RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Allegany
Eligibles
19,471
Wellcare Of New York
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Mandatory
Broome MAX
Capital District Physicians
Health Plan
Eff. May 1998
17,689
Excellus Health Plan
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
6,729
Univera Community Health
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
(Partial)
TOTALS:
TOTALS:
NYS Catholic Health Plan
20,595
87%
4,268
3,165
Total
Eligibles
27,981
Total
Enrolled
23,760
Percent
Enrolled
85%
14,189
60%
2,168
16,357
58%
957
4,594
19%
585
5,179
19%
3,210
252
726
623
4,566
1,812
8%
3,833
84%
412
809
468
5,375
2,224
8%
4,301
80%
2,002
408
2,410
53%
329
2,739
51%
1,208
215
1,423
31%
139
1,562
29%
18,790
89%
21,737
86%
15,661
3,451
3,129
21,140
4,051
2,947
25,191
854
59
913
4%
297
1,210
5%
347
37
384
2%
100
484
2%
12,440
2,576
15,016
71%
2,156
17,172
68%
2,020
457
2,477
12%
394
2,871
11%
6,731
87%
7,832
87%
5,803
1,034
928
7,763
1,291
1,101
9,054
2,465
338
2,803
36%
699
3,502
39%
2,094
312
2,406
31%
261
2,667
29%
278
1,096
117
3,296
2,973
643
1,522
20%
7,974
760
10%
760
10%
17,319
15,316
88%
117
141
1,252
38
2,740
2,360
1,663
18%
9,226
798
9%
798
9%
20,059
17,676
88%
38
2,830
543
3,373
19%
684
4,057
20%
9,240
2,246
11,486
66%
1,577
13,063
65%
273
184
457
3%
99
556
3%
5,841
6,528
62%
7,844
61%
3,667
0
3,667
35%
301
3,968
31%
2,174
687
2,861
27%
1,015
3,876
30%
79
1%
85
1%
85
1%
1,481
14%
1,481
14%
59
1,432
864
59
7,102
23,713
Eligibles Enrolled
2,328
12,343
5,550
3,537
SSI & MA-SSI
3,637
14,023
9,174
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
11,861
643
NYS Catholic Health Plan
Clinton
Voluntary
4,242
1,244
Southern Tier Priority (Partial)
Chenango
Voluntary
17,058
6,878
Univera Community Health
Chemung
Eligibles
1,560
3,840
NYS Catholic Health Plan
Cattaraugus
Enrolled
SNA HR & MA-HR
1,011
1,011
687
20
10,606
6,414
20
1,398
393
393
2,247
1,185
79
8,500
1,316
6
12,853
7,599
6
1,404
17%
1,404
17%
1,757
77
77
10,257
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
County
Plan Name
Columbia
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
3,706
NYS Catholic Health Plan
Enrolled
Eligibles
2,957
697
Enrolled
572
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,403
3,529
80%
SSI & MA-SSI
Eligibles Enrolled
918
599
Total
Eligibles
5,321
Total
Enrolled
Percent
Enrolled
4,128
78%
1,915
331
2,246
51%
469
2,715
51%
1,042
241
1,283
29%
130
1,413
27%
5,020
87%
5,574
86%
Cortland
TOTALS:
Mandatory
Eff. May 2007
Delaware
Voluntary
NYS Catholic Health Plan
3,154
577
3,731
65%
383
4,114
63%
SCHC Total Care
1,102
187
1,289
22%
171
1,460
22%
4,628
71
2%
700
0
5,328
71
1%
71
1%
15,516
13,180
85%
3,124
1,755
18,640
14,935
80%
TOTALS:
4,929
SNA HR & MA-HR
4,256
3,825
52
12,965
11,029
NYS Catholic Health Plan
823
764
803
19
2,551
2,151
52
5,752
19
743
71
554
6,495
0
Dutchess
TOTALS:
Mandatory
GHI HMO Select
0
1
1
0%
0
1
0%
Eff. Apr 2007
Hudson Health Plan
3,824
624
4,448
29%
568
5,016
27%
MVP Health Plan
3,998
1,005
5,003
32%
655
5,658
30%
NYS Catholic Health Plan
1,365
357
1,722
11%
215
1,937
10%
Wellcare Of New York
1,842
164
2,006
13%
317
2,323
12%
83,216
88%
97,250
86%
13,475
14%
15,367
