0
0
0
0%
1
1
0%
10,229
2,225
12,454
16%
1,614
14,068
15%
6,767
84%
7,592
79%
6,069
934
698
8,065
1,486
825
9,551
488
98
586
7%
75
661
7%
5,076
550
5,626
70%
697
6,323
66%
505
50
555
7%
53
608
6%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Enrolled
Tioga
4,050
360
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,355
2,506
Voluntary
NYS Catholic Health Plan
Eligibles
500
73
1,015
379
360
SCHC Total Care
10,742
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,550
433
433
10%
6,370
2,885
45%
73
10%
SSI & MA-SSI
Eligibles Enrolled
816
7
1,124
402
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,366
440
440
8%
7,494
3,287
44%
7
8%
133
53
186
1%
19
205
3%
2,373
326
2,699
42%
383
3,082
41%
10,611
83%
11,943
78%
Ulster
TOTALS:
Mandatory
GHI HMO Select
1,164
247
1,411
11%
122
1,533
10%
Eff Mar 2007
Hudson Health Plan
2,271
416
2,687
21%
294
2,981
19%
MVP Health Plan
2,457
733
3,190
25%
410
3,600
23%
557
155
712
6%
85
797
5%
2,412
199
2,611
20%
421
3,032
20%
1,213
28%
1,321
25%
1,213
28%
1,321
25%
3,931
82%
4,379
75%
1,433
30%
1,637
28%
2,498
52%
2,742
47%
3,100
48%
3,469
44%
43%
NYS Catholic Health Plan
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
TOTALS:
Voluntary
Excellus Health Plan
3,775
8,861
1,097
2,112
493
1,097
4,315
3,512
NYS Catholic Health Plan
52,759
4,268
419
4,796
177
2,256
2,831
116
12,854
116
481
1,256
5,814
1,750
242
638
269
6,452
2,533
1,017
1,332
108
15,387
5,285
108
1,030
448
5,826
204
244
1,465
369
7,917
2,806
268
3,074
48%
368
3,442
25
1
26
0%
1
27
0%
54,930
87%
61,326
84%
Westchester
TOTALS:
Mandatory
Affinity Health Plan
7,703
1,796
9,499
15%
1,166
10,665
15%
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
1,078
482
1,560
2%
233
1,793
2%
3,683
1,394
5,077
8%
1,076
6,153
8%
26,525
3,936
30,461
48%
2,983
33,444
46%
6,762
1,571
8,333
13%
938
9,271
13%
Hudson Health Plan
NYS Catholic Health Plan
45,751
10,394
9,179
63,153
10,105
6,396
73,258
Wyoming
Voluntary
TOTALS:
2,284
0
298
0
2,582
0
0%
475
0
3,057
0
0%
Yates
TOTALS:
1,880
1,703
244
224
2,124
1,927
91%
313
227
2,437
2,154
88%
1,927
91%
2,154
88%
665,457
79%
758,179
76%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,703
724,467
568,851
224
121,908
96,606
846,375
227
156,748
92,722
1,003,123
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
SNA HR & MA-HR
Eligibles
Enrolled
NYC
Affinity Health Plan
85,357
37,663
Mandatory
Amerigroup
50,680
25,704
GHI HMO Select
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
123,020
7%
14,923
76,384
4%
Total
Eligibles
4,926
Total
Enrolled
Percent
Enrolled
137,943
7%
81,310
4%
7,818
4,594
12,412
1%
1,916
14,328
1%
Fully
HealthFirst PHSP
216,775
71,854
288,629
16%
36,890
325,519
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
157,263
51,181
208,444
11%
16,305
224,749
11%
119,239
46,907
166,146
9%
21,433
187,579
9%
MetroPlus Health Plan
224,742
60,546
285,288
15%
28,011
313,299
15%
850
1,056
1,906
0%
1,200
3,106
0%
112,800
32,276
145,076
8%
17,596
162,672
8%
217
606
823
0%
584
1,407
0%
104,120
46,244
150,364
8%
16,911
167,275
8%
1,851
376
2,227
0%
60
2,287
0%
95,550
40,480
136,030
7%
13,211
149,241
7%
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
UPSTATE TOTALS:
111
733
844
0%
577
1,421
0%
33,823
21,258
55,081
3%
5,275
60,356
3%
1,354,906
1,211,196
487,637
441,478
1,842,543
1,652,674
90%
244,589
179,818
2,087,132
1,832,492
88%
724,467
568,851
121,908
96,606
846,375
665,457
79%
156,748
92,722
1,003,123
758,179
76%
NEW YORK CITY TOTALS:
1,354,906
1,211,196
487,637
441,478
