RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Eligibles
19,463
Wellcare Of New York
Allegany
Enrolled
17,148
SNA HR & MA-HR
Eligibles
4,358
3,647
23,821
20,795
87%
SSI & MA-SSI
Eligibles Enrolled
4,313
3,109
Total
Eligibles
28,134
Total
Enrolled
23,904
Percent
Enrolled
85%
11,980
2,394
14,374
60%
2,204
16,578
59%
3,788
1,011
4,799
20%
549
5,348
19%
1,380
3,848
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
7%
356
7%
Eff. May 1998
Excellus Health Plan
Cattaraugus
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,435
339
2,774
35%
719
3,493
37%
Eff. Sep 2001
NYS Catholic Health Plan
2,196
319
2,515
31%
291
2,806
30%
Univera Community Health
1,279
287
1,566
20%
146
1,712
18%
953
12%
1,003
11%
938
12%
988
11%
NYS Catholic Health Plan
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
(Partial)
9,460
Southern Tier Priority (Partial)
Chenango
TOTALS:
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
2,414
52%
334
2,748
51%
1,450
32%
147
1,597
30%
19,460
88%
22,496
86%
15,991
3,916
5,586
21,996
4,128
3,036
26,124
298
36
334
2%
99
433
2%
2,932
16,325
74%
2,423
18,748
72%
5,910
813
501
1,053
1,135
12,386
945
140
7,992
8,107
138
2
3,284
2,848
17,661
2,801
13%
6,855
86%
15
0%
15,234
86%
514
1,358
1,287
1,156
50
9,350
9,394
50
0
2,807
2,440
20,468
3,315
13%
8,011
86%
15
0%
17,674
86%
2,757
520
3,277
19%
707
3,984
19%
9,350
2,162
11,512
65%
1,623
13,135
64%
279
166
445
3%
110
555
3%
6,265
7,175
66%
8,617
65%
3,527
0
3,527
32%
264
3,791
29%
2,738
910
3,648
33%
1,178
4,826
37%
224
3%
233
3%
233
3%
1,687
16%
1,687
16%
183
1,493
873
183
7,091
3,469
13,393
13
14,377
Univera Community Health
Chemung
392
220
800
United Healthcare Plan Of NY
Chautauqua
2,022
1,230
2,300
6,972
5,386
81%
Mandatory
TOTALS:
481
1,978
TOTALS:
Capital District Physicians
Health Plan
Voluntary
785
4,345
Broome
Cayuga
4,601
84%
Univera Community Health
6,939
612
1,622
Mandatory
NYS Catholic Health Plan
753
3,864
Eff. Feb 2007
18,080
3,252
242
TOTALS:
HealthNow/BCBSWNY/Community Blue
1,132
1,132
910
41
10,953
6,459
41
1,507
444
444
2,222
1,181
224
8,598
1,442
9
13,175
7,640
9
1,576
18%
1,576
18%
1,815
111
111
10,413
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Columbia
Eligibles
Enrolled
TOTALS:
NYS Catholic Health Plan
3,159
595
SCHC Total Care
1,120
180
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
4,066
695
4,761
29%
585
5,346
27%
Eff. Apr 2007
MVP Health Plan
4,289
1,101
5,390
33%
700
6,090
31%
NYS Catholic Health Plan
1,620
454
2,074
13%
246
2,320
12%
Wellcare Of New York
1,793
176
1,969
12%
300
2,269
12%
85,940
88%
100,595
87%
Mandatory
Eff. May 1998
5,543
4,455
80%
1,953
360
2,313
50%
481
2,794
50%
321
1,523
33%
138
1,661
30%
5,054
85%
5,630
84%
3,754
63%
394
4,148
62%
1,300
22%
182
1,482
22%
191
4%
194
4%
4,279
141
879
832
11,768
70,645
775
50
5,958
4,776
50
2,821
17,295
2,426
15,295
766
729
191
16,417
97,206
14,194
576
3
6,724
5,505
3
86%
3,211
18,198
1,831
14,655
19,628
115,404
194
4%
16,025
82%
11,882
1,998
13,880
14%
2,002
15,882
14%
19,967
3,703
23,670
24%
4,405
28,075
24%
17,554
2,577
20,131
21%
2,860
22,991
20%
Univera Community Health
20,852
5,370
26,222
27%
2,644
28,866
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
70,255
13,648
83,903
86%
11,911
95,814
83%
390
1,647
2,037
2%
2,744
4,781
4%
Essex
TOTALS:
Voluntary
NYS Catholic Health Plan
Franklin
TOTALS:
Voluntary
