RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
Allegany
19,745
Eligibles
17,287
4,470
Enrolled
3,761
24,215
21,048
87%
4,355
3,133
Total
Eligibles
28,570
Total
Enrolled
Percent
Enrolled
24,181
85%
2,474
14,549
60%
2,227
16,776
59%
NYS Catholic Health Plan
3,874
1,066
4,940
20%
561
5,501
19%
Wellcare Of New York
1,338
221
1,559
6%
345
1,904
7%
3,857
82%
4,328
79%
49%
Mandatory
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Capital District Physicians
Health Plan
3,948
18,367
Eff. May 1998 Excellus Health Plan
NYS Catholic Health Plan
Cattaraugus
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
12,075
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eligibles
SNA HR & MA-HR
760
605
4,708
788
471
5,496
1,993
382
2,375
50%
328
2,703
1,259
223
1,482
31%
143
1,625
30%
19,379
87%
22,442
85%
15,867
4,033
3,512
22,400
4,151
3,063
26,551
296
32
328
1%
96
424
2%
13,288
2,966
16,254
73%
2,444
18,698
70%
2,283
514
2,797
12%
523
3,320
13%
6,812
85%
7,966
85%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,376
329
2,705
34%
716
3,421
36%
Eff. Sep 2001
NYS Catholic Health Plan
2,199
318
2,517
31%
291
2,808
30%
Univera Community Health
1,313
277
1,590
20%
147
1,737
19%
Cayuga
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
6,967
3,252
6,989
14,507
Univera Community Health
Chemung
Voluntary
TOTALS:
(Partial)
Chenango
TOTALS:
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
999
1,047
1,280
14%
14%
62
1,176
12%
68
26
94
1%
10
104
1%
15,563
88%
18,031
87%
5,542
2,468
9,422
20,639
2,767
525
3,292
19%
707
3,999
19%
9,632
2,174
11,806
66%
1,656
13,462
65%
6,508
172
1,505
1,002
10,890
465
3%
7,510
69%
105
2,202
1,485
13,092
570
3%
8,995
69%
3,540
0
3,540
33%
271
3,811
29%
2,968
1,002
3,970
36%
1,214
5,184
40%
296
5%
309
4%
309
4%
1,787
17%
1,787
17%
248
868
248
7,046
2,858
72
9,385
15%
17,781
1,285
1,154
1,114
2,871
8,137
1,371
1,208
3,274
209
8,014
183
12,692
1,148
924
931
293
9,385
Southern Tier Priority (Partial)
Voluntary
5,888
1,193
1,193
48
6,410
48
1,529
457
457
1,184
296
8,575
13
7,594
13
1,650
19%
1,650
19%
1,778
137
137
10,353
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 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
3,925
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
Eff. Apr 2007
Erie
Mandatory
3,158
Eligibles
833
1,930
3,960
4,241
686
4,758
326
918
769
5,968
3,844
81%
2,290
48%
1,554
33%
5,010
84%
943
626
Total
Eligibles
5,701
482
144
775
578
6,743
Total
Enrolled
Percent
Enrolled
4,470
78%
2,772
49%
1,698
30%
5,588
83%
3,128
585
3,713
62%
396
4,109
61%
1,113
184
1,297
22%
182
1,479
22%
235
5%
238
4%
171
849
171
13,854
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
360
1,228
5,050
Eff. May 2007 SCHC Total Care
Delaware
Enrolled
SNA HR & MA-HR
11,848
64
4,809
64
2,946
2,511
4,101
710
738
235
16,800
3
5,547
3
3,225
1,891
20,025
238
4%
16,250
81%
14,359
85%
4,811
29%
616
5,427
27%
MVP Health Plan
4,277
1,099
5,376
32%
715
6,091
30%
NYS Catholic Health Plan
1,705
526
2,231
13%
267
2,498
12%
Wellcare Of New York
1,765
176
1,941
12%
293
2,234
11%
87,270
89%
102,134
88%
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
80,360
Eff. May 1998 Association
71,497
