RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
18,619
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
17,048
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
GHI HMO Select
NYS Catholic Health Plan
Mandatory
Eff. Sep 2001
NYS Catholic Health Plan
6,604
Univera Community Health
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Chemung
TOTALS:
(Partial)
3,806
13,240
3,281
22,425
20,264
90%
4,173
3,179
Total
Eligibles
26,598
Total
Enrolled
Percent
Enrolled
23,443
88%
60%
2,139
13,845
62%
2,125
15,970
266
81
347
2%
30
377
1%
3,308
778
4,086
18%
576
4,662
18%
3,134
283
660
554
4,424
1,986
9%
3,688
83%
448
799
462
5,223
2,434
9%
4,150
79%
1,924
356
2,280
52%
328
2,608
50%
1,210
198
1,408
32%
134
1,542
30%
17,928
89%
20,804
86%
2,371
12%
3,066
13%
15,175
3,029
2,753
20,077
184
4,044
2,876
24,121
695
412
36
448
2%
100
548
2%
10,437
2,096
12,533
62%
1,693
14,226
59%
411
68
479
2%
77
556
2%
1,728
369
2,097
10%
311
2,408
10%
6,460
85%
7,538
85%
5,544
973
916
7,577
1,291
1,078
8,868
2,343
316
2,659
35%
693
3,352
38%
2,034
308
2,342
31%
256
2,598
29%
1,459
19%
1,588
18%
525
7%
545
6%
525
7%
14,533
90%
455
292
959
11,829
70
7,537
70
2,986
2,704
16,226
129
1,242
20
8,779
20
2,669
2,308
18,895
545
6%
16,841
89%
2,827
524
3,351
21%
685
4,036
21%
8,694
1,992
10,686
66%
1,523
12,209
65%
308
8,913
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
11,706
455
Southern Tier Priority (Partial)
Chenango
Voluntary
Clinton
Voluntary
16,983
1,167
6,578
Univera Community Health
Voluntary
Eligibles
2,187
Excellus Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
Enrolled
1,703
3,764
Mandatory
Cattaraugus
SNA HR & MA-HR
4,928
188
1,296
467
10,209
496
3%
5,395
53%
100
2,173
904
12,382
596
3%
6,299
51%
3,638
0
3,638
36%
301
3,939
32%
1,290
467
1,757
17%
603
2,360
19%
TOTALS:
5,383
0
797
0
6,180
0
0%
1,162
0
7,342
0
0%
TOTALS:
7,060
871
1,295
334
8,355
1,205
14%
1,742
52
10,097
1,257
12%
1,205
14%
1,257
12%
NYS Catholic Health Plan
871
334
52
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
1,778
Eff. Oct 1997
GHI HMO Select
136
NYS Catholic Health Plan
940
Cortland
TOTALS:
Eligibles
SNA HR & MA-HR
3,587
4,757
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Enrolled
Eligibles
2,854
4,152
663
766
Enrolled
522
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
3,376
79%
276
2,054
48%
33
169
4%
213
1,153
27%
4,829
87%
677
4,250
5,523
921
755
589
Total
Eligibles
Percent
Enrolled
3,965
77%
458
2,512
49%
22
191
4%
109
1,262
24%
5,366
85%
537
5,171
Total
Enrolled
6,278
3,098
507
3,605
65%
374
3,979
63%
1,054
170
1,224
22%
163
1,387
22%
3,620
0
696
0
4,316
0
0%
710
0
5,026
0
0%
12,494
10,666
2,284
1,896
14,778
12,562
85%
3,027
1,614
17,805
14,176
80%
Dutchess
TOTALS:
Mandatory
GHI HMO Select
806
186
992
7%
105
1,097
6%
Eff. Apr 2007
Hudson Health Plan
3,478
539
4,017
27%
518
4,535
25%
MVP Health Plan
3,542
780
4,322
29%
557
4,879
27%
945
215
1,160
8%
147
1,307
7%
1,895
176
2,071
14%
287
2,358
13%
80,472
88%
94,120
86%
13,370
15%
15,226
14%
NYS Catholic Health Plan
Wellcare Of New York
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
76,113
67,116
15,393
11,606
Eff. May 1998 Independent Health Association
13,356
91,506
1,764
17,807
13,648
109,313
1,856
17,914
2,755
20,669
23%
3,984
24,653
23%
NYS Catholic Health Plan
17,110
2,136
19,246
21%
2,571
21,817
20%
Univera Community Health
20,060
5,194
25,254
28%
2,381
27,635