14%
Erie
Mandatory
Eff. May 1998
TOTALS:
HealthNow/BCBSWNY/Community Blue
78,236
69,083
16,251
11,642
14,133
1,833
14,034
112,517
1,892
18,968
3,197
22,165
23%
4,145
26,310
23%
NYS Catholic Health Plan
17,641
2,388
20,029
21%
2,717
22,746
20%
Univera Community Health
20,421
5,152
25,573
27%
2,501
28,074
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
68,672
12,570
81,242
86%
11,255
92,497
82%
411
1,563
1,974
2%
2,779
4,753
4%
Total Partial Risk
411
1,563
TOTALS:
Voluntary
Franklin
Voluntary
NYS Catholic Health Plan
TOTALS:
4,151
0
793
0
Fulton
TOTALS:
Capital District Physicians
Health Plan
6,114
5,384
1,060
956
Eff. Mar 2007
18,030
Independent Health Association
Essex
Mandatory
94,487
NYS Catholic Health Plan
2,548
597
463
597
199
1,974
2%
796
26%
796
26%
4,944
0
0%
1,113
0
7,174
6,340
88%
1,237
594
3,011
199
2,779
622
14
4,753
4%
810
22%
810
22%
6,057
0
0%
8,411
6,934
82%
3,633
14
1,111
203
1,314
18%
156
1,470
17%
4,273
753
5,026
70%
438
5,464
65%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Eligibles
3,647
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:
Mandatory
Excellus Health Plan
Eff. May 2003
NYS Catholic Health Plan
Enrolled
Eligibles
3,295
635
Enrolled
565
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,282
3,860
90%
SSI & MA-SSI
Eligibles Enrolled
632
464
Total
Eligibles
4,914
Total
Enrolled
Percent
Enrolled
4,324
88%
1,757
281
2,038
48%
176
2,214
45%
1,329
216
1,545
36%
266
1,811
37%
209
3,591
3,097
68
794
736
4,385
277
6%
3,833
87%
22
897
656
5,282
299
6%
4,489
85%
1,848
290
2,138
49%
444
2,582
49%
1,249
446
1,695
39%
212
1,907
36%
295
73
25%
40
3
335
76
23%
76
23%
6,732
5,935
88%
1,054
635
7,786
6,570
84%
245
59
5,678
4,988
50
14
1,054
947
59
United Healthcare Plan Of NY
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
14
73
3
722
108
830
12%
160
990
13%
4,226
830
5,056
75%
468
5,524
71%
40
9
49
1%
7
56
1%
TOTALS:
9,082
0
1,368
0
10,450
0
0%
1,963
0
12,413
0
0%
TOTALS:
2,211
0
268
0
2,479
0
0%
463
0
2,942
0
0%
Livingston
TOTALS:
3,589
3,094
726
559
4,315
763
535
5,078
Mandatory
Eff. Apr 2002
Excellus Health Plan
NYS Catholic Health Plan
Madison
TOTALS:
Voluntary
Excellus Health Plan
MVP Health Plan
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
64,792
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
85%
4,188
82%
371
2,521
58%
347
2,868
56%
0
1
1
0%
0
1
0%
1,131
26%
1,319
26%
354
6%
391
6%
0%
944
5,372
NYS Catholic Health Plan
Monroe
3,653
2,150
6,083
295
187
822
59
6,194
188
895
37
7,089
22
3
25
0%
3
28
273
56
329
5%
34
363
5%
68,223
88%
78,804
86%
57%
57,542
12,453
10,681
77,245
14,674
10,581
91,919
39,267
5,686
44,953
58%
6,993
51,946
4,950
2,898
7,848
10%
961
8,809
10%
13,325
2,097
15,422
20%
2,627
18,049
20%
6,280
90%
6,890
86%
5,469
884
811
6,967
1,079
610
8,046
2,693
319
3,012
43%
348
3,360
42%
2,776
492
3,268
47%
262
3,530
44%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
48,582
40,598
11,584
Enrolled
9,990
60,166
50,588
84%
Eligibles Enrolled
12,021
7,922
Total
Eligibles
72,187
Total
Enrolled
Percent
Enrolled
58,510
81%
1,284
8,034
13%
990
9,024
13%
1,793
10,629
18%
1,146
11,775
16%
HealthPlus
Health Insurance Plan of
Greater New York
3,323
1,180
4,503