17,598
15,773
97,958
18,365
14,864
116,323
11,922
2,088
14,010
14%
2,041
16,051
14%
20,429
3,875
24,304
25%
4,501
28,805
25%
NYS Catholic Health Plan
17,612
2,623
20,235
21%
2,917
23,152
20%
Univera Community Health
21,144
5,480
26,624
27%
2,685
29,309
25%
Total Full Risk
PCMP II-A Special Care
(Partial)
71,107
14,066
85,173
87%
12,144
97,317
84%
Total Partial Risk
Essex
TOTALS:
Mandatory
Eff. Oct 2010
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
2,485
390
1,707
2,097
2%
2,720
4,817
4%
390
1,707
2,097
2%
2,720
4,817
4%
867
29%
896
25%
867
29%
896
25%
35
1%
654
505
654
4,169
21
5,496
2,990
213
854
21
6,209
213
10
5,023
10
1,176
1,058
7,385
31
1%
31
1%
6,554
89%
633
29
3,623
29
1,130
4
6,153
4
1,265
708
8,650
35
1%
7,262
84%
1,070
211
1,281
17%
183
1,464
17%
4,426
847
5,273
71%
525
5,798
67%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,730
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
3,681
212
NYS Catholic Health Plan
Enrolled
Eligibles
3,365
617
5,967
United Healthcare Plan Of NY
TOTALS:
9,176
Enrolled
569
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
4,347
3,934
90%
662
497
Total
Eligibles
5,009
Total
Enrolled
Percent
Enrolled
4,431
88%
1,697
284
1,981
46%
191
2,172
43%
1,401
228
1,629
37%
277
1,906
38%
267
57
324
7%
29
353
7%
3,917
86%
4,575
85%
3,185
870
732
4,551
853
658
5,404
1,859
289
2,148
47%
435
2,583
48%
1,326
443
1,769
39%
223
1,992
37%
110
43%
113
39%
113
39%
90
44
90
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
Lewis
Voluntary
SNA HR & MA-HR
5,068
20
256
20
3
6,068
85%
6,726
82%
897
13%
160
1,057
13%
4,279
851
5,130
72%
490
5,620
69%
33
8
41
1%
8
49
1%
0
0%
0
0%
0
7,138
289
141
1,424
1,000
110
3
756
0
1,171
33
10,600
1,060
1,958
658
0
8,198
12,558
TOTALS:
2,247
0
288
0
2,535
0
0%
469
0
3,004
0
0%
Livingston
TOTALS:
3,702
3,148
759
613
4,461
3,761
84%
788
550
5,249
4,311
82%
Mandatory
Eff. Apr 2002
Excellus Health Plan
56%
NYS Catholic Health Plan
MVP Health Plan
2,180
411
2,591
58%
359
2,950
19
9
28
1%
0
28
1%
949
193
1,142
26%
191
1,333
25%
935
15%
1,027
15%
Madison
TOTALS:
Mandatory
Excellus Health Plan
223
38
261
4%
33
294
4%
Eff. Oct 2010
NYS Catholic Health Plan
486
123
609
10%
53
662
9%
5,213
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
916
55
66,004
MVP Health Plan
Montgomery
764
6,377
59,465
171
6,129
10
13,266
11,370
79,270
65
1%
70,835
89%
918
92
7,047
6
15,401
11,416
94,671
71
1%
82,251
87%
40,802
5,867
46,669
59%
7,700
54,369
57%
6,452
3,708
10,160
13%
1,125
11,285
12%
12,211
1,795
14,006
18%
2,591
16,597
18%
6,622
90%
7,328
86%
5,726
1,017
896
7,394
1,124
706
8,518
2,677
330
3,007
41%
374
3,381
40%
3,049
566
3,615
49%
332
3,947
46%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
56,637
Enrolled
Eligibles
50,839
15,053
Enrolled
13,714
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
71,690
64,553
90%
12,511
8,588
Total
Eligibles
84,201
Total
Enrolled
Percent
Enrolled
73,141
87%
8,141
1,640
9,781
14%
1,069
10,850
13%
10,854
2,517
13,371
19%
1,274
14,645
17%
HealthPlus
Health Insurance Plan of
Greater New York
4,182
1,687
5,869
8%
826
6,695
8%
8,461
3,186
11,647
16%
2,465
14,112
17%
NYS Catholic Health Plan
9,718
2,039
11,757
16%
