RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Allegany
Eligibles
19,313
11,925
2,287
20,542
88%
14,212
61%
4,258
3,185
27,637
Percent
Enrolled
23,727
86%
2,153
16,365
59%
18%
902
4,434
19%
595
5,029
263
1,896
8%
437
2,333
8%
3,782
83%
4,251
79%
2,372
52%
2,699
50%
Univera Community Health
TOTALS:
3,874
NYS Catholic Health Plan
Mandatory
NYS Catholic Health Plan
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
(Partial)
TOTALS:
TOTALS:
NYS Catholic Health Plan
2,907
24,821
664
1,552
29%
21,416
86%
2,886
12%
425
2%
98
523
2%
65%
1,797
15,367
62%
2,292
11%
2,640
11%
6,629
86%
7,709
86%
5,689
430
1,028
940
7,678
348
1,302
1,080
8,980
2,441
347
2,788
36%
689
3,477
39%
2,034
312
2,346
31%
252
2,598
29%
281
1,030
93
3,158
2,831
947
642
8%
16,926
15,034
89%
3,394
11,147
20%
66%
504
0
10,452
504
822
12
947
8%
185
1,350
1,372
12
19%
642
531
2,115
308
5,024
3,652
1,495
7,754
93
2,863
9,032
7,161
11%
142
4,056
13,570
549
NYS Catholic Health Plan
2,222
327
35
12,203
5,478
31%
89%
5,370
2,322
13,768
Southern Tier Priority (Partial)
1,410
18,509
469
390
549
9,102
20,765
174
1,214
Univera Community Health
2,961
803
11,248
6,724
NYS Catholic Health Plan
4,567
207
3,277
1,862
6,650
Univera Community Health
Cayuga
15,548
593
386
2,048
Excellus Health Plan
Eff. Sep 2001
693
1,203
17,488
Broome MAX
Capital District Physicians
Eff. May 1998 Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
3,189
1,986
Mandatory
Clinton
Voluntary
23,379
Total
Enrolled
3,532
Broome
Chenango
Voluntary
3,452
Total
Eligibles
1,633
Eff. Feb 2007
Chemung
Voluntary
4,066
Enrolled
NYS Catholic Health Plan
Mandatory
Mandatory
Eff. Sep 2001
17,090
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
Wellcare Of New York
TOTALS:
HealthNow/BCBSWNY/Community Blue
Cattaraugus
Enrolled
SNA HR & MA-HR
0
6,300
0
1,323
361
361
493
3%
5,528
3,652
53%
35%
1,876
18%
12
0%
139
1,253
25
2,748
2,334
18%
667
7%
667
7%
19,674
17,368
88%
4,079
12,696
21%
65%
25
685
1,549
100
2,242
919
313
12,694
606
1,165
12
8,484
1,634
9,007
3
7,465
3
1,308
15%
1,308
15%
1,745
70
70
10,229
593
3%
6,447
3,965
51%
31%
2,482
20%
15
0%
15
0%
1,378
13%
1,378
13%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Cortland
NYS Catholic Health Plan
TOTALS:
Eligibles
3,654
4,894
TOTALS:
Mandatory
GHI HMO Select
Eff. Apr 2007
665
1,045
4,232
3,751
8
793
10,860
561
4,319
242
718
5,687
550
168
755
8
12,893
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
319
3,144
1,088
NYS Catholic Health Plan
Dutchess
2,944
Eligibles
1,899
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Voluntary
TOTALS:
Enrolled
SNA HR & MA-HR
3
4,506
3
2,414
1,971
3,505
81%
2,218
51%
1,287
4,950
30%
87%
3,694
1,256
65%
22%
11
0%
912
5,231
471
758
124
546
6,445
377
169
702
11
15,307
595
Total
Eligibles
0
5,208
0
3,077
1,654
18,384
Total
Enrolled
Percent
Enrolled
4,100
78%
2,689
51%
1,411
5,496
27%
85%
4,071
1,425
63%
22%
11
0%
11
0%
14,485
79%
12,831
84%
6
3
9
0%
0
9
0%
Hudson Health Plan
3,758
595
4,353
28%
552
4,905
27%
MVP Health Plan
3,938
926
4,864
32%
625
5,489
30%
NYS Catholic Health Plan
1,264
286
1,550
10%
189
1,739
9%
Wellcare Of New York
1,894
161
2,055
13%
288
2,343
13%
82,008
87%
95,828
