RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
TANF ADC & MA-ADC
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
11,893
2,372
14,265
59%
Eff. Oct 1997
NYS Catholic Health Plan
3,760
1,016
4,776
20%
Wellcare Of New York
1,316
239
1,555
6%
3,863
82%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Capital District Physicians
Health Plan
Mandatory
19,703
3,926
18,343
Eff. May 1998 Excellus Health Plan
NYS Catholic Health Plan
Cattaraugus
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
TOTALS:
Mandatory
NYS Catholic Health Plan
Eff. Oct 2010
United Healthcare Plan Of NY
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
(Partial)
14,492
Chenango
TOTALS:
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
772
5,573
3,627
610
24,172
4,698
20,596
85%
4,346
796
3,102
Total
Eligibles
Percent
Enrolled
23,698
83%
2,213
16,478
58%
546
5,322
19%
343
1,898
7%
4,338
79%
475
28,518
Total
Enrolled
5,494
2,012
385
2,397
51%
333
2,730
50%
225
1,466
31%
142
1,608
29%
19,172
86%
22,217
84%
15,707
3,991
3,465
22,334
4,137
3,045
26,471
293
33
326
1%
97
423
2%
13,170
2,926
16,096
72%
2,428
18,524
70%
5,819
506
1,066
928
8,101
2,750
12%
6,747
83%
520
1,363
1,155
9,464
3,270
12%
7,902
83%
2,371
333
2,704
33%
719
3,423
36%
2,183
319
2,502
31%
289
2,791
29%
1,541
19%
994
12%
842
276
1,174
152
8,205
147
1,289
48
9,494
1,688
18%
1,042
11%
11%
819
144
963
12%
47
1,010
23
8
31
0%
1
32
0%
15,404
87%
17,849
87%
12,564
3,274
2,840
17,766
2,815
2,445
20,581
2,777
524
3,301
19%
701
4,002
19%
9,505
2,151
11,656
66%
1,633
13,289
65%
6,111
165
1,550
890
11,092
447
3%
7,001
63%
111
2,207
1,430
13,299
558
3%
8,431
63%
3,472
0
3,472
31%
264
3,736
28%
2,639
890
3,529
32%
1,166
4,695
35%
242
4%
252
3%
252
3%
1,717
16%
1,717
16%
198
880
198
7,083
Enrolled
1,241
282
9,542
Southern Tier Priority (Partial)
Voluntary
3,253
4,469
1,265
7,031
Univera Community Health
Chemung
16,969
Eligibles
2,244
7,035
Univera Community Health
Cayuga
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
County
Allegany
Eligibles
SNA HR & MA-HR
1,150
1,150
44
6,453
44
1,536
443
443
1,184
242
8,619
10
7,637
10
1,593
18%
1,593
18%
1,794
124
124
10,413
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 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
3,892
5,063
Eff. May 2007 SCHC Total Care
SNA HR & MA-HR
Enrolled
3,141
Eligibles
824
Enrolled
682
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
4,716
3,823
81%
935
623
Total
Eligibles
5,651
Total
Enrolled
Percent
Enrolled
4,446
79%
1,928
358
2,286
48%
484
2,770
49%
1,213
324
1,537
33%
139
1,676
30%
4,995
84%
5,567
83%
4,223
888
772
5,951
770
572
6,721
3,109
591
3,700
62%
392
4,092
61%
1,114
181
1,295
22%
180
1,475
22%
196
4%
200
4%
Delaware
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
4,057
691
4,748
28%
597
5,345
27%
Eff. Apr 2007
MVP Health Plan
4,260
1,101
5,361
32%
706
6,067
30%
NYS Catholic Health Plan
1,668
480
2,148
13%
257
2,405
12%
Wellcare Of New York
1,776
179
1,955
12%
293
2,248
11%
86,204
88%
100,908
87%
13,838
14%
15,845
14%
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
3,964
13,765
80,478
70,745
4,817
48
2,903
17,523
11,817
2,451
15,459
726
196
16,668
98,001
2,021
14,212
4
5,543
4
85%
3,236
18,326
1,853
14,704
19,904
116,327
2,007
200
4%
16,065
81%
