RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
Allegany
19,579
17,457
Eligibles
4,430
Enrolled
3,706
24,009
21,163
88%
4,356
3,171
Total
Eligibles
28,365
Total
Enrolled
Percent
Enrolled
24,334
86%
2,419
14,532
61%
2,200
16,732
59%
NYS Catholic Health Plan
3,884
1,031
4,915
20%
584
5,499
19%
Wellcare Of New York
1,460
256
1,716
7%
387
2,103
7%
3,880
83%
4,352
79%
Mandatory
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Capital District Physicians
Health Plan
3,917
18,126
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
12,113
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eligibles
SNA HR & MA-HR
763
618
4,680
795
472
5,475
2,037
405
2,442
52%
332
2,774
51%
1,225
213
1,438
31%
140
1,578
29%
19,129
87%
22,130
85%
15,747
3,781
3,382
21,907
4,073
3,001
25,980
319
36
355
2%
99
454
2%
13,116
2,857
15,973
73%
2,378
18,351
71%
2,312
489
2,801
13%
524
3,325
13%
6,890
85%
8,029
85%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,438
348
2,786
35%
720
3,506
37%
Eff. Sep 2001
NYS Catholic Health Plan
2,164
329
2,493
31%
275
2,768
29%
Univera Community Health
1,317
294
1,611
20%
144
1,755
19%
882
11%
923
10%
882
11%
15,507
88%
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
7,003
3,262
6,994
Voluntary
TOTALS:
(Partial)
14,339
9,330
Southern Tier Priority (Partial)
Chenango
Voluntary
TOTALS:
5,561
NYS Catholic Health Plan
Clinton
Voluntary
TOTALS:
NYS Catholic Health Plan
752
1,068
1,144
752
Univera Community Health
Chemung
5,919
12,537
130
8,071
8,138
130
3,357
2,970
17,696
1,325
1,282
1,139
41
9,396
9,420
41
2,776
2,421
20,472
923
10%
17,928
88%
2,772
528
3,300
19%
703
4,003
20%
9,485
2,266
11,751
66%
1,615
13,366
65%
280
176
456
3%
103
559
3%
8,457
65%
6,247
7,125
66%
3,639
1
3,640
34%
247
3,887
30%
2,608
877
3,485
32%
1,085
4,570
35%
171
3%
182
2%
182
2%
1,659
16%
1,659
16%
129
1,472
897
129
7,115
971
1,115
1,115
878
42
10,802
6,458
42
1,465
445
445
2,246
1,191
171
8,580
1,332
11
13,048
7,649
11
1,560
18%
1,560
18%
1,777
99
99
10,357
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 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
3,890
SNA HR & MA-HR
Enrolled
Eligibles
3,096
752
1,988
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
4,336
642
4,642
349
1,108
5,017
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
293
869
766
5,886
3,738
81%
2,337
50%
1,401
30%
5,102
87%
914
601
Total
Eligibles
5,556
466
135
754
572
6,640
Total
Enrolled
Percent
Enrolled
4,339
78%
2,803
50%
1,536
28%
5,674
85%
3,198
585
3,783
64%
396
4,179
63%
1,138
181
1,319
22%
176
1,495
23%
171
4%
173
3%
Delaware
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
3,946
674
4,620
28%
601
5,221
27%
Eff. Apr 2007
MVP Health Plan
4,191
1,054
5,245
32%
701
5,946
30%
NYS Catholic Health Plan
1,484
421
1,905
12%
252
2,157
11%
Wellcare Of New York
1,807
169
1,976
12%
306
2,282
12%
85,159
88%
99,642
86%
15,748
14%
Erie
TOTALS:
HealthNow/BCBSMandatory
WNY/Community Blue
Independent Health
Eff. May 1998 Association
3,950
124
802
124
13,603
79,892
11,428
70,244
47
4,752
47
2,809
17,103
2,318
14,915
732
171
16,412
96,995
13,746
2
5,484
2
84%
3,202
18,234
1,860
14,483
11,852
1,921
13,773
14%
1,975
19,614