NYS Catholic Health Plan
Fulton
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
619
NYS Catholic Health Plan
Total Partial Risk
Mandatory
925
1,202
141
Independent Health Association
83%
Percent
Enrolled
Mandatory
Eff. May 2007
Delaware
Voluntary
79,911
3,836
Total
Enrolled
Cortland
TOTALS:
HealthNow/BCBSWNY/Community Blue
4,618
Total
Eligibles
NYS Catholic Health Plan
13,596
681
Eligibles Enrolled
Mandatory
3,944
784
Enrolled
SSI & MA-SSI
Eff. Oct 1997
5,079
3,155
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
TOTALS:
Capital District Physicians
Health Plan
Erie
3,834
SNA HR & MA-HR
NYS Catholic Health Plan
390
2,555
609
1,647
493
609
4,195
4
5,487
3,048
197
850
4
6,218
197
5
5,045
5
1,172
1,054
7,390
2,037
2%
806
26%
806
26%
9
0%
9
0%
6,541
89%
2,744
619
30
3,667
30
1,114
0
6,159
0
1,230
671
8,620
4,781
4%
836
23%
836
23%
9
0%
9
0%
7,212
84%
1,096
214
1,310
18%
172
1,482
17%
4,391
840
5,231
71%
499
5,730
66%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Eligibles
3,719
MVP Health Plan
NYS Catholic Health Plan
Greene
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Hamilton
TOTALS:
Voluntary
NYS Catholic Health Plan
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
Eff. May 2003
NYS Catholic Health Plan
SNA HR & MA-HR
Enrolled
3,386
Eligibles
637
4,356
3,941
90%
Eligibles Enrolled
643
488
Total
Eligibles
4,999
Total
Enrolled
Percent
Enrolled
4,429
89%
1,727
278
2,005
46%
185
2,190
44%
217
1,618
37%
276
1,894
38%
3,188
60
858
736
4,552
318
7%
3,924
86%
27
855
641
5,407
345
7%
4,565
84%
1,864
292
2,156
47%
439
2,595
48%
1,324
444
1,768
39%
202
1,970
36%
270
87
32%
34
2
304
89
29%
89
29%
7,146
6,171
86%
1,067
646
8,213
6,817
83%
224
71
5,992
5,165
46
16
1,154
1,006
71
United Healthcare Plan Of NY
555
SSI & MA-SSI
1,401
258
3,694
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
16
87
2
787
131
918
13%
162
1,080
13%
4,339
867
5,206
73%
476
5,682
69%
39
8
47
1%
8
55
1%
Jefferson
Voluntary
Lewis
Voluntary
TOTALS:
9,231
0
1,414
0
10,645
0
0%
1,969
0
12,614
0
0%
TOTALS:
2,291
0
291
0
2,582
0
0%
463
0
3,045
0
0%
Livingston
TOTALS:
3,673
3,158
759
586
4,432
788
560
5,220
Mandatory
Eff. Apr 2002
Excellus Health Plan
NYS Catholic Health Plan
MVP Health Plan
3,744
84%
4,304
82%
2,171
391
2,562
58%
367
2,929
56%
15
7
22
0%
1
23
0%
972
188
1,160
26%
649
10%
13
132
2%
102
507
8%
10
0%
1
Madison
TOTALS:
Voluntary
Excellus Health Plan
119
NYS Catholic Health Plan
405
9
1
5,321
United Healthcare Plan Of NY
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
66,088
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
533
59,365
878
13,268
79,356
192
918
26%
702
10%
9
141
2%
43
550
8%
11
0%
89%
81,942
87%
46,592
59%
7,522
54,114
57%
6,112
3,542
9,654
12%
1,064
10,718
11%
17,110
18%
7,231
86%
1,888
865
7,279
14,487
18%
6,544
90%
11,209
7,117
70,733
979
15,256
1,352
53
5,938
5,679
11,368
6,199
40,654
12,599
6,300
116
94,612
2,623
1,126
687
8,405
2,687
327
3,014
41%
364
3,378
40%
2,992
538
3,530
48%
323
3,853
46%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
55,173
Enrolled
48,734
Eligibles
14,403
Enrolled
12,853
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
69,576
61,587
89%
SSI & MA-SSI
Eligibles Enrolled
12,412
8,427
Total
Eligibles
81,988
Total
Enrolled
Percent
Enrolled
70,014
85%
7,957
1,561
9,518
14%
1,049
10,567
13%
10,458
2,380
12,838
18%
1,246
14,084
17%
HealthPlus