20,068
3,749
23,817
24%
4,421
28,238
24%
17,525
2,592
20,117
21%
2,882
22,999
20%
Univera Community Health
20,946
5,434
26,380
27%
2,658
29,038
25%
Total Full Risk
p
70,356
13,796
84,152
86%
11,968
96,120
83%
(Partial)
389
1,663
2,052
2%
2,736
4,788
4%
Total Partial Risk
389
1,663
2,052
2%
2,736
4,788
4%
820
27%
847
23%
820
27%
847
23%
15
0%
16
0%
15
0%
6,556
89%
TOTALS:
NYS Catholic Health Plan
Franklin
TOTALS:
Voluntary
NYS Catholic Health Plan
Fulton
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
11,761
48
NYS Catholic Health Plan
Mandatory
Eff. Oct 2010
Mandatory
853
148
Eff. May 1998 Association
Essex
148
NYS Catholic Health Plan
2,541
617
499
617
4,209
9
5,494
3,040
203
864
9
6,215
203
6
5,073
6
1,192
1,062
7,407
624
27
3,664
27
1,138
1
6,211
1
1,254
678
8,661
16
0%
7,234
84%
1,084
216
1,300
18%
175
1,475
17%
4,410
846
5,256
71%
503
5,759
66%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,751
NYS Catholic Health Plan
Greene
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Hamilton
Mandatory
Eff. Oct 2010
TOTALS:
Herkimer
TOTALS:
Mandatory
Excellus Health Plan
3,717
Enrolled
3,378
632
553
4,383
3,931
90%
659
490
Total
Eligibles
5,042
Total
Enrolled
Percent
Enrolled
4,421
88%
277
1,976
45%
185
2,161
43%
222
1,640
37%
276
1,916
38%
261
54
315
7%
29
344
7%
3,889
85%
4,530
83%
3,173
866
716
4,583
854
641
5,437
1,852
286
2,138
47%
434
2,572
47%
1,321
430
1,751
38%
207
1,958
36%
263
103
39%
35
3
298
106
36%
106
36%
7,173
6,128
85%
1,061
647
8,234
6,775
82%
6,008
5,122
42
20
1,165
1,006
83
United Healthcare Plan Of NY
Enrolled
1,418
83
NYS Catholic Health Plan
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
1,699
221
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
20
103
3
780
138
918
13%
158
1,076
13%
4,308
860
5,168
72%
481
5,649
69%
34
8
42
1%
8
50
1%
TOTALS:
9,277
0
1,434
0
10,711
0
0%
1,970
0
12,681
0
0%
TOTALS:
2,231
0
281
0
2,512
0
0%
463
0
2,975
0
0%
Livingston
TOTALS:
3,701
3,136
758
601
4,459
787
552
5,246
Mandatory
Eff. Apr 2002
Excellus Health Plan
NYS Catholic Health Plan
MVP Health Plan
3,737
84%
4,289
82%
2,160
404
2,564
58%
359
2,923
56%
14
8
22
0%
1
23
0%
962
189
1,151
26%
192
1,343
26%
Madison
TOTALS:
717
12%
784
11%
Mandatory
Excellus Health Plan
141
16
157
3%
14
171
2%
Eff. Oct 2010
NYS Catholic Health Plan
437
105
542
9%
49
591
8%
5,248
United Healthcare Plan Of NY
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
NYS Catholic Health Plan
Excellus Health Plan
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
895
16
66,069
MVP Health Plan
Montgomery
594
6,410
59,074
123
6,143
2
13,323
11,371
79,392
18
0%
70,445
89%
923
67
7,066
4
15,304
11,264
94,696
22
0%
81,709
86%
40,482
5,895
46,377
58%
7,567
53,944
57%
6,329
3,642
9,971
13%
1,099
11,070
12%
12,263
1,834
14,097
18%
2,598
16,695
18%
6,502
88%
7,193
84%
5,637
1,016
865
7,426
1,131
691
8,557
2,668
327
2,995
40%
363
3,358
39%
2,969
538
3,507
47%
328
3,835
45%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
56,109
Enrolled Eligibles
49,434
14,749
Enrolled
Total
Eligibles
Percent
Enrolled
71,041
85%
9,573
14%
1,063
10,636
13%
10,638
2,423
13,061
18%
1,255
14,316
17%
HealthPlus
Health Insurance Plan of
Greater New York
4,062
1,646
5,708
8%
789
6,497
8%
8,326
3,087
11,413
16%
2,465
13,878
17%