7%
745
5,248
7%
7,256
2,571
9,827
16%
2,451
12,278
17%
NYS Catholic Health Plan
7,246
1,320
8,566
14%
1,160
9,726
13%
0
1
1
0%
1
2
0%
7,187
1,841
9,028
15%
1,429
10,457
14%
19,117
93%
21,937
91%
6,247
30%
785
7,032
29%
United Healthcare Plan Of NY
Eff Sep 1998
Eligibles
SSI & MA-SSI
8,836
NYS Catholic Health Plan 1199
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
6,750
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
TOTALS:
HealthNow/BCBSWNY/Community Blue
16,616
15,492
3,938
5,084
3,625
20,554
1,163
3,440
2,820
23,994
Independent Health Association
4,741
982
5,723
28%
1,303
7,026
29%
NYS Catholic Health Plan
5,667
1,480
7,147
35%
732
7,879
33%
27,388
87%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
22,888
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
37,098
23,324
89%
3,244
602
3,846
15%
739
4,585
15%
14,444
2,005
16,449
63%
2,845
19,294
61%
2,583
446
3,029
12%
480
3,509
11%
20,271
44,973
87%
13%
943
6,353
12%
NYS Catholic Health Plan
10,153
1,409
11,562
27%
1,790
13,352
26%
SCHC Total Care
13,650
2,285
15,935
37%
3,481
19,416
38%
4,337
605
4,942
12%
910
5,852
11%
TOTALS:
Excellus Health Plan
Orange
Mandatory
TOTALS:
Affinity Health Plan
10,217
1,488
Eff. Mar 2007
Hudson Health Plan
6,638
MVP Health Plan
NYS Catholic Health Plan
Wellcare Of New York
35,414
5,819
87%
6,721
84%
583
5,035
75%
752
5,787
72%
679
105
784
12%
150
934
12%
33,860
86%
36,687
84%
11,705
30%
1,311
13,016
30%
1,044
7,682
19%
907
8,589
20%
12,457
556
13,013
33%
335
13,348
30%
1,272
188
1,460
4%
274
1,734
4%
3,986
688
3,276
6,723
39,400
1,292
4,402
902
51,513
4,452
30,584
877
7,124
31,516
88%
Mandatory
Eff. Mar 1998
8,608
4,064
5,410
Ontario
42,905
5,345
37,849
5,131
4,952
26,171
653
5,846
5,807
3,053
4,757
United Healthcare Plan Of NY
32,897
3,283
2,827
8,015
43,802
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,601
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
3,306
926
878
4,527
4,184
92%
Eligibles Enrolled
614
423
Total
Eligibles
5,141
Total
Enrolled
Percent
Enrolled
4,607
90%
1,299
300
1,599
35%
194
1,793
35%
777
240
1,017
22%
124
1,141
22%
1,230
13,079
Enrolled
11,646
338
2,058
1,861
15,137
1,568
35%
13,507
89%
105
2,208
1,809
17,345
1,673
33%
15,316
88%
165
12
177
1%
33
210
1%
529
3,857
25%
441
4,298
25%
SCHC Total Care
6,009
1,061
7,070
47%
1,032
8,102
47%
United Healthcare Plan Of NY
2,144
259
2,403
16%
303
2,706
16%
4,137
3,111
85%
64%
4,473
3,338
76%
57%
1,026
7%
1,135
19%
2,200
89%
2,402
78%
347
14%
385
12%
Eff. May 2007
NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
4,169
2,049
Rockland
TOTALS:
Affinity Health Plan
Eff. Mar 2001
Hudson Health Plan
1,841
37,468
10,772
416
10,225
4,891
359
2,465
79
280
2,426
2,284
14,354
1,853
75%
13,056
91%
960
336
227
5,851
109
630
202
3,095
38
164
2,514
1,814
16,868
2,017
65%
14,870
88%
7,826
1,492
9,318
65%
1,308
10,626
63%
2,339
638
2,977
21%
337
3,314
20%
607
154
761
5%
169
930
6%
40,067
97%
42,095
95%
3,924
9%
563
4,487
10%
36,446
3,895
2,976
Wellcare Of New York
640
453
187
1,573
11,928
NYS Catholic Health Plan
TOTALS:
722
268
NYS Catholic Health Plan
Mandatory
3,497
2,658
839
Wellcare Of New York
St Lawrence
Voluntary
Eligibles
SSI & MA-SSI
3,328
