RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
Allegany
19,812
4,482
3,806
24,294
21,174
87%
Eligibles Enrolled
4,362
3,198
Total
Eligibles
28,656
Total
Enrolled
Percent
Enrolled
24,372
85%
2,533
14,664
60%
2,276
16,940
59%
1,064
5,009
21%
576
5,585
19%
Wellcare Of New York
1,292
209
1,501
6%
346
1,847
6%
3,907
83%
4,373
80%
Univera Community Health
Broome
TOTALS:
Capital District Physicians
Health Plan
3,966
18,460
Eff. May 1998 Excellus Health Plan
NYS Catholic Health Plan
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
Chenango
TOTALS:
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
5,585
466
5,500
389
2,405
51%
327
2,732
50%
1,502
32%
139
1,641
30%
19,426
86%
22,521
84%
15,920
4,050
3,506
22,510
4,156
3,095
26,666
288
35
323
1%
96
419
2%
13,287
2,973
16,260
72%
2,465
18,725
70%
2,843
13%
3,377
13%
6,862
87%
8,028
86%
5,931
498
1,028
931
7,916
534
1,378
1,166
9,294
2,385
336
2,721
34%
716
3,437
37%
2,233
315
2,548
32%
302
2,850
31%
1,593
20%
1,741
19%
1,543
19%
1,341
16%
1,264
280
1,188
12,810
279
8,135
228
51
3,267
2,847
17,854
202
2%
15,657
88%
148
1,282
91
9,417
75
16
2,850
2,471
20,704
1,634
17%
1,416
15%
218
2%
18,128
88%
2,772
527
3,299
18%
705
4,004
19%
9,746
2,149
11,895
67%
1,663
13,558
65%
6,660
171
1,528
1,026
11,050
463
3%
7,686
70%
103
2,204
1,482
13,254
566
3%
9,168
69%
3,660
0
3,660
33%
284
3,944
30%
3,000
1,026
4,026
36%
1,198
5,224
39%
347
5%
360
5%
360
5%
1,778
17%
1,778
17%
294
904
294
6,999
779
226
292
9,522
4,721
2,016
151
14,587
615
1,276
1,113
Southern Tier Priority (Partial)
Voluntary
755
1,313
6,947
Univera Community Health
TOTALS:
(Partial)
3,292
2,345
6,888
Univera Community Health
Cayuga
Voluntary
17,368
Enrolled
3,945
Eff. Feb 2007
Chemung
Eligibles
SSI & MA-SSI
12,131
Mandatory
Cattaraugus
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
NYS Catholic Health Plan
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eligibles
SNA HR & MA-HR
1,193
1,193
53
6,489
53
1,547
446
446
1,180
347
8,546
13
7,669
13
1,639
19%
1,639
19%
1,782
139
139
10,328
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 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
3,899
4,987
Eff. May 2007 SCHC Total Care
SNA HR & MA-HR
Enrolled
Eligibles
3,168
845
Enrolled
702
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,744
3,870
82%
SSI & MA-SSI
Eligibles Enrolled
937
624
Total
Eligibles
5,681
Total
Enrolled
4,494
Percent
Enrolled
79%
1,906
365
2,271
48%
479
2,750
48%
1,262
337
1,599
34%
145
1,744
31%
4,251
5,038
85%
5,612
84%
3,122
908
787
600
5,895
3,722
63%
771
574
396
6,666
4,118
62%
1,129
187
1,316
22%
178
1,494
22%
262
5%
265
5%
Delaware
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
4,078
688
4,766
28%
611
5,377
27%
Eff. Apr 2007
MVP Health Plan
4,244
1,090
5,334
32%
724
6,058
30%
NYS Catholic Health Plan
1,739
524
2,263
13%
272
2,535
13%
Wellcare Of New York
1,713
178
1,891
11%
292
2,183
11%
87,614
89%
102,569
88%
14%
Erie
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
3,976
194
857
194
13,925
80,636
Eff. May 1998 Association
11,774
71,734
68
4,833
68
2,968
17,812
2,480
15,880
742
262
16,893
98,448
14,254
3
5,575
3
84%
3,267
18,432
1,899
14,955
20,160
116,880
265
5%
16,153
80%
11,925
2,143
14,068
14%
2,044
16,112
20,566
3,925
24,491
25%
4,553
29,044
25%
NYS Catholic Health Plan
17,729
2,629
20,358
21%
2,934
23,292
20%
Univera Community Health
21,134
5,489
26,623
27%
2,706
29,329
25%
Total Full Risk
p
71,354
14,186