Health Insurance Plan of
Greater New York
3,999
1,598
5,597
8%
792
6,389
8%
8,279
3,101
11,380
16%
2,474
13,854
17%
NYS Catholic Health Plan
9,117
1,794
10,911
16%
1,309
12,220
15%
4
0
4
0%
0
4
0%
8,920
2,419
11,339
16%
1,557
12,896
16%
19,606
92%
22,508
91%
7,154
29%
Eff. June 2001 HealthFirst PHSP
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Niagara
SNA HR & MA-HR
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff Sep 1998
17,072
15,686
4,249
3,920
21,321
3,479
2,902
24,800
5,104
1,246
6,350
30%
804
Independent Health Association
4,693
1,005
5,698
27%
1,314
7,012
28%
NYS Catholic Health Plan
5,889
1,669
7,558
35%
784
8,342
34%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
23,583
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
38,304
23,866
88%
27,981
85%
3,323
682
4,005
15%
740
4,745
14%
14,748
2,101
16,849
62%
2,885
19,734
60%
2,559
453
3,012
11%
490
3,502
11%
20,630
88%
46,618
88%
961
6,465
12%
NYS Catholic Health Plan
10,439
1,612
12,051
27%
1,849
13,900
26%
SCHC Total Care
14,388
2,475
16,863
38%
3,640
20,503
39%
4,229
622
4,851
11%
899
5,750
11%
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
Orange
Mandatory
TOTALS:
35,296
86%
38,209
84%
Affinity Health Plan
10,474
1,640
12,114
30%
1,324
13,438
30%
Eff. Mar 2007
Hudson Health Plan
6,938
1,235
8,173
20%
946
9,119
20%
12,939
642
13,581
33%
373
13,954
31%
1,228
200
1,428
3%
270
1,698
4%
NYS Catholic Health Plan
Wellcare Of New York
36,485
6,334
88%
7,274
85%
4,848
721
5,569
77%
788
6,357
74%
653
112
765
11%
152
917
11%
31,579
4,369
3,717
40,854
1,340
4,446
940
53,202
Ontario
MVP Health Plan
7,227
7,349
32,789
12%
833
8,697
4,115
5,504
1,033
44,505
5,528
39,269
5,501
5,411
27,261
702
6,194
6,201
3,236
4,802
United Healthcare Plan Of NY
33,858
3,678
2,913
8,567
45,300
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,713
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003
WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Otsego
975
895
4,688
4,324
92%
Eligibles Enrolled
607
430
Total
Eligibles
5,295
Total
Enrolled
Percent
Enrolled
4,754
90%
1,369
304
1,673
36%
183
1,856
35%
778
232
1,010
22%
136
1,146
22%
1,282
13,369
Enrolled
11,743
359
2,181
2,004
15,550
1,641
35%
13,747
88%
111
2,309
1,920
17,859
1,752
33%
15,667
88%
155
12
167
1%
37
204
1%
569
3,917
25%
461
4,378
25%
SCHC Total Care
6,214
1,152
7,366
47%
1,111
8,477
47%
United Healthcare Plan Of NY
2,026
271
2,297
15%
311
2,608
15%
4,286
3,068
83%
60%
4,641
3,308
76%
54%
1,218
8%
1,333
22%
2,052
82%
2,283
73%
212
8%
246
8%
Eff. May 2007
NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
4,285
2,063
TOTALS:
Mandatory
Affinity Health Plan
Eff. Mar 2001
Hudson Health Plan
1,685
38,684
11,119
432
10,415
5,135
367
2,495
45
322
2,679
2,604
15,040
1,840
74%
13,723
91%
996
355
240
6,131
115
628
231
3,123
34
197
2,583
1,877
17,623
2,037
65%
15,600
89%
7,966
1,682
9,648
64%
1,361
11,009
62%
2,565
752
3,317
22%
362
3,679
21%
588
170
758
5%
154
912
5%
41,360
97%
43,481
95%
3,938
9%
570
4,508
10%
37,534
4,063
2,911
Wellcare Of New York
752
497
255
1,518
12,361
NYS Catholic Health Plan
TOTALS:
850
167
NYS Catholic Health Plan
Rockland
3,534
2,571
963
Wellcare Of New York
St Lawrence
Voluntary
3,429
Eligibles
SSI & MA-SSI
3,348
TOTALS:
Excellus Health Plan
Eff. Oct 1997
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
NYS Catholic Health Plan
Mandatory
Mandatory