1,842,543
1,652,674
90%
244,589
179,818
2,087,132
1,832,492
88%
GRAND TOTALS:
2,079,373
1,780,047
609,545
538,084
2,688,918
2,318,131
86%
401,337
272,540
3,090,255
2,590,671
84%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
340,826
296,309
95,924
77,665
436,750
373,974
86%
67,632
51,275
504,382
425,249
84%
Brooklyn
485,055
434,851
183,824
163,423
668,879
598,273
89%
79,404
57,681
748,283
655,955
88%
Manhattan
179,005
141,938
76,173
62,657
255,178
204,595
80%
45,441
30,633
300,619
235,228
78%
Queens
308,992
299,002
117,179
123,232
426,171
422,234
99%
43,287
33,403
469,458
455,636
97%
41,028
39,097
14,537
14,501
55,565
53,597
96%
8,825
6,826
64,390
60,424
94%
1,354,906
1,211,196
487,637
441,478
1,842,543
1,652,674
90%
244,589
179,818
2,087,132
1,832,492
88%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon July, 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 : Nassau County - NYS Catholic Health Plan 1199
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
2,010
476
2,486
928
209
1,137
158
33
191
NYS Catholic Health Plan
727
181
908
Wellcare Of New York
197
53
250
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
545
85
630
261
42
303
284
43
327
2,158
334
2,492
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
TOTALS:
Capital District Physicians
Health Plan
Excellus Health Plan
74
9
83
1,661
265
1,926
GHI HMO Select
123
21
144
NYS Catholic Health Plan
300
39
339
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
945
168
1,113
170
35
205
433
69
502
Univera Community Health Inc
342
64
406
TOTALS:
686
110
796
NYS Catholic Health Plan
212
40
252
United Healthcare Plan Of NY
474
70
544
1,453
272
1,725
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
Chemung
Chenango
Clinton
238
46
284
1,142
199
1,341
73
27
100
TOTALS:
925
154
1,079
Excellus Health Plan
694
115
809
GHI
231
39
270
TOTALS:
667
96
763
GHI
667
96
763
TOTALS:
887
186
1,073
Excellus Health Plan
20
3
23
NYS Catholic Health Plan
867
183
1,050
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
504
82
586
128
23
151
85
13
98
NYS Catholic Health Plan
291
46
337
TOTALS:
710
89
799
NYS Catholic Health Plan
589
74
663
SCHC Total Care
121
15
136
Delaware
TOTALS:
443
58
501
Dutchess
TOTALS:
Columbia
Cortland
GHI HMO Select
Erie
443
58
501
1,694
245
1,939
GHI HMO Select
204
20
224
Hudson Health Plan
447
83
530
MVP Health Plan
632
80
712
NYS Catholic Health Plan
152
23
175
Wellcare Of New York
259
39
298
TOTALS:
8,667
1,709
10,376
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,284
941
5,225
1,405
183
1,588
1,174
292
1,466
NYS Catholic Health Plan
1,804
293
2,097
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Lewis
Livingston
9
NYS Catholic Health Plan
460
70
530
TOTALS:
523
78
601
2
1
3
GHI
521
77
598
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
794
139
933
174
37
211
620
102
722
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
637
96
733
501
63
564
112
32
144
NYS Catholic Health Plan
24
1
25
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
500
64
564
145
13
158
159
30
189
NYS Catholic Health Plan
196
21
217
TOTALS:
44
7
51
NYS Catholic Health Plan
44
7
51
1,026
149
1,175
TOTALS:
132
13
145
NYS Catholic Health Plan
880
136
1,016
14
0
14
TOTALS:
1,321
173
1,494
GHI
1,321
173
1,494
TOTALS:
301
26
327
GHI
301
26
327
TOTALS:
498
76
574
Excellus Health Plan
424
54
478
74
22
96
TOTALS:
752
83
835
Excellus Health Plan
220
23
243
19
4
23
513
56
569
TOTALS:
6,385
1,069
7,454
Excellus Health Plan
4,769
642
5,411