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
66,690
11,849
78,539
86%
10,792
89,331
82%
Total Partial Risk
426
1,507
1,933
2%
2,856
4,789
4%
426
1,507
1,933
2%
2,856
4,789
4%
765
22%
765
22%
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
4,102
0
745
0
4,847
0
0%
1,129
0
5,976
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
5,952
5,217
1,008
902
6,960
6,119
88%
1,237
570
8,197
6,689
82%
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
2,456
570
452
570
178
2,908
178
748
26%
748
26%
605
17
3,513
17
1,150
212
1,362
20%
154
1,516
18%
4,067
690
4,757
68%
416
5,173
63%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Eligibles
3,712
MVP Health Plan
NYS Catholic Health Plan
Greene
Mandatory
Eff. Oct 1997
Hamilton
TOTALS:
Capital District Physicians
Health Plan
Enrolled
Eligibles
3,398
561
525
4,273
3,749
88%
621
446
Total
Eligibles
4,894
Total
Enrolled
Percent
Enrolled
4,369
89%
1,852
279
2,131
50%
170
2,301
47%
1,404
214
1,618
38%
261
1,879
38%
142
3,473
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
2,996
32
727
645
4,200
174
4%
3,641
87%
15
895
632
5,095
189
4%
4,273
84%
1,537
196
1,733
41%
402
2,135
42%
GHI HMO Select
519
146
665
16%
73
738
14%
NYS Catholic Health Plan
940
303
1,243
30%
157
1,400
27%
258
53
21%
42
2
300
55
18%
55
18%
6,804
5,896
87%
1,020
604
7,824
6,500
83%
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
210
43
5,744
4,973
48
10
1,060
923
43
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
TOTALS:
8,482
10
53
2
729
96
825
12%
158
983
13%
4,206
817
5,023
74%
440
5,463
70%
38
10
48
1%
6
54
1%
0
0%
1,917
0
0%
0
1,219
0
9,701
0
11,618
TOTALS:
2,112
0
255
0
2,367
0
0%
474
0
2,841
0
0%
Livingston
TOTALS:
3,481
3,005
677
530
4,158
3,535
85%
753
518
4,911
4,053
83%
Mandatory
Eff. Apr 2002
Excellus Health Plan
Madison
TOTALS:
Voluntary
NYS Catholic Health Plan
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
MVP Health Plan
5,101
63,506
NYS Catholic Health Plan
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
344
2,446
59%
335
2,781
57%
903
186
1,089
26%
183
1,272
26%
148
3%
163
2%
148
3%
67,310
89%
132
724
132
MVP Health Plan
Montgomery
2,102
6,003
57,004
16
5,825
16
11,989
10,306
75,495
877
15
6,702
15
14,365
10,080
89,860
163
2%
77,390
86%
57%
38,952
5,453
44,405
59%
6,598
51,003
4,404
2,702
7,106
9%
896
8,002
9%
13,648
2,151
15,799
21%
2,586
18,385
20%
6,070
89%
6,628
84%
5,326
847
744
6,850
1,004
558
7,854
2,699
289
2,988
44%
329
3,317
42%
2,627
455
3,082
45%
229
3,311
42%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
45,022
8,847
54,303
11,743
7,615
66,046
Total
Enrolled
Percent
Enrolled
88%
55,468
84%
14%
966
8,714
13%
8,550
1,604
10,154
19%
1,124
11,278
17%
HealthPlus
Health Insurance Plan of
Greater New York
3,089
962
4,051
7%
721
4,772
7%
7,423
2,421
9,844
18%
2,401
12,245
19%
NYS Catholic Health Plan
6,800
1,097
7,897
15%
1,083
8,980
14%
16,617
9,281
Total
Eligibles
7,748
TOTALS:
HealthNow/BCBSWNY/Community Blue
39,006
Enrolled
47,853
United Healthcare Plan Of NY
Eff Sep 1998
Eligibles
1,188
NYS Catholic Health Plan 1199
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
6,560
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
0
1
1
0%
0
1
0%
6,584
1,574
8,158
15%
1,320
9,478
14%
18,664
92%
21,405
90%
6,218
31%
762
6,980
29%
30%
15,257
3,766
5,103
3,407
20,383
1,115
3,361
2,741
23,744
Independent Health Association
4,805
966
5,771
28%
1,279
7,050