1,350
13,107
16%
4
0
4
0%
0
4
0%
Eff. June 2001 HealthFirst PHSP
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Niagara
SNA HR & MA-HR
9,479
1,604
16%
29%
6,397
30%
812
7,209
5,730
27%
1,310
7,040
29%
NYS Catholic Health Plan
5,888
1,664
7,552
36%
822
8,374
34%
Eff Sep 2001
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
38,588
87%
28,267
85%
691
4,095
15%
745
4,840
15%
14,908
2,121
17,029
62%
2,933
19,962
60%
2,527
456
2,983
11%
482
3,465
10%
89%
47,204
88%
12%
963
6,541
12%
NYS Catholic Health Plan
10,533
1,710
12,243
27%
1,861
14,104
26%
SCHC Total Care
14,648
2,479
17,127
38%
3,631
20,758
39%
4,261
641
4,902
11%
899
5,801
11%
6,480
88%
7,420
85%
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
NYS Catholic Health Plan
815
7,389
1,361
7,354
940
53,712
8,750
4,985
708
5,693
77%
785
6,478
74%
678
104
782
11%
153
935
11%
2
3
5
0%
2
7
0%
Orange
TOTALS:
35,929
86%
38,904
84%
Mandatory
Affinity Health Plan
10,497
1,676
12,173
29%
1,344
13,517
29%
Eff. Mar 2007
Hudson Health Plan
7,130
1,281
8,411
20%
962
9,373
20%
13,258
670
13,928
33%
398
14,326
31%
1,202
215
1,417
3%
271
1,688
4%
NYS Catholic Health Plan
Wellcare Of New York
37,131
1,012
8,793
33,147
5,578
5,665
44,919
4,160
39,850
6,377
5,562
5,527
732
TOTALS:
6,331
27,620
4,846
United Healthcare Plan Of NY
Ontario
24,107
3,404
34,288
3,268
24,694
92%
1,012
3,777
2,944
13,728
1,251
20,839
3,489
22,623
4,718
23,843
21,205
17%
5,146
TOTALS:
3,927
93%
Association
Excellus Health Plan
4,316
12,124
Eff Sep 1998
Mandatory
15,752
19,679
Mandatory
Oneida
16,889
2,645
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
32,087
4,530
3,842
41,661
4,503
2,975
46,164
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,781
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Eligibles
3,481
979
4,760
92%
4,797
89%
1,708
36%
183
1,891
35%
757
232
989
21%
135
1,124
21%
1,674
35%
14,237
90%
362
2,073
15,780
426
5,363
Percent
Enrolled
4,371
2,275
603
Total
Enrolled
296
12,164
890
Total
Eligibles
1,412
1,312
13,505
Enrolled
108
2,336
1,962
18,116
1,782
33%
16,199
89%
187
14
201
1%
36
237
1%
3,487
590
4,077
26%
470
4,547
25%
SCHC Total Care
6,460
1,203
7,663
49%
1,138
8,801
49%
United Healthcare Plan Of NY
2,030
266
2,296
15%
318
2,614
14%
4,306
82%
4,662
75%
3,024
57%
3,266
52%
1,396
22%
2,243
75%
TOTALS:
Mandatory
Excellus Health Plan
4,386
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
3,542
875
2,535
Eff. May 2007 NYS Catholic Health Plan
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
12,507
NYS Catholic Health Plan
Wellcare Of New York
39,079
1,631
5,261
489
1,007
1,921
764
275
420
371
2,341
1,282
8%
2,002
86%
996
356
6,257
242
114
651
241
2,992
139
34
173
7%
35
208
7%
1,492
337
1,829
78%
206
2,035
68%
13,939
91%
15,840
88%
11,243
2,864
2,696
15,371
2,578
1,901
17,949
8,053
1,737
9,790
64%
1,378
11,168
62%
2,601
777
3,378
22%
369
3,747
21%
589
182
771
5%
154
925
5%
41,725
97%
43,853
95%
10%
Rockland
TOTALS:
Mandatory
Affinity Health Plan
2,894
1,026
3,920
9%
577
4,497
Eff. Mar 2001
Hudson Health Plan
5,907
837
6,744
16%
500
7,244
16%
26,949
1,761
28,710
66%
882
29,592
64%
2,110
241
2,351
5%
169
2,520
5%
0
0%
0
0%