115,229
173
3%
15,606
80%
19,561
3,531
23,092
24%
4,326
27,418
24%
NYS Catholic Health Plan
17,744
2,542
20,286
21%
2,837
23,123
20%
Univera Community Health
20,684
5,268
25,952
27%
2,582
28,534
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
69,841
13,262
83,103
86%
11,720
94,823
82%
Total Partial Risk
Essex
TOTALS:
Voluntary
NYS Catholic Health Plan
Franklin
TOTALS:
Voluntary
NYS Catholic Health Plan
Fulton
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
2,619
403
1,653
2,056
2%
2,763
4,819
4%
403
1,653
2,056
2%
2,763
4,819
4%
620
491
620
4,228
0
6,261
5,487
200
3,110
820
26%
820
26%
5,072
2
0%
2
0%
7,394
6,519
88%
200
844
2
1,133
1,032
0
2
626
24
3,736
844
23%
844
23%
6,196
2
0%
2
0%
8,634
7,153
83%
24
1,124
0
1,240
634
0
1,078
205
1,283
17%
165
1,448
17%
4,409
827
5,236
71%
469
5,705
66%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,705
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
3,689
Enrolled
Eligibles
3,381
640
562
4,345
3,943
91%
638
478
Total
Eligibles
4,983
Total
Enrolled
Percent
Enrolled
4,421
89%
284
2,061
47%
178
2,239
45%
1,352
215
1,567
36%
274
1,841
37%
252
63
315
7%
26
341
7%
3,863
85%
4,510
83%
3,152
876
711
4,565
873
647
5,438
1,851
284
2,135
47%
442
2,577
47%
1,301
427
1,728
38%
205
1,933
36%
279
81
29%
38
2
317
83
26%
83
26%
7,100
6,125
86%
1,065
648
8,165
6,773
83%
67
5,960
5,124
44
14
1,140
1,001
67
United Healthcare Plan Of NY
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
1,777
235
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
14
81
2
789
120
909
13%
164
1,073
13%
4,293
873
5,166
73%
477
5,643
69%
42
8
50
1%
7
57
1%
TOTALS:
9,362
0
1,444
0
10,806
0
0%
1,970
0
12,776
0
0%
TOTALS:
2,289
0
290
0
2,579
0
0%
474
0
3,053
0
0%
Livingston
TOTALS:
3,692
3,145
771
580
4,463
782
553
5,245
Mandatory
Eff. Apr 2002
Excellus Health Plan
NYS Catholic Health Plan
MVP Health Plan
Madison
TOTALS:
Voluntary
Excellus Health Plan
5,404
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
66,364
NYS Catholic Health Plan
MVP Health Plan
3,725
83%
4,278
82%
2,163
392
2,555
57%
362
2,917
56%
1
6
7
0%
0
7
0%
981
182
1,163
26%
191
1,354
26%
438
532
8%
576
8%
66
7
73
1%
6
79
1%
372
87
459
7%
38
497
7%
70,082
88%
81,005
86%
58,892
872
13,097
11,190
6,276
79,461
907
15,001
44
10,923
7,183
94,462
40,201
5,837
46,038
58%
7,296
53,334
56%
5,689
3,311
9,000
11%
1,010
10,010
11%
15,044
19%
17,661
19%
6,438
89%
7,106
85%
13,002
6,291
94
5,594
2,042
947
844
7,238
2,617
1,113
668
8,351
2,671
332
3,003
41%
362
3,365
40%
2,923
512
3,435
47%
306
3,741
45%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
51,796
45,334
13,082
Enrolled
11,750
64,878
57,084
88%
12,246
8,194
Total
Eligibles
77,124
Total
Enrolled
Percent
Enrolled
65,278
85%
1,482
8,877
14%
1,032
9,909
13%
2,134
11,857
18%
1,203
13,060
17%
HealthPlus
Health Insurance Plan of
Greater New York
3,718
1,450
5,168
8%
755
5,923
8%
7,833
2,937
10,770
17%
2,456
13,226
17%
NYS Catholic Health Plan
8,415
1,592
10,007
15%
1,241
11,248
15%
4
1
5
0%
0
5
0%
United Healthcare Plan Of NY
Eff Sep 1998
Eligibles
9,723
NYS Catholic Health Plan 1199
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
7,395
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
