RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Allegany
19,461
17,326
Eligibles
4,393
Enrolled
3,677
23,854
21,003
88%
4,302
3,183
Total
Eligibles
28,156
Total
Enrolled
Percent
Enrolled
24,186
86%
2,409
14,437
61%
2,211
16,648
59%
NYS Catholic Health Plan
3,873
1,019
4,892
21%
585
5,477
19%
Wellcare Of New York
1,425
249
1,674
7%
387
2,061
7%
3,840
84%
4,315
80%
Mandatory
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Capital District Physicians
Health Plan
3,840
18,118
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
12,028
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eligibles
SNA HR & MA-HR
755
609
4,595
790
475
5,385
2,009
397
2,406
52%
335
2,741
51%
1,222
212
1,434
31%
140
1,574
29%
19,217
88%
22,234
85%
2%
99
440
2%
71%
15,827
3,837
3,390
21,955
4,102
3,017
26,057
304
37
341
13,213
2,863
16,076
73%
2,397
18,473
2,310
490
2,800
13%
521
3,321
13%
6,880
85%
8,020
85%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,433
346
2,779
34%
713
3,492
37%
Eff. Sep 2001
NYS Catholic Health Plan
2,168
324
2,492
31%
282
2,774
29%
Univera Community Health
1,312
297
1,609
20%
145
1,754
19%
Cayuga
TOTALS:
Voluntary
NYS Catholic Health Plan
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Chemung
TOTALS:
(Partial)
7,028
3,231
6,953
14,318
TOTALS:
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
1,131
12,409
5,533
3,289
134
8,085
8,084
2,862
17,607
924
11%
924
11%
15,271
87%
1,332
1,282
1,140
47
9,417
9,366
47
2,794
2,427
20,401
971
10%
971
10%
17,698
87%
2,714
504
3,218
18%
705
3,923
19%
9,412
2,186
11,598
66%
1,617
13,215
65%
6,192
172
1,464
869
10,837
455
3%
7,061
65%
105
2,232
1,323
13,069
560
3%
8,384
64%
3,586
0
3,586
33%
250
3,836
29%
2,606
869
3,475
32%
1,073
4,548
35%
199
3%
209
3%
155
893
155
7,118
967
134
283
9,373
Southern Tier Priority (Partial)
Chenango
790
1,057
790
Univera Community Health
Voluntary
5,913
1,133
1,133
44
6,426
44
1,497
440
440
1,181
199
8,615
10
7,607
10
1,573
18%
1,573
18%
1,796
104
104
10,411
209
3%
1,677
16%
1,677
16%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 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:
Mandatory
NYS Catholic Health Plan
Eligibles
3,886
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
Eff. Apr 2007
Mandatory
3,946
4,342
13,673
Enrolled
666
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
4,670
353
313
875
759
5,924
3,795
81%
2,335
50%
1,460
31%
5,101
86%
930
615
Total
Eligibles
5,600
479
136
765
576
6,689
Total
Enrolled
Percent
Enrolled
4,410
79%
2,814
50%
1,596
29%
5,677
85%
3,207
578
3,785
64%
393
4,178
62%
1,135
181
1,316
22%
183
1,499
22%
184
4%
187
3%
137
797
137
11,554
47
4,743
47
2,854
2,366
733
184
16,527
3
5,476
3
13,920
84%
4,682
28%
3,181
1,799
19,708
3%
15,719
80%
5,260
27%
688
MVP Health Plan
4,239
1,063
5,302
32%
680
5,982
30%
NYS Catholic Health Plan
1,536
438
1,974
12%
246
2,220
11%
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
1,785
80,069
70,364
177
17,189
15,101
97,258
1,962
12%
85,465
88%
578
187
3,994
295
18,211
14,538
115,469
2,257
11%
100,003
87%
11,989
1,991
13,980
14%
1,983
15,963
14%
19,672
3,596
23,268
24%
4,329
27,597
24%
NYS Catholic Health Plan
