RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Allegany
19,512
17,487
Eligibles
4,346
Enrolled
3,692
23,858
21,179
89%
4,306
3,182
Total
Eligibles
28,164
Total
Enrolled
Percent
Enrolled
24,361
86%
2,416
14,557
61%
2,204
16,761
60%
NYS Catholic Health Plan
3,844
1,031
4,875
20%
582
5,457
19%
Wellcare Of New York
1,502
245
1,747
7%
396
2,143
8%
3,870
83%
4,337
80%
50%
Mandatory
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Capital District Physicians
Health Plan
3,892
18,063
Eff. May 1998 Excellus Health Plan
NYS Catholic Health Plan
Cattaraugus
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
12,141
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eligibles
SNA HR & MA-HR
753
640
4,645
798
467
5,443
1,993
419
2,412
52%
330
2,742
1,237
221
1,458
31%
137
1,595
29%
19,189
88%
22,163
86%
2%
99
457
2%
71%
15,862
3,688
3,327
21,751
4,062
2,974
25,813
323
35
358
13,189
2,784
15,973
73%
2,356
18,329
2,350
508
2,858
13%
519
3,377
13%
6,949
87%
8,069
87%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,472
356
2,828
35%
709
3,537
38%
Eff. Sep 2001
NYS Catholic Health Plan
2,154
323
2,477
31%
273
2,750
30%
Univera Community Health
1,352
292
1,644
21%
138
1,782
19%
898
10%
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
6,914
3,230
6,907
Voluntary
TOTALS:
(Partial)
14,193
9,201
Southern Tier Priority (Partial)
Chenango
Voluntary
TOTALS:
5,556
NYS Catholic Health Plan
Clinton
Voluntary
TOTALS:
NYS Catholic Health Plan
731
1,056
1,148
731
Univera Community Health
Chemung
5,978
12,470
126
7,970
8,055
126
3,353
2,977
17,546
857
11%
857
11%
15,447
88%
1,306
1,265
1,120
41
9,276
9,320
41
2,748
2,383
20,294
898
10%
17,830
88%
2,770
537
3,307
19%
687
3,994
20%
9,427
2,256
11,683
67%
1,594
13,277
65%
273
184
457
3%
102
559
3%
8,471
66%
6,246
7,127
67%
3,614
0
3,614
34%
237
3,851
30%
2,632
881
3,513
33%
1,107
4,620
36%
148
2%
160
2%
160
2%
1,592
15%
1,592
15%
110
1,477
881
110
7,084
971
1,092
1,092
881
38
10,678
6,437
38
1,437
417
417
2,249
1,186
148
8,521
1,344
12
12,927
7,623
12
1,509
18%
1,509
18%
1,766
83
83
10,287
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Cortland
TOTALS:
Eligibles
3,810
SNA HR & MA-HR
Enrolled
Eligibles
3,104
724
2,005
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
4,304
620
4,534
347
1,099
5,025
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
273
870
773
5,895
3,724
82%
2,352
52%
1,372
30%
5,077
86%
925
594
Total
Eligibles
5,459
465
129
754
567
6,649
Total
Enrolled
Percent
Enrolled
4,318
79%
2,817
52%
1,501
27%
5,644
85%
3,167
587
3,754
64%
394
4,148
62%
1,137
186
1,323
22%
173
1,496
22%
136
3%
136
3%
Delaware
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
3,916
681
4,597
29%
603
5,200
27%
Eff. Apr 2007
MVP Health Plan
4,183
1,075
5,258
33%
690
5,948
31%
NYS Catholic Health Plan
1,474
408
1,882
12%
240
2,122
11%
Wellcare Of New York
1,825
171
1,996
12%
311
2,307
12%
84,719
88%
99,105
87%
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
3,903
13,323
79,347
11,398
70,037
35
4,706
35
2,754
16,737
2,335
14,682
719
136
16,077
96,084
13,733
0
5,425
0
85%
3,178
18,170
1,844
14,386
19,255
114,254
136
3%
15,577
81%