TOTALS:
HealthNow/BCBSWNY/Community Blue
Independent Health
Association
8,246
17,067
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
23,602
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
2,154
4,200
5,178
NYS Catholic Health Plan
Oneida
15,812
38,240
3,817
21,267
1,217
10,400
16%
19,629
92%
1,507
6,395
30%
796
3,483
2,884
24,750
11,907
15%
22,513
91%
7,191
29%
4,754
990
5,744
27%
1,322
7,066
29%
5,880
1,610
7,490
35%
766
8,256
33%
20,516
3,619
23,667
87%
27,800
85%
3,277
647
3,924
14%
753
4,677
14%
14,654
2,057
16,711
61%
2,893
19,604
60%
2,585
447
3,032
11%
487
3,519
11%
38,853
88%
46,117
87%
33,586
6,087
3,151
5,267
27,221
44,327
5,453
8,714
4,133
7,264
32,674
53,041
4,858
696
5,554
13%
961
6,515
12%
NYS Catholic Health Plan
10,354
1,542
11,896
27%
1,832
13,728
26%
SCHC Total Care
14,057
2,401
16,458
37%
3,563
20,021
38%
4,317
628
4,945
11%
908
5,853
11%
6,157
87%
7,074
84%
73%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
Mandatory
Affinity Health Plan
Eff. Mar 2007
Hudson Health Plan
NYS Catholic Health Plan
Wellcare Of New York
6,105
36,587
5,348
998
809
7,103
1,321
917
8,424
4,685
692
5,377
76%
769
6,146
663
117
780
11%
148
928
11%
34,756
85%
37,637
83%
11,967
29%
1,318
13,285
29%
31,153
4,370
3,603
10,359
1,608
40,957
4,481
2,881
45,438
6,840
1,181
8,021
20%
936
8,957
20%
12,731
611
13,342
33%
357
13,699
30%
1,223
203
1,426
3%
270
1,696
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,702
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
3,393
983
4,685
92%
4,730
89%
1,669
36%
188
1,857
35%
760
239
999
21%
130
1,129
21%
1,633
35%
13,719
88%
364
1,923
15,568
429
5,294
Percent
Enrolled
4,301
2,201
609
Total
Enrolled
305
11,796
908
Total
Eligibles
1,364
1,269
13,367
Enrolled
111
2,278
1,908
17,846
1,744
33%
15,627
88%
173
12
185
1%
38
223
1%
3,393
551
3,944
25%
473
4,417
25%
SCHC Total Care
6,165
1,102
7,267
47%
1,088
8,355
47%
United Healthcare Plan Of NY
2,065
258
2,323
15%
309
2,632
15%
4,249
83%
4,601
75%
3,073
60%
3,316
54%
1,285
21%
2,367
72%
TOTALS:
Mandatory
Excellus Health Plan
4,296
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,531
843
2,594
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
12,327
NYS Catholic Health Plan
Wellcare Of New York
38,509
1,784
5,139
479
937
2,207
718
239
463
358
2,670
1,176
8%
2,142
80%
983
352
6,122
243
109
632
225
3,302
215
52
267
10%
36
303
9%
1,569
306
1,875
70%
189
2,064
63%
13,430
90%
15,300
88%
11,004
2,610
2,426
14,937
2,548
1,870
17,485
7,961
1,561
9,522
64%
1,354
10,876
62%
2,449
699
3,148
21%
357
3,505
20%
594
166
760
5%
159
919
5%
40,877
96%
42,953
95%
Rockland
TOTALS:
Mandatory
Affinity Health Plan
2,930
996
3,926
9%
571
4,497
10%
Eff. Mar 2001
Hudson Health Plan
5,851
826
6,677
16%
485
7,162
16%
26,289
1,677
27,966
66%
835
28,801
63%
2,083
225
2,308
5%
185
2,493
5%
0
0%
0
0%
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Voluntary
TOTALS:
10,407
37,153
0
4,023
1,791
3,724
0
42,532
12,198
2,898
2,723
2,076
0
45,430
14,921
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 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
8,726
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Voluntary