17,578
2,568
20,146
21%
2,849
22,995
20%
Univera Community Health
20,725
5,304
26,029
27%
2,618
28,647
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
69,964
13,459
83,423
86%
11,779
95,202
82%
400
1,642
2,042
2%
2,759
4,801
4%
400
1,642
2,042
2%
2,759
4,801
4%
800
26%
825
22%
800
26%
825
22%
3
0%
3
0%
3
0%
6,477
88%
Eff. May 1998 Association
Total Partial Risk
Essex
784
1,147
5,049
Wellcare Of New York
Erie
3,129
Eligibles
1,982
Eff. May 2007 SCHC Total Care
Delaware
Enrolled
SNA HR & MA-HR
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
2,604
604
493
604
4,184
0
5,449
3,097
196
857
0
6,195
196
3
5,041
3
1,146
1,028
7,341
621
25
3,718
25
1,114
0
6,155
0
1,235
646
8,576
3
0%
7,123
83%
1,082
203
1,285
18%
168
1,453
17%
4,367
825
5,192
71%
478
5,670
66%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,715
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
3,700
3,406
Eligibles
628
557
4,343
3,963
91%
654
479
Total
Eligibles
4,997
Total
Enrolled
Percent
Enrolled
4,442
89%
286
2,050
47%
180
2,230
45%
1,379
211
1,590
37%
273
1,863
37%
263
60
323
7%
26
349
7%
3,865
84%
4,507
83%
3,142
875
723
4,575
864
642
5,439
1,840
286
2,126
46%
439
2,565
47%
1,302
437
1,739
38%
203
1,942
36%
274
81
30%
37
2
311
83
27%
83
27%
7,155
6,143
86%
1,058
646
8,213
6,789
83%
66
6,019
5,155
45
15
1,136
988
66
United Healthcare Plan Of NY
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
1,764
229
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
Enrolled
SNA HR & MA-HR
15
81
2
783
125
908
13%
165
1,073
13%
4,333
855
5,188
73%
473
5,661
69%
39
8
47
1%
8
55
1%
TOTALS:
9,313
0
1,443
0
10,756
0
0%
1,957
0
12,713
0
0%
TOTALS:
2,287
0
289
0
2,576
0
0%
465
0
3,041
0
0%
Livingston
TOTALS:
3,689
3,146
760
592
4,449
3,738
84%
795
552
5,244
Mandatory
Eff. Apr 2002
Excellus Health Plan
2,554
57%
2,157
NYS Catholic Health Plan
MVP Health Plan
Madison
TOTALS:
Voluntary
Excellus Health Plan
5,389
NYS Catholic Health Plan
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
66,418
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
397
4,290
82%
2,913
56%
3
7
10
0%
0
10
0%
986
188
1,174
26%
193
1,367
26%
478
581
9%
627
9%
95
9
104
2%
7
111
2%
383
94
477
8%
39
516
7%
70,501
88%
81,603
86%
59,187
864
13,246
103
11,314
6,253
79,664
919
15,036
46
11,102
7,172
94,700
40,419
5,881
46,300
58%
7,428
53,728
57%
5,917
3,447
9,364
12%
1,043
10,407
11%
17,468
18%
7,119
85%
12,851
6,287
359
5,605
1,986
973
845
7,260
14,837
19%
6,450
89%
2,631
1,119
669
8,379
2,673
331
3,004
41%
357
3,361
40%
2,932
514
3,446
47%
312
3,758
45%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
54,872
12,412
69,048
60,091
87%
12,338
8,334
Total
Eligibles
81,386
Total
Enrolled
Percent
Enrolled
68,425
84%
1,545
9,293
13%
1,037
10,330
13%
2,281
12,542
18%
1,220
13,762
17%
HealthPlus
Health Insurance Plan of
Greater New York
3,914
1,550
5,464
8%
784
6,248
8%
8,215
3,054
11,269
16%
2,474
13,743
17%
NYS Catholic Health Plan
8,812
1,711
10,523
15%
1,273
11,796
14%
4
0
4
0%
0
4
0%
United Healthcare Plan Of NY
Eff Sep 1998
14,176
Enrolled
7,748
NYS Catholic Health Plan 1199
Mandatory
47,679
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
