RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Eligibles
18,493
GHI HMO Select
Wellcare Of New York
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
NYS Catholic Health Plan
Eff. Sep 2001
NYS Catholic Health Plan
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
TOTALS:
HealthNow/BCBSWNY/Community Blue
6,488
Univera Community Health
Mandatory
Eff. Sep 2001
NYS Catholic Health Plan
Univera Community Health
Chemung
Voluntary
TOTALS:
(Partial)
8,929
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
19,858
89%
13,507
61%
4,185
3,117
Total
Eligibles
26,395
2,055
Total
Enrolled
Percent
Enrolled
22,975
87%
15,562
59%
106
458
2%
35
493
2%
729
3,898
18%
561
4,459
17%
3,118
300
661
14,664
547
4,395
348
199
2,969
2,610
19,853
169
1,995
9%
3,665
83%
2,260
51%
1,405
32%
17,274
87%
2,415
12%
466
818
455
5,213
324
131
4,074
2,800
23,927
700
2,461
9%
4,120
79%
2,584
50%
1,536
29%
20,074
84%
3,115
13%
423
40
463
2%
98
561
2%
9,828
1,953
11,781
59%
1,615
13,396
56%
527
91
618
3%
94
712
3%
1,640
357
1,997
10%
293
2,290
10%
6,410
86%
7,489
86%
5,532
939
878
7,427
1,279
1,079
8,706
2,351
314
2,665
36%
700
3,365
39%
2,013
297
2,310
31%
255
2,565
29%
1,435
19%
1,559
18%
413
5%
430
5%
413
5%
430
5%
14,277
89%
16,562
89%
357
267
965
357
13,064
22,210
Eligibles Enrolled
352
1,168
6,579
3,171
SSI & MA-SSI
3,169
2,246
GHI HMO Select
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
2,036
1,206
16,884
Excellus Health Plan
Mandatory
3,717
1,912
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
16,687
Eligibles
1,695
3,734
Mandatory
Cattaraugus
Enrolled
11,471
NYS Catholic Health Plan
Allegany
SNA HR & MA-HR
11,662
56
7,544
56
2,966
2,615
16,030
124
1,254
17
8,798
17
2,661
2,285
18,691
2,863
502
3,365
21%
686
4,051
22%
8,493
1,908
10,401
65%
1,496
11,897
64%
306
205
511
3%
103
614
3%
5,358
53%
6,260
51%
4,870
1,271
488
10,200
2,179
902
12,379
3,588
0
3,588
35%
289
3,877
31%
1,282
488
1,770
17%
613
2,383
19%
TOTALS:
5,403
0
766
0
6,169
0
0%
1,164
0
7,333
0
0%
TOTALS:
7,029
810
1,291
313
8,320
1,123
13%
1,735
40
10,055
1,163
12%
1,123
13%
1,163
12%
NYS Catholic Health Plan
810
313
40
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Columbia
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Cortland
Eligibles
3,628
SNA HR & MA-HR
Enrolled
2,837
Eligibles
634
1,778
Enrolled
513
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
4,262
266
3,350
79%
2,044
48%
SSI & MA-SSI
Eligibles Enrolled
910
587
Total
Eligibles
5,172
458
Total
Enrolled
Percent
Enrolled
3,937
76%
2,502
48%
GHI HMO Select
159
40
199
5%
26
225
4%
NYS Catholic Health Plan
900
207
1,107
26%
103
1,210
23%
4,721
85%
5,266
83%
TOTALS:
4,793
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
4,055
764
666
5,557
751
545
6,308
2,995
493
3,488
63%
380
3,868
61%
1,060
173
1,233
22%
165
1,398
22%
3,633
0
685
0
4,318
0
0%
707
0
5,025
0
0%
12,344
10,462
2,215
1,788
14,559
3,017
1,503
17,576
13,753
78%
Dutchess
TOTALS:
12,250
84%
Mandatory
GHI HMO Select
1,058
219
1,277
9%
132
1,409
8%
Eff. Apr 2007
Hudson Health Plan
3,379
506
3,885
27%
475
4,360
25%
MVP Health Plan
3,336
696
4,032
28%
502
4,534
26%
776
193
969
7%
118
1,087
6%
1,913
174
2,087
14%
276
2,363
13%
78,795
87%
92,343
85%
13,084
14%
14,897
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
75,292
90,409