NYS Catholic Health Plan
5,349
1,326
6,675
33%
700
7,375
31%
22,230
90%
26,178
88%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
21,668
United Healthcare Plan Of NY
35,853
19,548
2,903
2,682
24,571
5,296
3,948
29,867
3,149
507
3,656
15%
728
4,384
15%
13,861
1,783
15,644
64%
2,743
18,387
62%
2,538
392
2,930
12%
477
3,407
11%
36,712
89%
43,730
88%
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
4,660
669
5,329
13%
900
6,229
13%
NYS Catholic Health Plan
9,803
1,328
11,131
27%
1,743
12,874
26%
13,065
2,153
15,218
37%
3,466
18,684
38%
4,433
601
5,034
12%
909
5,943
12%
5,593
87%
6,465
84%
73%
SCHC Total Care
United Healthcare Plan Of NY
5,588
31,961
Ontario
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
Orange
Mandatory
TOTALS:
Affinity Health Plan
9,499
Eff. Mar 2007
GHI HMO Select
2,342
Hudson Health Plan
MVP Health Plan
NYS Catholic Health Plan
Wellcare Of New York
34,088
4,944
5,344
814
4,751
649
41,197
6,402
8,584
1,276
7,018
872
49,781
7,678
4,297
547
4,844
76%
729
5,573
647
102
749
12%
143
892
12%
33,047
87%
35,753
85%
1,282
10,781
29%
1,226
12,007
28%
381
2,723
7%
217
2,940
7%
5,703
822
6,525
17%
773
7,298
17%
11,171
388
11,559
31%
235
11,794
28%
1,301
158
1,459
4%
255
1,714
4%
30,016
3,691
3,031
37,779
4,351
2,706
42,130
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,504
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Otsego
Mandatory
12,626
3,239
771
93%
4,426
90%
36%
185
1,741
35%
206
995
23%
128
1,123
23%
305
1,459
34%
103
1,562
32%
12,913
89%
14,677
88%
789
1,154
11,112
1,926
1,801
14,552
2,185
416
1,764
4,917
Percent
Enrolled
4,010
260
593
Total
Enrolled
1,556
1,296
4,324
Total
Eligibles
16,737
13
165
1%
35
200
1%
493
3,656
25%
425
4,081
24%
SCHC Total Care
5,697
1,027
6,724
46%
996
7,720
46%
United Healthcare Plan Of NY
2,100
268
2,368
16%
308
2,676
16%
4,701
3,902
3,047
83%
65%
5,654
4,217
3,258
75%
58%
855
6%
959
17%
2,361
2,008
85%
2,996
2,203
74%
TOTALS:
Excellus Health Plan
TOTALS:
Amerigroup
GHI HMO Select
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
4,045
3,316
2,624
1,958
1,657
586
423
403
351
163
NYS Catholic Health Plan
Wellcare Of New York
104
173
7%
27
200
7%
1,363
58%
112
1,475
49%
10,283
69
2,183
2,069
13,634
472
20%
12,352
91%
56
2,504
1,728
16,138
528
18%
14,080
87%
62%
7,477
1,332
8,809
65%
1,249
10,058
106
63
169
1%
7
176
1%
2,111
534
2,645
19%
290
2,935
18%
729
5%
38,476
98%
819
3,432
9%
280
1,863
5%
5,159
698
5,857
23,880
1,359
1,879
206
Mandatory
Affinity Health Plan
2,613
Eff. Mar 2001
GHI HMO Select
1,583
Hudson Health Plan
9,964
195
26
TOTALS:
Wellcare Of New York
635
256
Rockland
NYS Catholic Health Plan
315
211
147
589
35,699
953
1,107
403
11,451
GHI HMO Select
TOTALS:
656
692
NYS Catholic Health Plan
St Lawrence
Voluntary
820
Enrolled
152
Mandatory
Eff. Oct 1997
Eligibles
3,163
Eff. Mar 2007
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
NYS Catholic Health Plan
Eff. May 2007 NYS Catholic Health Plan
Putnam
SNA HR & MA-HR
35,114
0
140
3,543
1,596
3,362
0
39,242
11,560
182
911
6%
40,420
96%
511
3,943
9%
137
2,000
5%
15%
433
6,290
15%
25,239
64%
694
25,933
62%
2,085
5%
169
2,254
5%
0
0%
0
0%
2,833
2,702
1,944
0
42,075
14,262
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
Schenectady
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
GHI HMO Select
Eligibles
8,102
11,172
NYS Catholic Health Plan
Schoharie
Voluntary
TOTALS:
Capital District Physicians