11,753
1,911
13,664
14%
1,960
15,624
14%
19,490
3,419
22,909
24%
4,299
27,208
24%
NYS Catholic Health Plan
17,673
2,484
20,157
21%
2,805
22,962
20%
Univera Community Health
20,714
5,245
25,959
27%
2,560
28,519
25%
Total Full Risk
p
69,630
13,059
82,689
86%
11,624
94,313
83%
(Partial)
407
1,623
2,030
2%
2,762
4,792
4%
Total Partial Risk
407
1,623
2,030
2%
2,762
4,792
4%
822
27%
842
23%
822
27%
842
23%
2
0%
2
0%
2
0%
6,499
89%
Essex
TOTALS:
Voluntary
NYS Catholic Health Plan
Franklin
TOTALS:
Voluntary
NYS Catholic Health Plan
Fulton
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
803
101
Eff. May 1998 Association
Mandatory
101
NYS Catholic Health Plan
2,589
623
473
623
4,259
0
5,495
3,062
199
834
0
6,207
199
2
5,093
2
1,084
1,004
7,291
625
20
3,687
20
1,125
0
6,218
0
1,246
616
8,537
2
0%
7,115
83%
1,070
198
1,268
17%
163
1,431
17%
4,425
806
5,231
72%
453
5,684
67%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,665
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
3,649
Enrolled
Eligibles
3,386
627
574
4,292
3,960
92%
637
468
Total
Eligibles
4,929
Total
Enrolled
Percent
Enrolled
4,428
90%
284
2,058
48%
175
2,233
45%
1,371
225
1,596
37%
271
1,867
38%
241
65
306
7%
22
328
7%
3,911
87%
4,567
85%
3,162
857
749
4,506
882
656
5,388
1,871
290
2,161
48%
446
2,607
48%
1,291
459
1,750
39%
210
1,960
36%
285
78
27%
37
2
322
80
25%
80
25%
6,995
6,103
87%
1,060
641
8,055
6,744
84%
63
5,891
5,108
46
15
1,104
995
63
United Healthcare Plan Of NY
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
1,774
239
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
15
78
2
771
117
888
13%
162
1,050
13%
4,293
870
5,163
74%
472
5,635
70%
44
8
52
1%
7
59
1%
TOTALS:
9,363
0
1,404
0
10,767
0
0%
1,986
0
12,753
0
0%
TOTALS:
2,262
0
270
0
2,532
0
0%
469
0
3,001
0
0%
Livingston
TOTALS:
3,631
3,104
751
580
4,382
775
546
5,157
Mandatory
Eff. Apr 2002
Excellus Health Plan
NYS Catholic Health Plan
MVP Health Plan
Madison
TOTALS:
Voluntary
Excellus Health Plan
5,386
NYS Catholic Health Plan
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff, Apr 2007
NYS Catholic Health Plan
65,259
NYS Catholic Health Plan
MVP Health Plan
3,684
84%
4,230
82%
2,137
390
2,527
58%
354
2,881
56%
1
3
4
0%
0
4
0%
966
187
1,153
26%
192
1,345
26%
516
7%
387
475
8%
42
7
49
1%
5
54
1%
345
81
426
7%
36
462
6%
58,488
859
12,847
78,106
909
69,451
89%
80,258
86%
59%
7,216
53,051
57%
5,303
3,105
8,408
11%
974
9,382
10%
15,208
19%
17,825
19%
6,367
90%
7,020
86%
2,069
828
7,102
10,807
7,154
45,835
931
14,827
41
5,789
5,539
10,963
6,245
40,046
13,139
6,171
88
92,933
2,617
1,104
653
8,206
2,667
329
2,996
42%
353
3,349
41%
2,872
499
3,371
47%
300
3,671
45%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
50,047
Enrolled
Eligibles
42,055
12,359
Enrolled
10,803
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
62,406
52,858
85%
12,207
8,086
Total
Eligibles
74,613
Total
Enrolled
Percent
Enrolled
60,944
82%
6,911
1,349
8,260
13%
1,018
9,278
12%
9,018
1,936
10,954
18%
1,183
12,137
16%
HealthPlus
Health Insurance Plan of
Greater New York
3,454
1,319
4,773
8%
754
5,527
7%
7,364
2,756
10,120
16%
2,448
12,568
17%
NYS Catholic Health Plan