86%
13,361
14%
15,236
14%
Erie
TOTALS:
HealthNow/BCBSMandatory
WNY/Community Blue
Independent Health
Eff. May 1998 Association
77,845
68,219
15,984
11,566
13,789
93,829
1,795
17,924
13,820
111,753
1,875
18,375
2,973
21,348
23%
4,043
25,391
23%
NYS Catholic Health Plan
17,556
2,296
19,852
21%
2,637
22,489
20%
Univera Community Health
20,303
5,192
25,495
27%
2,456
27,951
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
67,800
12,256
80,056
85%
11,011
91,067
81%
419
1,533
1,952
2%
2,809
4,761
4%
419
1,533
1,952
2%
2,809
4,761
4%
791
27%
808
23%
791
27%
808
23%
Total Partial Risk
Essex
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
4,165
0
781
0
4,946
0
0%
1,134
0
6,080
0
0%
Fulton
TOTALS:
Capital District Physicians
Health Plan
6,025
5,301
1,024
939
7,049
6,240
89%
1,247
573
8,296
6,813
82%
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
2,504
596
453
596
195
2,957
195
600
17
3,557
17
1,123
210
1,333
19%
152
1,485
18%
4,178
729
4,907
70%
421
5,328
64%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Eligibles
3,679
MVP Health Plan
NYS Catholic Health Plan
Greene
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
3,603
597
8,874
552
4,276
3,908
91%
611
467
Total
Eligibles
4,887
Total
Enrolled
Percent
Enrolled
4,375
90%
289
2,094
49%
173
2,267
46%
1,355
212
1,567
37%
276
1,843
38%
196
51
247
6%
18
265
5%
3,756
86%
4,404
84%
2,095
48%
2,541
48%
1,863
35%
64
19%
64
19%
3,077
758
48
4,987
679
4,361
265
414
52
48
5,734
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
1,805
1,247
235
United Healthcare Plan Of NY
TOTALS:
3,356
Eligibles
1,830
Mandatory
Excellus Health Plan
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
Enrolled
SNA HR & MA-HR
14
287
14
22%
446
202
43
62
2
330
2
5,914
87%
6,529
83%
807
5,057
12%
74%
159
449
966
5,506
12%
70%
41
9
50
1%
7
57
1%
0
0%
0
0%
0
6,801
5,250
99
819
1,315
927
38%
62
648
708
4,238
0
1,067
1,661
889
10,189
1,036
1,932
615
7,837
0
12,121
TOTALS:
2,195
0
286
0
2,481
0
0%
469
0
2,950
0
0%
Livingston
Mandatory
Eff. Apr 2002
TOTALS:
Excellus Health Plan
3,590
3,072
2,155
702
555
363
4,292
3,627
2,518
85%
59%
756
521
338
5,048
4,148
2,856
82%
57%
1,109
26%
1,292
26%
Madison
TOTALS:
277
4%
Voluntary
NYS Catholic Health Plan
Monroe
Mandatory
Eff. Mar 1998
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
MVP Health Plan
917
5,345
206
192
790
206
64,535
MVP Health Plan
57,541
39,290
4,646
12,289
13,605
6,064
5,412
41
6,135
41
10,394
5,501
2,786
76,824
2,107
863
777
6,927
247
4%
247
4%
67,935
44,791
7,432
88%
58%
10%
15,712
20%
6,189
89%
183
900
30
7,035
30
14,601
10,338
6,791
930
91,425
2,617
1,053
575
7,980
277
4%
78,273
51,582
8,362
86%
56%
9%
18,329
20%
6,764
85%
2,712
308
3,020
44%
332
3,352
42%
2,700
469
3,169
46%
243
3,412
43%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
48,244
59,298
50,181
85%
11,930
7,786
71,228
Total
Enrolled
Percent
Enrolled
57,967
81%
8,134
14%
967
9,101
13%
1,738
10,614
18%
1,137
11,751
16%
HealthPlus
Health Insurance Plan of
Greater New York
3,234
1,106
4,340
7%
731
5,071
7%
7,451
2,531
9,982
17%
2,434
12,416
17%
NYS Catholic Health Plan
7,118
1,229
8,347
14%
1,118
9,465
13%
0
1
1
0%
1
2
0%
7,018
1,745
8,763
