RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
19,167
NYS Catholic Health Plan
Wellcare Of New York
Allegany
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
17,013
Eligibles
3,930
NYS Catholic Health Plan
88%
4,247
3,198
27,344
23,561
86%
59%
14,086
61%
2,161
16,247
1
0%
0
1
0%
3,480
859
4,339
19%
593
4,932
18%
3,158
266
694
15,201
576
4,517
372
204
3,199
2,825
20,639
182
1,937
8%
3,734
83%
2,338
52%
1,396
31%
18,026
87%
2,335
11%
444
803
464
5,320
326
138
4,060
2,882
24,699
688
2,381
9%
4,198
79%
2,664
50%
1,534
29%
20,908
85%
3,023
12%
389
36
425
2%
98
523
2%
10,795
2,198
12,993
63%
1,761
14,754
60%
1,864
409
2,273
11%
335
2,608
11%
6,601
87%
7,680
87%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,402
330
2,732
36%
691
3,423
39%
Eff. Sep 2001
NYS Catholic Health Plan
2,061
325
2,386
31%
255
2,641
30%
Univera Community Health
1,189
294
1,483
20%
133
1,616
18%
562
7%
583
6%
562
7%
583
6%
14,568
87%
16,872
87%
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Chemung
TOTALS:
(Partial)
6,573
20,363
Percent
Enrolled
0
2,153
Excellus Health Plan
23,097
Total
Enrolled
2,225
1,192
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
3,350
Total
Eligibles
1
1,966
17,440
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
11,861
1,671
3,823
Mandatory
Cattaraugus
Enrolled
SNA HR & MA-HR
6,745
13,587
TOTALS:
5,427
NYS Catholic Health Plan
Clinton
Voluntary
TOTALS:
NYS Catholic Health Plan
1,010
11,881
3,098
75
7,576
7,755
2,687
16,685
1,291
1,253
1,079
21
8,867
9,008
21
2,714
2,304
19,399
2,849
514
3,363
20%
681
4,044
21%
8,734
1,991
10,725
64%
1,524
12,249
63%
4,974
182
1,351
503
10,440
480
3%
5,477
52%
99
2,224
910
12,664
579
3%
6,387
50%
3,642
0
3,642
35%
306
3,948
31%
1,332
503
1,835
18%
604
2,439
19%
5
0%
5
0%
5
0%
1,364
13%
1,364
13%
5
808
5
7,110
949
75
298
9,089
Southern Tier Priority (Partial)
Chenango
Voluntary
487
1,003
487
Univera Community Health
Voluntary
5,652
955
955
0
6,235
0
1,312
342
342
1,165
5
8,422
0
7,400
0
1,297
15%
1,297
15%
1,748
67
67
10,170
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
Eligibles
3,598
NYS Catholic Health Plan
Cortland
TOTALS:
4,878
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
3,648
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
Enrolled
2,850
SNA HR & MA-HR
Eligibles
670
536
4,268
3,386
79%
932
586
Total
Eligibles
5,200
Total
Enrolled
Percent
Enrolled
3,972
76%
50%
1,842
299
2,141
50%
462
2,603
1
0
1
0%
0
1
0%
1,007
237
1,244
29%
124
1,368
26%
4,858
86%
5,401
84%
4,167
778
691
5,656
761
543
6,417
3,108
528
3,636
64%
376
4,012
63%
1,059
163
1,222
22%
167
1,389
22%
3
0%
3
0%
3
733
3
12,803
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
10,544
0
4,381
0
2,368
1,865
704
3
15,171
0
5,085
0
12,409
82%
3,082
1,612
18,253
3
0%
14,021
77%
20
12
32
0%
1
33
0%
Hudson Health Plan
3,656
572
4,228
28%
539
4,767
26%
MVP Health Plan
3,784
852
4,636
31%
601
5,237
29%
NYS Catholic Health Plan
1,190
270
1,460
10%
184
1,644
9%
Wellcare Of New York
1,894
159
2,053
14%
287
2,340
13%
81,083
87%
94,759
85%
Erie
TOTALS:
HealthNow/BCBSMandatory
WNY/Community Blue
Independent Health
Eff. May 1998 Association
77,674
67,662
15,854
13,421
93,528
18,000
13,676
111,528