SNA HR & MA-HR
3,826
42,747
1,027
2,955
2,121
45,702
5,880
842
6,722
16%
495
7,217
16%
26,653
1,720
28,373
66%
881
29,254
64%
2,090
237
2,327
5%
175
2,502
5%
0
0%
0
0%
0
1,786
0
12,201
2,725
0
14,926
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
Schenectady
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Apr 2007
NYS Catholic Health Plan
Schoharie
TOTALS:
Capital District Physicians
Health Plan
Voluntary
Eligibles
8,742
12,601
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
(Partial)
Mandatory
Affinity Health Plan
1,530
7,610
12,191
10,885
89%
64%
1,052
7,595
62%
294
3,290
27%
12,265
83%
14,270
78%
6,546
44%
7,877
43%
5,719
39%
445
16%
10,401
2,163
371
1,864
14,764
961
903
428
74
2,701
3,500
2,005
18,264
1,331
674
422
25
3,123
6,393
35%
470
15%
11%
261
58
319
12%
23
342
110
16
126
5%
2
128
4%
1,954
140
7%
2,262
158
7%
140
7%
158
7%
2,792
2,394
86%
3,302
2,753
83%
2,394
86%
2,753
83%
1,440
15%
1,870
15%
271
3%
295
2%
312
49
367
307
49
1,231
307
1,296
65,546
209
9,830
0
960
United Healthcare Plan Of NY
1,346
29%
271
NYS Catholic Health Plan 1199
1,919
Percent
Enrolled
6,543
2,087
NYS Catholic Health Plan
93%
Total
Enrolled
2,996
91
Neighborhood Health Providers
9,539
Total
Eligibles
427
2,087
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
10,272
Eligibles Enrolled
1,010
2,425
74,934
1,437
SSI & MA-SSI
2,569
91
8,534
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
5,533
1,642
Southern Tier Priority (Partial)
TOTALS:
8,102
Eligibles
4,816
2,273
Excellus Health Plan
Suffolk
Enrolled
5,585
NYS Catholic Health Plan
Schuyler
SNA HR & MA-HR
209
16,444
14,404
91,378
1,169
12%
79,950
87%
308
18
510
359
18
359
2,308
430
12,138
24
406
14,544
10,151
105,922
1,575
13%
90,101
85%
9,158
1,567
10,725
12%
1,155
11,880
11%
10,584
1,657
12,241
13%
1,288
13,529
13%
12,253
4,172
16,425
18%
2,628
19,053
18%
12,112
1,683
13,795
15%
1,809
15,604
15%
9,158
1,996
11,154
12%
1,378
12,532
12%
0
0
0
0%
1
1
0%
12,281
3,329
15,610
17%
1,892
17,502
17%
Sullivan
TOTALS:
7,527
85%
8,518
82%
Mandatory
Hudson Health Plan
6,520
5,419
1,228
1,007
799
8,838
6,218
70%
1,521
991
827
10,359
7,045
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,101
208
1,309
15%
164
1,473
14%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Enrolled
Tioga
4,467
354
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,506
2,945
Voluntary
NYS Catholic Health Plan
Eligibles
615
65
1,151
541
354
SCHC Total Care
5,082
419
419
8%
6,657
3,486
52%
65
8%
SSI & MA-SSI
Eligibles Enrolled
874
7
1,161
451
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,956
426
426
7%
7,818
3,937
50%
7
7%
193
110
303
2%
32
335
4%
2,752
431
3,183
48%
419
3,602
46%
Ulster
TOTALS:
12,076
83%
13,637
80%
Mandatory
Hudson Health Plan
2,864
596
3,460
24%
389
3,849
23%
Eff Mar 2007
MVP Health Plan
3,106
1,134
4,240
29%
553
4,793
28%
NYS Catholic Health Plan
1,479
286
1,765
12%
167
1,932
11%
Wellcare Of New York
2,395
216
2,611
18%
452
3,063
18%
1,656
28%
1,656
28%
5,137
79%
Warren
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
TOTALS:
Voluntary
Excellus Health Plan
11,854
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Percent
Eligibles Total Enrolled Enrolled
4,231
Westchester
TOTALS:
Affinity Health Plan
Health Insurance Plan of
Greater New York
Eff. Oct 1999
1,382
2,630
578
1,382
4,828
6,717
NYS Catholic Health Plan
Mandatory
9,844