NYS Catholic Health Plan
1,079
326
1,405
MVP Health Plan
537
101
638
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
792
125
917
312
31
343
12
1
13
NYS Catholic Health Plan
468
93
561
TOTALS:
7,778
1,354
9,132
Affinity Health Plan
1,479
246
1,725
HealthFirst PHSP
1,646
217
1,863
535
133
668
1,418
362
1,780
1,397
206
1,603
0
0
0
United Healthcare Plan Of NY
1,303
190
1,493
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,207
418
2,625
944
156
1,100
1,263
262
1,525
United Healthcare Plan Of NY
Montgomery
Nassau
HealthPlus
Health Insurance Plan of
Greater New York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Niagara
539
Excellus Health Plan
NYS Catholic Health Plan
Monroe
Total Enrolled
1
MVP Health Plan
Madison
Enrolled
8
United Healthcare Plan Of NY
Jefferson
Enrolled
71
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
468
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 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
Rensselaer
Total Enrolled
408
380
68
3,440
448
2,066
263
2,329
586
77
663
3,842
664
4,506
69
446
227
1,716
SCHC Total Care
1,390
1,154
236
United Healthcare Plan Of NY
822
132
954
TOTALS:
790
147
937
Excellus Health Plan
726
142
868
64
5
69
TOTALS:
3,031
440
3,471
Affinity Health Plan
1,205
179
1,384
GHI HMO Select
555
73
628
Hudson Health Plan
652
106
758
NYS Catholic Health Plan
457
63
520
Wellcare Of New York
162
19
181
TOTALS:
583
60
643
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
150
15
165
107
19
126
326
26
352
1,894
306
2,200
TOTALS:
15
4
19
NYS Catholic Health Plan
557
71
628
SCHC Total Care
956
171
1,127
United Healthcare Plan Of NY
366
60
426
TOTALS:
683
86
769
Excellus Health Plan
267
29
296
GHI HMO Select
166
20
186
NYS Catholic Health Plan
250
37
287
TOTALS:
379
64
443
GHI HMO Select
408
349
59
NYS Catholic Health Plan
30
5
35
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
1,179
248
1,427
510
96
606
122
21
143
NYS Catholic Health Plan
461
108
569
86
23
109
3,747
439
4,186
Affinity Health Plan
461
92
553
GHI HMO Select
283
31
314
Hudson Health Plan
799
87
886
2,016
213
2,229
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Enrolled
3,032
377
Wellcare Of New York
Rockland
Enrolled
1,489
Excellus Health Plan
Otsego
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
MVP Health Plan
Orange
ADULTS
WITH
CHILDREN
TOTALS:
Excellus Health Plan
GHI
188
16
204
1,182
170
1,352
25
1
26
1,157
169
1,326
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
1,546
188
1,734
496
62
558
72
3
75
NYS Catholic Health Plan
978
123
1,101
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
1,249
194
1,443
386
51
437
148
26
174
NYS Catholic Health Plan
715
117
832
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
345
54
399
223
28
251
122
26
148
TOTALS:
268
39
307
Excellus Health Plan
185
21
206
83
18
101
TOTALS:
380
45
425
Excellus Health Plan
380
45
425
Steuben
TOTALS:
980
137
1,117
Suffolk
TOTALS:
Schenectady
Schoharie
Schuyler
GHI
Seneca
GHI
Sullivan
980
137
1,117
12,128
2,184
14,312
Affinity Health Plan
1,968
338
2,306
HealthFirst PHSP
Health Insurance Plan of
Greater New York
Neighborhood Health Providers
2,282
406
2,688
2,360
592
2,952
822
128
950
NYS Catholic Health Plan
1,849
297
2,146
United Healthcare Plan Of NY
2,847
423
3,270
TOTALS:
1,015
127
1,142
GHI HMO Select
89
22
111
849
92
941
NYS Catholic Health Plan
77
13
90
TOTALS:
Capital District Physicians
Health Plan
TOTALS:
434
93
527
434
93
527
575
83
658
SCHC Total Care
265
37
302
GHI
236
42
278
74
4
78
1,738
348