1,684
17,726
13,548
108,135
1,813
17,519
2,532
20,051
22%
3,926
23,977
22%
16,666
2,033
18,699
21%
2,557
21,256
20%
Univera Community Health
19,803
5,192
24,995
28%
2,350
27,345
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
65,388
11,441
76,829
85%
10,646
87,475
81%
427
1,539
1,966
2%
2,902
4,868
5%
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
Eff. Mar 2007
12,980
NYS Catholic Health Plan
Total Partial Risk
Mandatory
15,117
11,400
Eff. May 1998 Independent Health Association
Fulton
65,815
427
2,440
567
1,539
454
567
176
2,894
176
1,966
2%
743
26%
743
26%
2,902
602
13
3,496
13
4,868
5%
756
22%
756
22%
TOTALS:
4,144
0
721
0
4,865
0
0%
1,135
0
6,000
0
0%
TOTALS:
Capital District Physicians
Health Plan
5,970
5,089
1,006
880
6,976
5,969
86%
1,228
534
8,204
6,503
79%
NYS Catholic Health Plan
1,163
199
1,362
20%
136
1,498
18%
3,926
681
4,607
66%
398
5,005
61%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,678
NYS Catholic Health Plan
Greene
Mandatory
Eff. Oct 1997
TOTALS:
Capital District Physicians
Health Plan
3,423
GHI HMO Select
NYS Catholic Health Plan
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
3,377
Eligibles
555
500
4,233
3,755
89%
SSI & MA-SSI
Eligibles Enrolled
624
439
Total
Eligibles
4,857
Total
Enrolled
Percent
Enrolled
4,316
89%
282
2,149
51%
166
2,315
48%
1,404
202
1,606
38%
262
1,868
38%
106
16
122
3%
11
133
3%
3,548
86%
4,176
83%
2,934
702
614
4,125
892
628
5,017
1,453
172
1,625
39%
397
2,022
40%
658
181
839
20%
91
930
19%
34
5,727
4,966
261
49
14
1,050
918
34
8,438
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
1,867
823
United Healthcare Plan Of NY
TOTALS:
Enrolled
224
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
1,084
26%
273
48
18%
42
2
6,777
5,884
87%
1,036
605
14
140
48
1,224
24%
315
50
16%
50
16%
7,813
6,489
83%
2
732
97
829
12%
159
988
13%
4,185
811
4,996
74%
440
5,436
70%
49
10
59
1%
6
65
1%
0
0%
0
0%
0
1,218
0
9,656
1,913
0
11,569
TOTALS:
2,102
0
263
0
2,365
0
0%
470
0
2,835
0
0%
Livingston
TOTALS:
3,445
2,916
659
509
4,104
3,425
83%
756
515
4,860
3,940
81%
Mandatory
Excellus Health Plan
2,355
57%
2,685
55%
Eff. Apr 2002
MVP Health Plan
Madison
TOTALS:
Voluntary
NYS Catholic Health Plan
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
NYS Catholic Health Plan
2,028
888
5,100
67
63,142
56,352
Excellus Health Plan
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
182
706
9
11,867
10,181
67
MVP Health Plan
Montgomery
327
26%
76
1%
76
1%
75,009
66,533
89%
9
185
872
10
14,303
9,894
1,255
26%
6,678
86
1%
86
1%
89,312
76,427
86%
10
38,705
5,422
44,127
59%
6,475
50,602
57%
3,949
2,599
6,548
9%
876
7,424
8%
13,698
5,912
1,070
5,806
330
5,203
2,160
836
698
6,748
15,858
21%
5,901
87%
2,543
1,003
503
7,751
18,401
21%
6,404
83%
2,714
293
3,007
45%
311
3,318
43%
2,489
405
2,894
43%
192
3,086
40%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
44,947
Eff. June 2001 HealthFirst PHSP
Eff Sep 1998
36,930
Eligibles
8,708
Enrolled
7,648
6,280
1,010
53,655
SSI & MA-SSI
Eligibles Enrolled
11,601
7,404
Total
Eligibles
65,256
Total
Enrolled
Percent
Enrolled
44,578
83%
51,982
80%
7,290
14%
963
8,253
13%
8,056
1,352
9,408
18%
1,064
10,472
16%
2,904
774
3,678
7%
710
4,388
7%
7,057
2,205
9,262
17%
2,358
11,620
18%
NYS Catholic Health Plan
6,363
896
7,259
14%
1,025
8,284