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Voluntary
TOTALS:
10,425
37,860
0
4,146
1,831
3,865
0
43,225
12,256
2,955
2,754
2,128
0
46,180
15,010
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 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
8,922
SNA HR & MA-HR
Enrolled
Eligibles
8,273
1,592
5,613
10,781
1,896
15,029
962
4,936
567
10,514
460
2,204
5,845
2,292
1,492
1,032
2,660
12,825
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
934
426
111
2,718
9,765
93%
6,645
63%
3,120
30%
12,677
84%
6,807
45%
5,870
39%
678
25%
1,928
1,355
Total
Eligibles
12,442
1,043
312
3,494
2,041
18,523
1,356
685
429
38
3,147
Total
Enrolled
Percent
Enrolled
11,120
89%
7,688
62%
3,432
28%
14,718
79%
8,163
44%
6,555
35%
716
23%
15%
344
82
426
16%
37
463
223
29
252
9%
1
253
8%
1,982
136
7%
2,282
153
7%
136
7%
153
7%
2,771
2,390
86%
3,284
2,753
84%
2,390
86%
2,753
84%
1,780
15%
1,658
89
2,421
2,079
324
47
350
311
300
17
513
363
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
1,347
14%
Voluntary
(Partial)
267
0
267
3%
26
293
2%
Southern Tier Priority (Partial)
898
182
1,080
11%
407
1,487
12%
89
Excellus Health Plan
Suffolk
TOTALS:
Mandatory
Affinity Health Plan
47
2,079
8,608
75,691
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
1,165
66,821
311
1,309
16,974
182
14,958
9,917
92,665
17
363
2,310
14,515
433
10,329
12,227
81,779
88%
92,108
86%
9,547
1,637
11,184
12%
1,219
107,180
12,403
12%
10,720
1,709
12,429
13%
1,310
13,739
13%
11,480
4,153
15,633
17%
2,540
18,173
17%
12,608
1,743
14,351
15%
1,831
16,182
15%
9,660
2,174
11,834
13%
1,441
13,275
12%
0
0
0
0%
1
1
0%
12,806
3,542
16,348
18%
1,987
18,335
17%
7,558
86%
8,579
83%
Sullivan
TOTALS:
Mandatory
Hudson Health Plan
5,400
780
6,180
71%
839
7,019
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,182
196
1,378
16%
182
1,560
15%
7,546
6,582
1,206
976
8,752
1,542
1,021
10,294
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Tioga
4,427
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,529
Mandatory
NYS Catholic Health Plan
Eff. Oct 2010
SCHC Total Care
SNA HR & MA-HR
Enrolled
Eligibles
345
639
345
65
5,066
65
8%
8
5,933
8
7%
4,072
52%
2%
34
344
4%
2,799
483
3,282
49%
446
3,728
47%
TOTALS:
12,262
85%
13,839
81%
Mandatory
Hudson Health Plan
2,862
611
3,473
24%
405
3,878
23%
Eff Mar 2007
MVP Health Plan
3,208
1,164
4,372
30%
559
4,931
29%
NYS Catholic Health Plan
1,535
301
1,836
13%
166
2,002
12%
Wellcare Of New York
2,374
207
2,581
18%
447
3,028
18%
1,547
32%
1,695
29%
1,547
32%
1,695
29%
4,707
85%
5,275
80%
1,822
33%
2,072
32%
2,885
52%
3,203
49%
3,993
53%
4,435
50%
45%
TOTALS:
Voluntary
NYS Catholic Health Plan
Washington
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
Mandatory
TOTALS:
Eff. Oct 2010
NYS Catholic Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of
Greater New York
Eff. Oct 1999
4,296
57,536
NYS Catholic Health Plan
TOTALS:
Upstate Total
5,521
321
799
410
7,472
148
5,890
148
1,040
568
6,561
250
318
1,481
442
8,953
324
3,572
48%
431
4,003
335
86
421
6%
11
432
5%
62,229
88%
69,483
86%
11,251
16%
12,624
16%
50,462
13,125
11,767
70,661
2,413
10,501
7,254
81,162
1,373
3,953
1,541
5,494
8%
1,134
6,628
8%
29,307
5,125
34,432
49%
3,487
37,919
47%
8,362