NYS Catholic Health Plan
9,292
1,867
11,159
16%
1,327
12,486
15%
4
0
4
0%
0
4
0%
United Healthcare Plan Of NY
9,135
16%
1,580
16%
29%
6,376
30%
792
7,168
992
5,662
26%
1,315
6,977
28%
NYS Catholic Health Plan
5,880
1,648
7,528
35%
795
8,323
33%
Eff Sep 2001
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
86%
27,918
84%
680
3,977
14%
739
4,716
14%
14,730
2,088
16,818
61%
2,911
19,729
60%
33,816
27,584
458
6,303
5,408
44,885
2,985
11%
39,224
87%
5,531
4,138
33,115
488
8,782
7,322
53,667
3,473
10%
46,546
87%
4,795
697
5,492
12%
956
6,448
12%
NYS Catholic Health Plan
10,383
1,632
12,015
27%
1,838
13,853
26%
SCHC Total Care
14,400
2,459
16,859
38%
3,625
20,484
38%
4,238
620
4,858
11%
903
5,761
11%
6,352
86%
7,295
84%
United Healthcare Plan Of NY
Ontario
23,780
3,297
2,527
38,582
3,226
24,875
90%
1,235
3,752
2,902
13,224
4,670
20,554
3,478
22,468
5,141
23,832
21,397
91%
Association
TOTALS:
3,875
11,644
Eff Sep 1998
Excellus Health Plan
4,333
19,566
Mandatory
Mandatory
15,691
2,509
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
Oneida
17,064
83,345
Total
Enrolled
1,596
NYS Catholic Health Plan 1199
13,128
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
70,858
62,562
88%
12,487
8,479
7,977
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
6,331
NYS Catholic Health Plan
5,524
7,359
1,354
943
8,713
721
5,587
76%
787
6,374
73%
657
107
764
10%
156
920
11%
1
36,950
828
4,866
Orange
TOTALS:
Mandatory
Affinity Health Plan
10,441
Eff. Mar 2007
Hudson Health Plan
6,944
F-SHRP
NYS Catholic Health Plan
13,064
1,234
Wellcare Of New York
1,028
31,683
0
4,504
1
0%
35,460
86%
1,658
12,099
29%
1,252
8,196
20%
652
13,716
215
1,449
3,777
41,454
0
1
0%
38,394
84%
1,328
13,427
29%
960
9,156
20%
33%
378
14,094
31%
3%
268
1,717
4%
4,504
2,934
45,958
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,775
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
13,547
3,420
Eligibles
985
Enrolled
886
90%
4,738
88%
35%
185
1,854
35%
227
988
21%
135
1,123
21%
361
1,649
35%
112
1,761
33%
13,807
87%
15,731
87%
761
1,288
11,771
2,253
2,036
15,800
1,924
5,368
18,107
163
11
174
1%
37
211
1%
577
3,940
25%
456
4,396
24%
SCHC Total Care
6,225
1,176
7,401
47%
1,113
8,514
47%
United Healthcare Plan Of NY
2,020
272
2,292
15%
318
2,610
14%
4,279
82%
4,636
74%
3,045
58%
3,288
53%
1,348
22%
2,219
73%
Mandatory
Excellus Health Plan
4,371
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,530
869
2,558
Eff. May 2007 NYS Catholic Health Plan
Putnam
12,500
NYS Catholic Health Plan
Wellcare Of New York
1,617
262
420
365
2,407
1,234
8%
1,982
82%
114
650
237
3,057
32
229
7%
1,461
324
1,785
74%
205
1,990
65%
13,816
90%
15,705
88%
11,192
2,815
2,624
15,315
2,583
1,889
17,898
8,038
1,698
9,736
64%
1,369
11,105
62%
2,566
753
3,319
22%
367
3,686
21%
37,616
173
5%
914
5%
43,545
95%
572
4,483
10%
497
7,171
16%
66%
881
29,384
64%
5%
172
2,507
5%
0
0%
1,019
3,911
9%
5,845
829
6,674
16%
26,788
1,715
28,503
2,091
244
2,335
0
0%
0
43,012
96%
2,892
1,830
3,807
761
Hudson Health Plan
0
4,165
41,423
Affinity Health Plan
10,464
243
8%
Eff. Mar 2001
TOTALS:
6,228
197
Mandatory
Wellcare Of New York
357
41
TOTALS:
NYS Catholic Health Plan
988
156
588
38,847
5,240
487
972
1,987
749
Rockland
St Lawrence
Voluntary
2,307
432
Percent
Enrolled
1,669
298
608
Total