Health Plan
2,135
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Voluntary
TOTALS:
Affinity Health Plan
67,829
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
7,167
9,404
8,593
91%
1,856
1,260
11,260
Total
Enrolled
Percent
Enrolled
9,853
88%
63%
888
6,050
64%
997
7,047
343
2,543
27%
263
2,806
25%
10,989
86%
12,709
79%
42%
9,529
1,617
1,460
12,789
3,336
1,720
16,125
4,904
729
5,633
44%
1,195
6,828
999
150
1,149
9%
55
1,204
7%
3,626
581
4,207
33%
470
4,677
29%
362
15%
383
13%
11%
298
359
64
2,494
413
21
2,907
252
53
305
12%
21
326
46
11
57
2%
0
57
2%
1,806
133
7%
2,103
151
7%
133
7%
151
7%
2,619
2,248
86%
3,107
2,590
83%
2,248
86%
2,590
83%
1,565
17%
2,027
18%
306
38
309
284
38
1,964
7,881
1,231
Total
Eligibles
2,200
95
NYS Catholic Health Plan
TOTALS:
1,302
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
5,162
1,964
Neighborhood Health Providers
Mandatory
7,362
2,310
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Sullivan
Eligibles
95
Southern Tier Priority (Partial)
Mandatory
Enrolled
1,500
Excellus Health Plan
Suffolk
SNA HR & MA-HR
1,346
284
1,157
219
9,038
297
18
488
342
18
342
2,240
462
11,278
264
0
264
3%
28
292
3%
1,082
219
1,301
14%
434
1,735
15%
61,375
73,167
91%
82,602
87%
8,314
1,190
9,504
12%
1,081
10,585
11%
10,506
1,555
12,061
15%
1,248
13,309
14%
12,012
3,647
15,659
19%
2,510
18,169
19%
11,820
1,511
13,331
17%
1,756
15,087
16%
7,811
1,393
9,204
11%
1,161
10,365
11%
0
0
0
0%
1
1
0%
10,912
2,496
13,408
17%
1,678
15,086
16%
7,950
83%
6,299
12,909
912
11,792
750
80,738
8,079
14,057
1,474
9,435
901
94,795
7,049
87%
412
79
491
6%
60
9,553
551
6%
5,267
601
5,868
73%
749
6,617
69%
620
70
690
9%
92
782
8%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
4,147
344
Tompkins
TOTALS:
5,402
2,711
Voluntary
NYS Catholic Health Plan
Voluntary
Eligibles
SNA HR & MA-HR
Enrolled
Eligibles
518
72
1,043
452
344
SCHC Total Care
10,837
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
4,665
416
416
9%
6,445
3,163
49%
72
9%
831
10
1,113
402
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,496
426
426
8%
7,558
3,565
47%
10
8%
168
73
241
2%
17
258
3%
2,543
379
2,922
45%
385
3,307
44%
12,578
81%
Ulster
TOTALS:
11,140
85%
Mandatory
GHI HMO Select
1,011
213
1,224
9%
98
1,322
8%
Eff Mar 2007
Hudson Health Plan
2,406
487
2,893
22%
333
3,226
21%
MVP Health Plan
2,574
821
3,395
26%
459
3,854
25%
731
171
902
7%
108
1,010
6%
2,513
213
2,726
21%
440
3,166
20%
1,426
26%
NYS Catholic Health Plan
Wellcare Of New York
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
TOTALS:
Voluntary
Excellus Health Plan
3,890
TOTALS:
Mandatory
Affinity Health Plan
Eff. Oct 1999
GHI HMO Select
Health Insurance Plan of
Greater New York
1,189
2,208
498
1,189
4,416
6,176
NYS Catholic Health Plan
Westchester
9,235
53,733
Hudson Health Plan
NYS Catholic Health Plan
3,677
1,905
115
13,045
4,388
115
507
431
4,923
1,304
30%
1,304
30%
4,108
83%
2,564
1,011
1,438
122
15,609
5,399
122
1,040
519
5,963
1,426
26%
4,627
78%
1,370
181
1,551
32%
237
1,788
30%
2,307
250
2,557
52%
282
2,839
48%
3,444
50%
3,830
46%
3,009
3,113
301
3,310
48%
383
3,693
44%
104
30
134
2%
3
137
2%
57,050
88%
63,690
85%
47,070
705
11,130
331
9,980
6,881
64,863
1,460
10,064
386
6,640
8,341
74,927
8,197
2,115
10,312
16%
1,252
11,564
15%
0
3
3
0%
0
3
0%
4,072
1,565
5,637
9%
1,170
6,807
9%
27,644
4,384
32,028
49%
3,166
35,194
47%
7,157
1,913
9,070
14%
1,052
10,122
14%