7,731
1,452
9,183
15%
1,215
10,398
14%
4
1
5
0%
0
5
0%
Eff. June 2001 HealthFirst PHSP
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Niagara
SNA HR & MA-HR
7,573
1,468
15%
29%
6,416
30%
792
7,208
5,761
27%
1,321
7,082
29%
NYS Catholic Health Plan
5,815
1,572
7,387
35%
751
8,138
33%
Eff Sep 2001
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
23,722
88%
27,816
86%
3,312
647
3,959
15%
756
4,715
15%
14,663
2,050
16,713
62%
2,860
19,573
60%
2,604
37,913
33,535
3,143
27,050
446
6,014
5,184
43,927
3,050
11%
38,719
88%
5,432
4,094
24,534
91%
993
3,520
2,864
11,031
1,210
20,579
3,468
22,428
4,768
23,530
21,066
15%
5,206
TOTALS:
3,775
93%
Association
Excellus Health Plan
4,174
9,563
Eff Sep 1998
Oneida
15,789
19,564
Mandatory
Mandatory
16,892
1,990
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
32,482
478
8,666
7,256
52,593
3,528
11%
45,975
87%
4,872
671
5,543
13%
970
6,513
12%
NYS Catholic Health Plan
10,357
1,496
11,853
27%
1,823
13,676
26%
SCHC Total Care
13,983
2,396
16,379
37%
3,549
19,928
38%
4,323
621
4,944
11%
914
5,858
11%
6,109
88%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
6,024
948
776
6,972
1,318
913
8,290
7,022
85%
4,655
667
5,322
76%
758
6,080
73%
678
109
787
11%
155
942
11%
Orange
TOTALS:
34,769
87%
37,660
84%
Mandatory
Affinity Health Plan
10,407
1,612
12,019
30%
1,322
13,341
30%
Eff. Mar 2007
Hudson Health Plan
6,847
1,154
8,001
20%
939
8,940
20%
12,707
598
13,305
33%
360
13,665
31%
1,242
202
1,444
4%
270
1,714
4%
NYS Catholic Health Plan
Wellcare Of New York
35,966
5,333
31,203
4,177
3,566
40,143
4,445
2,891
44,588
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,657
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Eligibles
3,399
984
4,641
93%
4,732
90%
1,657
36%
187
1,844
35%
783
241
1,024
22%
130
1,154
22%
364
1,950
15,385
1,625
35%
13,782
90%
426
5,247
Percent
Enrolled
4,306
2,145
606
Total
Enrolled
302
11,832
907
Total
Eligibles
1,355
1,261
13,240
Enrolled
109
2,256
1,877
17,641
1,734
33%
15,659
89%
169
11
180
1%
36
216
1%
3,408
545
3,953
26%
458
4,411
25%
SCHC Total Care
6,123
1,120
7,243
47%
1,076
8,319
47%
United Healthcare Plan Of NY
2,132
274
2,406
16%
307
2,713
15%
4,234
84%
4,585
76%
3,086
61%
3,329
55%
1,256
21%
TOTALS:
Mandatory
Excellus Health Plan
4,242
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,517
791
2,604
Eff. May 2007 NYS Catholic Health Plan
Eff. Oct 1997
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
NYS Catholic Health Plan
Otsego
Mandatory
SNA HR & MA-HR
1,893
235
448
239
NYS Catholic Health Plan
Wellcare Of New York
38,023
11,039
399
2,588
73
1,654
12,172
5,033
482
913
2,140
717
326
2,536
2,403
14,708
1,148
7%
2,292
89%
312
12%
1,980
77%
13,442
91%
973
351
6,006
243
108
623
219
3,211
39
180
2,560
1,858
17,268
2,511
78%
351
11%
2,160
67%
15,300
89%
7,972
1,547
9,519
65%
1,346
10,865
63%
2,444
688
3,132
21%
348
3,480
20%
623
168
791
5%
164
955
6%
40,862
97%
42,929
96%
10%
Rockland
TOTALS:
Mandatory
Affinity Health Plan
3,006
988
3,994
10%
568
4,562
Eff. Mar 2001
Hudson Health Plan
5,915
836
6,751
16%
485
7,236
16%
26,112
1,655
27,767
66%
827
28,594
64%
2,123
227
2,350
6%
187
2,537