2,688
11,050
16%
1,260
12,310
15%
2
0
2
0%
0
2
0%
2,895
17
1%
3,369
22
1%
17
1%
22
1%
2,253
1,954
87%
2,562
2,192
86%
1,954
87%
2,192
86%
769,894
80%
875,465
78%
12
1,982
1,715
354
5
271
239
12
5
1,715
803,436
554
1,023
17,017
3,248
2,541
Excellus Health Plan
4,867
233
8,838
NYS Catholic Health Plan 1199
Voluntary
3,583
133
133
666
2,564
6,673
NYS Catholic Health Plan
Yates
Mandatory
Eff. Feb 2007
4,153
1,589
Excellus Health Plan
TOTALS:
571
1,414
4,855
Hudson Health Plan
Wyoming
1,414
1,577
7,854
418
54%
2,593
480
7%
310
14,424
1,172
418
3,592
2,283
6,682
410
867
Percent
Enrolled
100
2,676
583
8%
Total
Enrolled
210
9,979
1,153
410
Total
Eligibles
Ulster
Warren
11,748
3,009
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
642,251
239
157,733
127,643
961,169
474
5
309
238
5
238
163,860
105,571
1,125,029
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
TANF ADC & MA-ADC
Total
Eligibles
Total
Enrolled
Percent
Enrolled
Plan Name
NYC
Affinity Health Plan
92,171
48,864
156,415
7%
Mandatory
Amerigroup
47,898
28,658
76,556
4%
5,200
81,756
4%
208
1,257
1,465
0%
1,072
2,537
0%
Amida Care SN
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
141,035
7%
15,380
County
Eligibles
Enrolled
SNA HR & MA-HR
Fully
HealthFirst PHSP
238,896
89,226
328,122
16%
40,408
368,530
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
164,674
59,013
223,687
11%
17,346
241,033
11%
111,014
47,487
158,501
8%
20,740
179,241
8%
MetroPlus Health Plan
239,508
73,194
312,702
16%
30,665
343,367
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:
1,013
1,606
2,619
0%
1,581
4,200
0%
108,187
33,253
141,440
7%
17,371
158,811
7%
265
1,170
1,435
0%
969
2,404
0%
128,018
74,663
202,681
10%
21,054
223,735
10%
1,725
347
2,072
0%
53
2,125
0%
104,348
49,031
153,379
8%
13,986
167,365
7%
27,370
19,049
46,419
2%
4,379
50,798
2%
1,407,746
1,265,295
581,130
526,818
1,988,876
1,792,113
90%
250,109
190,204
2,238,985
1,982,317
89%
803,436
642,251
157,733
127,643
961,169
769,894
80%
163,860
105,571
1,125,029
875,465
78%
NEW YORK CITY TOTALS:
1,407,746
1,265,295
581,130
526,818
1,988,876
1,792,113
90%
250,109
190,204
2,238,985
1,982,317
89%
GRAND TOTALS:
2,211,182
1,907,546
738,863
654,461
2,950,045
2,562,007
87%
413,969
295,775
3,364,014
2,857,782
85%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 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
362,917
310,442
109,892
93,239
472,809
403,681
85%
71,656
54,871
544,465
458,551
84%
Brooklyn
499,187
455,406
207,580
191,938
706,767
647,344
92%
79,134
60,722
785,901
708,066
90%
Manhattan
167,381
144,318
89,610
73,734
256,991
218,052
85%
43,244
31,216
300,235
249,268
83%
Queens
331,243
313,480
154,639
149,796
485,882
463,276
95%
46,120
36,094
532,002
499,370
94%
47,018
41,649
19,409
18,110
66,427
59,760
90%
9,955
7,301
76,382
67,061
88%
1,407,746
1,265,295
581,130
526,818
1,988,876
1,792,113
90%
250,109
190,204
2,238,985
1,982,317
89%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon September, 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 NOVEMBER, 2010
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Albany
TOTALS:
2,374
556
2,930
Capital District Physicians Health
Plan
1,150
277
1,427