Wyoming
Voluntary
TOTALS:
2,325
0
300
0
2,625
0
0%
479
0
3,104
0
0%
Yates
TOTALS:
1,889
1,712
264
225
2,153
1,937
90%
306
230
2,459
2,167
88%
1,937
90%
2,167
88%
693,108
80%
788,985
77%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,712
741,108
589,143
225
128,885
103,965
869,993
230
157,499
95,877
1,027,492
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
TANF ADC & MA-ADC
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Total
Enrolled
Enrolled Eligibles Enrolled Eligibles
Enrolled Eligibles
42,453
132,133
7%
15,237
SNA HR & MA-HR
Total
Enrolled
Percent
Enrolled
County
Plan Name
NYC
Affinity Health Plan
89,680
147,370
7%
Mandatory
Amerigroup
50,967
27,160
78,127
4%
5,125
83,252
4%
14
10
24
0%
2
26
0%
Eligibles
GHI HMO Select
Enrolled
Eligibles
Fully
HealthFirst PHSP
225,010
77,666
302,676
16%
37,995
340,671
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
160,248
53,977
214,225
11%
16,541
230,766
11%
119,765
48,498
168,263
9%
21,571
189,834
9%
MetroPlus Health Plan
228,280
64,071
292,351
15%
28,695
321,046
15%
899
1,140
2,039
0%
1,256
3,295
0%
113,664
33,547
147,211
8%
17,760
164,971
8%
215
630
845
0%
585
1,430
0%
111,348
53,551
164,899
9%
17,828
182,727
9%
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
1,874
349
2,223
0%
43
2,266
0%
98,450
43,316
141,766
8%
13,542
155,308
7%
116
750
866
0%
582
1,448
0%
32,622
20,681
53,303
3%
5,073
58,376
3%
1,374,906
1,233,152
512,652
467,799
1,887,558
1,700,951
90%
245,366
181,835
2,132,924
1,882,786
88%
741,108
589,143
128,885
103,965
869,993
693,108
80%
157,499
95,877
1,027,492
788,985
77%
NEW YORK CITY TOTALS:
1,374,906
1,233,152
512,652
467,799
1,887,558
1,700,951
90%
245,366
181,835
2,132,924
1,882,786
88%
GRAND TOTALS:
2,116,014
1,822,295
641,537
571,764
2,757,551
2,394,059
87%
402,865
277,712
3,160,416
2,671,771
85%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 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
345,857
302,943
100,844
82,507
446,701
385,450
86%
67,847
51,961
514,548
437,410
85%
Brooklyn
492,215
442,335
193,254
172,057
685,469
614,392
90%
79,656
58,222
765,125
672,614
88%
Manhattan
181,647
143,113
80,080
66,099
261,727
209,212
80%
45,585
30,730
307,312
239,942
78%
Queens
313,553
304,723
123,190
131,588
436,743
436,311
100%
43,425
33,996
480,168
470,307
98%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
41,634
40,038
15,284
15,548
56,918
55,586
98%
8,853
6,926
65,771
62,512
95%
1,374,906
1,233,152
512,652
467,799
1,887,558
1,700,951
90%
245,366
181,835
2,132,924
1,882,786
88%
(1) The Managed Care eligible counts are based upon September, 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 DECEMBER, 2009
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
Allegany
Broome
Cayuga
Chautauqua
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
2,111
492
2,603
1,186
977
209
GHI HMO Select
120
14
134
NYS Catholic Health Plan
804
215
1,019
Wellcare Of New York
210
54
264
TOTALS:
HealthNow/BCBSWNY/Community Blue
521
87
608
247
38
285
Univera Community Health Inc
274
49
323
TOTALS:
Capital District Physicians Health
Plan
2,302
375
2,677
77
9
86
Excellus Health Plan
1,822
314
2,136
111
GHI HMO Select
Cattaraugus
ADULTS WITH
CHILDREN
98
13
NYS Catholic Health Plan
305
39
344
TOTALS:
HealthNow/BCBSWNY/Community Blue
908
171
1,079
167
35
202
NYS Catholic Health Plan
419
74
493
Univera Community Health Inc
322
62
384
TOTALS:
738
111
849