TOTALS:
Affinity Health Plan
8,004
1,528
10,260
1,637
341
74,671
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
7,648
1,806
14,725
870
411
71
2,697
9,387
92%
6,485
63%
2,902
28%
12,066
82%
6,542
44%
5,524
38%
412
15%
1,926
1,348
Total
Eligibles
12,180
1,052
296
3,447
1,964
18,172
1,331
633
420
23
3,117
Total
Enrolled
Percent
Enrolled
10,735
88%
7,537
62%
3,198
26%
14,030
77%
7,873
43%
6,157
34%
435
14%
249
55
304
11%
21
325
10%
92
16
108
4%
2
110
4%
132
7%
132
7%
2,410
85%
2,410
85%
1,504
15%
87
304
2,092
1,274
45
1,941
45
368
2,092
8,541
10,254
936
87
2,454
1,383
389
2,117
4,654
2,286
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
994
5,606
Southern Tier Priority (Partial)
Suffolk
Eligibles
2,513
12,608
Excellus Health Plan
Mandatory
Enrolled
5,491
NYS Catholic Health Plan
Schuyler
SNA HR & MA-HR
318
2,822
318
1,298
230
9,839
309
19
2,250
19
519
358
3,341
358
2,294
434
12,133
151
7%
151
7%
2,768
83%
2,768
83%
1,938
16%
278
0
278
3%
25
303
2%
996
230
1,226
12%
409
1,635
13%
65,501
79,515
88%
89,521
85%
8,986
1,464
10,450
12%
1,121
11,571
11%
10,552
1,650
12,202
13%
1,265
13,467
13%
12,464
4,101
16,565
18%
2,614
19,179
18%
12,406
1,687
14,093
16%
1,790
15,883
15%
8,919
1,853
10,772
12%
1,308
12,080
11%
1
0
1
0%
1
2
0%
12,173
3,259
15,432
17%
1,907
17,339
16%
6,560
16,161
1,220
14,014
976
90,832
8,868
14,485
1,519
10,006
960
105,317
Sullivan
TOTALS:
7,536
85%
8,496
82%
Mandatory
Hudson Health Plan
5,510
796
6,306
71%
807
10,387
7,113
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,050
180
1,230
14%
153
1,383
13%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Tioga
4,401
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,550
Voluntary
NYS Catholic Health Plan
SNA HR & MA-HR
Enrolled
Eligibles
361
610
361
SCHC Total Care
66
5,011
66
9%
10
5,896
10
7%
3,846
49%
2%
28
347
4%
2,666
428
3,094
46%
405
3,499
44%
TOTALS:
12,098
84%
13,618
80%
Mandatory
Hudson Health Plan
2,862
571
3,433
24%
375
3,808
22%
Eff Mar 2007
MVP Health Plan
3,164
1,097
4,261
30%
529
4,790
28%
NYS Catholic Health Plan
1,452
261
1,713
12%
162
1,875
11%
Wellcare Of New York
2,469
222
2,691
19%
454
3,145
19%
1,510
31%
1,662
28%
1,510
31%
1,662
28%
4,429
84%
4,989
79%
1,702
32%
1,948
31%
2,727
51%
3,041
48%
3,803
50%
4,197
46%
42%
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
4,303
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of
Greater New York
Eff. Oct 1999
585
1,376
4,705
3,894
56,580
3,422
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
535
5,299
315
854
381
7,643
1,044
152
16,993
5,932
152
1,031
560
6,330
246
314
1,480
394
9,123
3,150
298
3,448
45%
386
3,834
272
83
355
5%
8
363
4%
60,137
87%
67,219
85%
10,853
16%
12,176
15%
49,138
12,495
8,524
Hudson Health Plan
4,888
220
2,412
6,789
134
134
594
1,482
NYS Catholic Health Plan
Westchester
1,376
1,520
7,863
437
51%
2,617
433
7%
319
14,376
1,152
437
3,413
2,151
6,711
427
885
Percent
Enrolled
116
2,606
544
9%
Total
Enrolled
203
9,947
1,161
427
Total
Eligibles
Ulster
Warren
11,770
2,869
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
10,999
69,075
2,329
10,457
7,082
79,532
1,323
3,965
1,559
5,524
8%
1,165
6,689
8%
28,895
4,838