NYS Catholic Health Plan
1,011
228
1,239
Wellcare Of New York
213
51
264
TOTALS:
642
97
739
HealthNow/BCBSWNY/Community Blue
270
41
311
Univera Community Health Inc
372
56
428
2,491
473
2,964
Allegany
Broome
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
Cattaraugus
Cayuga
Chautauqua
360
61
421
931
177
1,108
HealthNow/BCBSWNY/Community Blue
163
27
190
NYS Catholic Health Plan
435
86
521
Univera Community Health Inc
333
64
397
TOTALS:
858
130
988
NYS Catholic Health Plan
514
88
602
United Healthcare Plan Of NY
344
42
386
1,523
268
1,791
TOTALS:
Univera Community Health Inc
Clinton
65
2,478
NYS Catholic Health Plan
NYS Catholic Health Plan
Chenango
9
403
TOTALS:
HealthNow/BCBSWNY/Community Blue
Chemung
56
2,075
210
39
249
1,234
204
1,438
79
25
104
TOTALS:
1,005
170
1,175
Excellus Health Plan
1,005
170
1,175
TOTALS:
819
111
930
NYS Catholic Health Plan
819
111
930
1,012
201
1,213
TOTALS:
Excellus Health Plan
9
3
12
1,003
198
1,201
TOTALS:
580
91
671
Capital District Physicians Health
Plan
170
33
203
NYS Catholic Health Plan
410
58
468
TOTALS:
722
126
848
NYS Catholic Health Plan
581
102
683
SCHC Total Care
141
24
165
Delaware
TOTALS:
550
83
633
NYS Catholic Health Plan
550
83
633
Dutchess
TOTALS:
2,547
NYS Catholic Health Plan
Columbia
Cortland
Erie
2,215
332
Hudson Health Plan
642
85
727
MVP Health Plan
894
139
1,033
NYS Catholic Health Plan
426
79
505
Wellcare Of New York
253
29
282
TOTALS:
9,994
1,893
11,887
Univera Community Health Inc
4,402
885
5,287
HealthNow/BCBSWNY/Community Blue
1,511
195
1,706
Independent Health
1,929
458
2,387
NYS Catholic Health Plan
2,152
355
2,507
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Lewis
2
NYS Catholic Health Plan
550
94
644
TOTALS:
467
82
549
0
1
Madison
Monroe
1
467
81
548
TOTALS:
890
171
1,061
Capital District Physicians Health
Plan
165
39
204
NYS Catholic Health Plan
725
132
857
TOTALS:
630
102
732
HealthNow/BCBSWNY/Community Blue
365
40
405
MVP Health Plan
159
43
202
NYS Catholic Health Plan
106
19
125
TOTALS:
556
67
623
Capital District Physicians Health
Plan
177
20
197
NYS Catholic Health Plan
379
47
426
71
10
81
TOTALS:
TOTALS:
Nassau
71
10
81
1,118
173
1,291
Excellus Health Plan
151
17
168
NYS Catholic Health Plan
940
155
1,095
27
1
28
TOTALS:
1,369
247
1,616
GHI
1,369
247
1,616
TOTALS:
320
42
362
GHI
295
35
330
25
7
32
TOTALS:
517
71
588
Excellus Health Plan
412
55
467
NYS Catholic Health Plan
22
5
27
MVP Health Plan
83
11
94
TOTALS:
893
107
1,000
Excellus Health Plan
210
22
232
NYS Catholic Health Plan
256
36
292
United Healthcare Plan Of NY
427
49
476
TOTALS:
6,879
1,277
8,156
Excellus Health Plan
4,713
707
5,420
NYS Catholic Health Plan
1,487
423
1,910
679
147
826
1,010
111
1,121
Capital District Physicians Health
Plan
317
24
341
NYS Catholic Health Plan
693
87
780
MVP Health Plan
Montgomery
646
NYS Catholic Health Plan
NYS Catholic Health Plan
Livingston
Total Enrolled
1
United Healthcare Plan Of NY
Jefferson
Enrolled
1
NYS Catholic Health Plan
Herkimer
Enrolled
95
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
551
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
TOTALS:
TOTALS:
12,714
2,102
14,816
Affinity Health Plan
2,184
328
2,512