NYS Catholic Health Plan
290
46
336
United Healthcare Plan Of NY
448
65
513
TOTALS:
HealthNow/BCBSWNY/Community Blue
1,458
265
1,723
241
46
287
NYS Catholic Health Plan
1,146
194
1,340
Univera Community Health Inc
71
25
96
TOTALS:
987
158
1,145
Excellus Health Plan
772
131
903
GHI
215
27
242
Chenango
TOTALS:
727
97
824
GHI
727
97
824
Clinton
TOTALS:
930
189
1,119
Chemung
Excellus Health Plan
17
3
20
NYS Catholic Health Plan
913
186
1,099
TOTALS:
Capital District Physicians Health
Plan
532
89
621
155
28
183
51
12
63
NYS Catholic Health Plan
326
49
375
TOTALS:
717
96
813
NYS Catholic Health Plan
584
76
660
SCHC Total Care
133
20
153
Delaware
TOTALS:
452
65
517
Dutchess
TOTALS:
Columbia
GHI HMO Select
Cortland
GHI HMO Select
Erie
452
65
517
1,779
252
2,031
GHI HMO Select
157
15
172
Hudson Health Plan
484
76
560
MVP Health Plan
697
89
786
NYS Catholic Health Plan
192
32
224
Wellcare Of New York
249
40
289
TOTALS:
8,734
1,724
10,458
Univera Community Health Inc
4,226
908
5,134
HealthNow/BCBSWNY/Community Blue
1,344
162
1,506
Independent Health
1,317
334
1,651
NYS Catholic Health Plan
1,847
320
2,167
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
County
Plan Name
Essex
TOTALS:
Genesee
Hamilton
Herkimer
Lewis
Livingston
9
NYS Catholic Health Plan
482
79
561
TOTALS:
515
76
591
2
1
3
GHI
513
75
588
TOTALS:
Capital District Physicians Health
Plan
837
148
985
166
41
207
NYS Catholic Health Plan
671
107
778
TOTALS:
HealthNow/BCBSWNY/Community Blue
645
89
734
465
51
516
MVP Health Plan
127
33
160
53
5
58
TOTALS:
Capital District Physicians Health
Plan
491
60
551
141
16
157
GHI HMO Select
117
22
139
NYS Catholic Health Plan
233
22
255
TOTALS:
55
8
63
NYS Catholic Health Plan
55
8
63
1,029
169
1,198
TOTALS:
133
18
151
NYS Catholic Health Plan
881
150
1,031
15
1
16
TOTALS:
1,336
181
1,517
GHI
1,336
181
1,517
TOTALS:
308
37
345
GHI
308
37
345
TOTALS:
503
75
578
Excellus Health Plan
411
53
464
92
22
114
TOTALS:
785
90
875
Excellus Health Plan
217
23
240
63
12
75
505
55
560
TOTALS:
6,503
1,068
7,571
Excellus Health Plan
4,636
621
5,257
NYS Catholic Health Plan
1,224
335
1,559
MVP Health Plan
643
112
755
TOTALS:
Capital District Physicians Health
Plan
817
131
948
296
39
335
7
1
8
514
91
605
TOTALS:
9,019
1,532
10,551
Affinity Health Plan
1,726
309
2,035
HealthFirst PHSP
1,782
237
2,019
627
132
759
Health Insurance Plan of Greater
New York
1,520
322
1,842
NYS Catholic Health Plan
1,735
306
2,041
United Healthcare Plan Of NY
1,629
226
1,855
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,247
415
2,662
952
157
1,109
NYS Catholic Health Plan
1,295
258
1,553
NYS Catholic Health Plan
United Healthcare Plan Of NY
Monroe
Montgomery
GHI HMO Select
NYS Catholic Health Plan
Nassau
HealthPlus
Niagara
570
Excellus Health Plan
MVP Health Plan
Madison
Total Enrolled
1
United Healthcare Plan Of NY
Jefferson
Enrolled
8
NYS Catholic Health Plan
Greene
Enrolled
80
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
490
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 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
398
71
3,517
469
2,114
283
2,397
571
80
651
4,026
712
4,738
73
511
1,844
SCHC Total Care
1,468
1,204
264
United Healthcare Plan Of NY
788
127
915
TOTALS:
850
140
990
Excellus Health Plan
767
130
897
83
10
93
TOTALS:
3,245
470
3,715
Affinity Health Plan
1,330
182
1,512
GHI HMO Select
427
56
483
Hudson Health Plan
751
119
870
NYS Catholic Health Plan