56,936
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
3,999
2,232
129
14,484
4,809
129
645
560
5,473
1,511
31%
1,511
31%
4,559
83%
2,613
1,041
1,561
145
17,097
5,850
145
1,030
578
6,503
1,524
230
1,754
32%
254
2,008
31%
2,475
330
2,805
51%
324
3,129
48%
3,820
51%
4,228
47%
3,145
3,444
293
3,438
46%
399
3,837
43%
299
83
382
5%
9
391
4%
61,179
88%
68,379
85%
11,063
16%
1,360
12,423
16%
49,795
814
12,727
376
11,384
8,667
2,396
7,531
69,663
1,475
10,451
408
7,200
9,006
80,114
3,912
1,530
5,442
8%
1,166
6,608
8%
29,094
4,968
34,062
49%
3,425
37,487
47%
8,120
2,490
10,610
15%
1,249
11,859
15%
2
0
2
0%
0
2
0%
Wyoming
Voluntary
TOTALS:
2,545
0
348
0
2,893
0
0%
474
0
3,367
0
0%
Yates
TOTALS:
2,073
1,768
273
237
2,346
2,005
85%
309
232
2,655
2,237
84%
2,005
85%
2,237
84%
756,705
80%
860,697
77%
Mandatory
Eff. Feb 2007
Upstate Total
Excellus Health Plan
1,768
797,300
632,625
237
154,230
124,080
951,530
232
162,972
103,992
1,114,502
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
SNA HR & MA-HR
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
139,325
7%
15,365
Total
Eligibles
Total
Enrolled
Percent
Enrolled
County
Plan Name
NYC
Affinity Health Plan
Mandatory
Amerigroup
148
923
1,071
0%
719
1,790
0%
Fully
HealthFirst PHSP
235,590
86,625
322,215
16%
39,738
361,953
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
163,208
57,645
220,853
11%
17,187
238,040
11%
112,370
47,294
159,664
8%
20,910
180,574
8%
MetroPlus Health Plan
237,172
70,488
307,660
16%
30,165
337,825
15%
Eligibles
48,370
Amida Care SN
Sept 2002
Enrolled Eligibles
91,846
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
Enrolled
47,479
28,189
76,559
4%
5,319
154,690
7%
81,878
4%
915
1,365
2,280
0%
1,397
3,677
0%
108,705
33,367
142,072
7%
17,386
159,458
7%
204
852
1,056
0%
683
1,739
0%
124,618
70,825
195,443
10%
20,347
215,790
10%
1,772
338
2,110
0%
50
2,160
0%
103,362
47,767
151,129
8%
13,901
165,030
7%
28,449
19,160
47,609
2%
4,474
52,083
2%
1,403,390
1,256,729
567,115
512,317
1,970,505
1,769,046
90%
248,980
187,641
2,219,485
1,956,687
88%
797,300
632,625
154,230
124,080
951,530
756,705
80%
162,972
103,992
1,114,502
860,697
77%
NEW YORK CITY TOTALS:
1,403,390
1,256,729
567,115
512,317
1,970,505
1,769,046
90%
248,980
187,641
2,219,485
1,956,687
88%
GRAND TOTALS:
2,200,690
1,889,354
721,345
636,397
2,922,035
2,525,751
86%
411,952
291,633
3,333,987
2,817,384
85%
NYC Total
UPSTATE TOTALS:
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
361,794
308,751
107,241
90,625
469,035
399,376
85%
71,333
54,131
540,368
453,507
84%
Brooklyn
497,642
451,569
202,573
186,780
700,215
638,350
91%
78,777
59,818
778,992
698,167
90%
Manhattan
166,863
143,965
87,449
71,661
254,312
215,626
85%
43,049
30,951
297,361
246,577
83%
Queens
330,218
310,969
150,909
145,719
481,127
456,688
95%
45,912
35,499
527,039
492,187
93%
46,873
41,474
18,943
17,533
65,816
59,007
90%
9,909
7,242
75,725
66,249
87%
1,403,390
1,256,729
567,115
512,317
1,970,505
1,769,046
90%
248,980
187,641
2,219,485
1,956,687
88%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon July, 2010 total eligibles adjusted for excluded populations. The counts include recipients who are
exempt
from mandatory
enrollment.
(Seewas
about
statement
for2003
further
(2)
The source
of plan enrollment
counts
revised
in July,
to details)
be based on the primary and secondary roster reports. The roster reports reflect