TOTALS:
Excellus Health Plan
Eff. Oct 1997
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
NYS Catholic Health Plan
Mandatory
Mandatory
SNA HR & MA-HR
3,621
41,363
948
2,914
2,028
44,277
5,825
844
6,669
16%
473
7,142
16%
25,563
1,603
27,166
66%
804
27,970
63%
2,082
226
2,308
6%
188
2,496
6%
0
0%
0
0%
0
1,664
0
11,889
2,707
0
14,596
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 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
NYS Catholic Health Plan
Schoharie
TOTALS:
Capital District Physicians
Health Plan
Voluntary
Eligibles
8,384
11,919
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Voluntary
1,603
TOTALS:
Affinity Health Plan
2,333
71,376
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
1,427
1,310
9,811
8,945
91%
SSI & MA-SSI
Eligibles Enrolled
1,921
1,312
Total
Eligibles
11,732
Total
Enrolled
Percent
Enrolled
10,257
87%
5,289
949
6,238
64%
1,037
7,275
62%
361
2,707
28%
275
2,982
25%
11,497
83%
13,319
77%
6,345
46%
7,594
44%
5,152
37%
5,725
33%
378
14%
399
13%
9,883
1,898
313
1,614
13,817
871
743
391
65
2,675
3,381
1,822
17,198
1,249
573
415
21
3,090
249
53
302
11%
21
323
10%
64
12
76
3%
0
76
2%
83
309
2,006
1,303
34
1,912
34
334
310
2,667
310
1,186
216
9,332
117
6%
117
6%
2,316
87%
2,316
87%
1,519
16%
298
20
2,210
20
507
359
3,174
359
2,271
447
11,603
137
6%
137
6%
2,675
84%
2,675
84%
1,966
17%
287
0
287
3%
27
314
3%
1,016
216
1,232
13%
420
1,652
14%
64,050
77,168
90%
86,930
87%
8,611
14,686
1,327
9,938
12%
1,100
11,038
11%
10,527
1,616
12,143
14%
1,237
13,380
13%
12,282
4,001
16,283
19%
2,562
18,845
19%
13,118
86,062
14,183
9,762
100,245
12,329
1,621
13,950
16%
1,782
15,732
16%
8,459
1,612
10,071
12%
1,225
11,296
11%
0
0
0
0%
1
1
0%
11,842
7,439
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
2,346
2,006
8,146
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Sullivan
7,635
83
Southern Tier Priority (Partial)
Suffolk
Eligibles
4,409
2,284
Excellus Health Plan
Mandatory
Enrolled
5,474
NYS Catholic Health Plan
Schuyler
SNA HR & MA-HR
6,426
2,941
1,095
901
8,534
14,783
17%
7,327
86%
1,855
1,496
935
10,030
16,638
17%
8,262
82%
5,458
743
6,201
73%
786
6,987
70%
968
158
1,126
13%
149
1,275
13%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Enrolled
Eligibles
Tioga
4,303
362
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,471
2,807
Voluntary
NYS Catholic Health Plan
581
62
1,116
482
362
SCHC Total Care
4,884
424
424
9%
6,587
3,289
50%
62
9%
SSI & MA-SSI
Eligibles Enrolled
875
9
1,140
422
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,759
433
433
8%
7,727
3,711
48%
9
8%
182
88
270
2%
22
292
4%
2,625
394
3,019
46%
400
3,419
44%
Ulster
TOTALS:
11,667
85%
13,153
81%
Mandatory
Hudson Health Plan
2,741
548
3,289
24%
365
3,654
22%
Eff Mar 2007
MVP Health Plan
3,003
1,033
4,036
29%
513
4,549
28%
NYS Catholic Health Plan
1,324
245
1,569
11%
155
1,724
11%
Wellcare Of New York
2,546
227
2,773
20%
453
3,226
20%
1,580
28%
1,580
28%
4,848
79%
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
11,312
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,100
Westchester
TOTALS:
Affinity Health Plan
Health Insurance Plan of
Greater New York
Eff. Oct 1999
1,316
2,387
503
1,316
4,616
6,552