6%
0
0%
0
0%
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Voluntary
TOTALS:
10,338
37,156
0
3,928
1,764
3,706
0
41,951
12,102
2,901
2,714
2,067
0
44,852
14,816
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 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
8,558
SNA HR & MA-HR
Enrolled
Eligibles
7,945
1,457
5,461
10,284
NYS Catholic Health Plan
1,651
1,777
14,396
939
4,662
329
10,015
397
2,023
5,622
2,281
1,371
974
2,484
12,373
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
838
402
68
2,683
9,316
93%
6,435
64%
2,881
29%
12,061
84%
6,561
46%
5,500
38%
397
15%
1,934
1,329
Total
Eligibles
11,949
1,043
286
3,443
1,926
17,839
1,304
622
418
23
3,101
Total
Enrolled
Percent
Enrolled
10,645
89%
7,478
63%
3,167
27%
13,987
78%
7,865
44%
6,122
34%
420
14%
250
53
303
11%
21
324
10%
79
15
94
4%
2
96
3%
127
6%
146
6%
127
6%
2,400
87%
2,400
87%
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
1,498
15%
Voluntary
(Partial)
277
0
277
3%
27
304
3%
Southern Tier Priority (Partial)
998
223
1,221
13%
416
1,637
14%
Suffolk
TOTALS:
Affinity Health Plan
305
86
2,390
Excellus Health Plan
Mandatory
86
2,076
74,014
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Neighborhood Health Providers
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
1,275
65,281
1,956
41
367
2,076
8,416
41
324
2,757
324
1,283
15,737
223
13,847
9,699
89,751
310
19
2,266
19
516
362
3,273
362
2,294
14,406
443
9,968
11,993
104,157
146
6%
2,762
84%
2,762
84%
1,941
16%
79,128
88%
89,096
86%
8,918
1,427
10,345
12%
1,111
11,456
11%
10,567
1,666
12,233
14%
1,251
13,484
13%
12,484
4,082
16,566
18%
2,615
19,181
18%
12,408
1,668
14,076
16%
1,794
15,870
15%
8,763
1,795
10,558
12%
1,285
11,843
11%
1
0
1
0%
1
2
0%
12,140
3,209
15,349
17%
1,911
17,260
17%
7,593
88%
8,549
84%
Sullivan
TOTALS:
Mandatory
Hudson Health Plan
5,601
807
6,408
74%
800
7,208
71%
Eff. Apr 2007
NYS Catholic Health Plan
1,014
171
1,185
14%
156
1,341
13%
7,479
6,615
1,180
978
8,659
1,490
956
10,149
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Tioga
4,366
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,540
Voluntary
NYS Catholic Health Plan
Ulster
TOTALS:
Hudson Health Plan
Eff Mar 2007
11,581
2,875
65
Mandatory
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
TOTALS:
Voluntary
Excellus Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of
Greater New York
4%
405
3,487
45%
1,369
567
3,735
12,075
86%
13,593
81%
3,447
24%
373
3,820
23%
1,091
4,182
30%
532
4,714
28%
264
1,727
12%
156
1,883
11%
225
2,719
19%
457
3,176
19%
1,502
31%
1,650
28%
1,502
31%
1,650
28%
4,265
82%
4,820
77%
1,623
31%
1,862
30%
3,435
2,642
51%
2,958
47%
3,827
51%
4,221
47%
43%
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
133
4,812
133
574
530
5,220
211
319
875
392
7,563
1,043
148
16,723
5,855
148
1,041
555
6,261
239
316
1,476
394
9,039
3,143
312
3,455
46%
389
3,844
292
80
372
5%
5
377
4%
59,721
87%
66,739
85%
10,710
16%
12,033
15%
48,877
12,219
8,438
Hudson Health Plan
49%
46%
2,323
56,127
3,833
3,082
1,518
7,824
8%
412
2,607
430
443
2,670
14,116
1,145
8%
346
1,412
NYS Catholic Health Plan
12
443
25
1,369
6,688
5,837
2%
2,494
4,646
9%
12
51%