Enrolled
4,306
1,371
4,760
Total
Eligibles
3,363
TOTALS:
Eff. Oct 1997
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
NYS Catholic Health Plan
Otsego
Mandatory
SNA HR & MA-HR
12,294
153
2,954
2,742
2,122
0
45,966
15,036
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 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
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
Schuyler
TOTALS:
Eligibles
8,914
12,657
2,296
SNA HR & MA-HR
Enrolled
8,108
Eligibles
1,591
Enrolled
1,440
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
10,505
9,548
91%
1,919
1,359
Total
Eligibles
12,424
Total
Enrolled
Percent
Enrolled
10,907
88%
61%
5,521
1,001
6,522
62%
1,059
7,581
2,587
439
3,026
29%
300
3,326
27%
12,231
82%
14,242
78%
10,399
2,178
1,832
14,835
3,497
2,011
18,332
5,588
922
6,510
44%
1,323
7,833
43%
4,811
910
5,721
39%
688
6,409
35%
483
18%
508
16%
11%
403
430
80
2,726
424
25
3,150
274
62
336
12%
23
359
129
18
147
5%
2
149
5%
1,963
147
7%
2,265
164
7%
147
7%
164
7%
2,810
2,370
84%
3,321
2,733
82%
2,370
84%
2,733
82%
1,400
14%
1,828
15%
1,643
97
2,450
2,070
320
50
360
300
302
17
511
363
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
(Partial)
275
0
275
3%
25
300
2%
Southern Tier Priority (Partial)
928
197
1,125
11%
403
1,528
12%
97
Excellus Health Plan
Suffolk
TOTALS:
Mandatory
Affinity Health Plan
50
2,070
8,616
75,610
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
1,203
66,046
300
1,319
16,744
197
14,531
9,935
92,354
17
363
2,314
14,551
428
10,119
12,249
80,577
87%
90,696
85%
9,266
1,570
10,836
12%
1,154
106,905
11,990
11%
10,577
1,666
12,243
13%
1,281
13,524
13%
12,026
4,151
16,177
18%
2,595
18,772
18%
12,425
1,682
14,107
15%
1,806
15,913
15%
9,324
2,055
11,379
12%
1,382
12,761
12%
0
0
0
0%
1
1
0%
12,428
3,407
15,835
17%
1,900
17,735
17%
Sullivan
TOTALS:
7,454
84%
8,451
82%
Mandatory
Hudson Health Plan
5,345
782
6,127
69%
828
6,955
67%
Eff. Apr 2007
NYS Catholic Health Plan
1,125
202
1,327
15%
169
1,496
14%
7,600
6,470
1,225
984
8,825
1,530
997
10,355
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Enrolled
Tioga
4,424
338
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,503
2,890
Mandatory
NYS Catholic Health Plan
Eff. Oct 2010
SCHC Total Care
Eligibles
633
67
1,161
555
338
5,057
405
405
8%
6,664
3,445
52%
67
8%
870
7
1,174
459
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,927
412
412
7%
7,838
3,904
50%
7
7%
195
99
294
2%
29
323
4%
2,695
456
3,151
47%
430
3,581
46%
Ulster
TOTALS:
12,141
84%
13,716
80%
Mandatory
Hudson Health Plan
2,864
595
3,459
24%
400
3,859
23%
Eff Mar 2007
MVP Health Plan
3,152
1,131
4,283
29%
558
4,841
28%
NYS Catholic Health Plan
1,499
289
1,788
12%
169
1,957
11%
Wellcare Of New York
2,397
214
2,611
18%
448
3,059
18%
1,493
31%
1,639
28%
1,493
31%
1,639
28%
4,603
83%
5,175
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:
Mandatory
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of
Greater New York
Eff. Oct 1999
11,870
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
4,253
4,870
6,726
57,708
Hudson Health Plan
NYS Catholic Health Plan 1199
TOTALS:
Voluntary
NYS Catholic Health Plan
Yates
TOTALS:
Mandatory
Eff. Feb 2007
Upstate Total
1,361
2,660
573
1,361
NYS Catholic Health Plan
Wyoming
9,912
4,038
4,826
132
673
565
5,543