13%
0
1
1
0%
0
1
0%
United Healthcare Plan Of NY
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
HealthPlus
Health Insurance Plan of
Greater New York
NYS Catholic Health Plan 1199
Niagara
SNA HR & MA-HR
TOTALS:
HealthNow/BCBSWNY/Community Blue
6,270
16,412
15,213
1,410
3,715
5,110
3,334
20,127
1,094
7,680
14%
18,547
92%
1,284
6,204
31%
741
3,332
2,687
23,459
8,964
14%
21,234
91%
6,945
30%
Independent Health Association
4,852
955
5,807
29%
1,254
7,061
30%
NYS Catholic Health Plan
5,251
1,285
6,536
32%
692
7,228
31%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
21,622
United Healthcare Plan Of NY
35,634
19,029
2,852
21,550
88%
25,419
85%
3,098
490
3,588
15%
727
4,315
15%
13,439
1,665
15,104
62%
2,685
17,789
60%
2,492
366
2,858
12%
457
3,315
11%
35,464
87%
42,471
86%
4,413
665
5,078
12%
893
5,971
12%
NYS Catholic Health Plan
9,437
1,286
10,723
26%
1,735
12,458
25%
12,597
2,038
14,635
36%
3,452
18,087
37%
4,450
578
5,028
12%
927
5,955
12%
5,525
87%
6,393
84%
73%
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
Mandatory
Affinity Health Plan
9,107
Eff. Mar 2007
GHI HMO Select
3,113
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
5,521
33,918
4,890
810
635
6,331
8,532
1,262
7,007
29,741
TOTALS:
TOTALS:
40,834
3,869
Excellus Health Plan
Ontario
4,567
5,267
Onondaga
SCHC Total Care
5,200
24,474
Mandatory
Eff. Nov 1998
United Healthcare Plan Of NY
30,897
2,521
868
49,366
7,593
4,253
543
4,796
76%
721
5,517
637
92
729
12%
147
876
12%
32,185
86%
34,800
83%
1,205
10,312
27%
1,176
11,488
27%
445
3,558
9%
278
3,836
9%
29,347
3,638
2,838
37,556
4,340
2,615
41,896
5,262
706
5,968
16%
719
6,687
16%
10,535
330
10,865
29%
207
11,072
26%
1,330
152
1,482
4%
235
1,717
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,483
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
12,557
4,289
3,912
91%
1,487
35%
596
402
Total
Eligibles
4,885
176
Total
Enrolled
Percent
Enrolled
4,314
88%
1,663
34%
781
195
976
23%
122
1,098
22%
1,146
303
1,449
34%
104
1,553
32%
12,837
89%
14,602
87%
11,103
1,943
1,734
14,500
2,190
1,765
16,690
12
162
1%
35
197
1%
431
3,578
25%
416
3,994
24%
SCHC Total Care
5,643
1,029
6,672
46%
987
7,659
46%
United Healthcare Plan Of NY
2,163
262
2,425
17%
327
2,752
16%
3,797
81%
4,083
72%
3,042
65%
3,250
58%
TOTALS:
4,017
Putnam
TOTALS:
Mandatory
Amerigroup
647
GHI HMO Select
11,426
GHI HMO Select
NYS Catholic Health Plan
Wellcare Of New York
35,364
1,654
531
4,664
406
630
1,974
NYS Catholic Health Plan
TOTALS:
Capital District Physicians
Health Plan
3,266
2,636
Eff. May 2007 NYS Catholic Health Plan
Eff. Oct 1997
749
251
Eligibles Enrolled
150
Excellus Health Plan
Mandatory
806
Enrolled
SSI & MA-SSI
3,147
Otsego
Rensselaer
3,163
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
NYS Catholic Health Plan
Mandatory
Eff. Mar 2007
Enrolled
1,236
NYS Catholic Health Plan
Oswego
SNA HR & MA-HR
125
397
321
2,371
755
5%
1,975
83%
968
286
5,632
208
78
627
180
2,998
833
15%
2,155
72%
83
24
107
5%
21
128
4%
1,463
275
1,738
73%
134
1,872
62%
108
22
130
5%
25
155
5%
12,079
89%
13,784
86%
10,100
2,166
1,979
13,592
2,509
1,705
16,101
7,272
1,227
8,499
63%
1,231
9,730
60%
230
108
338
2%
20
358
2%
1,995
496
2,491
18%
269
2,760
17%
603
148
751
6%
185
936
6%
Rockland
TOTALS:
37,482
97%
39,376
95%
Mandatory
Affinity Health Plan