15%
1,398
10,161
14%
18,846
93%
21,614
91%
6,180
30%
771
6,951
29%
TOTALS:
HealthNow/BCBSWNY/Community Blue
Independent Health
Association
16,544
Oneida
Mandatory
Eff Sep 2001
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Onondaga
Mandatory
Eff. Nov 1998
TOTALS:
Excellus Health Plan
TOTALS:
Eff. Mar 2007
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
29%
1,292
7,101
30%
34%
705
7,562
32%
25,559
22,866
3,746
16,120
89%
15%
63%
30,896
26,879
4,485
18,917
87%
15%
61%
3,000
12%
3,477
11%
42,379
36,954
5,339
87%
13%
50,919
44,006
6,261
86%
12%
3,136
2,865
556
1,880
5,610
4,832
662
429
5,337
4,013
739
2,797
8,540
7,052
922
477
9,875
1,342
11,217
26%
1,761
12,978
25%
13,220
2,234
15,454
36%
3,467
18,921
37%
5,846
11%
6,539
5,634
82%
71%
905
11%
5,003
4,350
594
841
653
35,125
23,721
5,809
4,350
5,802
2,768
6,857
2,571
MVP Health Plan
Affinity Health Plan
1,123
3,371
984
32,122
4,677
United Healthcare Plan Of NY
20,350
1,380
36,769
NYS Catholic Health Plan
3,487
4,825
20,001
3,190
14,240
SCHC Total Care
Orange
Mandatory
3,806
5,477
22,423
United Healthcare Plan Of NY
TOTALS:
Excellus Health Plan
15,359
5,057
NYS Catholic Health Plan
Ontario
Mandatory
Eff. Mar 1998
9,655
Total
Eligibles
1,305
United Healthcare Plan Of NY
Eff Sep 1998
11,054
Enrolled
8,876
NYS Catholic Health Plan 1199
Mandatory
40,526
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
6,829
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
30,469
653
548
6,643
105
3,838
3,188
38,963
4,944
12%
5,656
4,898
85%
74%
758
11%
902
1,304
883
736
7,947
147
33,657
86%
36,427
84%
10,258
1,490
11,748
30%
4,438
2,770
1,292
43,401
13,040
30%
18
5
23
0%
0
23
0%
6,532
996
7,528
19%
888
8,416
19%
12,324
513
12,837
33%
322
13,159
30%
1,337
184
1,521
4%
268
1,789
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
Mandatory
TOTALS:
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
Eligibles
3,589
NYS Catholic Health Plan
Oswego
Mandatory
Eff. Apr 1999
TOTALS:
Excellus Health Plan
13,041
Mandatory
4,106
1,563
92%
35%
608
425
191
5,076
Percent
Enrolled
4,531
1,754
89%
35%
798
226
1,024
23%
130
1,154
23%
1,193
326
1,519
34%
104
1,623
32%
13,253
174
88%
1%
15,039
209
87%
1%
11,411
162
2,050
1,842
12
15,091
2,198
1,786
35
17,289
511
3,808
25%
436
4,244
25%
1,055
6,899
46%
1,013
7,912
46%
TOTALS:
Excellus Health Plan
Mandatory
Amerigroup
Eff. Mar 2007
GHI HMO Select
2,108
4,158
3,396
2,641
1,978
1,704
TOTALS:
Capital District Physicians
Health Plan
Wellcare Of New York
TOTALS:
Mandatory
Affinity Health Plan
Eff. Mar 2001
GHI HMO Select
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
TOTALS:
10,083
2,372
16%
4,857
3,991
3,063
82%
63%
348
928
6%
2,386
2,052
86%
302
965
316
211
5,822
105
625
197
3,011
2,674
15%
4,307
3,274
74%
56%
1,033
18%
2,249
75%
312
86
398
17%
47
445
15%
2
0
2
0%
0
2
0%
1,652
69%
12,690
91%
10,526
262
2,271
2,164
13,952
150
2,493
1,764
16,445
1,802
60%
14,454
88%
7,687
1,433
9,120
65%
1,276
10,396
63%
2,240
579
2,819
20%
311
3,130
19%
599
36,794
595
422
173
408
1,390
11,681
NYS Catholic Health Plan
Rockland
264
699
755
NYS Catholic Health Plan
St Lawrence
Voluntary
4,468
Total
Enrolled
5,844
TOTALS:
Eff. Oct 1997
831