10,261
Eff. June 2001 HealthFirst PHSP
Niagara
Enrolled
SNA HR & MA-HR
TOTALS:
HealthNow/BCBSWNY/Community Blue
Independent Health
Association
8,725
17,050
Oneida
TOTALS:
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
23,496
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
2,271
4,202
5,144
NYS Catholic Health Plan
Mandatory
15,789
38,285
3,861
21,252
1,226
10,996
16%
19,650
92%
1,546
6,370
30%
800
3,467
2,887
24,719
12,542
15%
22,537
91%
7,170
29%
4,730
997
5,727
27%
1,316
7,043
28%
5,915
1,638
7,553
36%
771
8,324
34%
20,474
3,669
23,676
87%
27,795
85%
3,284
661
3,945
15%
754
4,699
14%
14,643
2,090
16,733
62%
2,876
19,609
60%
2,547
451
2,998
11%
489
3,487
11%
39,089
88%
46,408
87%
33,746
6,178
3,202
5,343
27,165
44,463
5,470
8,715
4,119
7,319
32,635
53,178
4,827
688
5,515
12%
957
6,472
12%
NYS Catholic Health Plan
10,426
1,566
11,992
27%
1,841
13,833
26%
SCHC Total Care
14,231
2,461
16,692
38%
3,613
20,305
38%
4,262
628
4,890
11%
908
5,798
11%
6,224
86%
7,139
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
6,175
36,640
5,405
1,028
819
7,203
1,332
915
8,535
4,750
704
5,454
76%
767
6,221
655
115
770
11%
148
918
11%
34,942
85%
37,831
83%
11,978
29%
1,311
13,289
29%
31,290
4,402
3,652
10,364
1,614
41,042
4,437
2,889
45,479
6,861
1,212
8,073
20%
941
9,014
20%
12,837
621
13,458
33%
368
13,826
30%
1,228
205
1,433
3%
269
1,702
4%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,727
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
979
4,706
4,321
92%
4,748
89%
36%
187
1,863
35%
772
238
1,010
21%
131
1,141
21%
1,635
35%
13,737
88%
361
1,986
15,569
427
5,312
Percent
Enrolled
1,676
2,182
606
Total
Enrolled
296
11,751
895
Total
Eligibles
1,380
1,274
13,387
Enrolled
109
2,294
1,901
17,863
1,744
33%
15,638
88%
163
14
177
1%
40
217
1%
3,402
566
3,968
25%
462
4,430
25%
SCHC Total Care
6,154
1,142
7,296
47%
1,093
8,389
47%
United Healthcare Plan Of NY
2,032
264
2,296
15%
306
2,602
15%
4,240
82%
4,597
75%
3,045
59%
3,290
54%
TOTALS:
Mandatory
Excellus Health Plan
4,298
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,500
843
2,557
Eff. May 2007 NYS Catholic Health Plan
Eff. Oct 1997
3,426
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
NYS Catholic Health Plan
Otsego
Mandatory
Enrolled
SNA HR & MA-HR
12,358
NYS Catholic Health Plan
Wellcare Of New York
38,678
1,701
5,141
488
943
2,212
740
252
453
352
2,665
1,195
8%
2,053
77%
998
357
6,139
245
112
628
237
3,293
1,307
21%
2,290
70%
188
45
233
9%
37
270
8%
1,513
307
1,820
68%
200
2,020
61%
13,447
90%
15,315
87%
10,969
2,626
2,478
14,984
2,564
1,868
17,548
7,894
1,595
9,489
63%
1,357
10,846
62%
2,485
721
3,206
21%
356
3,562
20%
590
162
752
5%
155
907
5%
41,076
96%
43,178
95%
Rockland
TOTALS:
Mandatory
Affinity Health Plan
2,951
1,004
3,955
9%
580
4,535
10%
Eff. Mar 2001
Hudson Health Plan
5,859
842
6,701
16%
485
7,186
16%
26,407
1,704
28,111
66%
857
28,968
63%
2,072
237
2,309
5%
180
2,489
5%
0
0%
0
0%
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Voluntary
TOTALS:
10,410
37,289
0
4,057
1,788
3,787
0
42,735
12,198
2,914
2,720
2,102
0
45,649
14,918
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 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