HealthFirst PHSP
2,415
338
2,753
927
191
1,118
Health Insurance Plan of Greater
New York
1,813
325
2,138
NYS Catholic Health Plan
2,719
534
3,253
United Healthcare Plan Of NY
2,656
386
3,042
HealthPlus
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBSWNY/Community Blue
Oneida
1,201
1,878
TOTALS:
3,357
475
3,832
502
83
585
2,302
307
2,609
TOTALS:
553
85
638
4,638
720
5,358
587
80
667
NYS Catholic Health Plan
1,833
268
2,101
SCHC Total Care
1,691
1,443
248
United Healthcare Plan Of NY
775
124
899
TOTALS:
933
180
1,113
Excellus Health Plan
855
166
1,021
76
12
88
2
2
4
TOTALS:
3,632
510
4,142
Affinity Health Plan
1,517
218
1,735
Hudson Health Plan
1,040
149
1,189
NYS Catholic Health Plan
883
120
1,003
Wellcare Of New York
192
23
215
TOTALS:
649
101
750
Excellus Health Plan
195
34
229
HealthNow/BCBSWNY/Community Blue
109
21
130
NYS Catholic Health Plan
NYS Catholic Health Plan
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
Otsego
3,079
302
MVP Health Plan
Oswego
Total Enrolled
511
209
Excellus Health Plan
Orleans
Enrolled
2,568
992
United Healthcare Plan Of NY
Orange
Enrolled
1,576
NYS Catholic Health Plan
Ontario
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Excellus Health Plan
Onondaga
ADULTS WITH
CHILDREN
345
46
391
2,177
317
2,494
11
4
15
627
71
698
1,386
1,194
192
United Healthcare Plan Of NY
345
50
395
TOTALS:
793
118
911
Excellus Health Plan
255
34
289
NYS Catholic Health Plan
538
84
622
Putnam
TOTALS:
445
63
508
Rensselaer
TOTALS:
NYS Catholic Health Plan
Rockland
445
63
508
1,401
336
1,737
Capital District Physicians Health
Plan
637
147
784
NYS Catholic Health Plan
635
150
785
Wellcare Of New York
129
39
168
4,272
561
4,833
531
132
663
TOTALS:
Affinity Health Plan
Hudson Health Plan
927
122
1,049
2,608
280
2,888
206
27
233
TOTALS:
1,266
217
1,483
Excellus Health Plan
1,266
217
1,483
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
Schenectady
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
1,784
255
2,039
606
109
715
NYS Catholic Health Plan
1,178
146
1,324
TOTALS:
1,529
229
1,758
Capital District Physicians Health
Plan
510
82
592
1,019
147
1,166
TOTALS:
457
76
533
Capital District Physicians Health
Plan
182
29
211
NYS Catholic Health Plan
Schoharie
ADULTS WITH
CHILDREN
NYS Catholic Health Plan
275
47
322
Schuyler
TOTALS:
248
66
314
Excellus Health Plan
248
66
314
Seneca
TOTALS:
388
62
450
Steuben
TOTALS:
Excellus Health Plan
GHI
Suffolk
Tioga
62
450
167
1,264
1,097
167
1,264
14,745
2,088
16,833
Affinity Health Plan
2,460
306
2,766
HealthFirst PHSP
2,235
300
2,535
Health Insurance Plan of Greater
New York
2,428
408
2,836
Neighborhood Health Providers
1,012
138
1,150
NYS Catholic Health Plan
3,027
490
3,517
1
0
1
United Healthcare Plan Of NY
3,582
446
4,028
TOTALS:
TOTALS:
NYS Catholic Health Plan 1199
Sullivan
388
1,097
1,165
140
1,305
Hudson Health Plan
903
98
1,001
NYS Catholic Health Plan
262
42
304
TOTALS:
504
79
583
Capital District Physicians Health
Plan
504
79
583
TOTALS:
630
111
741
SCHC Total Care
488
82
570
NYS Catholic Health Plan
142
29
171
1,945
371
2,316
Hudson Health Plan
537
113
650
MVP Health Plan
793
161
954
NYS Catholic Health Plan
295
51
346
Wellcare Of New York