279
Total
Eligibles
3,297
Putnam
Mandatory
879
Enrolled
NYS Catholic Health Plan
Eff. May 2007 NYS Catholic Health Plan
Rensselaer
3,275
1,284
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
SCHC Total Care
United Healthcare Plan Of NY
Otsego
Enrolled
SNA HR & MA-HR
36,076
152
3,763
3,576
40,557
751
5%
39,652
98%
177
2,871
2,011
43,428
928
6%
41,663
96%
2,949
955
3,904
10%
557
4,461
10%
2
0
2
0%
0
2
0%
5,753
808
6,561
16%
473
7,034
16%
25,280
1,576
26,856
66%
794
27,650
64%
2,092
237
2,329
6%
187
2,516
6%
0
0%
0
0%
0
1,575
0
11,658
2,705
0
14,363
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
Schenectady
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Apr 2007
GHI HMO Select
NYS Catholic Health Plan
Schoharie
TOTALS:
Capital District Physicians
Health Plan
Voluntary
Eligibles
8,276
Schuyler
TOTALS:
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Voluntary
2,250
1,568
Mandatory
Affinity Health Plan
2,343
8,000
70,910
Neighborhood Health Providers
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
TOTALS:
Mandatory
Hudson Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
7,386
1,275
9,646
372
1,800
1,524
13,487
8,873
92%
6,190
64%
2,683
28%
11,059
82%
1,899
1,300
Total
Eligibles
11,545
1,022
278
3,341
1,787
16,828
Total
Enrolled
Percent
Enrolled
10,173
88%
7,212
62%
2,961
26%
12,846
76%
5,310
844
6,154
46%
1,240
7,394
44%
7
4,218
1
679
8
4,897
0%
36%
2
545
10
5,442
0%
32%
358
14%
380
12%
286
384
72
2,634
415
22
3,049
236
59
295
11%
22
317
10%
50
13
63
2%
0
63
2%
141
6%
89
317
1,977
1,323
34
1,885
34
321
1,977
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Sullivan
9,535
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
903
89
Southern Tier Priority (Partial)
TOTALS:
1,370
2,311
11,687
Excellus Health Plan
Suffolk
7,598
Eligibles
5,287
NYS Catholic Health Plan
Voluntary
Enrolled
SNA HR & MA-HR
291
2,664
291
1,175
222
9,175
123
7%
123
7%
2,268
85%
2,268
85%
1,545
17%
288
18
2,173
18
498
345
3,162
345
2,250
450
11,425
141
6%
2,613
83%
2,613
83%
1,995
17%
282
0
282
3%
28
310
3%
1,041
222
1,263
14%
422
1,685
15%
75,252
88%
84,840
85%
62,755
14,277
12,497
85,187
14,124
9,588
99,311
8,532
1,284
9,816
12%
1,090
10,906
11%
10,550
1,613
12,163
14%
1,235
13,398
13%
12,114
3,806
15,920
19%
2,535
18,455
19%
12,118
1,580
13,698
16%
1,783
15,481
16%
8,150
1,500
9,650
11%
1,190
10,840
11%
0
0
0
0%
1
1
0%
11,291
2,714
14,005
16%
1,754
15,759
16%
7,206
86%
8,122
82%
6,407
1,006
799
8,392
1,486
916
9,878
5,502
681
6,183
74%
784
6,967
71%
905
118
1,023
12%
132
1,155
12%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
4,237
Tompkins
TOTALS:
5,457
Voluntary
NYS Catholic Health Plan
Voluntary
Eligibles
TOTALS:
Mandatory
GHI HMO Select
Eff Mar 2007
572
71
4,809
71
9%
9
5,674
9
8%
3,671
48%
2%
18
270
4%
2,628
386
3,014
46%
387
3,401
44%
12,801
80%
11,341
84%
3
0%
0
3
0%
Hudson Health Plan
2,663
548
3,211
24%
357
3,568
22%
MVP Health Plan
2,906
961
3,867
29%
505
4,372
27%
NYS Catholic Health Plan
1,240
232
1,472
11%
150
1,622
10%
Wellcare Of New York
2,553
235
2,788
21%
448
3,236
20%
1,366
31%
1,501
27%
1,366
31%
1,501
27%
4,198
82%
4,732
77%
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff Mar 2007