Wellcare Of New York
TOTALS:
Capital District Physicians
Health Plan
431
876
321
2,170
6,679
9%
Percent
Enrolled
3,403
2,535
528
431
Total
Enrolled
116
9,905
1,139
3,091
NYS Catholic Health Plan
4,961
Total
Eligibles
205
1,463
4,245
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
65
NYS Catholic Health Plan
Washington
Upstate Total
595
MVP Health Plan
Voluntary
Yates
Mandatory
Eff. Feb 2007
366
Enrolled
590
TOTALS:
Wyoming
Voluntary
Eligibles
2,857
Warren
Eff. Oct 1999
Enrolled
366
SCHC Total Care
Mandatory
SNA HR & MA-HR
10,844
68,346
2,272
10,383
7,018
78,729
1,323
4,018
1,574
5,592
8%
1,171
6,763
9%
28,752
4,773
33,525
49%
3,350
36,875
47%
7,667
2,225
9,892
14%
1,174
11,066
14%
2
0
2
0%
0
2
0%
TOTALS:
2,507
0
347
0
2,854
0
0%
477
0
3,331
0
0%
TOTALS:
2,017
1,834
274
245
2,291
2,079
91%
305
224
2,596
2,303
89%
2,079
91%
2,303
89%
739,498
79%
841,172
77%
Excellus Health Plan
1,834
784,364
621,122
245
147,781
118,376
932,145
224
161,447
101,674
1,093,592
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 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
137,536
7%
15,341
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
91,794
45,742
152,877
7%
Mandatory
Amerigroup
49,404
27,988
77,392
4%
5,240
82,632
4%
115
754
869
0%
540
1,409
0%
Amida Care SN
Fully
HealthFirst PHSP
233,566
84,567
318,133
16%
39,175
357,308
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
162,774
56,710
219,484
11%
16,903
236,387
11%
115,696
48,321
164,017
8%
21,212
185,229
8%
MetroPlus Health Plan
235,151
68,862
304,013
16%
29,544
333,557
15%
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
867
1,165
2,032
0%
1,241
3,273
0%
110,848
33,821
144,669
7%
17,418
162,087
7%
200
664
864
0%
577
1,441
0%
121,215
65,507
186,722
10%
19,472
206,194
9%
1,776
325
2,101
0%
46
2,147
0%
103,027
46,882
149,909
8%
13,841
163,750
7%
49,713
3%
54,419
2%
1,403,558
1,256,568
555,552
500,886
1,959,110
1,757,454
90%
246,745
185,256
2,205,855
1,942,710
88%
784,364
621,122
147,781
118,376
932,145
739,498
79%
161,447
101,674
1,093,592
841,172
77%
NEW YORK CITY TOTALS:
1,403,558
1,256,568
555,552
500,886
1,959,110
1,757,454
90%
246,745
185,256
2,205,855
1,942,710
88%
GRAND TOTALS:
2,187,922
1,877,690
703,333
619,262
2,891,255
2,496,952
86%
408,192
286,930
3,299,447
2,783,882
84%
NYC Total
UPSTATE TOTALS:
30,135
19,578
4,706
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 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
353,064
308,418
109,283
88,311
462,347
396,729
86%
68,228
53,248
530,575
449,977
85%
Brooklyn
502,473
451,693
209,426
182,978
711,899
634,671
89%
80,104
58,960
792,003
693,631
88%
Manhattan
185,432
144,695
86,782
70,147
272,214
214,843
79%
45,842
30,793
318,056
245,636
77%
Queens
320,087
310,569
133,499
142,286
453,586
452,855
100%
43,669
35,043
497,255
487,898
98%
42,502
41,194
16,562
17,163
59,064
58,357
99%
8,902
7,211
67,966
65,568
96%
1,403,558
1,256,568
555,552
500,886
1,959,110
1,757,454
90%
246,745
185,256
2,205,855
1,942,710
88%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon April, 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
the to the nearest whole number.