85,540
87%
12,237
97,777
84%
(Partial)
380
1,694
2,074
2%
2,718
4,792
4%
Total Partial Risk
380
1,694
2,074
2%
2,718
4,792
4%
985
33%
1,018
28%
985
33%
1,018
28%
39
1%
43
1%
39
1%
6,584
89%
Essex
Mandatory
Eff. Oct 2010
TOTALS:
Franklin
TOTALS:
Voluntary
NYS Catholic Health Plan
Fulton
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
2,482
NYS Catholic Health Plan
756
513
756
4,213
29
5,502
2,995
229
858
29
6,226
229
10
5,071
10
1,178
1,082
7,404
632
33
3,627
33
1,122
4
6,193
4
1,273
717
8,677
43
1%
7,301
84%
1,060
211
1,271
17%
185
1,456
17%
4,442
871
5,313
72%
532
5,845
67%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Eligibles
3,740
MVP Health Plan
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
3,680
SNA HR & MA-HR
Enrolled
Eligibles
3,409
3,976
91%
657
502
Total
Eligibles
5,023
Total
Enrolled
Percent
Enrolled
4,478
89%
274
1,985
45%
194
2,179
43%
239
1,679
38%
276
1,955
39%
258
54
312
7%
32
344
7%
3,969
87%
4,621
85%
3,223
869
746
4,549
862
652
5,411
1,838
286
2,124
47%
429
2,553
47%
1,385
460
1,845
41%
223
2,068
38%
267
139
52%
34
4
301
143
48%
143
48%
7,066
6,044
86%
1,053
665
8,119
6,709
83%
5,912
5,049
44
28
1,154
995
111
United Healthcare Plan Of NY
4,366
Eligibles Enrolled
1,440
111
Eff. May 2003 NYS Catholic Health Plan
567
SSI & MA-SSI
1,711
223
NYS Catholic Health Plan
626
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
28
139
4
750
143
893
13%
165
1,058
13%
4,265
844
5,109
72%
490
5,599
69%
34
8
42
1%
10
52
1%
Jefferson
Voluntary
TOTALS:
9,128
0
1,426
0
10,554
0
0%
1,970
0
12,524
0
0%
Lewis
TOTALS:
2,176
3
292
1
2,468
4
0%
470
0
2,938
4
0%
Voluntary
NYS Catholic Health Plan
4
0%
4
0%
Livingston
TOTALS:
3,711
3,129
777
616
4,488
3,745
83%
779
557
5,267
4,302
82%
Mandatory
Excellus Health Plan
56%
Eff. Apr 2002
NYS Catholic Health Plan
3
MVP Health Plan
1
0
2,165
421
2,586
58%
367
2,953
26
8
34
1%
0
34
1%
938
187
1,125
25%
190
1,315
25%
1,324
21%
1,451
20%
464
8%
46
510
7%
11%
Madison
TOTALS:
Mandatory
Excellus Health Plan
393
71
Eff. Oct 2010
NYS Catholic Health Plan
594
147
741
12%
74
815
United Healthcare Plan Of NY
100
19
119
2%
7
126
2%
70,594
89%
81,988
87%
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
5,228
65,788
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
6,428
1,087
59,238
939
13,224
237
11,356
6,167
79,012
927
15,479
127
11,394
7,094
94,491
40,777
5,885
46,662
59%
7,711
54,373
58%
6,446
3,744
10,190
13%
1,134
11,324
12%
12,015
1,727
13,742
17%
2,549
16,291
17%
6,655
90%
7,355
86%
5,775
1,000
880
7,428
1,113
700
8,541
2,677
324
3,001
40%
368
3,369
39%
3,098
556
3,654
49%
332
3,986
47%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
57,999
87%
13%
11,002
2,568
13,570
18%
1,272
14,842
17%
HealthPlus
Health Insurance Plan of
Greater New York
4,292
1,726
6,018
8%
831
6,849
8%
8,506
3,211
11,717
16%
2,450
14,167
16%
NYS Catholic Health Plan
10,069
2,131
12,200
17%
1,363
13,563
16%
4
0
4
0%
0
4
0%
9,738
2,699
4,272
3,942
21,093
12,437
17%
19,720
93%
86,034
Percent
Enrolled
10,988
15,778
65,872
Total
Enrolled
74,472
16,821
73,451
Total
Eligibles
1,062
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
14,012
Eligibles Enrolled
90%
12,583
8,600
14%
1,622
3,502
2,946
24,595
14,059
16%
22,666
92%
29%
5,147
1,241
6,388
30%
823
7,211
Association
4,702
1,008
5,710
27%
1,304
7,014
29%
NYS Catholic Health Plan
5,929
1,693
7,622
36%
819
8,441
34%
28,448
86%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
23,954