NYS Catholic Health Plan
Wayne
Voluntary
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of
Greater New York
3,948
1,251
486
1,251
4,596
3,766
115
4,434
115
532
432
5,128
1,040
1,460
7,700
430
50%
2,597
405
8%
252
13,458
1,126
430
3,266
1,976
6,574
421
865
Percent
Enrolled
83
2,322
469
9%
Total
Enrolled
169
9,365
1,117
421
Total
Eligibles
0
TOTALS:
11,136
2,797
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
3
Warren
Eff. Oct 1999
350
Eligibles
350
SCHC Total Care
Ulster
Enrolled
SNA HR & MA-HR
135
16,055
5,474
135
1,044
534
6,172
1,385
187
1,572
31%
241
1,813
29%
2,381
245
2,626
51%
293
2,919
47%
6,480
3,241
3,059
182
758
346
302
44
7,238
3,587
3,361
226
50%
46%
3%
1,460
391
387
4
8,698
3,978
3,748
230
46%
43%
3%
54,762
47,531
11,691
10,326
66,453
10,193
6,736
76,646
Hudson Health Plan
NYS Catholic Health Plan
57,857
87%
64,593
84%
8,308
2,185
10,493
16%
1,285
11,778
15%
4,041
1,587
5,628
8%
1,163
6,791
9%
27,880
4,580
32,460
49%
3,202
35,662
47%
7,302
1,974
9,276
14%
1,086
10,362
14%
Wyoming
Voluntary
TOTALS:
2,391
0
303
0
2,694
0
0%
478
0
3,172
0
0%
Yates
TOTALS:
1,915
1,742
256
234
2,171
1,976
91%
311
235
2,482
2,211
89%
1,976
91%
2,211
89%
708,560
79%
806,055
76%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,742
762,716
599,991
234
136,952
108,569
899,668
235
159,016
97,495
1,058,684
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
NYC
Mandatory
Plan Name
Affinity Health Plan
Amerigroup
Fully
Implemented:
HealthFirst PHSP
HealthPlus
Health Insurance Plan of
Greater New York
Eligibles
GHI HMO Select
Sept 2002
SNA HR & MA-HR
Enrolled Eligibles
90,599
50,886
Enrolled
43,833
28,063
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
134,432
7%
15,234
78,949
4%
5,157
Total
Eligibles
Total
Enrolled
Percent
Enrolled
149,666
84,106
7%
4%
2
228,523
161,596
1
80,425
55,258
3
308,948
216,854
0%
16%
11%
0
38,241
16,600
3
347,189
233,454
0%
16%
11%
MetroPlus Health Plan
MetroPlus Health Plan SN
119,005
231,148
941
48,553
66,329
1,151
167,558
297,477
2,092
9%
15%
0%
21,409
28,933
1,252
188,967
326,410
3,344
9%
15%
0%
Neighborhood Health Providers
113,940
34,001
147,941
8%
17,681
165,622
8%
212
637
849
0%
574
1,423
0%
114,647
57,999
172,646
9%
18,341
190,987
9%
1,873
339
2,212
0%
48
2,260
0%
100,516
116
31,786
44,644
755
20,366
145,160
871
52,152
7%
0%
3%
13,693
577
4,900
158,853
1,448
57,052
7%
0%
3%
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:
1,400,962
1,245,790
543,066
482,354
1,944,028
1,728,144
89%
245,178
182,640
2,189,206
1,910,784
87%
762,716
599,991
136,952
108,569
899,668
708,560
79%
159,016
97,495
1,058,684
806,055
76%
NEW YORK CITY TOTALS:
1,400,962
1,245,790
543,066
482,354
1,944,028
1,728,144
89%
245,178
182,640
2,189,206
1,910,784
87%
GRAND TOTALS:
2,163,678
1,845,781
680,018
590,923
2,843,696
2,436,704
86%
404,194
280,135
3,247,890
2,716,839
84%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
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
352,411
306,048
106,827
85,074
459,238
391,122
85%
67,795
52,191
527,033
443,312
84%
Brooklyn
501,543
446,868
204,720
177,410
706,263
624,278
88%
79,595
58,480
785,858
682,758
87%
Manhattan
185,089