(3)
All percents
arefirst
rounded
(4) New plans added this month : None
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
County
Albany
Plan Name
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Chautauqua
Enrolled
Enrolled
Total Enrolled
2,235
530
2,765
1,061
247
1,308
956
230
1,186
Wellcare Of New York
218
53
271
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Univera Community Health Inc
576
87
663
260
38
298
316
49
365
2,516
467
2,983
TOTALS:
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Capital District Physicians Health Plan
Cattaraugus
ADULTS WITH
CHILDREN
62
11
73
2,100
404
2,504
NYS Catholic Health Plan
354
52
406
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
936
174
1,110
176
23
199
431
90
521
Univera Community Health Inc
329
61
390
TOTALS:
842
125
967
NYS Catholic Health Plan
431
70
501
United Healthcare Plan Of NY
411
55
466
1,539
277
1,816
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
Univera Community Health Inc
231
38
269
1,234
215
1,449
74
24
98
Chemung
TOTALS:
1,096
183
1,279
Excellus Health Plan
1,096
183
1,279
Chenango
TOTALS:
850
107
957
NYS Catholic Health Plan
850
107
957
TOTALS:
950
203
1,153
Clinton
Excellus Health Plan
Columbia
10
3
13
NYS Catholic Health Plan
940
200
1,140
TOTALS:
582
97
679
228
Capital District Physicians Health Plan
197
31
NYS Catholic Health Plan
385
66
451
TOTALS:
735
106
841
NYS Catholic Health Plan
602
84
686
SCHC Total Care
133
22
155
Delaware
TOTALS:
524
93
617
Dutchess
TOTALS:
Cortland
NYS Catholic Health Plan
Erie
524
93
617
2,105
304
2,409
Hudson Health Plan
628
85
713
MVP Health Plan
863
134
997
NYS Catholic Health Plan
355
59
414
Wellcare Of New York
259
26
285
TOTALS:
9,537
1,786
11,323
Univera Community Health Inc
HealthNow/BCBS-WNY/Community
Blue
Independent Health
4,326
869
5,195
1,456
161
1,617
1,716
420
2,136
NYS Catholic Health Plan
2,039
336
2,375
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
County
Essex
Plan Name
TOTALS:
5
NYS Catholic Health Plan
550
103
653
TOTALS:
509
83
592
1
1
2
NYS Catholic Health Plan
508
82
590
TOTALS:
942
160
1,102
215
177
38
765
122
887
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
MVP Health Plan
632
100
732
409
47
456
134
33
167
89
20
109
572
69
641
198
24
222
374
45
419
TOTALS:
57
9
66
NYS Catholic Health Plan
57
9
66
1,064
165
1,229
TOTALS:
NYS Catholic Health Plan
Herkimer
658
NYS Catholic Health Plan
Capital District Physicians Health Plan
Hamilton
Total Enrolled
1
NYS Catholic Health Plan
Greene
Enrolled
4
Capital District Physicians Health Plan
Genesee
Enrolled
104
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
554
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
TOTALS:
Excellus Health Plan
131
16
147
NYS Catholic Health Plan
914
149
1,063
United Healthcare Plan Of NY
19
0
19
Jefferson
TOTALS:
1,405
227
1,632
GHI
1,405
227
1,632
Lewis
TOTALS:
302
42
344
GHI
302
42
344
TOTALS:
466
91
557
Excellus Health Plan
388
63
451
7
4
11
71
24
95
TOTALS:
827
97
924
Excellus Health Plan
198
12
210
NYS Catholic Health Plan
167
24
191
United Healthcare Plan Of NY
462
61
523
TOTALS:
6,846
1,210
8,056
Excellus Health Plan
4,701
666
5,367
NYS Catholic Health Plan
1,446
397
1,843
MVP Health Plan
699
147
846
TOTALS:
917
136
1,053
302
38
340
615
98
713
10,467
1,836
12,303
Affinity Health Plan
1,890
345
2,235
HealthFirst PHSP
1,972
286
2,258
730
149
879
1,561
309
1,870
2,241
460
2,701
United Healthcare Plan Of NY
2,073
287
2,360
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