11,606
1,778
13,384
14%
1,855
15,239
14%
18,169
2,806
20,975
22%
3,989
24,964
22%
NYS Catholic Health Plan
17,400
2,205
19,605
21%
2,593
22,198
20%
Univera Community Health
20,064
5,147
25,211
27%
2,411
27,622
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
67,239
11,936
79,175
85%
10,848
90,023
81%
423
1,485
1,908
2%
2,828
4,736
4%
423
1,485
1,908
2%
2,828
4,736
4%
776
27%
794
22%
776
27%
794
22%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
4,187
0
781
0
4,968
0
0%
1,131
0
6,099
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
6,058
5,198
1,012
927
7,070
6,125
87%
1,244
564
8,314
6,689
80%
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
2,482
587
441
587
189
2,923
189
618
18
3,541
18
1,125
210
1,335
19%
154
1,489
18%
4,073
717
4,790
68%
410
5,200
63%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,706
NYS Catholic Health Plan
Greene
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
GHI HMO Select
3,551
NYS Catholic Health Plan
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
3,376
Eligibles
582
United Healthcare Plan Of NY
TOTALS:
8,800
525
4,288
3,695
86%
611
448
Total
Eligibles
4,899
Total
Enrolled
Percent
Enrolled
4,349
89%
280
2,116
49%
169
2,285
47%
1,372
207
1,579
37%
263
1,842
38%
168
38
206
5%
16
222
5%
3,674
85%
4,312
83%
3,021
747
653
4,298
892
638
5,190
1,802
261
2,063
48%
438
2,501
48%
4
0
4
0%
0
4
0%
1,607
37%
1,807
35%
62
23%
64
20%
50
392
47
50
5,698
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
1,836
1,215
226
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
Enrolled
SNA HR & MA-HR
4,915
12
273
12
1,056
922
200
42
62
6,754
2
315
2
5,837
86%
1,047
614
7,801
64
20%
6,451
83%
713
98
811
12%
162
973
12%
4,161
814
4,975
74%
446
5,421
69%
41
10
51
1%
6
57
1%
0
0%
1,938
0
0%
0
1,296
0
10,096
0
12,034
TOTALS:
2,184
0
283
0
2,467
0
0%
467
0
2,934
0
0%
Livingston
TOTALS:
3,594
2,982
721
542
4,315
3,524
82%
749
519
5,064
4,043
80%
Mandatory
Excellus Health Plan
Eff. Apr 2002
MVP Health Plan
Madison
TOTALS:
Voluntary
NYS Catholic Health Plan
Monroe
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
NYS Catholic Health Plan
5,268
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
354
2,446
57%
334
2,780
55%
890
188
1,078
25%
185
1,263
25%
195
3%
219
3%
195
3%
219
3%
168
765
168
64,279
MVP Health Plan
Montgomery
2,092
6,084
57,164
27
6,033
27
24
67,501
88%
77,697
85%
44,563
58%
6,680
51,243
56%
4,513
2,723
7,236
9%
916
8,152
9%
13,573
2,129
15,702
21%
2,600
18,302
20%
6,083
88%
6,649
83%
746
76,514
6,929
5,485
857
10,337
24
39,078
5,337
12,235
896
6,941
14,505
1,038
10,196
566
91,019
7,979
2,679
298
2,977
43%
330
3,307
41%
2,658
448
3,106
45%
236
3,342
42%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
47,317
56,187
80%
14%
959
8,878
13%
8,697
1,663
10,360
18%
1,130
11,490
16%
HealthPlus
Health Insurance Plan of
Greater New York
3,158
1,027
4,185
7%
716
4,901
7%
7,292
2,418
9,710
17%
2,410
12,120
17%
NYS Catholic Health Plan
6,864
1,150
8,014
14%
1,096
9,110
13%
0
1
1
0%
1
2
0%
Mandatory
Eff Sep 1998
6,699
Oneida
TOTALS:
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
1,641
3,771
5,067
NYS Catholic Health Plan
Mandatory
15,225
22,280
United Healthcare Plan Of NY