8,759
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Southern Tier Pediatrics
(Partial)
Voluntary
TOTALS:
Affinity Health Plan
10,120
1,620
357
74,558
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
1,810
14,786
878
422
72
2,698
9,400
91%
6,468
63%
2,932
28%
11,930
81%
6,408
43%
5,522
37%
429
16%
1,925
1,338
Total
Eligibles
12,233
1,047
291
3,458
1,963
18,244
1,311
652
419
25
3,117
Total
Enrolled
Percent
Enrolled
10,738
88%
7,515
61%
3,223
26%
13,893
76%
7,719
42%
6,174
34%
454
15%
256
56
312
12%
23
335
11%
101
16
117
4%
2
119
4%
137
7%
137
7%
2,413
86%
2,413
86%
1,475
15%
91
309
2,096
1,256
46
1,929
46
363
2,096
8,525
10,308
932
91
2,438
1,398
406
2,143
4,644
2,276
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
992
5,476
Southern Tier Priority (Partial)
Suffolk
1,549
2,526
12,643
Excellus Health Plan
Mandatory
8,002
Eligibles
5,476
NYS Catholic Health Plan
Schuyler
Enrolled
SNA HR & MA-HR
317
2,801
317
1,293
219
9,818
300
18
2,229
18
519
360
3,320
360
2,299
433
12,117
155
7%
155
7%
2,773
84%
2,773
84%
1,908
16%
272
0
272
3%
24
296
2%
984
219
1,203
12%
409
1,612
13%
65,725
79,928
88%
90,001
85%
9,102
16,261
14,203
1,515
90,819
10,617
12%
14,463
10,073
1,146
105,282
11,763
11%
10,557
1,643
12,200
13%
1,269
13,469
13%
12,433
4,155
16,588
18%
2,634
19,222
18%
12,268
1,688
13,956
15%
1,789
15,745
15%
9,091
1,898
10,989
12%
1,352
12,341
12%
1
0
1
0%
1
2
0%
12,273
3,304
15,577
17%
1,882
17,459
17%
Sullivan
TOTALS:
7,523
85%
8,505
82%
Mandatory
Hudson Health Plan
5,443
804
6,247
70%
823
7,070
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,093
183
1,276
14%
159
1,435
14%
7,637
6,536
1,233
987
8,870
1,524
982
10,394
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
4,426
Tompkins
TOTALS:
5,515
Voluntary
NYS Catholic Health Plan
Voluntary
Eligibles
Ulster
TOTALS:
Hudson Health Plan
Eff Mar 2007
11,852
2,890
72
5,024
72
8%
11
5,894
11
7%
3,867
49%
2%
29
328
4%
2,702
427
3,129
47%
410
3,539
45%
13,687
80%
3,884
23%
84%
3,498
24%
2,596
1,552
7,837
437
51%
12,135
439
7%
299
14,504
1,149
437
3,428
2,175
6,688
426
870
Percent
Enrolled
111
2,652
538
8%
Total
Enrolled
188
9,960
1,173
426
Total
Eligibles
17,100
584
MVP Health Plan
3,154
1,107
4,261
29%
542
4,803
28%
NYS Catholic Health Plan
1,459
273
1,732
12%
173
1,905
11%
Wellcare Of New York
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
TOTALS:
Voluntary
Excellus Health Plan
2,433
4,247
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of
Greater New York
1,382
211
589
1,382
4,792
3,927
56,717
3,420
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
559
5,426
329
840
385
7,605
2,644
18%
1,512
31%
1,512
31%
4,486
83%
1,705
31%
2,781
51%
3,805
50%
386
451
1,048
153
5,884
153
1,035
564
6,461
249
315
1,471
402
9,076
3,095
18%
1,665
28%
1,665
28%
5,050
78%
1,954
30%
3,096
48%
4,207
46%
42%
3,140
300
3,440
45%
393
3,833
280
85
365
5%
9
374
4%
60,454
87%
67,617
85%
10,903
16%
12,238
15%
49,328
12,608
8,561
Hudson Health Plan
4,836
230
2,452
6,765
130
130
634
1,475
NYS Catholic Health Plan
Eff. Oct 1999
598
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
2,914
Warren
Mandatory