NYS Catholic Health Plan
Mandatory
9,614
54,865
Hudson Health Plan
NYS Catholic Health Plan
3,826
2,053
121
13,699
4,603
121
503
472
5,119
1,437
31%
1,437
31%
4,298
84%
2,604
1,043
1,486
143
16,303
5,646
143
1,052
550
6,171
1,426
191
1,617
32%
243
1,860
30%
2,400
281
2,681
52%
307
2,988
48%
3,642
50%
4,036
46%
3,042
3,264
312
3,354
46%
389
3,743
43%
222
66
288
4%
5
293
3%
58,404
88%
65,264
85%
10,602
16%
11,898
15%
47,973
784
11,880
378
10,431
8,392
2,210
7,336
66,745
1,448
10,242
394
6,860
8,784
76,987
1,296
3,992
1,566
5,558
8%
1,166
6,724
9%
28,157
4,588
32,745
49%
3,268
36,013
47%
7,432
2,067
9,499
14%
1,130
10,629
14%
Wyoming
Voluntary
TOTALS:
2,439
0
319
0
2,758
0
0%
481
0
3,239
0
0%
Yates
TOTALS:
1,938
1,787
265
240
2,203
2,027
92%
315
237
2,518
2,264
90%
2,027
92%
2,264
90%
720,562
79%
820,161
77%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,787
769,263
607,955
240
141,280
112,607
910,543
237
159,874
99,599
1,070,417
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
SNA HR & MA-HR
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Total
Eligibles
Total
Enrolled
Percent
Enrolled
County
Plan Name
NYC
Affinity Health Plan
90,423
43,864
134,287
7%
15,357
149,644
7%
Mandatory
Amerigroup
50,039
27,806
77,845
4%
5,238
83,083
4%
119
778
897
0%
562
1,459
0%
1
0
1
0%
0
1
0%
Eligibles
Amida Care SN
GHI HMO Select
Enrolled
Eligibles
Enrolled
Eligibles
Enrolled
Fully
HealthFirst PHSP
229,765
81,377
311,142
16%
38,779
349,921
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
161,767
55,378
217,145
11%
16,694
233,839
11%
117,047
48,499
165,546
8%
21,311
186,857
9%
MetroPlus Health Plan
231,959
67,061
299,020
15%
29,263
328,283
15%
943
1,123
2,066
0%
1,242
3,308
0%
112,436
33,719
146,155
8%
17,629
163,784
7%
201
643
844
0%
577
1,421
0%
117,272
60,839
178,111
9%
18,846
196,957
9%
1,830
323
2,153
0%
41
2,194
0%
101,348
45,543
146,891
8%
13,786
160,677
7%
30,705
19,494
50,199
3%
4,807
55,006
3%
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
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
1,399,706
1,245,855
547,958
486,447
1,947,664
1,732,302
89%
245,425
184,132
2,193,089
1,916,434
87%
769,263
607,955
141,280
112,607
910,543
720,562
79%
159,874
99,599
1,070,417
820,161
77%
NEW YORK CITY TOTALS:
1,399,706
1,245,855
547,958
486,447
1,947,664
1,732,302
89%
245,425
184,132
2,193,089
1,916,434
87%
GRAND TOTALS:
2,168,969
1,853,810
689,238
599,054
2,858,207
2,452,864
86%
405,299
283,731
3,263,506
2,736,595
84%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
352,095
306,175
107,790
85,809
459,885
391,984
85%
67,863
52,784
527,748
444,768
84%
Brooklyn
501,094
447,767
206,564
178,477
707,658
626,244
88%
79,675
58,715
787,333
684,959
87%
Manhattan
184,923
143,551
85,595
68,168
270,518
211,719
78%
45,596
30,809
316,114
242,527
77%
Queens
319,209
307,602
131,674
137,444
450,883
445,046
99%
43,435
34,723
494,318
479,769
97%
42,385
40,761
16,335
16,550
58,720
57,310
98%
8,856
7,100
67,576
64,411
95%
1,399,706
1,245,855
547,958
486,447
1,947,664
1,732,302
89%
245,425
184,132
2,193,089
1,916,434
87%
Staten Island
Borough Total
NOTES:
Eligibles
Enrolled