36,708
3,397
20,329
1,100
11,985
7,658
8,340
14%
18,622
92%
6,167
30%
765
69,857
Percent
Enrolled
84%
16,558
57,872
Total
Enrolled
7,919
TOTALS:
HealthNow/BCBSWNY/Community Blue
Independent Health
Association
9,157
Total
Eligibles
48,529
United Healthcare Plan Of NY
10,555
Enrolled
1,257
NYS Catholic Health Plan 1199
39,372
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
6,662
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
1,346
3,362
2,750
23,691
9,686
14%
21,372
90%
6,932
29%
4,778
950
5,728
28%
1,283
7,011
30%
5,380
1,347
6,727
33%
702
7,429
31%
19,550
3,062
22,297
88%
26,278
86%
3,136
543
3,679
15%
737
4,416
14%
13,935
1,795
15,730
62%
2,768
18,498
60%
2,479
409
2,888
11%
476
3,364
11%
36,806
87%
43,838
86%
4,651
646
5,297
13%
908
6,205
12%
NYS Catholic Health Plan
9,908
1,323
11,231
27%
1,750
12,981
26%
13,106
2,191
15,297
36%
3,472
18,769
37%
4,378
603
4,981
12%
902
5,883
12%
5,609
85%
6,479
82%
71%
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
Mandatory
Affinity Health Plan
Eff. Mar 2007
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
5,781
34,967
4,966
833
643
6,614
8,533
1,291
7,032
30,668
TOTALS:
TOTALS:
42,245
3,981
Excellus Health Plan
Ontario
4,763
5,326
Mandatory
Eff. Nov 1998
United Healthcare Plan Of NY
5,537
25,342
Onondaga
SCHC Total Care
32,043
2,747
870
50,778
7,905
4,321
543
4,864
74%
727
5,591
645
100
745
11%
143
888
11%
33,072
85%
35,774
83%
30%
30,022
3,799
3,050
38,766
4,391
2,702
43,157
10,159
1,426
11,585
30%
1,290
12,875
35
6
41
0%
1
42
0%
6,368
939
7,307
19%
849
8,156
19%
12,118
497
12,615
33%
297
12,912
30%
1,342
182
1,524
4%
265
1,789
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,584
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
4,445
266
4,033
91%
1,542
35%
607
423
5,052
188
Total
Enrolled
Percent
Enrolled
4,456
88%
1,730
34%
796
221
1,017
23%
129
1,146
23%
1,155
319
1,474
33%
106
1,580
31%
14,622
86%
12,845
86%
157
1%
35
192
1%
NYS Catholic Health Plan
3,177
482
3,659
25%
431
4,090
24%
SCHC Total Care
5,663
1,045
6,708
45%
1,003
7,711
45%
United Healthcare Plan Of NY
2,059
262
2,321
16%
308
2,629
15%
3,854
80%
4,165
72%
2,979
62%
3,187
55%
Mandatory
Excellus Health Plan
12,878
806
Total
Eligibles
11
TOTALS:
4,137
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
11,628
Wellcare Of New York
Rockland
TOTALS:
Mandatory
Affinity Health Plan
Eff. Mar 2001
GHI HMO Select
36,626
704
1,623
NYS Catholic Health Plan
Wellcare Of New York
10,004
1,800
583
14,891
4,841
415
168
398
331
2,348
875
6%
1,954
83%
2,186
955
1,777
311
17,077
5,796
208
103
620
193
2,968
978
17%
2,147
72%
18%
379
98
477
20%
60
537
18
1
19
1%
1
20
1%
1,226
232
1,458
62%
132
1,590
54%
12,295
89%
14,041
86%
10,257
2,254
2,038
13,882
2,485
1,746
16,367
7,523
1,364
8,887
64%
1,269
10,156
62%
2,150
538
2,688
19%
300
2,988
18%
584
136
720
5%
177
897
5%
39,009
97%
40,975
95%
3,901
10%
4,460
10%
35,555
3,686
2,975
Hudson Health Plan
TOTALS:
3,271
2,013
707
1,950
NYS Catholic Health Plan
TOTALS:
Capital District Physicians
Health Plan
11,045
2,564
Eff. May 2007 NYS Catholic Health Plan
Putnam
St Lawrence
Voluntary
861
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
146
Otsego
Rensselaer