144,580
84,831
68,156
269,920
212,736
79%
45,550
30,866
315,470
243,602
77%
Queens
319,495
307,846
130,498
135,682
449,993
443,528
99%
43,392
34,147
493,385
477,675
97%
42,424
40,448
16,190
16,032
58,614
56,480
96%
8,846
6,957
67,460
63,437
94%
1,400,962
1,245,790
543,066
482,354
1,944,028
1,728,144
89%
245,178
182,640
2,189,206
1,910,784
87%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon December, 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 FEBRUARY, 2010
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Chenango
Cortland
Delaware
Erie
Total Enrolled
1,036
233
1,269
916
227
1,143
Wellcare Of New York
214
54
268
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
547
87
634
245
44
289
302
43
345
2,365
408
2,773
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
80
12
92
1,946
352
2,298
NYS Catholic Health Plan
339
44
383
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
917
168
1,085
174
28
202
407
74
481
Univera Community Health Inc
336
66
402
TOTALS:
794
117
911
NYS Catholic Health Plan
360
58
418
United Healthcare Plan Of NY
434
59
493
1,539
265
1,804
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
253
40
293
1,209
204
1,413
77
21
98
TOTALS:
1,032
164
1,196
Excellus Health Plan
1,032
164
1,196
TOTALS:
788
103
891
GHI
729
91
820
59
12
71
920
183
1,103
TOTALS:
16
3
19
NYS Catholic Health Plan
904
180
1,084
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
553
91
644
186
33
219
367
58
425
TOTALS:
733
113
846
NYS Catholic Health Plan
600
87
687
SCHC Total Care
133
26
159
TOTALS:
467
69
536
GHI HMO Select
385
53
438
82
16
98
1,843
268
2,111
NYS Catholic Health Plan
Dutchess
Enrolled
2,680
Excellus Health Plan
Columbia
Enrolled
514
NYS Catholic Health Plan
Clinton
ADULTS
WITHOUT
CHILDREN
2,166
Univera Community Health Inc
Chemung
ADULTS
WITH
CHILDREN
TOTALS:
Hudson Health Plan
545
75
620
MVP Health Plan
800
111
911
NYS Catholic Health Plan
259
43
302
Wellcare Of New York
239
39
278
TOTALS:
8,985
1,749
10,734
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,268
891
5,159
1,384
166
1,550
1,453
366
1,819
NYS Catholic Health Plan
1,880
326
2,206
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
County
Plan Name
Essex
TOTALS:
Genesee
Hamilton
Herkimer
Lewis
Livingston
9
502
83
585
TOTALS:
485
83
568
2
1
3
GHI
483
82
565
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
864
155
1,019
168
38
206
696
117
813
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
647
91
738
438
48
486
132
36
168
77
7
84
509
73
582
184
29
213
325
44
369
TOTALS:
47
9
56
NYS Catholic Health Plan
47
9
56
1,041
169
1,210
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
TOTALS:
Excellus Health Plan
132
18
150
NYS Catholic Health Plan
897
151
1,048
12
0
12
TOTALS:
1,337
180
1,517
GHI
1,337
180
1,517
TOTALS:
299
43
342
GHI
299
43
342
TOTALS:
482
81
563
Excellus Health Plan
395
54
449
87
27
114
TOTALS:
808
92
900
Excellus Health Plan
223
21
244
97
17
114
488
54
542
TOTALS:
6,604
1,131
7,735
Excellus Health Plan
4,682
647
5,329
NYS Catholic Health Plan
1,260
355
1,615
MVP Health Plan
662
129
791
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
846
130
976
335
38
373
511
92
603