2,489
501
2,990
986
190
1,176
1,503
311
1,814
Livingston
NYS Catholic Health Plan
MVP Health Plan
Madison
Monroe
Montgomery
Capital District Physicians Health Plan
NYS Catholic Health Plan
Nassau
TOTALS:
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
Niagara
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
County
Oneida
Plan Name
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Orleans
Oswego
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
3,368
476
468
79
3,844
547
2,322
318
2,640
578
79
657
4,345
744
5,089
513
65
578
NYS Catholic Health Plan
1,758
263
2,021
SCHC Total Care
1,581
1,302
279
United Healthcare Plan Of NY
772
137
909
TOTALS:
927
169
1,096
Excellus Health Plan
847
156
1,003
80
13
93
TOTALS:
3,448
509
3,957
Affinity Health Plan
MVP Health Plan
Orange
ADULTS WITH
CHILDREN
1,475
211
1,686
Hudson Health Plan
953
130
1,083
NYS Catholic Health Plan
835
133
968
Wellcare Of New York
185
35
220
TOTALS:
636
96
732
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
171
33
204
115
23
138
350
40
390
2,155
320
2,475
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
13
3
16
657
82
739
1,297
1,113
184
United Healthcare Plan Of NY
372
51
423
TOTALS:
774
110
884
Excellus Health Plan
269
30
299
NYS Catholic Health Plan
505
80
585
Putnam
TOTALS:
481
76
557
Rensselaer
TOTALS:
Otsego
NYS Catholic Health Plan
Capital District Physicians Health Plan
Rockland
76
557
301
1,684
605
115
720
NYS Catholic Health Plan
653
154
807
Wellcare Of New York
125
32
157
4,104
539
4,643
Affinity Health Plan
530
117
647
Hudson Health Plan
905
129
1,034
2,450
265
2,715
219
28
247
TOTALS:
1,441
247
1,688
Excellus Health Plan
1,441
247
1,688
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
481
1,383
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
County
Saratoga
Plan Name
TOTALS:
Capital District Physicians Health Plan
Schenectady
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
1,739
Total Enrolled
246
1,985
571
85
656
NYS Catholic Health Plan
1,168
161
1,329
TOTALS:
1,483
225
1,708
Capital District Physicians Health Plan
Schoharie
ADULTS WITH
CHILDREN
495
84
579
NYS Catholic Health Plan
988
141
1,129
TOTALS:
446
68
514
237
Capital District Physicians Health Plan
213
24
NYS Catholic Health Plan
233
44
277
Schuyler
TOTALS:
260
54
314
Excellus Health Plan
260
54
314
Seneca
TOTALS:
377
54
431
Steuben
TOTALS:
Suffolk
TOTALS:
Excellus Health Plan
GHI
Sullivan
Tioga
377
54
431
1,054
178
1,232
1,054
178
1,232
14,076
2,134
16,210
Affinity Health Plan
2,263
315
2,578
HealthFirst PHSP
Health Insurance Plan of Greater New
York
Neighborhood Health Providers
2,305
359
2,664
2,555
473
3,028
1,032
140
1,172
NYS Catholic Health Plan
2,644
411
3,055
United Healthcare Plan Of NY
3,277
436
3,713
TOTALS:
1,143
141
1,284
Hudson Health Plan
924
102
1,026
NYS Catholic Health Plan
219
39
258
TOTALS:
456
70
526
Capital District Physicians Health Plan
456
70
526
TOTALS:
646
101
747
SCHC Total Care
495
75
570
NYS Catholic Health Plan
151
26
177
1,952
389
2,341
Hudson Health Plan
551
110
661
MVP Health Plan
769
177
946
NYS Catholic Health Plan
268
54
322
Wellcare Of New York
364
48
412
Warren
TOTALS:
765
93
858
NYS Catholic Health Plan
765
93
858
Washington
TOTALS:
700
99
799
138
29
167
562
70
632
Tompkins
Ulster
TOTALS:
Capital District Physicians Health Plan
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
County
Wayne
Westchester
Plan Name
TOTALS:
Yates
Enrolled
Enrolled
Total Enrolled
102
1,079