3,227
Eligibles
1,276
NYS Catholic Health Plan
Oswego
Enrolled
SNA HR & MA-HR
3,454
40,312
926
2,862
1,966
43,174
559
2
0
2
0%
0
2
0%
5,723
780
6,503
16%
464
6,967
16%
24,834
1,521
26,355
65%
763
27,118
63%
2,021
227
2,248
6%
180
2,428
6%
0
0%
0
0%
0
1,588
0
11,592
2,728
0
14,320
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
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
8,185
11,591
NYS Catholic Health Plan
Schoharie
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
2,225
Mandatory
Affinity Health Plan
Sullivan
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
Hudson Health Plan
NYS Catholic Health Plan
7,322
9,918
87%
62%
1,012
7,076
279
2,842
25%
10,896
82%
12,634
76%
43%
9,412
1,770
1,484
13,361
3,346
1,738
16,707
5,228
807
6,035
45%
1,216
7,251
32
2
34
0%
1
35
0%
4,152
675
4,827
36%
521
5,348
32%
360
14%
381
13%
303
12%
324
11%
289
373
1,327
61,702
71
2,598
59
12
323
38
315
279
57
2%
1,895
127
7%
127
7%
2,654
2,246
85%
2,246
85%
1,552
17%
275
3%
38
279
1,149
225
9,115
0
1,052
United Healthcare Plan Of NY
11,432
27%
275
NYS Catholic Health Plan 1199
1,291
64%
1,967
NYS Catholic Health Plan
1,887
2,563
89
Neighborhood Health Providers
90%
6,064
1,967
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
8,627
Percent
Enrolled
357
2,339
70,411
9,545
Total
Enrolled
894
89
7,966
1,251
Total
Eligibles
2,206
45
Southern Tier Priority (Partial)
TOTALS:
1,360
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
5,170
1,572
Excellus Health Plan
Suffolk
7,376
Eligibles
244
NYS Catholic Health Plan
Voluntary
Enrolled
SNA HR & MA-HR
225
13,954
12,098
84,365
1,277
14%
73,800
87%
417
21
3,015
21
0
291
18
508
344
57
2%
2,186
145
7%
145
7%
3,162
2,590
82%
2,590
82%
2,002
18%
302
3%
18
344
2,254
450
11,369
27
423
14,151
9,497
98,516
1,700
15%
83,297
85%
8,423
1,200
9,623
11%
1,083
10,706
11%
10,487
1,575
12,062
14%
1,237
13,299
13%
11,937
3,735
15,672
19%
2,522
18,194
18%
12,005
1,538
13,543
16%
1,778
15,321
16%
7,916
1,454
9,370
11%
1,171
10,541
11%
0
0
0
0%
1
1
0%
10,934
2,596
13,530
16%
1,705
15,235
15%
7,898
81%
6,239
6,995
84%
6
970
756
1
8,292
7
0%
1,493
0
7
0%
5,373
650
6,023
73%
773
6,796
69%
860
105
965
12%
130
1,095
11%
903
9,785
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Tioga
4,218
346
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,495
2,707
Voluntary
NYS Catholic Health Plan
TOTALS:
Mandatory
GHI HMO Select
Eff Mar 2007
554
74
1,111
451
4,772
420
420
9%
6,606
3,158
48%
74
9%
840
10
1,138
406
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,612
430
430
8%
7,744
3,564
46%
10
8%
159
75
234
2%
17
251
3%
2,548
376
2,924
44%
389
3,313
43%
11,148
83%
12,599
79%
4
37
0%
1
38
0%
Hudson Health Plan
2,674
547
3,221
24%
356
3,577
22%
MVP Health Plan
2,843
914
3,757
28%
499
4,256
27%
NYS Catholic Health Plan
1,125
222
1,347
10%
145
1,492
9%
Wellcare Of New York
2,559
227
2,786
21%
450
3,236
20%
1,322
30%
1,451
26%
1,322
30%
1,451
26%
4,179
82%
4,693
77%
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
11,060
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
33
Warren
3,958
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of
Greater New York
9,234
1,207
2,298
485
1,207
4,562
6,395