572
86
658
Wellcare Of New York
165
27
192
TOTALS:
632
65
697
Excellus Health Plan
153
18
171
HealthNow/BCBSWNY/Community Blue
118
19
137
NYS Catholic Health Plan
361
28
389
1,996
316
2,312
TOTALS:
14
4
18
NYS Catholic Health Plan
592
72
664
SCHC Total Care
992
188
1,180
United Healthcare Plan Of NY
398
52
450
TOTALS:
735
92
827
Excellus Health Plan
284
29
313
GHI HMO Select
113
12
125
NYS Catholic Health Plan
338
51
389
TOTALS:
399
64
463
GHI HMO Select
308
51
359
91
13
104
1,226
245
1,471
553
111
664
56
11
67
517
99
616
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Wellcare Of New York
100
24
124
3,913
470
4,383
Affinity Health Plan
477
102
579
GHI HMO Select
244
24
268
Hudson Health Plan
841
93
934
2,169
236
2,405
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Total Enrolled
434
248
GHI HMO Select
Rockland
Enrolled
3,083
438
NYS Catholic Health Plan
Rensselaer
Enrolled
1,596
Excellus Health Plan
Otsego
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
MVP Health Plan
Orange
ADULTS WITH
CHILDREN
TOTALS:
Excellus Health Plan
GHI
182
15
197
1,186
176
1,362
151
28
179
1,035
148
1,183
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
Schoharie
Schuyler
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,644
213
1,857
520
65
585
57
3
60
NYS Catholic Health Plan
1,067
145
1,212
TOTALS:
Capital District Physicians Health
Plan
1,300
213
1,513
GHI HMO Select
Schenectady
ADULTS WITH
CHILDREN
407
62
469
GHI HMO Select
132
22
154
NYS Catholic Health Plan
761
129
890
TOTALS:
Capital District Physicians Health
Plan
348
62
410
195
29
224
NYS Catholic Health Plan
153
33
186
TOTALS:
279
45
324
Excellus Health Plan
205
30
235
74
15
89
379
50
429
GHI
Seneca
TOTALS:
Excellus Health Plan
379
50
429
Steuben
TOTALS:
988
138
1,126
GHI
Suffolk
988
138
1,126
12,938
2,193
15,131
Affinity Health Plan
2,126
350
2,476
HealthFirst PHSP
2,331
388
2,719
Health Insurance Plan of Greater
New York
2,426
559
2,985
917
135
1,052
NYS Catholic Health Plan
2,153
344
2,497
United Healthcare Plan Of NY
2,985
417
3,402
TOTALS:
1,019
119
1,138
65
14
79
Hudson Health Plan
847
86
933
TOTALS:
Neighborhood Health Providers
Sullivan
GHI HMO Select
NYS Catholic Health Plan
107
19
126
Tioga
TOTALS:
Capital District Physicians Health
Plan
442
72
514
442
72
514
Tompkins
TOTALS:
627
81
708
SCHC Total Care
337
40
377
GHI
206
31
237
84
10
94
1,799
354
2,153
GHI HMO Select
161
36
197
Hudson Health Plan
452
99
551
MVP Health Plan
647
130
777
NYS Catholic Health Plan
170
36
206
Wellcare Of New York
369
53
422
TOTALS:
701
61
762
NYS Catholic Health Plan
Ulster
Warren
TOTALS:
GHI HMO Select
Washington
57
5
62
NYS Catholic Health Plan
644
56
700
TOTALS:
Capital District Physicians Health
Plan
693
76
769
151
29
180
14
1
15
528
46
574
GHI HMO Select
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2009
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
838
75
913
Excellus Health Plan
708
55
763
NYS Catholic Health Plan
130
20
150
TOTALS:
7,054
1,304
8,358
Affinity Health Plan
1,338
281
1,619
Westchester
Health Insurance Plan of Greater
New York
703
149
852
Hudson Health Plan
3,757
580
4,337
NYS Catholic Health Plan
1,256
294
1,550
380
44
424
Wyoming
TOTALS:
HealthNow/BCBSWNY/Community Blue
380
44
424
Yates
TOTALS:
405
51
456
Excellus Health Plan
405
51
456
101,601
16,665
118,266
Affinity Health Plan
14,392
8,367
22,759
Amerigroup
12,474
6,092
18,566