2,617
1,024
1,575
146
17,147
5,850
146
1,042
572
6,585
1,540
240
1,780
32%
256
2,036
31%
325
2,823
51%
316
3,139
48%
3,853
51%
4,268
47%
43%
3,475
810
378
7,536
1,494
415
9,030
3,162
291
3,453
46%
405
3,858
313
87
400
5%
10
410
5%
61,440
87%
68,626
85%
49,870
13,047
11,570
70,755
10,434
7,186
81,189
8,744
2,416
11,160
16%
1,351
12,511
15%
3,880
1,529
5,409
8%
1,141
6,550
8%
29,104
5,027
34,131
48%
3,444
37,575
46%
8,140
2,598
10,738
15%
1,250
11,988
15%
2
3
2,009
1,735
0
357
1
273
245
3
633,214
2
0%
2,922
4
0%
4
0%
2,282
1,980
87%
1,980
87%
758,016
79%
1
1,735
803,561
132
14,530
2,498
2,565
Excellus Health Plan
2,229
245
157,030
124,802
960,591
0
480
1
307
234
2
0%
3,402
5
0%
5
0%
2,589
2,214
86%
2,214
86%
862,260
77%
1
234
163,585
104,244
1,124,176
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
TANF ADC & MA-ADC
County
Plan Name
NYC
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
Amida Care SN
SNA HR & MA-HR
Enrolled Eligibles
91,337
Enrolled
48,077
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles
Total Enrolled Enrolled Eligibles Enrolled
139,414
7%
15,390
Total
Eligibles
Total
Enrolled
Percent
Enrolled
154,804
7%
47,873
28,176
76,049
4%
5,261
81,310
4%
170
1,049
1,219
0%
862
2,081
0%
Fully
HealthFirst PHSP
236,527
87,808
324,335
16%
40,030
364,365
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
163,341
58,017
221,358
11%
17,257
238,615
11%
111,270
47,238
158,508
8%
20,829
179,337
8%
MetroPlus Health Plan
237,287
71,256
308,543
16%
30,436
338,979
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:
1,463
2,404
0%
1,490
3,894
0%
33,220
141,453
7%
17,413
158,866
7%
229
972
1,201
0%
797
1,998
0%
125,637
72,266
197,903
10%
20,628
218,531
10%
1,751
344
2,095
0%
52
2,147
0%
103,601
48,242
151,843
8%
13,879
165,722
7%
27,978
19,102
47,080
2%
4,438
51,518
2%
1,410,259
1,256,175
575,686
517,230
1,985,945
1,773,405
89%
249,524
188,762
2,235,469
1,962,167
88%
803,561
633,214
157,030
124,802
960,591
758,016
79%
163,585
104,244
1,124,176
862,260
77%
NEW YORK CITY TOTALS:
1,410,259
1,256,175
575,686
517,230
1,985,945
1,773,405
89%
249,524
188,762
2,235,469
1,962,167
88%
GRAND TOTALS:
2,213,820
1,889,389
732,716
642,032
2,946,536
2,531,421
86%
413,109
293,006
3,359,645
2,824,427
84%
363,565
308,588
108,862
91,558
472,427
400,145
85%
71,489
54,509
543,916
454,654
84%
NYC Boroughs Bronx
Brooklyn
500,078
451,880
205,635
188,370
705,713
640,250
91%
78,949
60,129
784,662
700,379
89%
Manhattan
167,680
143,492
88,771
72,500
256,451
215,993
84%
43,143
31,061
299,594
247,053
82%
Queens
331,834
310,940
153,190
147,073
485,024
458,013
94%
46,012
35,789
531,036
493,802
93%
47,102
41,275
19,228
17,729
66,330
59,004
89%
9,931
7,275
76,261
66,279
87%
1,410,259
1,256,175
575,686
517,230
1,985,945
1,773,405
89%
249,524
188,762
2,235,469
1,962,167
88%
Staten Island
Borough Total
NOTES:
941
108,233
(1) The Managed Care eligible counts are based upon August, 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 : NYS Catholic Health Plan - Ontario & Wyoming Counties
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health Plan
Allegany
Broome
Chautauqua
Chenango
Clinton
Delaware
Dutchess
Erie
2,331
543
2,874
1,388
234
1,223
Wellcare Of New York
215
48
263
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Univera Community Health Inc