NYS Catholic Health Plan
Eff. Oct 1999
Eligibles
346
SCHC Total Care
Ulster
Enrolled
SNA HR & MA-HR
54,664
3,749
NYS Catholic Health Plan
115
13,358
4,443
115
514
430
5,076
2,576
1,036
1,451
129
15,934
5,479
129
1,050
514
6,126
1,379
181
1,560
31%
232
1,792
29%
2,370
249
2,619
52%
282
2,901
47%
3,511
49%
3,892
45%
43%
3,170
725
341
7,120
1,454
381
8,574
3,025
306
3,331
47%
378
3,709
145
35
180
3%
3
183
2%
57,216
86%
63,880
84%
10,373
16%
11,643
15%
47,103
11,547
8,227
Hudson Health Plan
1,914
10,113
66,211
2,146
10,147
6,664
76,358
1,270
4,038
1,572
5,610
8%
1,165
6,775
9%
27,616
4,459
32,075
48%
3,159
35,234
46%
7,222
1,936
9,158
14%
1,070
10,228
13%
Wyoming
Voluntary
TOTALS:
2,356
0
308
0
2,664
0
0%
491
0
3,155
0
0%
Yates
TOTALS:
1,929
1,736
254
228
2,183
1,964
90%
305
229
2,488
2,193
88%
1,964
90%
2,193
88%
696,496
78%
792,882
75%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,736
758,345
591,159
228
134,702
105,337
893,047
229
158,877
96,386
1,051,924
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
SNA HR & MA-HR
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
133,123
7%
15,170
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
89,982
43,141
Mandatory
Amerigroup
50,673
27,586
4
14
18
0%
2
20
0%
Fully
HealthFirst PHSP
226,223
79,114
305,337
16%
38,116
343,453
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
160,721
54,845
215,566
11%
16,563
232,129
11%
119,053
48,405
167,458
9%
21,412
188,870
9%
MetroPlus Health Plan
229,218
65,211
294,429
15%
28,822
323,251
15%
921
1,167
2,088
0%
1,273
3,361
0%
113,683
33,939
147,622
8%
17,704
165,326
8%
GHI HMO Select
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:
78,259
4%
5,135
148,293
7%
83,394
4%
221
635
856
0%
580
1,436
0%
112,977
56,042
169,019
9%
18,034
187,053
9%
1,806
346
2,152
0%
44
2,196
0%
99,347
43,920
143,267
7%
13,636
156,903
7%
116
756
872
0%
578
1,450
0%
32,116
20,578
52,694
3%
5,015
57,709
3%
1,394,513
1,237,061
532,660
475,699
1,927,173
1,712,760
89%
245,638
182,084
2,172,811
1,894,844
87%
758,345
591,159
134,702
105,337
893,047
696,496
78%
158,877
96,386
1,051,924
792,882
75%
NEW YORK CITY TOTALS:
1,394,513
1,237,061
532,660
475,699
1,927,173
1,712,760
89%
245,638
182,084
2,172,811
1,894,844
87%
GRAND TOTALS:
2,152,858
1,828,220
667,362
581,036
2,820,220
2,409,256
85%
404,515
278,470
3,224,735
2,687,726
83%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
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
350,789
303,903
104,780
83,900
455,569
387,804
85%
67,922
52,032
523,491
439,835
84%
Brooklyn
499,235
443,737
200,797
174,963
700,032
618,699
88%
79,744
58,302
779,776
677,001
87%
Manhattan
184,237
143,567
83,206
67,215
267,443
210,782
79%
45,636
30,772
313,079
241,554
77%
Queens
318,024
305,689
127,998
133,810
446,022
439,499
99%
43,473
34,043
489,495
473,542
97%
42,228
40,165
15,879
15,811
58,107
55,975
96%
8,863
6,936
66,970
62,911
94%
1,394,513
1,237,061
532,660
475,699
1,927,173
1,712,760
89%
245,638
182,084
2,172,811
1,894,844
87%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon November, 2009 total eligibles adjusted for excluded populations. The counts include recipients who are
exempt
from mandatory
enrollment.