month. (See about statement for further details)
enrollees
as
of
the
first
the
(3) All percents are rounded to the nearest whole number.
(4) New plans added this month : United HealthCare Plan of NY - Cayuga & Madison Counties
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
County
Albany
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Plan Name
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
2,333
537
2,870
1,121
257
1,378
989
234
1,223
Wellcare Of New York
223
46
269
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
627
90
717
278
39
317
349
51
400
2,479
460
2,939
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
56
9
65
2,059
397
2,456
NYS Catholic Health Plan
364
54
418
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
915
167
1,082
173
24
197
424
85
509
Univera Community Health Inc
318
58
376
TOTALS:
875
133
1,008
NYS Catholic Health Plan
481
81
562
United Healthcare Plan Of NY
394
52
446
1,527
260
1,787
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
Chemung
ADULTS WITH
CHILDREN
242
34
276
1,206
204
1,410
79
22
101
TOTALS:
1,056
179
1,235
Excellus Health Plan
1,056
179
1,235
942
119
1,061
Chenango
TOTALS:
NYS Catholic Health Plan
942
119
1,061
Clinton
TOTALS:
976
209
1,185
Excellus Health Plan
9
3
12
NYS Catholic Health Plan
967
206
1,173
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
592
92
684
170
30
200
422
62
484
TOTALS:
729
113
842
NYS Catholic Health Plan
590
91
681
SCHC Total Care
139
22
161
Delaware
TOTALS:
581
93
674
Dutchess
TOTALS:
Columbia
Cortland
NYS Catholic Health Plan
Erie
581
93
674
2,174
307
2,481
Hudson Health Plan
619
86
705
MVP Health Plan
887
135
1,022
NYS Catholic Health Plan
409
63
472
Wellcare Of New York
259
23
282
TOTALS:
9,862
1,844
11,706
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,436
871
5,307
1,491
178
1,669
1,842
450
2,292
NYS Catholic Health Plan
2,093
345
2,438
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
County
Essex
Plan Name
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Lewis
Livingston
Madison
Monroe
Montgomery
Nassau
Total Enrolled
1
4
NYS Catholic Health Plan
557
98
655
TOTALS:
521
89
610
0
1
1
NYS Catholic Health Plan
521
88
609
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
885
167
1,052
161
38
199
724
129
853
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
634
113
747
377
48
425
145
43
188
NYS Catholic Health Plan
112
22
134
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
553
70
623
180
22
202
373
48
421
TOTALS:
72
8
80
NYS Catholic Health Plan
72
8
80
1,103
172
1,275
TOTALS:
659
Excellus Health Plan
137
20
157
NYS Catholic Health Plan
942
151
1,093
24
1
25
TOTALS:
1,387
249
1,636
GHI
1,387
249
1,636
TOTALS:
317
41
358
GHI
317
41
358
TOTALS:
480
83
563
Excellus Health Plan
391
64
455
NYS Catholic Health Plan
12
5
17
MVP Health Plan
77
14
91
TOTALS:
833
102
935
Excellus Health Plan
192
17
209
NYS Catholic Health Plan
218
27
245
United Healthcare Plan Of NY
423
58
481
TOTALS:
6,845
1,222
8,067
Excellus Health Plan
4,663
674
5,337
NYS Catholic Health Plan
1,493
395
1,888
MVP Health Plan
689
153
842
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
980
131
1,111
310
35
345
670
96
766
12,109
2,100
14,209
Affinity Health Plan
2,160
372
2,532
HealthFirst PHSP
2,203
322
2,525
864
180
1,044
1,772
332
2,104
2,641
546
3,187
United Healthcare Plan Of NY