647
97
744
284
39
323
363
58
421
2,427
456
2,883
TOTALS:
57
9
66
2,017
392
2,409
NYS Catholic Health Plan
353
55
408
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
915
171
1,086
167
26
193
428
87
515
Univera Community Health Inc
320
58
378
TOTALS:
856
125
981
NYS Catholic Health Plan
486
79
565
United Healthcare Plan Of NY
370
46
416
1,523
255
1,778
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
227
36
263
1,218
198
1,416
78
21
99
TOTALS:
1,036
182
1,218
Excellus Health Plan
1,036
182
1,218
TOTALS:
821
110
931
NYS Catholic Health Plan
821
110
931
TOTALS:
984
203
1,187
9
3
12
NYS Catholic Health Plan
975
200
1,175
TOTALS:
584
89
673
201
Capital District Physicians Health Plan
Cortland
Total Enrolled
261
Excellus Health Plan
Columbia
Enrolled
989
Univera Community Health Inc
Chemung
Enrolled
1,127
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Capital District Physicians Health Plan
Cattaraugus
ADULTS
WITH
CHILDREN
171
30
NYS Catholic Health Plan
413
59
472
TOTALS:
744
115
859
NYS Catholic Health Plan
597
94
691
SCHC Total Care
147
21
168
TOTALS:
546
85
631
NYS Catholic Health Plan
546
85
631
2,219
336
2,555
TOTALS:
Hudson Health Plan
621
85
706
MVP Health Plan
909
145
1,054
NYS Catholic Health Plan
428
77
505
Wellcare Of New York
261
29
290
TOTALS:
9,924
1,862
11,786
Univera Community Health Inc
HealthNow/BCBS-WNY/Community
Blue
Independent Health
4,440
885
5,325
1,486
194
1,680
1,866
440
2,306
NYS Catholic Health Plan
2,132
343
2,475
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
County
Plan Name
Essex
TOTALS:
Greene
4
559
91
650
TOTALS:
525
90
615
0
1
1
NYS Catholic Health Plan
525
89
614
TOTALS:
904
169
1,073
206
170
36
NYS Catholic Health Plan
734
133
867
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
MVP Health Plan
631
112
743
370
46
416
150
46
196
NYS Catholic Health Plan
111
20
131
TOTALS:
571
68
639
189
18
207
382
50
432
TOTALS:
72
8
80
NYS Catholic Health Plan
72
8
80
1,124
170
1,294
TOTALS:
Excellus Health Plan
149
18
167
NYS Catholic Health Plan
947
151
1,098
United Healthcare Plan Of NY
Jefferson
Lewis
28
1
29
TOTALS:
1,368
247
1,615
GHI
1,368
247
1,615
TOTALS:
318
39
357
GHI
315
36
351
3
3
6
TOTALS:
480
75
555
Excellus Health Plan
NYS Catholic Health Plan
Livingston
Madison
Monroe
389
56
445
NYS Catholic Health Plan
13
5
18
MVP Health Plan
78
14
92
TOTALS:
862
99
961
Excellus Health Plan
195
17
212
NYS Catholic Health Plan
238
29
267
United Healthcare Plan Of NY
429
53
482
TOTALS:
6,826
1,236
8,062
Excellus Health Plan
4,656
681
5,337
NYS Catholic Health Plan
1,467
399
1,866
703
156
859
1,007
121
1,128
323
30
353
684
91
775
12,309
2,120
14,429
Affinity Health Plan
2,143
355
2,498
HealthFirst PHSP
2,264
329
2,593
906
184
1,090
1,788
334
2,122
2,682
552
3,234
2,526
366
2,892
MVP Health Plan
Montgomery
TOTALS:
Capital District Physicians Health Plan
NYS Catholic Health Plan
Nassau
654
NYS Catholic Health Plan
NYS Catholic Health Plan
Herkimer
Total Enrolled
1
Capital District Physicians Health Plan
Hamilton
Enrolled
92
Capital District Physicians Health Plan
Genesee
Enrolled
3
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
562
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
TOTALS:
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