(Seewas
about
statement
for2003
further
(2)
The source
of plan enrollment
counts
revised
in July,
to details)
be based on the primary and secondary roster reports. The roster reports reflect
month. (See about statement for further details)
enrollees
as of the
the to the nearest whole number.
(3)
All percents
arefirst
rounded
(4) New plans added this month : NYS Catholic Health Plan - Chenango & Delaware Counties
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Allegany
Broome
Cayuga
Chautauqua
Chenango
Cortland
Delaware
225
1,262
884
213
1,097
Wellcare Of New York
217
54
271
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
531
86
617
246
41
287
285
45
330
2,291
375
2,666
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
10
87
321
2,190
1
0
1
344
44
388
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
901
165
1,066
166
32
198
405
70
475
Univera Community Health Inc
330
63
393
TOTALS:
768
107
875
NYS Catholic Health Plan
321
48
369
United Healthcare Plan Of NY
447
59
506
1,491
269
1,760
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
246
44
290
1,175
201
1,376
70
24
94
TOTALS:
1,013
151
1,164
Excellus Health Plan
1,013
151
1,164
TOTALS:
763
102
865
GHI
756
101
857
7
1
8
917
192
1,109
TOTALS:
17
3
20
NYS Catholic Health Plan
900
189
1,089
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
542
88
630
179
32
211
363
56
419
TOTALS:
737
96
833
NYS Catholic Health Plan
600
74
674
SCHC Total Care
137
22
159
TOTALS:
475
73
548
GHI HMO Select
426
63
489
49
10
59
1,795
256
2,051
TOTALS:
GHI HMO Select
Erie
77
1,869
NYS Catholic Health Plan
NYS Catholic Health Plan
Dutchess
Total Enrolled
1,037
Excellus Health Plan
Columbia
Enrolled
2,630
NYS Catholic Health Plan
Clinton
Enrolled
492
Univera Community Health Inc
Chemung
ADULTS
WITHOUT
CHILDREN
2,138
GHI HMO Select
Cattaraugus
ADULTS
WITH
CHILDREN
6
0
6
Hudson Health Plan
530
75
605
MVP Health Plan
769
107
876
NYS Catholic Health Plan
248
35
283
Wellcare Of New York
242
39
281
TOTALS:
8,833
1,731
10,564
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,225
901
5,126
1,361
160
1,521
1,373
352
1,725
NYS Catholic Health Plan
1,874
318
2,192
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
County
Plan Name
Essex
TOTALS:
Genesee
Hamilton
Herkimer
Lewis
Livingston
9
480
75
555
TOTALS:
499
73
572
2
1
3
GHI
497
72
569
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
850
149
999
163
40
203
687
109
796
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
666
87
753
464
48
512
134
34
168
68
5
73
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
483
63
546
171
27
198
2
0
2
NYS Catholic Health Plan
310
36
346
TOTALS:
48
10
58
NYS Catholic Health Plan
48
10
58
1,041
170
1,211
TOTALS:
Excellus Health Plan
137
18
155
NYS Catholic Health Plan
891
151
1,042
13
1
14
TOTALS:
1,321
185
1,506
GHI
1,321
185
1,506
TOTALS:
297
41
338
GHI
297
41
338
TOTALS:
485
80
565
Excellus Health Plan
398
55
453
87
25
112
TOTALS:
816
93
909
Excellus Health Plan
231
21
252
84
15
99
501
57
558
TOTALS:
6,515
1,093
7,608
Excellus Health Plan
4,649
631
5,280
NYS Catholic Health Plan
1,216
335
1,551
MVP Health Plan
650
127
777
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
838
132
970
321
40
361
0
1
1
NYS Catholic Health Plan
517
91
608
TOTALS:
9,323
1,611
10,934
Affinity Health Plan
1,772
322
2,094
HealthFirst PHSP
1,856
253
2,109
654
137
791
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
1,482
321
1,803
1,852
339
2,191