2,494
776
3,270
8%
483
3,753
9%
Eff. Mar 2001
GHI HMO Select
2,153
309
2,462
6%
167
2,629
6%
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Voluntary
TOTALS:
9,855
34,263
3,463
3,219
38,827
2,801
1,894
41,628
4,878
666
5,544
14%
421
5,965
14%
22,951
1,260
24,211
62%
652
24,863
60%
1,787
208
1,995
5%
171
2,166
5%
0
0%
0
0%
0
1,573
0
11,428
2,704
0
14,132
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
7,985
SNA HR & MA-HR
Enrolled
7,143
NYS Catholic Health Plan
Schenectady
Mandatory
TOTALS:
Capital District Physicians
Health Plan
4,686
Eff. Apr 2007
GHI HMO Select
1,124
NYS Catholic Health Plan
3,357
Voluntary
TOTALS:
Capital District Physicians
Health Plan
2,138
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
Voluntary
1,492
2,307
TOTALS:
Mandatory
Affinity Health Plan
67,165
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
357
7,246
9,273
8,308
90%
5,936
64%
2,372
26%
10,444
84%
626
5,312
43%
165
1,289
10%
486
3,843
31%
337
14%
1,277
67
12,458
2,495
SSI & MA-SSI
Eligibles Enrolled
1,888
1,203
Total
Eligibles
11,161
946
257
3,306
420
Total
Enrolled
Percent
Enrolled
9,511
85%
6,882
62%
2,629
24%
12,040
76%
1,112
6,424
41%
65
1,354
9%
419
4,262
27%
360
12%
1,596
23
15,764
2,915
238
58
296
12%
23
319
11%
32
9
41
2%
0
41
1%
142
8%
161
8%
142
8%
2,616
2,182
83%
2,182
83%
8,994
1,568
17%
102
290
1,906
1,353
40
1,782
40
309
276
1,159
215
1,906
7,835
Southern Tier Priority (Partial)
Suffolk
270
1,165
322
1,502
102
Excellus Health Plan
TOTALS:
Southern Tier Pediatrics
(Partial)
9,167
Enrolled
843
2,050
10,956
NYS Catholic Health Plan
Schuyler
1,288
5,093
Eff. Oct 1997
Schoharie
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
276
300
19
2,082
19
490
324
2,246
474
161
8%
3,106
2,506
81%
2,506
81%
11,240
2,042
18%
324
253
0
253
3%
29
282
3%
1,100
215
1,315
15%
445
1,760
16%
69,511
87%
78,765
84%
58,695
12,595
10,816
79,760
14,008
9,254
93,768
7,844
1,039
8,883
11%
1,055
9,938
11%
10,251
1,447
11,698
15%
1,243
12,941
14%
11,580
3,464
15,044
19%
2,471
17,515
19%
11,361
1,370
12,731
16%
1,721
14,452
15%
7,315
1,236
8,551
11%
1,121
9,672
10%
0
0
0
0%
1
1
0%
10,344
2,260
12,604
16%
1,642
14,246
15%
7,693
80%
6,139
934
700
8,180
1,467
854
9,647
6,839
84%
488
101
589
7%
74
663
7%
5,134
551
5,685
69%
722
6,407
66%
517
48
565
7%
58
623
6%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
4,113
Tompkins
TOTALS:
5,392
Voluntary
NYS Catholic Health Plan
Voluntary
Eligibles
SNA HR & MA-HR
Enrolled
369
2,584
Wayne
TOTALS:
Voluntary
Excellus Health Plan
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
Hudson Health Plan
NYS Catholic Health Plan
45%
226
3%
568
158
726
6%
86
812
5%
2,440
193
2,633
20%
423
3,056
20%
1,255
29%
5,396
1,368
25%
1,255
29%
1,368
25%
3,934
80%
5,943
4,404
74%
1,455
30%
1,662
28%
1,139
499
3,513
2,948
46,137
1,782
116
13,034
4,368
116
514
421
4,902
178
243
671
294
6,706
283
11
10,888
9,442
64,485
3,152
42%
12,131
78%
126
1,598
10%
21%
307
3,074
20%
24%
425
3,591
23%
2,479
51%
3,242
48%
3,188
48%
54
1%
55,579
86%
377
3,378
3,166
43
53,597
7,554
18
2,767
2,905
NYS Catholic Health Plan
Westchester
395
8%
747
2,236
6,035
1,120
447
431
1,277
NYS Catholic Health Plan
2%
8%
2,419
2,197
1,139
4,388
46%
208
8
447
2,336
MVP Health Plan
TOTALS:
Capital District Physicians
Health Plan
2,983
5,457