33,733
49%
3,382
37,115
47%
7,752
2,273
10,025
15%
1,212
11,237
14%
2
0
2
0%
0
2
0%
Wyoming
Voluntary
TOTALS:
2,551
0
359
0
2,910
0
0%
474
0
3,384
0
0%
Yates
TOTALS:
2,027
1,800
275
239
2,302
2,039
89%
300
231
2,602
2,270
87%
2,039
89%
2,270
87%
746,035
79%
848,488
77%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,800
793,874
625,629
239
151,517
120,406
945,391
231
162,236
102,453
1,107,627
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 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
138,041
7%
15,322
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
91,709
46,332
153,363
7%
Mandatory
Amerigroup
49,171
28,008
77,179
4%
5,226
82,405
4%
113
761
874
0%
550
1,424
0%
Amida Care SN
Fully
HealthFirst PHSP
234,047
84,969
319,016
16%
39,236
358,252
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
162,842
56,868
219,710
11%
16,927
236,637
11%
114,491
48,153
162,644
8%
21,116
183,760
8%
MetroPlus Health Plan
235,507
69,100
304,607
15%
29,623
334,230
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
NYC Total
UPSTATE TOTALS:
876
1,188
2,064
0%
1,264
3,328
0%
110,065
33,652
143,717
7%
17,365
161,082
7%
189
679
868
0%
569
1,437
0%
122,342
66,992
189,334
10%
19,717
209,051
9%
1,771
316
2,087
0%
51
2,138
0%
103,159
47,087
150,246
8%
13,826
164,072
7%
29,752
19,378
49,130
2%
4,665
53,795
2%
1,408,292
1,256,034
560,808
503,483
1,969,100
1,759,517
89%
246,747
185,457
2,215,847
1,944,974
88%
793,874
625,629
151,517
120,406
945,391
746,035
79%
162,236
102,453
1,107,627
848,488
77%
NEW YORK CITY TOTALS:
1,408,292
1,256,034
560,808
503,483
1,969,100
1,759,517
89%
246,747
185,457
2,215,847
1,944,974
88%
GRAND TOTALS:
2,202,166
1,881,663
712,325
623,889
2,914,491
2,505,552
86%
408,983
287,910
3,323,474
2,793,462
84%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 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
354,255
308,604
110,317
88,756
464,572
397,360
86%
68,229
53,401
532,801
450,761
85%
Brooklyn
504,167
451,302
211,408
183,699
715,575
635,001
89%
80,104
59,081
795,679
694,082
87%
Manhattan
186,058
144,196
87,603
70,565
273,661
214,761
78%
45,842
30,714
319,503
245,475
77%
Queens
321,167
310,583
134,762
143,160
455,929
453,743
100%
43,669
35,060
499,598
488,802
98%
42,645
41,349
16,718
17,304
59,363
58,653
99%
8,903
7,201
68,266
65,854
96%
1,408,292
1,256,034
560,808
503,483
1,969,100
1,759,517
89%
246,747
185,457
2,215,847
1,944,974
88%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon May, 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 JULY, 2010
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Allegany
Broome
Cattaraugus
Cayuga
Chenango
Clinton
Cortland
Delaware
Dutchess
2,263
Total Enrolled
515
2,778
1,075
240
1,315
965
226
1,191
223
49
272
86
686
269
40
309
Univera Community Health Inc
331
46
377
TOTALS:
Capital District Physicians Health
Plan
2,487
466
2,953
59
9
68
Excellus Health Plan
2,082
402
2,484
NYS Catholic Health Plan
346
55
401
TOTALS:
HealthNow/BCBSWNY/Community Blue
907
168
1,075
175
24
199
NYS Catholic Health Plan
421
84
505
Univera Community Health Inc
311
60
371
TOTALS:
860
132
992
NYS Catholic Health Plan
449
73
522
411
59
470
TOTALS:
HealthNow/BCBSWNY/Community Blue
1,530
276
1,806
239
34
273
NYS Catholic Health Plan
1,214
217
1,431
77
25
102
TOTALS:
1,084
180
1,264
Excellus Health Plan
1,264
1,084
180
TOTALS:
864
120
984
NYS Catholic Health Plan
864
120
984
TOTALS:
949
202
1,151
10
3
13
NYS Catholic Health Plan
939
199
1,138
TOTALS:
Capital District Physicians Health
Plan
599
102
701
193
33
226
NYS Catholic Health Plan
406
69
475
TOTALS:
737
104
841
NYS Catholic Health Plan
594
84
678
SCHC Total Care
143
20
163
TOTALS:
566
94
660
NYS Catholic Health Plan
566
94
660
2,097
300
2,397
Hudson Health Plan
626
83
709
MVP Health Plan
862
134
996
NYS Catholic Health Plan
354
59
413
TOTALS:
255
24
279
TOTALS:
9,666
1,801
11,467
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
4,374
866
5,240
1,465
165
1,630
Independent Health
1,732
429
2,161
NYS Catholic Health Plan
2,095
341
2,436
Wellcare Of New York
Erie
Enrolled
600
Excellus Health Plan
Columbia
Enrolled
Wellcare Of New York
Univera Community Health Inc
Chemung
ADULTS
WITHOUT
CHILDREN
TOTALS:
HealthNow/BCBSWNY/Community Blue
United Healthcare Plan Of NY
Chautauqua
ADULTS
WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Enrolled
Enrolled
Total Enrolled
663
102
4
1
5
NYS Catholic Health Plan
557
101
658
TOTALS:
508
85
593
1
1
2
NYS Catholic Health Plan
507
84
591
TOTALS:
Capital District Physicians Health
Plan
931
157
1,088
170
35
205
NYS Catholic Health Plan
761
122
883
TOTALS:
HealthNow/BCBSWNY/Community Blue
636
101
737
398
46
444
MVP Health Plan
137
34
171
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
561
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
NYS Catholic Health Plan
101
21
122
TOTALS:
Capital District Physicians Health
Plan
564
62
626
186
21
207
NYS Catholic Health Plan
378
41
419
TOTALS:
60
9
69
NYS Catholic Health Plan
60
9
69
1,237
1,073
164
Excellus Health Plan
129
18
147
NYS Catholic Health Plan
926
146
1,072
TOTALS:
United Healthcare Plan Of NY
18
0
18
Jefferson
TOTALS:
1,411
251
1,662
GHI
1,411
251
1,662
Lewis
TOTALS:
315
45
360
GHI
315
45
360
TOTALS:
459
86
545
Excellus Health Plan
382
63
445
13
Livingston
9
4
68
19
87
TOTALS:
831
95
926
Excellus Health Plan
188
11
199
NYS Catholic Health Plan
196
24
220
NYS Catholic Health Plan
MVP Health Plan
Madison
United Healthcare Plan Of NY
Monroe
Montgomery
Nassau
Niagara
447
60
507
TOTALS:
6,889
1,227
8,116
Excellus Health Plan
4,670
673
5,343
NYS Catholic Health Plan
1,525
406
1,931
MVP Health Plan
694
148
842
TOTALS:
Capital District Physicians Health
Plan
923
132
1,055
304
38
342
NYS Catholic Health Plan
619
94
713
11,561
2,001
13,562
Affinity Health Plan
2,082
366
2,448
HealthFirst PHSP
2,150
319
2,469
802
160
962
TOTALS:
HealthPlus
Health Insurance Plan of Greater
New York
1,705
326
2,031
NYS Catholic Health Plan
2,520
504
3,024
United Healthcare Plan Of NY
2,302
326
2,628
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,504
495
2,999
986
187
1,173
NYS Catholic Health Plan
1,518
308
1,826
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
County
Plan Name
Oneida
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Orleans
Oswego
Enrolled
Enrolled
Total Enrolled
3,818
3,329
489
459
78
537
2,304
327