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
20,994
24,281
88%
3,462
3,772
708
4,170
15%
752
4,922
15%
15,010
2,127
17,137
62%
2,934
20,071
60%
2,522
38,880
34,307
3,287
27,726
452
6,473
5,665
45,353
2,974
11%
39,972
88%
5,495
4,167
33,221
481
8,762
7,326
54,115
3,455
10%
47,298
87%
4,915
752
5,667
12%
966
6,633
12%
NYS Catholic Health Plan
10,556
1,740
12,296
27%
1,849
14,145
26%
SCHC Total Care
14,579
2,522
17,101
38%
3,610
20,711
38%
4,257
651
4,908
11%
901
5,809
11%
6,491
87%
7,422
84%
United Healthcare Plan Of NY
Ontario
Enrolled
9,926
United Healthcare Plan Of NY
Eff Sep 1998
Eligibles
51,860
15,452
SSI & MA-SSI
1,677
NYS Catholic Health Plan 1199
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
8,249
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
6,438
NYS Catholic Health Plan
5,681
1,356
931
8,788
705
5,714
77%
777
6,491
74%
100
766
10%
151
917
10%
11
0%
36,148
86%
1,697
12,280
29%
1,331
8,456
20%
13,323
687
14,010
1,179
223
1,402
TOTALS:
Mandatory
Affinity Health Plan
10,583
Eff. Mar 2007
Hudson Health Plan
7,125
Wellcare Of New York
7,432
666
6
37,324
810
5,009
Orange
NYS Catholic Health Plan
994
32,210
5
4,600
3,938
41,924
3
14
0%
39,130
84%
1,345
13,625
29%
968
9,424
20%
33%
398
14,408
31%
3%
271
1,673
4%
4,534
2,982
46,458
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,793
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
Oswego
TOTALS:
Excellus Health Plan
3,478
974
873
4,767
295
4,351
91%
1,684
35%
601
424
Total
Eligibles
5,368
182
Total
Enrolled
Percent
Enrolled
4,775
89%
1,866
35%
762
220
982
21%
133
1,115
21%
1,327
358
1,685
35%
109
1,794
33%
15,915
87%
87%
193
1%
36
229
1%
NYS Catholic Health Plan
3,440
592
4,032
25%
479
4,511
25%
SCHC Total Care
6,313
1,195
7,508
47%
1,137
8,645
47%
United Healthcare Plan Of NY
1,960
254
2,214
14%
316
2,530
14%
4,357
83%
4,717
76%
3,034
58%
3,282
53%
1,435
23%
2,242
75%
Excellus Health Plan
4,356
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
11,893
3,583
2,319
901
2,545
Eff. May 2007 NYS Catholic Health Plan
Putnam
12,546
NYS Catholic Health Plan
Wellcare Of New York
1,627
5,257
285
433
369
2,341
1,323
8%
1,996
85%
248
112
652
246
2,993
36
194
6%
1,502
336
1,838
79%
210
2,048
68%
13,955
91%
15,882
88%
11,265
2,853
2,690
15,399
2,570
1,927
17,969
8,073
1,730
9,803
64%
1,384
11,187
62%
2,615
777
3,392
22%
383
3,775
21%
38,035
183
5%
920
5%
43,990
95%
571
4,450
10%
504
7,237
16%
67%
873
29,760
64%
5%
173
2,543
6%
0
0%
1,012
3,879
9%
5,912
821
6,733
16%
27,122
1,765
28,887
2,134
236
2,370
0
0%
0
43,237
97%
2,867
1,830
3,834
760
Hudson Health Plan
0
4,145
41,869
Affinity Health Plan
10,477
6,241
7%
Eff. Mar 2001
TOTALS:
360
18,315
158
Mandatory
Wellcare Of New York
984
1,968
33
TOTALS:
NYS Catholic Health Plan
2,352
125
577
39,092
774
15,963
489
1,038
1,908
2,054
Rockland
St Lawrence
Voluntary
Eligibles Enrolled
13,947
Mandatory
13,644
Enrolled
SSI & MA-SSI
13
TOTALS:
Eff. Oct 1997
Eligibles
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
180
Otsego
Mandatory
Enrolled
1,389
NYS Catholic Health Plan
Mandatory
Eff. Apr 1999
SNA HR & MA-HR
12,307
160
2,939
2,763
2,121
0
46,176
15,070
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
9,067
SNA HR & MA-HR
Enrolled
Eligibles
8,383
7,785
62%
315
3,485
28%
12,730
84%
14,784
79%
Mandatory
Eff. Oct 2010
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
(Partial)
274
Southern Tier Priority (Partial)
868
TOTALS:
Neighborhood Health Providers