11%
Hudson Health Plan
NYS Catholic Health Plan
10%
8
1,472
8,982
343
439
836
Percent
Enrolled
253
Eff Mar 2007
Washington
Mandatory
Eff. Mar 2007
6,434
56
10%
Total
Enrolled
43%
1,219
3,869
399
439
Total
Eligibles
83%
GHI HMO Select
NYS Catholic Health Plan
4,621
Eligibles Enrolled
2,775
Mandatory
Wellcare Of New York
70
SSI & MA-SSI
10,764
TOTALS:
Voluntary
1,042
2,432
10,837
Enrolled
70
152
SCHC Total Care
TOTALS:
508
369
Ulster
Warren
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
2,558
1,367
1,028
113
1,041
470
15,592
113
207
263
1,470
378
8,176
376
2
10,106
6,482
74,591
2,742
46%
3,620
44%
3,564
44%
56
1%
62,061
83%
7,806
1,865
9,671
15%
1,175
10,846
15%
937
419
1,356
2%
208
1,564
2%
3,778
1,451
5,229
8%
1,100
6,329
8%
26,845
4,053
30,898
48%
3,036
33,934
45%
6,771
1,654
8,425
13%
963
9,388
13%
Wyoming
Voluntary
TOTALS:
2,309
0
309
0
2,618
0
0%
478
0
3,096
0
0%
Yates
TOTALS:
1,908
1,690
256
234
2,164
1,924
89%
303
231
2,467
2,155
87%
1,924
89%
2,155
87%
672,880
78%
766,774
75%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,690
736,340
574,366
234
126,282
98,514
862,622
231
157,130
93,894
1,019,752
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
TANF ADC & MA-ADC
County
Plan Name
NYC
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
GHI HMO Select
SNA HR & MA-HR
Enrolled Eligibles
86,016
Enrolled
38,243
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
124,259
7%
14,920
Total
Eligibles
Total
Enrolled
Percent
Enrolled
139,179
7%
50,529
25,695
76,224
4%
4,933
81,157
4%
6,721
3,980
10,701
1%
1,655
12,356
1%
Fully
HealthFirst PHSP
218,953
73,108
292,061
16%
37,160
329,221
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
157,670
51,461
209,131
11%
16,272
225,403
11%
119,458
47,106
166,564
9%
21,435
187,999
9%
MetroPlus Health Plan
224,871
60,794
285,665
15%
28,148
313,813
15%
841
1,040
1,881
0%
1,199
3,080
0%
112,752
32,316
145,068
8%
17,559
162,627
8%
217
604
821
0%
574
1,395
0%
106,306
47,822
154,128
8%
17,060
171,188
8%
1,865
363
2,228
0%
60
2,288
0%
96,294
40,981
137,275
7%
13,257
150,532
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
107
724
831
0%
586
1,417
0%
33,383
20,821
54,204
3%
5,213
59,417
3%
1,368,352
1,215,983
501,805
445,058
1,870,157
1,661,041
89%
244,854
180,031
2,115,011
1,841,072
87%
736,340
574,366
126,282
98,514
862,622
672,880
78%
157,130
93,894
1,019,752
766,774
75%
NEW YORK CITY TOTALS:
1,368,352
1,215,983
501,805
445,058
1,870,157
1,661,041
89%
244,854
180,031
2,115,011
1,841,072
87%
GRAND TOTALS:
2,104,692
1,790,349
628,087
543,572
2,732,779
2,333,921
85%
401,984
273,925
3,134,763
2,607,846
83%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 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
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
344,208
297,634
98,711
78,157
442,919
375,791
85%
67,706
51,414
510,625
427,205
84%
Brooklyn
489,869
436,514
189,165
164,635
679,034
601,149
89%
79,490
57,704
758,524
658,854
87%
Manhattan
180,781
142,212
78,386
63,195
259,167
205,407
79%
45,490
30,583
304,657
235,990
77%
Queens
312,058
300,135
120,583
124,400
432,641
424,535
98%
43,334
33,495
475,975
458,030
96%
Staten Island
Borough Total
NOTES:
SNA HR & MA-HR
41,436
39,487
14,960
14,671
56,396
54,158
96%
8,834
6,835
65,230
60,993
94%
1,368,352
1,215,983