TOTALS:
9,821
1,671
11,492
Affinity Health Plan
1,824
335
2,159
HealthFirst PHSP
1,889
262
2,151
720
147
867
1,557
315
1,872
1,968
355
2,323
United Healthcare Plan Of NY
1,863
257
2,120
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,328
426
2,754
965
174
1,139
1,363
252
1,615
NYS Catholic Health Plan
United Healthcare Plan Of NY
Monroe
Montgomery
Nassau
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
Niagara
594
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
84
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
510
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 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
509
2,198
310
2,508
561
82
643
4,122
708
4,830
527
SCHC Total Care
1,503
1,243
260
United Healthcare Plan Of NY
764
135
899
TOTALS:
887
135
1,022
Excellus Health Plan
807
122
929
80
13
93
TOTALS:
3,210
490
3,700
Affinity Health Plan
1,435
209
1,644
5
0
5
Hudson Health Plan
881
132
1,013
NYS Catholic Health Plan
698
110
808
Wellcare Of New York
191
39
230
TOTALS:
637
84
721
Excellus Health Plan
163
20
183
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
116
23
139
358
41
399
2,087
334
2,421
TOTALS:
13
4
17
616
75
691
1,265
1,065
200
United Healthcare Plan Of NY
393
55
448
TOTALS:
763
94
857
Excellus Health Plan
305
29
334
NYS Catholic Health Plan
458
65
523
TOTALS:
433
68
501
NYS Catholic Health Plan
433
68
501
1,277
271
1,548
585
123
708
575
123
698
117
25
142
3,960
501
4,461
Affinity Health Plan
533
116
649
Hudson Health Plan
911
108
1,019
2,303
253
2,556
213
24
237
TOTALS:
1,267
195
1,462
Excellus Health Plan
1,267
195
1,462
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
76
1,901
Wellcare Of New York
Rockland
3,660
433
66
SCHC Total Care
Rensselaer
Total Enrolled
468
247
NYS Catholic Health Plan
Putnam
Enrolled
3,192
461
Excellus Health Plan
Otsego
Enrolled
1,654
GHI HMO Select
Orleans
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
MVP Health Plan
Orange
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 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
1,656
547
70
617
1,109
142
1,251
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,307
217
1,524
463
74
537
844
143
987
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
389
59
448
202
27
229
187
32
219
TOTALS:
270
43
313
Excellus Health Plan
270
43
313
TOTALS:
392
45
437
Excellus Health Plan
392
45
437
1,028
147
1,175
Schenectady
Schoharie
Schuyler
Seneca
Steuben
TOTALS:
GHI
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
212
1,868
1,028
147
1,175
13,417
2,239
15,656
Affinity Health Plan
2,153
347
2,500
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,374
398
2,772
2,479
545
3,024
993
140
1,133
NYS Catholic Health Plan
2,319
367
2,686
United Healthcare Plan Of NY
3,099
442
3,541
TOTALS:
1,037
131
1,168
Hudson Health Plan
875
98
973
NYS Catholic Health Plan
162
33
195
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
465
70
535
465
70
535
620
87
707
SCHC Total Care
470
66
536
NYS Catholic Health Plan
150
21
171
1,819
373
2,192
Hudson Health Plan
502
105
607
MVP Health Plan
703
167
870
NYS Catholic Health Plan
244
45
289
Wellcare Of New York
370
56
426
TOTALS:
710
78