354
Eligibles
354
SCHC Total Care
Mandatory
Enrolled
SNA HR & MA-HR
11,126
69,325
2,342
10,385
7,163
79,710
1,335
3,957
1,548
5,505
8%
1,169
6,674
8%
28,906
4,879
33,785
49%
3,414
37,199
47%
7,902
2,357
10,259
15%
1,245
11,504
14%
2
0
2
0%
0
2
0%
Wyoming
Voluntary
TOTALS:
2,529
0
352
0
2,881
0
0%
465
0
3,346
0
0%
Yates
TOTALS:
2,053
1,790
265
244
2,318
2,034
88%
309
231
2,627
2,265
86%
2,034
88%
2,265
86%
751,096
79%
854,224
77%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,790
797,334
628,993
244
153,437
122,103
950,771
231
162,223
103,128
1,112,994
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
TANF ADC & MA-ADC
Total
Eligibles
Total
Enrolled
Percent
Enrolled
Plan Name
NYC
Affinity Health Plan
91,470
46,525
153,328
7%
Mandatory
Amerigroup
48,547
27,703
76,250
4%
5,276
81,526
4%
116
828
944
0%
574
1,518
0%
Amida Care SN
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled Enrolled Eligibles Enrolled
137,995
7%
15,333
County
Eligibles
Enrolled
SNA HR & MA-HR
Fully
HealthFirst PHSP
234,128
85,253
319,381
16%
39,358
358,739
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
162,863
57,052
219,915
11%
17,016
236,931
11%
113,215
47,536
160,751
8%
20,991
181,742
8%
MetroPlus Health Plan
235,935
69,241
305,176
15%
29,771
334,947
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
908
1,242
2,150
0%
1,296
3,446
0%
109,280
33,362
142,642
7%
17,347
159,989
7%
194
733
927
0%
594
1,521
0%
123,049
68,076
191,125
10%
19,928
211,053
10%
1,734
329
2,063
0%
49
2,112
0%
103,191
47,145
150,336
8%
13,883
164,219
7%
29,079
19,190
48,269
2%
4,591
52,860
2%
1,407,519
1,253,709
566,621
504,215
1,974,140
1,757,924
89%
245,987
186,007
2,220,127
1,943,931
88%
797,334
628,993
153,437
122,103
950,771
751,096
79%
162,223
103,128
1,112,994
854,224
77%
NEW YORK CITY TOTALS:
1,407,519
1,253,709
566,621
504,215
1,974,140
1,757,924
89%
245,987
186,007
2,220,127
1,943,931
88%
GRAND TOTALS:
2,204,853
1,882,702
720,058
626,318
2,924,911
2,509,020
86%
408,210
289,135
3,333,121
2,798,155
84%
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 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
362,858
308,036
107,148
89,133
470,006
397,169
85%
70,475
53,621
540,481
450,790
83%
Brooklyn
499,106
450,368
202,397
184,006
701,503
634,374
90%
77,830
59,276
779,333
693,650
89%
Manhattan
167,354
143,778
87,373
70,550
254,727
214,328
84%
42,531
30,773
297,258
245,101
82%
Queens
331,189
310,167
150,778
143,225
481,967
453,392
94%
45,360
35,129
527,327
488,521
93%
47,012
41,360
18,925
17,301
65,937
58,661
89%
9,791
7,207
75,728
65,869
87%
1,407,519
1,253,709
566,621
504,215
1,974,140
1,757,924
89%
245,987
186,007
2,220,127
1,943,931
88%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon June, 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 AUGUST, 2010
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Albany
TOTALS:
2,262
529
2,791
Capital District Physicians Health Plan
1,100
253
1,353
NYS Catholic Health Plan
946
227
1,173
Wellcare Of New York
216
49
265
TOTALS:
606
84
690
HealthNow/BCBS-WNY/Community Blue
269
40
309
Univera Community Health Inc
337
44
381
2,487
472
2,959
Allegany
Broome
TOTALS:
Capital District Physicians Health Plan
Excellus Health Plan
Cattaraugus
Cayuga
Chautauqua
9
63
407
2,480
NYS Catholic Health Plan
360
56
416
TOTALS:
898
173
1,071
HealthNow/BCBS-WNY/Community Blue
169
22
191
NYS Catholic Health Plan
418
91
509
Univera Community Health Inc
311
60
371
TOTALS:
859
128
987
NYS Catholic Health Plan
457
73
530
United Healthcare Plan Of NY
402
55
457
1,520
270
1,790
242
33
275
1,204
215
1,419
74
22
96
TOTALS:
1,074
184
1,258
Excellus Health Plan
TOTALS:
HealthNow/BCBS-WNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
Chemung
54
2,073
1,074
184
1,258
TOTALS:
927
124
1,051
NYS Catholic Health Plan
927
124
1,051
TOTALS:
960
206
1,166
9
3
12
NYS Catholic Health Plan
951
203
1,154
TOTALS:
595
94
689
Capital District Physicians Health Plan
179
30
209
NYS Catholic Health Plan
416
64
480
TOTALS:
731
114
845
NYS Catholic Health Plan
593
94
687
SCHC Total Care
138
20
158
Delaware
TOTALS:
574
94
668
NYS Catholic Health Plan
574
94
668
Dutchess
TOTALS:
2,449
Chenango
Clinton
Excellus Health Plan
Columbia
Cortland
Erie
2,147
302
Hudson Health Plan
622
86
708
MVP Health Plan
883
129
1,012
NYS Catholic Health Plan
381
62
443
Wellcare Of New York
261
25
286
TOTALS:
9,736
1,824
11,560
Univera Community Health Inc
4,419
863
5,282
HealthNow/BCBS-WNY/Community Blue
1,480
174
1,654
Independent Health
1,765
439
2,204
NYS Catholic Health Plan
2,072
348
2,420
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Lewis
Livingston
4
NYS Catholic Health Plan
551
99
650
TOTALS:
517
86
603
1
1
Montgomery
Nassau
654
2
NYS Catholic Health Plan
516
85
601
TOTALS:
924
156
1,080
Capital District Physicians Health Plan
169
39
208
NYS Catholic Health Plan
755
117
872
TOTALS:
636
110
746
HealthNow/BCBS-WNY/Community Blue
399
48
447
MVP Health Plan
134
42
176
NYS Catholic Health Plan
103
20
123
TOTALS:
535
62
597
Capital District Physicians Health Plan
185
20
205
NYS Catholic Health Plan
350
42
392
TOTALS:
70
7
77
NYS Catholic Health Plan
70
7
77
1,082
174
1,256
TOTALS:
Excellus Health Plan
127
21
148
NYS Catholic Health Plan
931
152
1,083
24
1
25
TOTALS:
1,386
243
1,629
GHI
1,386
243
1,629
TOTALS:
323
44
367
GHI
323
44
367
TOTALS:
466
86
552
Excellus Health Plan
381
66
447
12
5
17
MVP Health Plan
Monroe
Total Enrolled
1
NYS Catholic Health Plan
Madison
Enrolled
3
United Healthcare Plan Of NY
Jefferson
Enrolled
100
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
554
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
73
15
88
TOTALS:
834
102
936
Excellus Health Plan
183
12
195
NYS Catholic Health Plan
210
28
238
United Healthcare Plan Of NY
441
62
503
TOTALS:
6,869
1,235
8,104
Excellus Health Plan
4,663
677
5,340
NYS Catholic Health Plan
1,514
408
1,922
MVP Health Plan
692
150
842
TOTALS:
936
134
1,070
Capital District Physicians Health Plan
303
38
341
NYS Catholic Health Plan
633
96
729
11,887
2,061
13,948
Affinity Health Plan
2,141
372
2,513
HealthFirst PHSP
2,179
318
2,497
TOTALS:
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
842
166
1,008
1,728
328
2,056
2,605
537
3,142
United Healthcare Plan Of NY
2,392
340
2,732
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBS-WNY/Community Blue