501,805
445,058
1,870,157
1,661,041
89%
244,854
180,031
2,115,011
1,841,072
87%
(1) The Managed Care eligible counts are based upon August, 2009 total eligibles adjusted for excluded populations. The counts include recipients who are
exempt
from mandatory
enrollment.
(Seewas
about
statement
for2003
further
(2)
The source
of plan enrollment
counts
revised
in July,
to details)
be based on the primary and secondary roster reports. The roster reports reflect
month. (See about statement for further details)
enrollees
as
of
the
first
the
(3) All percents are rounded to the nearest whole number.
(4) New plans added this month : None
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Chenango
Clinton
Cortland
Delaware
Dutchess
Erie
Enrolled
Enrolled
Total Enrolled
468
2,515
947
205
1,152
168
29
197
NYS Catholic Health Plan
725
184
909
Wellcare Of New York
207
50
257
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
551
86
637
267
42
309
284
44
328
2,209
340
2,549
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
76
8
84
1,702
278
1,980
GHI HMO Select
128
19
147
NYS Catholic Health Plan
303
35
338
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
939
176
1,115
174
38
212
435
76
511
Univera Community Health Inc
330
62
392
TOTALS:
687
109
796
NYS Catholic Health Plan
231
41
272
United Healthcare Plan Of NY
456
68
524
1,436
268
1,704
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
240
43
283
1,130
198
1,328
66
27
93
TOTALS:
944
157
1,101
Excellus Health Plan
719
122
841
GHI
225
35
260
TOTALS:
678
89
767
GHI
678
89
767
TOTALS:
903
176
1,079
Excellus Health Plan
Columbia
ADULTS
WITHOUT
CHILDREN
2,047
Univera Community Health Inc
Chemung
ADULTS
WITH
CHILDREN
19
3
22
NYS Catholic Health Plan
884
173
1,057
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
514
82
596
132
24
156
76
14
90
NYS Catholic Health Plan
306
44
350
TOTALS:
724
91
815
NYS Catholic Health Plan
603
72
675
SCHC Total Care
121
19
140
TOTALS:
435
57
492
GHI HMO Select
435
57
492
1,745
251
1,996
GHI HMO Select
206
19
225
Hudson Health Plan
467
79
546
MVP Health Plan
652
86
738
NYS Catholic Health Plan
169
29
198
Wellcare Of New York
251
38
289
TOTALS:
8,645
1,691
10,336
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,238
910
5,148
1,397
172
1,569
1,222
310
1,532
NYS Catholic Health Plan
1,788
299
2,087
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
County
Plan Name
Essex
TOTALS:
Genesee
Hamilton
Herkimer
Lewis
Livingston
9
447
75
522
TOTALS:
543
76
619
2
1
3
GHI
541
75
616
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
782
137
919
160
35
195
622
102
724
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
648
95
743
492
59
551
118
35
153
38
1
39
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
509
60
569
148
13
161
162
28
190
NYS Catholic Health Plan
199
19
218
TOTALS:
50
7
57
NYS Catholic Health Plan
50
7
57
1,023
157
1,180
TOTALS:
Excellus Health Plan
126
13
139
NYS Catholic Health Plan
882
144
1,026
15
0
15
TOTALS:
1,332
167
1,499
GHI
1,332
167
1,499
TOTALS:
308
30
338
GHI
308
30
338
TOTALS:
503
79
582
Excellus Health Plan
426
56
482
77
23
100
TOTALS:
775
86
861
Excellus Health Plan
218
21
239
34
7
41
523
58
581
TOTALS:
6,393
1,064
7,457
Excellus Health Plan
4,701
630
5,331
NYS Catholic Health Plan
1,120
329
1,449
MVP Health Plan