2,086
GHI HMO Select
228
41
269
Hudson Health Plan
409
88
497
MVP Health Plan
592
119
711
NYS Catholic Health Plan
139
38
177
Wellcare Of New York
370
62
432
TOTALS:
675
68
743
66
7
73
NYS Catholic Health Plan
609
61
670
TOTALS:
Capital District Physicians
Health Plan
GHI HMO Select
644
64
708
123
20
143
27
1
28
NYS Catholic Health Plan
494
43
537
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 SEPTEMBER, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
774
79
853
Excellus Health Plan
720
74
794
54
5
59
TOTALS:
6,663
1,275
7,938
Affinity Health Plan
1,232
271
1,503
212
48
260
NYS Catholic Health Plan
Westchester
GHI HMO Select
Health Insurance Plan of
Greater New York
Hudson Health Plan
633
139
772
3,435
565
4,000
NYS Catholic Health Plan
1,151
252
1,403
0
0
0
367
43
410
NYS Catholic Health Plan 1199
Wyoming
Yates
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
Excellus Health Plan
Upstate Total
367
43
410
380
49
429
380
49
429
96,823
16,094
112,917
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
NYC
Affinity Health Plan
13,791
8,248
22,039
Amerigroup
12,424
6,191
18,615
1,299
647
1,946
26,902
13,663
40,565
19,721
8,120
27,841
24,939
8,711
33,650
MetroPlus Health Plan
25,489
9,298
34,787
Neighborhood Health Providers
14,811
5,035
19,846
NYS Catholic Health Plan
18,061
9,022
27,083
1,913
130
2,043
17,693
6,582
24,275
GHI HMO Select
HealthFirst PHSP
Health Insurance Plan of
Greater New York
HealthPlus
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
County
7,083
4,994
12,077
184,126
80,641
264,767
96,823
16,094
112,917
NEW YORK CITY TOTALS:
184,126
80,641
264,767
GRAND TOTALS
280,949
96,735
377,684
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
29,800
10,408
40,208
Brooklyn
63,501
27,106
90,607
Manhattan
18,774
12,638
31,412
Queens
64,626
27,982
92,608
7,425
2,507
9,932
184,126
80,641
264,767
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 SEPTEMBER, 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
SCHENECTADY
Total
MONROE
Total
CHAUTAUQUA
ONONDAGA
Total
CATTARAUGUS
Total
Total MLTC PACE Enrollment
TOTAL
ENROLLMENT
7
2,153
58
172
2,390
107
107
257
257
1
325
326
22
22
3,102
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
580
580
1,302
19
1,321
107
33
140
468
5,573
266
6,307
760
760
3,260
3,260
1,385
1,385
169
123
292
1,692
1,692
44
342
386
141
141
7,295
7,295
432
432
23,991
Total Statewide Enrollment
27,093
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 SEPTEMBER, 2009
County
Albany
Allegany
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
HealthNow
TOTAL
Fidelis
Senior Whole Health
TOTAL
HealthNow
TOTAL
HealthNow
TOTAL
HealthNow
TOTAL
Fidelis
HealthNow
TOTAL
Fidelis
TOTAL
Fidelis
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
TOTAL
HealthNow
TOTAL
Fidelis
TOTAL
Fidelis
Touchstone/Prestige
TOTAL
GHI
TOTAL
Fidelis
TOTAL
Fidelis
HealthNow
Senior Whole Health
TOTAL
GHI
Total
Enrolled
276
4
1
271
1
1
2
2
4
4
13
1
12
133
133
2
2
1
1
7
3
4
3
3
1
1
172
18
126
28
12
12
18
18
24
4
20
7
7
2
2
96
10
4
82
41
41
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS SEPTEMBER, 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
18
6
12
107
11
1
95
64
10
54
144
3
141
5
5
64
45
14
5
2
2
1,219
79
213
774
1,800
609
49
13
190
407
4,134
1,219
4,134
5,353
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 SEPTEMBER, 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
50
50
42
42
3
3
9
9
55
55
159
151
25
92
268
159
268
427
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