United Healthcare Plan Of NY
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
2,533
493
3,026
989
200
1,189
1,544
293
1,837
TOTALS:
3,330
480
3,810
Oneida
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Oswego
621
2,074
SCHC Total Care
1,686
1,446
240
United Healthcare Plan Of NY
769
125
894
TOTALS:
962
182
1,144
Excellus Health Plan
883
168
1,051
76
12
88
3
2
5
TOTALS:
3,564
517
4,081
Affinity Health Plan
1,489
213
1,702
Hudson Health Plan
1,011
153
1,164
NYS Catholic Health Plan
879
126
1,005
Wellcare Of New York
185
25
210
TOTALS:
651
102
753
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
181
34
215
112
21
133
358
47
405
2,181
308
2,489
TOTALS:
4
13
74
718
1,362
1,176
186
352
44
396
TOTALS:
760
111
871
Excellus Health Plan
248
32
280
NYS Catholic Health Plan
512
79
591
TOTALS:
422
63
485
NYS Catholic Health Plan
422
63
485
1,384
320
1,704
TOTALS:
610
135
745
NYS Catholic Health Plan
645
146
791
Wellcare Of New York
129
39
168
4,219
562
4,781
Affinity Health Plan
517
131
648
Hudson Health Plan
923
126
1,049
2,569
276
2,845
210
29
239
TOTALS:
1,272
217
1,489
Excellus Health Plan
1,272
217
1,489
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
9
644
United Healthcare Plan Of NY
Capital District Physicians Health Plan
Rockland
631
5,275
70
SCHC Total Care
Rensselaer
86
696
261
NYS Catholic Health Plan
Putnam
545
4,579
551
Excellus Health Plan
Otsego
546
2,633
1,813
NYS Catholic Health Plan
Orleans
79
315
NYS Catholic Health Plan
MVP Health Plan
Orange
467
2,318
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health Plan
Schenectady
Steuben
Tioga
Ulster
Warren
Washington
671
TOTALS:
1,509
223
1,732
TOTALS:
506
78
584
1,003
145
1,148
449
76
525
181
30
211
NYS Catholic Health Plan
268
46
314
TOTALS:
247
62
309
Excellus Health Plan
247
62
309
TOTALS:
376
62
438
Excellus Health Plan
376
62
438
1,099
164
1,263
TOTALS:
1,099
164
1,263
14,665
2,065
16,730
Affinity Health Plan
2,426
295
2,721
HealthFirst PHSP
Health Insurance Plan of Greater New
York
Neighborhood Health Providers
2,258
315
2,573
2,571
419
2,990
1,001
135
1,136
NYS Catholic Health Plan
2,899
448
3,347
1
0
1
United Healthcare Plan Of NY
3,509
453
3,962
TOTALS:
TOTALS:
1,181
134
1,315
Hudson Health Plan
930
92
1,022
NYS Catholic Health Plan
251
42
293
TOTALS:
498
77
575
498
77
575
TOTALS:
623
100
723
SCHC Total Care
484
72
556
NYS Catholic Health Plan
139
28
167
1,965
375
2,340
Hudson Health Plan
555
117
672
MVP Health Plan
790
163
953
NYS Catholic Health Plan
283
49
332
Wellcare Of New York
337
46
383
TOTALS:
752
84
836
NYS Catholic Health Plan
752
84
836
TOTALS:
702
107
809
148
TOTALS:
Capital District Physicians Health Plan
Wayne
1,987
1,316
Capital District Physicians Health Plan
Tompkins
243
98
NYS Catholic Health Plan 1199
Sullivan
1,744
Total Enrolled
145
GHI
Suffolk
Enrolled
573
Capital District Physicians Health Plan
Seneca
Enrolled
1,171
NYS Catholic Health Plan
Schuyler
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Capital District Physicians Health Plan
Schoharie
ADULTS
WITH
CHILDREN
126
22
NYS Catholic Health Plan
576
85
661
TOTALS:
977
102
1,079
Excellus Health Plan
760
64
824
NYS Catholic Health Plan
217
38
255
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS OCTOBER, 2010