Excellus Health Plan
734
55
789
NYS Catholic Health Plan
243
47
290
TOTALS:
7,813
1,421
9,234
Affinity Health Plan
Health Insurance Plan of Greater New
York
Hudson Health Plan
1,440
281
1,721
757
158
915
4,191
630
4,821
NYS Catholic Health Plan
1,423
352
1,775
2
0
2
421
52
473
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
TOTALS:
Excellus Health Plan
Upstate Total
ADULTS
WITHOUT
CHILDREN
977
NYS Catholic Health Plan 1199
Wyoming
ADULTS WITH
CHILDREN
421
52
473
410
49
459
410
49
459
110,852
18,432
129,284
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2010
County
NYC
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Plan Name
Affinity Health Plan
7,659
21,823
Amerigroup
11,945
5,589
17,534
HealthFirst PHSP
Health Insurance Plan of Greater New
York
HealthPlus
27,433
11,988
39,421
18,868
6,485
25,353
24,902
7,842
32,744
MetroPlus Health Plan
26,254
8,203
34,457
Neighborhood Health Providers
14,197
4,370
18,567
NYS Catholic Health Plan
22,573
10,992
33,565
1,520
110
1,630
18,734
6,204
24,938
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
Total Enrolled
14,164
5,892
3,583
9,475
NYC Total
186,482
73,025
259,507
UPSTATE TOTALS:
110,852
18,432
129,284
NEW YORK CITY TOTALS:
186,482
73,025
259,507
GRAND TOTALS
297,334
91,457
388,791
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Plan Name
Total Enrolled
NYC
Borough
Bronx
30,981
9,672
40,653
Brooklyn
64,248
24,860
89,108
Manhattan
18,100
10,881
28,981
Queens
65,495
25,266
90,761
7,658
2,346
10,004
186,482
73,025
259,507
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 JUNE, 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
OSWEGO
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
45
45
24
24
11
2,307
57
176
2,551
2
104
106
266
266
1
367
1
369
42
42
3,403
755
755
1,643
28
1,671
112
35
147
481
5,527
343
6,351
834
834
3,680
3,680
1,502
1,502
189
146
335
2,149
2,149
49
346
395
139
139
8,137
8,137
909
909
27,004
30,407
(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 JUNE, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
Touchstone/Prestige
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
TOTAL
Fidelis
TOTAL
Fidelis
Touchstone/Prestige
TOTAL
GHI
Senior Whole Health
Touchstone/Prestige
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
Total
Enrolled
181
9
172
4
4
11
11
34
3
31
3
3
3
3
5
1
4
173
19
129
25
13
13
20
5
15
28
5
20
3
2
2
77
10
67
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JUNE, 2010
County
Rockland
Saratoga
Schenectady
Suffolk
Ulster
Warren
Westchester
Plan Name
TOTAL
GHI
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
TOTAL
Fidelis
Senior Whole Health
TOTAL
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Touchstone/Prestige
Total
Enrolled
43
43
24
24
80
9
71
76
11
65
106
3
103
1
1
53
38
11
4
937
120
384
692
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Touchstone/Prestige
NYC Total
1,663
735
50
24
1,166
4,834
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
937
4,834
5,771
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 : Warren County - Senior Whole
Health
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS JUNE, 2010
County
Albany
Columbia
Dutchess
Greene
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
63
2
61
4
4
4
4
2
2
3
3
45
2
43
8
8
17
1
16
59
59
205
15
18
223
11
43
68
378
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
205
378
583
Plan Name
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
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