United Healthcare Plan Of NY
1,707
239
1,946
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,309
423
2,732
969
166
1,135
1,340
257
1,597
NYS Catholic Health Plan
United Healthcare Plan Of NY
Monroe
Montgomery
Nassau
HealthPlus
Niagara
564
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
488
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
County
Plan Name
Oneida
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Oswego
489
2,128
293
2,421
552
76
628
4,076
696
4,772
500
SCHC Total Care
1,471
1,216
255
United Healthcare Plan Of NY
797
125
922
TOTALS:
865
140
1,005
Excellus Health Plan
785
127
912
80
13
93
TOTALS:
3,212
486
3,698
Affinity Health Plan
1,454
205
1,659
4
0
4
Hudson Health Plan
878
133
1,011
NYS Catholic Health Plan
670
108
778
Wellcare Of New York
206
40
246
TOTALS:
634
76
710
Excellus Health Plan
158
20
178
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
117
22
139
359
34
393
2,008
308
2,316
TOTALS:
11
2
13
590
70
660
1,194
1,009
185
United Healthcare Plan Of NY
398
51
449
TOTALS:
737
89
826
Excellus Health Plan
311
30
341
4
0
4
NYS Catholic Health Plan
422
59
481
TOTALS:
406
68
474
12
0
12
394
68
462
1,247
259
1,506
579
120
699
555
116
671
113
23
136
3,977
494
4,471
Affinity Health Plan
552
111
663
Hudson Health Plan
919
105
1,024
2,304
253
2,557
202
25
227
TOTALS:
1,176
176
1,352
Excellus Health Plan
1,174
176
1,350
2
0
2
GHI HMO Select
NYS Catholic Health Plan
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Wellcare Of New York
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
74
1,879
GHI HMO Select
Rockland
3,538
415
67
SCHC Total Care
Rensselaer
Total Enrolled
443
249
NYS Catholic Health Plan
Putnam
Enrolled
3,095
433
Excellus Health Plan
Otsego
Enrolled
1,630
GHI HMO Select
Orleans
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
MVP Health Plan
Orange
ADULTS
WITH
CHILDREN
GHI
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,623
538
66
604
1,085
148
1,233
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
1,288
211
1,499
453
70
523
2
0
2
NYS Catholic Health Plan
833
141
974
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
369
55
424
199
25
224
170
30
200
TOTALS:
275
49
324
Excellus Health Plan
275
49
324
TOTALS:
380
49
429
Excellus Health Plan
380
49
429
1,009
143
1,152
Schenectady
Schoharie
Schuyler
Seneca
Steuben
TOTALS:
GHI
Suffolk
Sullivan
Tioga
Tompkins
1,009
143
1,152
2,202
15,341
Affinity Health Plan
2,135
349
2,484
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,347
384
2,731
2,441
542
2,983
952
136
1,088
NYS Catholic Health Plan
2,252
360
2,612
United Healthcare Plan Of NY
3,012
431
3,443
TOTALS:
1,008
121
1,129
Hudson Health Plan
862
90
952
NYS Catholic Health Plan
146
31
177
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
449
64
513
449
64
513
623
80
703
SCHC Total Care
469
61
530
1
0
1
153
19
172
1,812
359
2,171
3
0
3
Hudson Health Plan
512
104
616
MVP Health Plan
699
166
865
NYS Catholic Health Plan
230
39
269
Wellcare Of New York
368
50
418
TOTALS:
679
66
745
NYS Catholic Health Plan
679
66
745
TOTALS:
Capital District Physicians Health
Plan
GHI HMO Select
679
76
755
147
28
175
1
0
1
NYS Catholic Health Plan
531
48
579
NYS Catholic Health Plan
TOTALS:
GHI HMO Select
Warren
Washington
1,837
13,139
TOTALS:
GHI
Ulster
214
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
865
80
945
Excellus Health Plan
710
56
766
NYS Catholic Health Plan
155
24
179
TOTALS:
7,058
1,317
8,375
Affinity Health Plan