Oneida
3,007
1,183
313
1,824
TOTALS:
3,331
477
3,808
TOTALS:
463
73
536
2,313
322
2,635
555
82
637
4,439
725
5,164
509
69
578
NYS Catholic Health Plan
1,790
265
2,055
SCHC Total Care
1,638
1,382
256
United Healthcare Plan Of NY
758
135
893
TOTALS:
940
176
1,116
Excellus Health Plan
862
164
1,026
78
12
90
TOTALS:
3,468
518
3,986
Affinity Health Plan
MVP Health Plan
Oswego
Total Enrolled
500
187
Excellus Health Plan
Orleans
Enrolled
2,507
996
United Healthcare Plan Of NY
Orange
Enrolled
1,511
NYS Catholic Health Plan
Ontario
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Excellus Health Plan
Onondaga
ADULTS WITH
CHILDREN
1,463
209
1,672
Hudson Health Plan
970
148
1,118
NYS Catholic Health Plan
850
131
981
Wellcare Of New York
185
30
215
TOTALS:
646
108
754
Excellus Health Plan
176
37
213
HealthNow/BCBS-WNY/Community Blue
118
23
141
NYS Catholic Health Plan
352
48
400
2,167
318
2,485
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
13
4
17
640
81
721
1,165
187
1,352
United Healthcare Plan Of NY
349
46
395
TOTALS:
729
110
839
Excellus Health Plan
239
31
270
NYS Catholic Health Plan
490
79
569
Putnam
TOTALS:
419
65
484
Rensselaer
TOTALS:
Otsego
NYS Catholic Health Plan
419
65
484
1,381
295
1,676
Capital District Physicians Health Plan
596
119
715
NYS Catholic Health Plan
650
138
788
Wellcare Of New York
Rockland
135
38
173
4,192
552
4,744
Affinity Health Plan
509
127
636
Hudson Health Plan
938
127
1,065
2,539
270
2,809
206
28
234
TOTALS:
1,277
222
1,499
Excellus Health Plan
1,277
222
1,499
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
County
Plan Name
Saratoga
TOTALS:
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,727
236
579
82
661
NYS Catholic Health Plan
1,148
154
1,302
TOTALS:
Capital District Physicians Health Plan
Schenectady
ADULTS WITH
CHILDREN
1,963
1,482
220
1,702
Capital District Physicians Health Plan
485
77
562
NYS Catholic Health Plan
997
143
1,140
TOTALS:
449
75
524
Capital District Physicians Health Plan
194
27
221
NYS Catholic Health Plan
255
48
303
Schuyler
TOTALS:
239
61
300
Excellus Health Plan
239
61
300
Seneca
TOTALS:
372
62
434
Excellus Health Plan
372
62
434
Steuben
TOTALS:
1,098
173
1,271
GHI
1,098
173
1,271
14,243
2,093
16,336
Affinity Health Plan
2,358
311
2,669
HealthFirst PHSP
Health Insurance Plan of Greater New
York
Neighborhood Health Providers
2,272
332
2,604
2,549
439
2,988
1,012
138
1,150
NYS Catholic Health Plan
2,723
426
3,149
United Healthcare Plan Of NY
3,329
447
3,776
TOTALS:
1,175
143
1,318
Hudson Health Plan
941
97
1,038
NYS Catholic Health Plan
234
46
280
Tioga
TOTALS:
448
70
518
Capital District Physicians Health Plan
448
70
518
Tompkins
TOTALS:
613
108
721
SCHC Total Care
490
81
571
Schoharie
Suffolk
Sullivan
TOTALS:
NYS Catholic Health Plan
123
27
150
1,974
384
2,358
Hudson Health Plan
562
114
676
MVP Health Plan
778
173
951
NYS Catholic Health Plan
284
51
335
Wellcare Of New York
350
46
396
Warren
TOTALS:
759
87
846
NYS Catholic Health Plan
759
87
846
Washington
TOTALS:
701
101
802
Capital District Physicians Health Plan
129
24
153
NYS Catholic Health Plan
572
77
649
Ulster
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS AUGUST, 2010