2,631
566
84
650
4,384
738
5,122
504
67
571
1,768
266
2,034
SCHC Total Care
1,340
269
1,609
United Healthcare Plan Of NY
772
136
908
TOTALS:
940
175
1,115
Excellus Health Plan
864
162
1,026
76
13
89
TOTALS:
3,425
517
3,942
Affinity Health Plan
MVP Health Plan
Orange
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Excellus Health Plan
Ontario
ADULTS
WITH
CHILDREN
1,461
212
1,673
Hudson Health Plan
946
139
1,085
NYS Catholic Health Plan
841
134
975
Wellcare Of New York
177
32
209
TOTALS:
641
102
743
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
173
36
209
116
21
137
NYS Catholic Health Plan
352
45
397
2,180
328
2,508
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
13
3
16
653
87
740
1,157
187
1,344
United Healthcare Plan Of NY
357
51
408
TOTALS:
751
110
861
Excellus Health Plan
251
29
280
NYS Catholic Health Plan
500
81
581
Putnam
TOTALS:
432
67
499
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
Otsego
NYS Catholic Health Plan
NYS Catholic Health Plan
Wellcare Of New York
Rockland
TOTALS:
67
499
296
1,663
602
115
717
637
148
785
128
33
161
4,072
526
4,598
Affinity Health Plan
484
124
608
Hudson Health Plan
913
120
1,033
2,468
254
2,722
207
28
235
TOTALS:
1,276
225
1,501
Excellus Health Plan
1,276
225
1,501
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
432
1,367
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
1,742
572
80
652
NYS Catholic Health Plan
1,170
157
1,327
TOTALS:
Capital District Physicians Health
Plan
1,506
212
1,718
497
74
571
NYS Catholic Health Plan
1,009
138
1,147
TOTALS:
Capital District Physicians Health
Plan
452
72
524
197
26
223
NYS Catholic Health Plan
255
46
301
Schenectady
Schoharie
Schuyler
Seneca
Steuben
Suffolk
Sullivan
237
1,979
TOTALS:
256
58
314
Excellus Health Plan
256
58
314
TOTALS:
384
57
441
Excellus Health Plan
384
57
441
TOTALS:
1,077
180
1,257
GHI
1,077
180
1,257
14,136
2,131
16,267
Affinity Health Plan
2,290
316
2,606
HealthFirst PHSP
Health Insurance Plan of Greater
New York
2,285
347
2,632
2,541
455
2,996
Neighborhood Health Providers
1,022
138
1,160
NYS Catholic Health Plan
2,669
427
3,096
United Healthcare Plan Of NY
3,329
448
3,777
TOTALS:
1,165
143
1,308
938
100
1,038
TOTALS:
Hudson Health Plan
NYS Catholic Health Plan
227
43
270
Tioga
TOTALS:
Capital District Physicians Health
Plan
445
71
516
445
71
516
Tompkins
TOTALS:
628
106
734
Ulster
SCHC Total Care
495
78
573
NYS Catholic Health Plan
133
28
161
1,931
389
2,320
Hudson Health Plan
549
112
661
MVP Health Plan
770
174
944
NYS Catholic Health Plan
265
54
319
TOTALS:
Wellcare Of New York
347
49
396
Warren
TOTALS:
768
87
855
NYS Catholic Health Plan
768
87
855
Washington
TOTALS:
Capital District Physicians Health
Plan
704
104
808
130
26
156
NYS Catholic Health Plan
574
78
652
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
967
106
1,073
Excellus Health Plan
732
59
791
NYS Catholic Health Plan
235
47
282
TOTALS:
7,942
1,453
9,395
Affinity Health Plan
Health Insurance Plan of Greater
New York
1,454
298
1,752
765
152
917
Hudson Health Plan
4,234
645
4,879
NYS Catholic Health Plan
1,487
358
1,845
2
0
2
50
463
Westchester
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBSWNY/Community Blue