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Westchester
TOTALS:
8,353
1,589
9,942
Affinity Health Plan
Health Insurance Plan of Greater New
York
Hudson Health Plan
1,512
320
1,832
781
159
940
4,378
679
5,057
NYS Catholic Health Plan
1,680
431
2,111
2
0
2
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
389
51
440
388
51
439
1
0
1
TOTALS:
430
43
473
NYS Catholic Health Plan 1199
Wyoming
Yates
Excellus Health Plan
Upstate Total
NYC
43
473
18,883
133,815
21,177
Affinity Health Plan
14,098
7,079
Amerigroup
11,610
5,271
16,881
HealthFirst PHSP
Health Insurance Plan of Greater New
York
HealthPlus
27,227
10,485
37,712
18,152
5,528
23,680
24,757
7,350
32,107
MetroPlus Health Plan
26,199
7,557
33,756
Neighborhood Health Providers
13,634
3,931
17,565
NYS Catholic Health Plan
23,777
11,317
35,094
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
430
114,932
1,399
106
1,505
18,817
5,886
24,703
5,643
3,040
8,683
NYC Total
185,313
67,550
252,863
UPSTATE TOTALS:
114,932
18,883
133,815
NEW YORK CITY TOTALS:
185,313
67,550
252,863
GRAND TOTALS
300,245
86,433
386,678
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,497
9,062
39,559
Brooklyn
63,750
23,004
86,754
Manhattan
17,938
9,597
27,535
Queens
65,594
23,680
89,274
7,534
2,207
9,741
185,313
67,550
252,863
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 : NYS Catholic Health Plan - Lewis, Ontario, &
Wyoming Counties
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS OCTOBER, 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
ELDERSERVE
NASSAU
NEW YORK
Total
FIDELIS CARE AT HOME
ORANGE
ROCKLAND
Total
GUILDNET
NASSAU
NEW YORK
SUFFOLK
Total
HHH CHOICES
NEW YORK
Total
HOMEFIRST
NEW YORK
Total
INDEPENDENCE CARE SYSTEMS
NEW YORK
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
101
101
38
38
9
2,293
62
173
2,537
3
101
104
263
263
1
383
1
385
46
46
3,474
847
847
1,735
29
1,764
111
35
146
1
74
75
196
172
368
480
5,454
361
6,295
893
893
3,597
3,597
1,578
1,578
2,393
2,393
53
348
401
142
142
8,487
8,487
1,072
1,072
28,058
31,532
(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 OCTOBER, 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
200
9
191
11
11
14
14
30
4
26
4
2
2
3
3
7
1
6
191
22
143
26
12
12
20
5
15
41
10
28
3
2
2
81
9
72
44
44
27
27
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS OCTOBER, 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
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
77
9
68
90
11
79
115
4
7
104
24
24
1
1
54
40
11
3
1,048
178
554
740
1,630
701
74
61
1,296
5,234
1,048
5,234
6,282
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 OCTOBER, 2010
County
Plan Name
Albany
Total
NYS Catholic Health Plan
Senior Whole Health
Columbia
Total
Senior Whole Health
Dutchess
Total
Senior Whole Health
Greene
Total
Senior Whole Health
Orange
Total
Senior Whole Health
Rensselaer
Total
NYS Catholic Health Plan
Senior Whole Health
Saratoga
Total
Senior Whole Health
Schenectady
Total
NYS Catholic Health Plan
Senior Whole Health
Ulster
Total
Senior Whole Health
Warren
Total
Senior Whole Health
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
Total Enrolled
71
5
66
5
5
8
8
2
2
6
6
49
5
44
7
7
26
1
25
59
59
2
2
235
19
189
262
9
19
53
65
616
235
616
851
(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