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
981
105
1,086
Excellus Health Plan
751
62
813
NYS Catholic Health Plan
230
43
273
TOTALS:
8,045
1,471
9,516
Affinity Health Plan
Health Insurance Plan of Greater New
York
Hudson Health Plan
1,458
296
1,754
772
142
914
4,264
651
4,915
NYS Catholic Health Plan
1,549
382
1,931
2
0
2
405
50
455
Westchester
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBS-WNY/Community Blue
405
50
455
Yates
TOTALS:
421
51
472
Excellus Health Plan
421
51
472
113,023
18,754
131,777
Affinity Health Plan
14,007
7,225
21,232
Amerigroup
11,637
5,283
16,920
HealthFirst PHSP
Health Insurance Plan of Greater New
York
HealthPlus
27,113
11,032
38,145
18,361
5,846
24,207
24,788
7,451
32,239
MetroPlus Health Plan
25,941
7,758
33,699
Neighborhood Health Providers
13,771
4,062
17,833
NYS Catholic Health Plan
22,968
10,956
33,924
1,404
102
1,506
18,613
5,912
24,525
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
5,671
3,221
8,892
NYC Total
184,274
68,848
253,122
UPSTATE TOTALS:
113,023
18,754
131,777
NEW YORK CITY TOTALS:
184,274
68,848
253,122
GRAND TOTALS
297,297
87,602
384,899
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,539
9,227
39,766
Brooklyn
63,426
23,481
86,907
Manhattan
17,836
9,991
27,827
Queens
64,931
23,939
88,870
7,542
2,210
9,752
184,274
68,848
253,122
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 AUGUST, 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
63
63
32
32
11
2,279
61
174
2,525
3
111
114
269
269
1
367
1
369
45
45
3,417
805
805
1,689
29
1,718
113
35
148
486
5,555
346
6,387
871
871
3,772
3,772
1,562
1,562
199
157
356
2,286
2,286
51
350
401
142
142
8,357
8,357
987
987
27,792
31,209
(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 AUGUST, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Schenectady
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
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
GHI
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
Total
Enrolled
186
9
177
9
9
14
14
29
4
25
4
3
1
3
3
5
1
4
186
22
140
24
13
13
20
5
15
31
9
20
2
2
2
78
9
69
45
45
27
27
79
9
70
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS AUGUST, 2010
County
Suffolk
Ulster
Warren
Washington
Westchester
Plan Name
TOTAL
GHI
Health Insurance Plan of
Greater New York
TOTAL
Fidelis
GHI
Senior Whole Health
TOTAL
Senior Whole Health
TOTAL
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Touchstone/Prestige
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
Total
Enrolled
86
11
75
116
3
7
106
24
24
1
1
53
39
11
3
1,011
153
451
734
1,652
742
67
52
1,151
5,002
1,011
5,002
6,013
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 AUGUST, 2010
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
69
4
65
5
5
8
8
2
2
7
7
48
3
45
7
7
21
1
20
60
60
1
1
228
20
35
244
15
46
68
428
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
228
428
656
County
Albany
Columbia
Dutchess
Greene
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Warren
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
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 : Warren County - Senior Whole
Health