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon February, 2010 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 : Livingston County - NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Chenango
Clinton
Cortland
Delaware
Dutchess
Erie
Enrolled
Enrolled
Total Enrolled
538
2,717
1,044
247
1,291
919
238
1,157
Wellcare Of New York
216
53
269
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
562
92
654
250
45
295
312
47
359
2,395
421
2,816
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
70
11
81
1,976
361
2,337
NYS Catholic Health Plan
349
49
398
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
937
172
1,109
183
23
206
425
85
510
Univera Community Health Inc
329
64
393
TOTALS:
839
118
957
NYS Catholic Health Plan
403
64
467
United Healthcare Plan Of NY
436
54
490
1,535
270
1,805
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
244
38
282
1,207
208
1,415
84
24
108
TOTALS:
1,085
182
1,267
Excellus Health Plan
1,085
182
1,267
TOTALS:
811
104
915
NYS Catholic Health Plan
811
104
915
TOTALS:
929
199
1,128
Excellus Health Plan
Columbia
ADULTS
WITHOUT
CHILDREN
2,179
Univera Community Health Inc
Chemung
ADULTS
WITH
CHILDREN
13
3
16
NYS Catholic Health Plan
916
196
1,112
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
581
92
673
195
30
225
386
62
448
TOTALS:
715
107
822
NYS Catholic Health Plan
579
87
666
SCHC Total Care
136
20
156
TOTALS:
479
84
563
NYS Catholic Health Plan
479
84
563
1,982
289
2,271
TOTALS:
Hudson Health Plan
585
81
666
MVP Health Plan
825
123
948
NYS Catholic Health Plan
319
54
373
Wellcare Of New York
253
31
284
TOTALS:
9,291
1,749
11,040
Univera Community Health Inc
4,301
876
5,177
HealthNow/BCBSWNY/Community Blue
Independent Health
1,432
155
1,587
1,593
389
1,982
NYS Catholic Health Plan
1,965
329
2,294
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
County
Plan Name
Essex
TOTALS:
Herkimer
7
534
93
627
TOTALS:
456
80
536
1
1
2
451
79
530
4
0
4
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
909
150
1,059
170
33
203
739
117
856
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
621
89
710
404
48
452
140
27
167
77
14
91
541
74
615
196
30
226
345
44
389
TOTALS:
52
11
63
NYS Catholic Health Plan
52
11
63
1,072
163
1,235
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
TOTALS:
Excellus Health Plan
131
14
145
NYS Catholic Health Plan
929
149
1,078
United Healthcare Plan Of NY
Jefferson
Lewis
Livingston
12
0
12
TOTALS:
1,357
208
1,565
GHI
1,357
208
1,565
TOTALS:
305
41
346
GHI
305
41
346
TOTALS:
492
83
575
Excellus Health Plan
408
61
469
84
22
106
TOTALS:
816
95
911
Excellus Health Plan
209
15
224
NYS Catholic Health Plan
136
24
160
United Healthcare Plan Of NY
471
56
527
TOTALS:
6,580
1,163
7,743
Excellus Health Plan
4,608
664
5,272
NYS Catholic Health Plan
1,306
372
1,678
MVP Health Plan
666
127
793
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
859
134
993
323
39
362
536
95
631
10,142
1,777
11,919
Affinity Health Plan
1,847
347
2,194
HealthFirst PHSP
1,946
286
2,232
745
152
897
1,531
315
1,846
2,069
403
2,472
2,004
274
2,278
MVP Health Plan
Madison
Monroe
Montgomery
Nassau
634
NYS Catholic Health Plan
NYS Catholic Health Plan
Hamilton
Total Enrolled
1
NYS Catholic Health Plan
Greene
Enrolled
94
GHI
Genesee
Enrolled