572
105
677
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
792
126
918
305
33
338
12
1
13
NYS Catholic Health Plan
475
92
567
TOTALS:
8,126
1,387
9,513
Affinity Health Plan
1,525
272
1,797
HealthFirst PHSP
1,671
216
1,887
583
131
714
1,439
340
1,779
1,530
236
1,766
0
0
0
United Healthcare Plan Of NY
1,378
192
1,570
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,242
410
2,652
946
161
1,107
1,296
249
1,545
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
531
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
76
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
455
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 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
3,481
387
74
461
2,106
263
2,369
576
75
651
3,874
669
4,543
65
463
1,737
SCHC Total Care
1,162
248
1,410
United Healthcare Plan Of NY
803
130
933
TOTALS:
793
155
948
Excellus Health Plan
726
144
870
67
11
78
TOTALS:
3,115
452
3,567
Affinity Health Plan
1,219
174
1,393
GHI HMO Select
574
76
650
Hudson Health Plan
682
110
792
NYS Catholic Health Plan
466
68
534
Wellcare Of New York
174
24
198
TOTALS:
598
59
657
Excellus Health Plan
154
16
170
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
117
18
135
327
25
352
1,920
307
2,227
TOTALS:
16
4
20
NYS Catholic Health Plan
557
68
625
SCHC Total Care
975
178
1,153
United Healthcare Plan Of NY
372
57
429
TOTALS:
709
84
793
Excellus Health Plan
276
24
300
GHI HMO Select
159
20
179
NYS Catholic Health Plan
274
40
314
TOTALS:
397
63
460
GHI HMO Select
354
54
408
43
9
52
1,189
252
1,441
517
96
613
128
21
149
460
110
570
84
25
109
3,813
442
4,255
Affinity Health Plan
456
94
550
GHI HMO Select
298
28
326
Hudson Health Plan
802
84
886
2,068
220
2,288
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
412
226
NYS Catholic Health Plan
Rockland
Enrolled
3,069
398
NYS Catholic Health Plan
Rensselaer
Enrolled
1,511
Excellus Health Plan
Otsego
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
MVP Health Plan
Orange
ADULTS
WITH
CHILDREN
TOTALS:
Excellus Health Plan
GHI
189
16
205
1,201
175
1,376
25
4
29
1,176
171
1,347
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
Schoharie
Schuyler
Steuben
Sullivan
65
583
69
3
72
982
126
1,108
1,289
194
1,483
388
52
440
160
28
188
NYS Catholic Health Plan
741
114
855
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
348
55
403
214
28
242
134
27
161
TOTALS:
263
40
303
Excellus Health Plan
180
24
204
83
16
99
TOTALS:
387
45
432
Excellus Health Plan
387
45
432
TOTALS:
984
134
1,118
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
984
134
1,118
12,347
2,196
14,543
Affinity Health Plan
2,038
345
2,383
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,276
406
2,682
2,362
586
2,948
850
132
982
NYS Catholic Health Plan
1,950
314
2,264
TOTALS:
United Healthcare Plan Of NY
2,871
413
3,284
TOTALS:
1,030
131
1,161
94
23
117
851
93
944
85
15
100
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
424
87
511
424
87
511
595
81
676
SCHC Total Care
297
38
335
GHI
222
36
258
76
7
83
1,755
352
2,107
GHI HMO Select
229
44
273
Hudson Health Plan
419
90
509
MVP Health Plan
597
121
718
NYS Catholic Health Plan
134
35
169
Wellcare Of New York
376
62
438
TOTALS:
673
63
736
70
7
77
NYS Catholic Health Plan
603
56
659
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