HealthFirst PHSP
27,155
13,219
40,374
Health Insurance Plan of Greater
New York
19,817
7,778
27,595
HealthPlus
25,032
8,537
33,569
MetroPlus Health Plan
25,862
9,077
34,939
Neighborhood Health Providers
14,782
4,943
19,725
NYS Catholic Health Plan
19,980
9,863
29,843
1,785
127
1,912
18,272
6,546
24,818
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
6,737
4,561
11,298
NYC Total
186,288
79,110
265,398
UPSTATE TOTALS:
101,601
16,665
118,266
NEW YORK CITY TOTALS:
186,288
79,110
265,398
GRAND TOTALS
287,889
95,775
383,664
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,655
10,303
40,958
Brooklyn
63,839
26,705
90,544
Manhattan
18,464
12,144
30,608
Queens
65,730
27,470
93,200
7,600
2,488
10,088
186,288
79,110
265,398
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 DECEMBER, 2009
MLTC PACE PLAN NAME
ARCHCARE SENIOR LIFE
CHS BUFFALO LIFE
COMPREHENSIVE CARE MGMT
EDDY SENIOR CARE
INDEPENDENT LIVING FOR SENIORS
PACE CNY
TOTAL SENIOR CARE
COUNTY
NEW YORK
Total
ERIE
Total
NASSAU
NEW YORK
SUFFOLK
WESTCHESTER
Total
SCHENECTADY
Total
MONROE
Total
CHAUTAUQUA
ONONDAGA
Total
CATTARAUGUS
Total
Total MLTC PACE Enrollment
MLTC PARTIAL CAPITATION PLAN NAME
AMERIGROUP
NEW YORK
Total
CCM SELECT
NEW YORK
WESTCHESTER
Total
ELANT
ORANGE
ROCKLAND
Total
GUILDNET
NASSAU
NEW YORK
SUFFOLK
Total
HHH CHOICES
NEW YORK
Total
HOMEFIRST
NEW YORK
Total
INDEPENDENT CARE SYSTEMS
NEW YORK
Total
PARTNERS IN COMMUNITY CARE
ORANGE
ROCKLAND
Total
SENIOR HEALTH PARTNERS INC
NEW YORK
Total
SENIOR NETWORK HEALTH
HERKIMER
ONEIDA
Total
TOTAL AGING IN PLACE PROGRAM
ERIE
Total
VNS CHOICE
NEW YORK
Total
WELLCARE
NEW YORK
Total
Total MLTC Partial Capitation Enrollment
Total Statewide Enrollment
NOTES:
TOTAL
ENROLLMENT
4
4
3
3
8
2,274
59
175
2,516
104
104
262
262
1
334
335
24
24
3,248
698
698
1,460
22
1,482
111
32
143
479
5,616
294
6,389
794
794
3,468
3,468
1,430
1,430
178
136
314
1,906
1,906
47
343
390
144
144
7,730
7,730
622
622
25,510
28,758
(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 : Erie County - CHS Buffalo Life
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS DECEMBER, 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
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
268
7
1
260
1
1
2
2
4
4
26
2
24
139
139
2
2
1
1
7
3
4
3
3
1
1
181
18
of
135
28
12
12
16
16
22
5
17
6
6
2
2
94
10
4
80
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS DECEMBER, 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
Greater New York
TOTAL
Fidelis
Senior Whole Health
TOTAL
HealthNow
TOTAL
GHI
Health Insurance Plan
Greater New York
Touchstone/Prestige
TOTAL
HealthNow
Total
Enrolled
43
43
21
5
16
96
10
1
85
80
11
of
69
147
3
144
5
5
61
43
of
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health Providers
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
13
5
2
2
1,242
93
252
758
1,817
712
49
12
177
408
4,278
1,242
4,278
5,520
(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 DECEMBER, 2009
Upstate Total:
NYC
Guildnet
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
54
54
45
1
44
4
4
9
9
59
59
171
159
2
29
80
270
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
171
270
441
County
Albany
Rensselaer
Saratoga
Schenectady
Ulster
NOTES:
Plan Name
Total
Senior Whole Health
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
(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 : NYS
Catholic Health Plan-New York City &
Rensselaer County