2,469
348
2,817
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,496
471
2,967
995
185
1,180
1,501
286
1,787
TOTALS:
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
Niagara
Enrolled
3
United Healthcare Plan Of NY
Jefferson
Enrolled
99
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
560
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 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
3,339
478
464
73
3,817
537
2,326
320
2,646
549
85
634
4,515
710
5,225
523
67
590
NYS Catholic Health Plan
1,803
264
2,067
SCHC Total Care
1,672
1,425
247
United Healthcare Plan Of NY
764
132
896
TOTALS:
965
181
1,146
Excellus Health Plan
891
170
1,061
74
11
85
TOTALS:
3,534
517
4,051
Affinity Health Plan
MVP Health Plan
Orange
ADULTS WITH
CHILDREN
1,481
208
1,689
Hudson Health Plan
992
150
1,142
NYS Catholic Health Plan
873
131
1,004
Wellcare Of New York
188
28
216
TOTALS:
636
104
740
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
173
37
210
116
22
138
347
45
392
2,164
317
2,481
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
12
4
16
658
78
736
1,339
1,146
193
United Healthcare Plan Of NY
348
42
390
TOTALS:
752
109
861
Excellus Health Plan
245
29
274
NYS Catholic Health Plan
507
80
587
Putnam
TOTALS:
424
64
488
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Otsego
NYS Catholic Health Plan
424
64
488
1,394
305
1,699
615
130
745
644
138
782
135
37
172
4,177
549
4,726
Affinity Health Plan
495
124
619
Hudson Health Plan
912
125
1,037
2,561
271
2,832
209
29
238
TOTALS:
1,283
229
1,512
Excellus Health Plan
1,283
229
1,512
Wellcare Of New York
Rockland
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
County
Saratoga
Plan Name
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
1,746
Total Enrolled
240
1,986
581
90
671
1,165
150
1,315
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,508
216
1,724
495
74
569
1,013
142
1,155
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
453
74
527
189
28
217
264
46
310
Schuyler
TOTALS:
239
66
305
Excellus Health Plan
239
66
305
Seneca
TOTALS:
381
66
447
Steuben
TOTALS:
Schenectady
Schoharie
Excellus Health Plan
GHI
Suffolk
66
447
176
1,284
1,108
176
1,284
14,456
2,076
16,532
Affinity Health Plan
2,377
300
2,677
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,264
323
2,587
2,579
423
3,002
1,016
133
1,149
NYS Catholic Health Plan
2,805
447
3,252
1
0
1
United Healthcare Plan Of NY
3,414
450
3,864
TOTALS:
TOTALS:
NYS Catholic Health Plan 1199
Sullivan
381
1,108
1,192
139
1,331
Hudson Health Plan
932
96
1,028
NYS Catholic Health Plan
260
43
303
TOTALS:
Capital District Physicians Health
Plan
TOTALS:
468
80
548
468
80
548
610
112
722
SCHC Total Care
483
83
566
NYS Catholic Health Plan
127
29
156
1,961
378
2,339
Hudson Health Plan
549
114
663
MVP Health Plan
786
170
956
NYS Catholic Health Plan
279
50
329
Wellcare Of New York
347
44
391
Warren
TOTALS:
760
87
847
NYS Catholic Health Plan
760
87
847
Washington
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
706
104
810
128
22
150
578
82
660
Tioga
Tompkins
Ulster
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS SEPTEMBER, 2010
County
Wayne
Westchester
Plan Name
TOTALS:
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
107
1,087
Excellus Health Plan
764
64
828
NYS Catholic Health Plan
216
43
259
TOTALS:
8,285
1,554
9,839
Affinity Health Plan
Health Insurance Plan of Greater