320
46
366
Warren
TOTALS:
747
79
826
NYS Catholic Health Plan
747
79
826
Washington
TOTALS:
711
106
817
Capital District Physicians Health
Plan
123
22
145
NYS Catholic Health Plan
588
84
672
Tompkins
Ulster
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS NOVEMBER, 2010
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Wayne
TOTALS:
986
112
1,098
Excellus Health Plan
768
76
844
NYS Catholic Health Plan
218
36
254
TOTALS:
8,597
1,645
10,242
Affinity Health Plan
1,561
337
1,898
Westchester
Health Insurance Plan of Greater
New York
813
160
973
Hudson Health Plan
4,459
694
5,153
NYS Catholic Health Plan
1,762
454
2,216
2
0
2
TOTALS:
381
48
429
HealthNow/BCBSWNY/Community Blue
371
47
418
10
1
11
429
44
473
NYS Catholic Health Plan 1199
Wyoming
NYS Catholic Health Plan
Yates
TOTALS:
Excellus Health Plan
429
44
473
116,175
19,152
135,327
Affinity Health Plan
14,310
7,145
21,455
Amerigroup
11,691
5,298
16,989
HealthFirst PHSP
27,501
10,313
37,814
Health Insurance Plan of Greater
New York
18,209
5,471
23,680
HealthPlus
25,053
7,371
32,424
MetroPlus Health Plan
26,599
7,689
34,288
Neighborhood Health Providers
13,602
3,893
17,495
NYS Catholic Health Plan
24,527
11,615
36,142
1,364
110
1,474
19,086
5,917
25,003
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
County
5,679
2,987
8,666
187,621
67,809
255,430
UPSTATE TOTALS:
116,175
19,152
135,327
NEW YORK CITY TOTALS:
187,621
67,809
255,430
GRAND TOTALS
303,796
86,961
390,757
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
30,862
9,126
39,988
Brooklyn
64,449
23,108
87,557
Manhattan
18,165
9,548
27,713
Queens
66,498
23,860
90,358
Staten Island
Borough Total
NOTES:
7,647
2,167
9,814
187,621
67,809
255,430
(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 NOVEMBER, 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
ALLEGANY
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
104
104
41
41
8
2,286
62
165
2,521
3
104
107
266
266
1
388
1
390
2
49
51
3,480
864
864
1,782
30
1,812
112
35
147
4
129
133
196
177
373
476
5,440
366
6,282
911
911
3,575
3,575
1,598
1,598
2,450
2,450
53
350
403
141
141
8,615
8,615
1,130
1,130
28,434
31,914
(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 : Allegany County - Total Senior Care
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS NOVEMBER, 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
192
9
183
11
11
14
14
32
4
28
3
1
2
3
3
10
1
9
180
22
139
19
12
12
18
5
13
53
10
28
15
2
2
76
9
67
44
44
28
28
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS NOVEMBER, 2010
County
Schenectady
Suffolk
Ulster
Warren
Washington
Westchester
Upstate Total:
NYC
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
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
76
9
67
88
10
78
109
4
7
98
25
25
0
0
57
40
11
6
1,033
182
599
710
1,559
458
74
67
1,293
4,942
1,033
4,942
5,975
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 NOVEMBER, 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
Total Enrolled
78
6
72
5
5
7
7
2
2
7
7
51
6
45
7
7
27
1
26
61
61
2
2
247
17
290
277
41
19
54
64
762
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
247
762
1,009
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