6
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
540
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
TOTALS:
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
United Healthcare Plan Of NY
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,410
457
2,867
978
179
1,157
1,432
278
1,710
TOTALS:
3,265
463
3,728
452
79
531
2,237
314
2,551
Oneida
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Orleans
Oswego
492
68
560
257
1,966
SCHC Total Care
1,538
1,259
279
United Healthcare Plan Of NY
803
125
928
TOTALS:
881
156
1,037
Excellus Health Plan
801
139
940
80
17
97
TOTALS:
3,338
503
3,841
Affinity Health Plan
1,440
213
1,653
Hudson Health Plan
928
137
1,065
NYS Catholic Health Plan
784
119
903
Wellcare Of New York
186
34
220
TOTALS:
635
89
724
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
171
26
197
113
23
136
351
40
391
2,183
338
2,521
TOTALS:
NYS Catholic Health Plan
SCHC Total Care
Putnam
Rensselaer
4
19
85
749
1,109
197
1,306
395
52
447
TOTALS:
775
96
871
Excellus Health Plan
289
29
318
NYS Catholic Health Plan
486
67
553
TOTALS:
454
76
530
NYS Catholic Health Plan
454
76
530
1,367
284
1,651
602
113
715
650
140
790
115
31
146
4,008
522
4,530
Affinity Health Plan
528
117
645
Hudson Health Plan
912
124
1,036
2,360
251
2,611
208
30
238
TOTALS:
1,365
219
1,584
Excellus Health Plan
1,365
219
1,584
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
15
664
United Healthcare Plan Of NY
Wellcare Of New York
Rockland
646
4,992
1,709
Excellus Health Plan
Otsego
70
729
NYS Catholic Health Plan
MVP Health Plan
Orange
576
4,263
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 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
1,717
565
88
653
1,152
162
1,314
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,394
214
1,608
Schenectady
Schoharie
Schuyler
Seneca
Steuben
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
1,967
480
71
551
914
143
1,057
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
402
67
469
201
28
229
201
39
240
TOTALS:
258
53
311
Excellus Health Plan
258
53
311
TOTALS:
376
47
423
Excellus Health Plan
376
47
423
TOTALS:
997
161
1,158
GHI
Suffolk
250
997
161
1,158
13,851
2,245
16,096
Affinity Health Plan
2,192
337
2,529
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,376
386
2,762
2,539
507
3,046
1,044
147
1,191
NYS Catholic Health Plan
2,501
420
2,921
United Healthcare Plan Of NY
3,199
448
3,647
TOTALS:
1,078
138
1,216
Hudson Health Plan
890
101
991
NYS Catholic Health Plan
188
37
225
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
473
59
532
473
59
532
619
87
706
SCHC Total Care
468
65
533
NYS Catholic Health Plan
151
22
173
1,867
390
2,257
Hudson Health Plan
525
110
635
MVP Health Plan
736
182
918
NYS Catholic Health Plan
253
51
304
Wellcare Of New York
353
47
400
TOTALS:
733
84
817
NYS Catholic Health Plan
733
84
817
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
718
82
800
145
27
172
573
55
628
TOTALS:
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
931
90
1,021
Excellus Health Plan
724
52
776
NYS Catholic Health Plan
207
38
245
TOTALS:
7,470
1,331
8,801
Affinity Health Plan
1,373
271
1,644
Health Insurance Plan of Greater
New York
Hudson Health Plan