413
413
50
463
Yates
TOTALS:
418
52
470
Excellus Health Plan
418
52
470
112,166
18,639
130,805
Affinity Health Plan
14,179
7,499
21,678
Amerigroup
11,853
5,438
17,291
HealthFirst PHSP
Health Insurance Plan of Greater
New York
27,300
11,528
38,828
18,685
6,171
24,856
HealthPlus
24,801
7,636
32,437
Upstate Total
NYC
MetroPlus Health Plan
26,239
7,999
34,238
Neighborhood Health Providers
13,991
4,201
18,192
NYS Catholic Health Plan
22,851
11,086
33,937
1,468
105
1,573
18,698
6,069
24,767
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
5,787
3,390
9,177
NYC Total
185,852
71,122
256,974
UPSTATE TOTALS:
112,166
18,639
130,805
NEW YORK CITY TOTALS:
185,852
71,122
256,974
GRAND TOTALS
298,018
89,761
387,779
Wellcare Of New York
County
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,943
9,435
40,378
Brooklyn
63,914
24,232
88,146
Manhattan
18,051
10,472
28,523
Queens
65,312
24,698
90,010
7,632
2,285
9,917
185,852
71,122
256,974
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 JULY, 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
58
58
31
31
10
2,292
57
176
2,535
2
111
113
272
272
1
361
1
363
42
42
3,414
774
774
1,666
28
1,694
114
36
150
482
5,554
348
6,384
845
845
3,709
3,709
1,526
1,526
190
151
341
2,212
2,212
51
346
397
143
143
8,261
8,261
931
931
27,367
30,781
(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 JULY, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Schenectady
Total
Enrolled
Plan Name
184
TOTAL
9
Fidelis
175
Senior Whole Health
9
TOTAL
9
Touchstone/Prestige
13
TOTAL
13
Senior Whole Health
34
TOTAL
4
Fidelis
30
Senior Whole Health
3
TOTAL
3
Fidelis
0
Senior Whole Health
3
TOTAL
3
Fidelis
5
TOTAL
1
Fidelis
4
Senior Whole Health
185
TOTAL
22
GHI
Health Insurance Plan of
138
Greater New York
25
Liberty Health Advantage
13
TOTAL
13
Fidelis
20
TOTAL
5
Fidelis
15
Touchstone/Prestige
34
TOTAL
9
GHI
22
Senior Whole Health
3
Touchstone/Prestige
2
TOTAL
2
Fidelis
78
TOTAL
9
Fidelis
69
Senior Whole Health
45
TOTAL
45
GHI
26
TOTAL
26
Senior Whole Health
81
TOTAL
9
Fidelis
72
Senior Whole Health
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JULY, 2010
County
Suffolk
Ulster
Warren
Washington
Westchester
Upstate Total:
NYC
Total
Enrolled
Plan Name
82
TOTAL
11
GHI
Health Insurance Plan of
71
Greater New York
113
TOTAL
3
Fidelis
6
GHI
104
Senior Whole Health
13
TOTAL
13
Senior Whole Health
1
TOTAL
1
Senior Whole Health
55
TOTAL
40
GHI
Health Insurance Plan of
11
Greater New York
4
Touchstone/Prestige
999
136
Affinity
418
Fidelis
720
GHI
Health Insurance Plan of
1,670
Greater New York
762
Liberty Health Advantage
62
Managed Health
34
MetroPlus
1,154
Touchstone/Prestige
4,956
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
999
4,956
5,955
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 : Ulster County - GHI & Washington County Senior Whole Health
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS JULY, 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
65
4
61
4
4
4
4
2
2
4
4
47
2
45
7
7
20
1
19
60
60
213
19
27
249
13
48
68
424
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
213
424
637
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