788
NYS Catholic Health Plan
710
78
788
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
690
73
763
147
27
174
543
46
589
TOTALS:
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
908
91
999
Excellus Health Plan
724
60
784
NYS Catholic Health Plan
184
31
215
TOTALS:
7,245
1,320
8,565
Affinity Health Plan
Health Insurance Plan of Greater
New York
Hudson Health Plan
1,312
272
1,584
754
151
905
3,900
589
4,489
NYS Catholic Health Plan
Westchester
Wyoming
Yates
1,279
308
1,587
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
414
53
467
414
53
467
398
47
445
Excellus Health Plan
398
47
445
104,877
17,350
122,227
Affinity Health Plan
14,423
8,326
22,749
Amerigroup
12,560
6,038
18,598
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
27,353
12,970
40,323
19,481
7,457
26,938
25,019
8,444
33,463
MetroPlus Health Plan
26,023
8,943
34,966
Neighborhood Health Providers
14,743
4,845
19,588
NYS Catholic Health Plan
20,997
10,486
31,483
1,749
133
1,882
18,473
6,504
24,977
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
6,510
4,292
10,802
NYC Total
187,331
78,438
265,769
UPSTATE TOTALS:
104,877
17,350
122,227
NEW YORK CITY TOTALS:
187,331
78,438
265,769
GRAND TOTALS
292,208
95,788
387,996
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,079
10,264
41,343
Brooklyn
64,120
26,536
90,656
Manhattan
18,436
11,975
30,411
Queens
66,000
27,189
93,189
7,696
2,474
10,170
187,331
78,438
265,769
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 FEBRUARY, 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
15
15
10
10
11
2,275
60
172
2,518
101
101
268
268
1
350
351
29
29
3,292
717
717
1,510
24
1,534
112
35
147
461
5,604
308
6,373
802
802
3,508
3,508
1,437
1,437
182
132
314
1,955
1,955
50
335
385
143
143
7,865
7,865
738
738
25,918
29,210
(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 FEBRUARY, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
Touchstone/Prestige
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
TOTAL
Fidelis
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
TOTAL
Fidelis
TOTAL
Fidelis
Touchstone/Prestige
TOTAL
GHI
Senior Whole Health
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
TOTAL
Senior Whole Health
Total
Enrolled
180
11
169
5
5
7
7
28
3
25
4
3
1
3
3
1
1
173
16
130
27
15
15
21
6
15
15
6
9
2
2
67
11
56
43
43
21
21
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS FEBRUARY, 2010
County
Schenectady
Suffolk
Ulster
Westchester
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
TOTAL
Fidelis
Senior Whole Health
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
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
Total
Enrolled
73
11
62
78
11
67
100
3
97
58
41
12
5
894
106
314
727
1,753
773
30
25
573
4,301
894
4,301
5,195
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 : Senior Whole Health - Orange
& Greene Counties
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS FEBRUARY, 2010
Upstate Total:
NYC
Guildnet
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
54
54
2
2
42
0
42
5
5
9
9
50
50
162
153
5
32
80
270
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
162
270
432
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 : None