767
157
924
3,978
587
4,565
NYS Catholic Health Plan
1,351
316
1,667
1
0
1
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
433
54
487
433
54
487
394
50
444
Excellus Health Plan
394
50
444
107,717
17,913
125,630
Affinity Health Plan
14,107
7,928
22,035
Amerigroup
12,183
5,835
18,018
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
26,990
12,417
39,407
19,121
6,938
26,059
24,677
7,991
32,668
MetroPlus Health Plan
25,960
8,560
34,520
Neighborhood Health Providers
14,479
4,617
19,096
NYS Catholic Health Plan
21,494
10,617
32,111
1,588
126
1,714
18,579
6,285
24,864
Westchester
NYS Catholic Health Plan 1199
Wyoming
Yates
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
6,095
3,890
9,985
NYC Total
185,273
75,204
260,477
UPSTATE TOTALS:
107,717
17,913
125,630
NEW YORK CITY TOTALS:
185,273
75,204
260,477
GRAND TOTALS
292,990
93,117
386,107
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,777
9,916
40,693
Brooklyn
63,687
25,506
89,193
Manhattan
18,123
11,424
29,547
Queens
65,027
25,992
91,019
7,659
2,366
10,025
185,273
75,204
260,477
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 : Franklin County - NYS Catholic Health
Plan
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS APRIL, 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
ALBANY
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
38
38
13
13
11
2,293
58
177
2,539
1
112
113
275
275
1
354
355
36
36
3,369
730
730
1,599
27
1,626
115
36
151
470
5,538
325
6,333
828
828
3,629
3,629
1,469
1,469
188
136
324
2,061
2,061
49
338
387
144
144
7,978
7,978
835
835
26,495
29,864
(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 APRIL, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Schenectady
Suffolk
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
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Total
Enrolled
184
10
174
5
5
7
7
31
3
28
5
3
2
3
3
1
1
169
15
127
27
14
14
21
6
15
22
5
17
2
2
76
10
66
43
43
25
25
77
10
67
75
11
64
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS APRIL, 2010
County
Ulster
Westchester
Upstate Total:
NYC
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Touchstone/Prestige
Total
Enrolled
109
3
106
56
40
11
5
925
118
323
701
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Touchstone/Prestige
NYC Total
1,701
761
33
23
548
4,208
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
925
4,208
5,133
NOTES:
(1) The source of plan enrollment counts is the primary and secondary
roster reports which reflect enrollees as of the first of the month.
(2) New plans added this month : None
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS APRIL, 2010
County
Albany
Columbia
Dutchess
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Upstate Total:
NYC
Elderplan
Guildnet
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
54
54
2
2
2
2
2
2
45
42
3
7
7
12
12
56
56
180
3
195
7
39
76
320
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
180
320
500
Plan Name
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
NYS Catholic Health Plan
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 : New York City - Elderplan, Orange County Senior Whole Health, & Rensselaer County - NYS Catholic Health Plan