686
67
753
133
25
158
24
1
25
NYS Catholic Health Plan
529
41
570
Hudson Health Plan
NYS Catholic Health Plan
Tompkins
NYS Catholic Health Plan
Ulster
Warren
TOTALS:
GHI HMO Select
Washington
Total Enrolled
518
GHI HMO Select
Tioga
Enrolled
1,763
GHI
Suffolk
Enrolled
194
GHI
Seneca
ADULTS
WITHOUT
CHILDREN
1,569
NYS Catholic Health Plan
Schenectady
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2009
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
816
78
894
Excellus Health Plan
730
69
799
86
9
95
TOTALS:
6,800
1,269
8,069
Affinity Health Plan
1,262
265
1,527
178
35
213
NYS Catholic Health Plan
Westchester
GHI HMO Select
Health Insurance Plan of Greater
New York
Hudson Health Plan
654
146
800
3,533
563
4,096
NYS Catholic Health Plan
1,173
260
1,433
0
0
0
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
363
46
409
363
46
409
371
49
420
Excellus Health Plan
371
49
420
98,316
16,149
114,465
Affinity Health Plan
13,687
8,114
21,801
Amerigroup
12,176
6,107
18,283
999
512
1,511
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
26,676
13,354
40,030
19,668
7,956
27,624
24,658
8,565
33,223
MetroPlus Health Plan
25,312
9,130
34,442
Neighborhood Health Providers
14,653
4,916
19,569
NYS Catholic Health Plan
18,441
9,185
27,626
1,914
130
2,044
17,690
6,438
24,128
NYS Catholic Health Plan 1199
Wyoming
Yates
Upstate Total
NYC
GHI HMO Select
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
County
6,859
4,809
11,668
182,733
79,216
261,949
98,316
16,149
114,465
NEW YORK CITY TOTALS:
182,733
79,216
261,949
GRAND TOTALS
281,049
95,365
376,414
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
29,686
10,260
39,946
Brooklyn
62,888
26,661
89,549
Manhattan
18,363
12,269
30,632
Queens
64,358
27,545
91,903
7,438
2,481
9,919
182,733
79,216
261,949
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 OCTOBER, 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
NASSAU
7
NEW YORK
2,234
SUFFOLK
59
WESTCHESTER
172
Total
2,472
SCHENECTADY
102
Total
102
MONROE
265
Total
265
CHAUTAUQUA
1
ONONDAGA
325
Total
326
CATTARAUGUS
22
Total
22
3,187
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:
632
632
1,371
20
1,391
107
34
141
467
5,652
278
6,397
767
767
3,374
3,374
1,414
1,414
175
130
305
1,754
1,754
44
340
384
142
142
7,570
7,570
494
494
24,765
27,952
(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 OCTOBER, 2009
County
Albany
Allegany
Cattaraugus
Chautauqua
Dutchess
Erie
Fulton
Genesee
Greene
Herkimer
Montgomery
Nassau
Niagara
Oneida
Onondaga
Orange
Oswego
Rensselaer
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
Enrolled
276
5
1
270
1
1
2
2
4
4
15
1
14
135
135
2
2
1
1
8
4
4
3
3
1
1
177
18
131
28
13
13
18
18
24
4
20
6
6
2
2
93
10
4
79
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS OCTOBER, 2009
County
Rockland
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Wyoming
Plan Name
TOTAL
GHI
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
41
41
19
6
13
106
11
1
94
70
10
60
145
3
142
5
5
64
45
14
5
2
2
1,233
79
237
772
1,846
660
48
13
186
400
4,241
1,233
4,241
5,474
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 OCTOBER, 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
48
48
45
45
4
4
9
9
55
55
161
160
28
88
276
161
276
437
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