New York
Hudson Health Plan
1,481
311
1,792
788
157
945
4,387
675
5,062
NYS Catholic Health Plan
1,627
411
2,038
2
0
2
409
53
462
NYS Catholic Health Plan 1199
Wyoming
Yates
TOTALS:
HealthNow/BCBSWNY/Community Blue
TOTALS:
Excellus Health Plan
53
462
47
479
432
47
479
18,858
133,178
Affinity Health Plan
14,101
7,082
21,183
Amerigroup
11,713
5,298
17,011
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
27,203
10,678
37,881
18,197
5,628
23,825
24,709
7,394
32,103
MetroPlus Health Plan
26,089
7,674
33,763
Neighborhood Health Providers
13,728
3,979
17,707
NYS Catholic Health Plan
23,493
11,214
34,707
1,419
100
1,519
18,626
5,944
24,570
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
County
409
432
114,320
Upstate Total
NYC
Total Enrolled
980
5,644
3,129
8,773
184,922
68,120
253,042
UPSTATE TOTALS:
114,320
18,858
133,178
NEW YORK CITY TOTALS:
184,922
68,120
253,042
GRAND TOTALS
299,242
86,978
386,220
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,543
9,157
39,700
Brooklyn
63,545
23,219
86,764
Manhattan
17,906
9,739
27,645
Queens
65,385
23,791
89,176
7,543
2,214
9,757
184,922
68,120
253,042
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 : Suffolk County - NYS Catholic Health Plan
1199
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS SEPTEMBER, 2010
MLTC PACE PLAN NAME
ARCHCARE SENIOR LIFE
COUNTY
NEW YORK
Total
CHS BUFFALO LIFE
ERIE
Total
COMPREHENSIVE CARE MGMT
NASSAU
NEW YORK
SUFFOLK
WESTCHESTER
Total
EDDY SENIOR CARE
ALBANY
SCHENECTADY
Total
INDEPENDENT LIVING FOR SENIORS MONROE
Total
PACE CNY
CHAUTAUQUA
ONONDAGA
OSWEGO
Total
TOTAL SENIOR CARE
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
ELDERSERVE
NASSAU
NEW YORK
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
86
86
34
34
10
2,279
61
173
2,523
3
107
110
263
263
1
379
1
381
46
46
3,443
845
845
1,710
28
1,738
109
35
144
1
26
27
478
5,449
353
6,280
879
879
3,737
3,737
1,575
1,575
198
165
363
2,341
2,341
51
348
399
141
141
8,411
8,411
1,021
1,021
27,901
31,344
(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 : Elderserve - New York City & Nassau County
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS SEPTEMBER, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
Touchstone/Prestige
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
TOTAL
Fidelis
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
Enrolled
193
9
184
9
9
14
14
29
4
25
3
2
1
3
3
5
1
4
189
22
143
24
12
12
20
5
15
37
10
25
2
2
2
81
9
72
45
45
27
27
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS SEPTEMBER, 2010
County
Schenectady
Suffolk
Ulster
Warren
Washington
Westchester
Plan Name
TOTAL
Fidelis
Senior Whole Health
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
Total
Enrolled
78
9
69
91
11
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
NOTES:
80
121
4
7
110
26
26
1
1
53
39
11
3
1,039
171
497
749
1,654
700
72
55
1,280
5,178
1,039
5,178
6,217
(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 SEPTEMBER, 2010
County
Albany
Columbia
Dutchess
Greene
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Warren
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
70
4
66
5
5
8
8
2
2
6
6
47
4
43
7
7
24
1
23
58
58
1
1
228
19
44
247
3
16
49
66
444
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
228
444
672
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 : New York City - HIP of Greater New
York