Health Insurance Plan of Greater
New York
Hudson Health Plan
1,307
280
1,587
727
146
873
3,768
591
4,359
NYS Catholic Health Plan
Westchester
Wyoming
Yates
1,256
300
1,556
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
394
49
443
394
49
443
403
48
451
Excellus Health Plan
403
48
451
102,660
16,887
119,547
Affinity Health Plan
14,409
8,318
22,727
Amerigroup
12,517
6,051
18,568
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
27,299
13,066
40,365
19,711
7,601
27,312
25,171
8,548
33,719
MetroPlus Health Plan
25,967
9,061
35,028
Neighborhood Health Providers
14,805
4,902
19,707
NYS Catholic Health Plan
20,658
10,236
30,894
1,757
127
1,884
18,380
6,503
24,883
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
6,611
4,392
11,003
NYC Total
187,285
78,805
266,090
UPSTATE TOTALS:
102,660
16,887
119,547
NEW YORK CITY TOTALS:
187,285
78,805
266,090
GRAND TOTALS
289,945
95,692
385,637
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,974
10,300
41,274
Brooklyn
64,171
26,597
90,768
Manhattan
18,503
12,085
30,588
Queens
65,969
27,363
93,332
7,668
2,460
10,128
187,285
78,805
266,090
Staten Island
Borough Total
NOTES:
(1) The source of plan enrollment counts was revised in July, 2003 to be based
on the primary and secondary roster reports which reflect enrollees as of the
first of the month.
(2) New plans added this month : NYS Catholic Health Plan - Chenango &
Deleware Counties
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS JANUARY, 2010
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
10
10
9
9
8
2,265
61
175
2,509
101
101
264
264
1
341
342
26
26
3,261
702
702
1,482
24
1,506
110
33
143
473
5,609
297
6,379
807
807
3,509
3,509
1,430
1,430
176
135
311
1,935
1,935
46
325
371
141
141
7,791
7,791
665
665
25,690
28,951
(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 JANUARY, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Plan Name
TOTAL
Fidelis
HealthNow
Senior Whole Health
TOTAL
Touchstone/Prestige
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
HealthNow
TOTAL
Fidelis
TOTAL
Fidelis
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
TOTAL
Fidelis
TOTAL
Fidelis
Touchstone/Prestige
TOTAL
GHI
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Total
Enrolled
180
11
1
168
5
5
4
4
27
2
25
7
3
4
3
3
1
1
177
16
133
28
15
15
21
6
15
6
6
2
2
64
11
53
43
43
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JANUARY, 2010
County
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Plan Name
TOTAL
Senior Whole Health
TOTAL
Fidelis
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
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Neighborhood Health Provide
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
Total
Enrolled
17
17
74
11
63
79
11
68
101
3
98
1
1
60
42
13
5
887
107
293
746
1,786
810
50
25
3
478
4,298
887
4,298
5,185
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 : Broome County Touchstone/Prestige & Columbia County - Senior Whole Health
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS JANUARY, 2010
Upstate Total:
NYC
Guildnet
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
51
51
2
2
37
1
36
4
4
9
9
49
49
152
160
4
30
80
274
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
152
274
426
County
Albany
Dutchess
Rensselaer
Saratoga
Schenectady
Ulster
Plan Name
Total
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
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 : Dutchess County - Senior Whole
Health