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
TOTALS:
Mandatory
Hudson Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
2,205
7,549
1,886
15,131
3,502
2,054
18,633
5,802
952
6,754
45%
1,367
8,121
44%
5,042
934
5,976
39%
687
6,663
36%
876
32%
927
29%
739
433
137
2,754
427
51
3,181
447
96
543
20%
46
589
19%
292
41
333
12%
5
338
11%
136
7%
154
7%
136
7%
2,390
86%
2,390
86%
1,324
13%
0
274
3%
26
300
2%
182
1,050
11%
403
1,453
12%
92
322
2,076
1,142
66,978
44
1,970
44
352
2,076
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
Sullivan
10,844
92
75,698
89%
1,051
TOTALS:
Capital District Physicians
Health Plan
Affinity Health Plan
11,270
63%
Schoharie
Suffolk
12,617
30%
NYS Catholic Health Plan
Mandatory
1,366
6,734
Eff. Apr 2007
8,566
1,928
Percent
Enrolled
3,170
Mandatory
Excellus Health Plan
93%
Total
Enrolled
471
TOTALS:
Capital District Physicians
Health Plan
2,412
9,904
Total
Eligibles
1,050
Schenectady
1,648
10,689
Eligibles Enrolled
5,684
NYS Catholic Health Plan
2,321
1,521
SSI & MA-SSI
2,699
Eff. Oct 1997
12,926
1,622
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
314
2,764
314
1,326
17,286
182
15,256
9,892
92,984
300
18
2,270
18
519
366
3,283
366
2,329
14,507
429
10,300
12,221
107,491
154
7%
2,756
84%
2,756
84%
1,753
14%
82,234
88%
92,534
86%
9,712
1,671
11,383
12%
1,217
12,600
12%
10,745
1,755
12,500
13%
1,310
13,810
13%
11,096
4,109
15,205
16%
2,488
17,693
16%
12,528
1,770
14,298
15%
1,820
16,118
15%
9,892
2,274
12,166
13%
1,448
13,614
13%
0
0
0
0%
1
1
0%
13,005
3,677
16,682
18%
2,016
18,698
17%
7,647
87%
8,663
84%
5,421
6,649
1,217
792
998
8,766
6,213
71%
1,542
1,016
836
10,308
7,049
68%
1,228
206
1,434
16%
180
1,614
16%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
4,401
340
Tompkins
TOTALS:
5,522
3,093
Mandatory
NYS Catholic Health Plan
Eff. Oct 2010
SCHC Total Care
Voluntary
Eligibles
SNA HR & MA-HR
Enrolled
Eligibles
636
66
1,166
598
340
SSI & MA-SSI
Eligibles Enrolled
5,037
406
406
8%
6,688
3,691
55%
66
8%
875
8
1,153
488
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,912
414
414
7%
7,841
4,179
53%
8
7%
237
106
343
2%
31
374
5%
2,856
492
3,348
50%
457
3,805
49%
Ulster
TOTALS:
12,328
85%
13,900
81%
Mandatory
Hudson Health Plan
2,863
603
3,466
24%
402
3,868
23%
Eff Mar 2007
MVP Health Plan
3,242
1,173
4,415
30%
561
4,976
29%
NYS Catholic Health Plan
1,563
306
1,869
13%
164
2,033
12%
Wellcare Of New York
2,362
216
2,578
18%
445
3,023
18%
1,580
32%
1,734
30%
1,580
32%
1,734
30%
4,712
85%
5,279
80%
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
11,830
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
4,296
4,883
6,667
57,695
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
TOTALS:
Voluntary
NYS Catholic Health Plan
Yates
TOTALS:
Mandatory
Eff. Feb 2007
Excellus Health Plan
Upstate Total
1,441
2,713
567
1,441
Hudson Health Plan
Wyoming
10,030
4,161
139
14,543
4,863
139
652
551
5,535
2,590
1,014
1,572
154
17,133
5,877
154
1,040
567
6,575
1,590
230
1,820
33%
252
2,072
32%
2,571
321
2,892
52%
315
3,207
49%
3,730
4,160
56%
4,629
52%
3,369
345
3,714
50%
455
4,169
47%
361
85
446
6%
14
460
5%
62,691
88%
69,950
86%
50,764
799
13,248
430
11,927
7,466
70,943
1,478
10,455
469
7,259
8,944
81,398
8,923
2,464
11,387
16%
1,382
12,769
16%
3,960
1,561
5,521
8%
1,118
6,639
8%
29,340
5,139
34,479
49%
3,490
37,969
47%
8,539
2,763
11,302
16%
1,269
12,571
15%
2
0
2
0%
0
2
0%
2,897
31
1%
3,368
36
1%
31
1%
36
1%
2,210
1,908
86%
2,528
2,147
85%
1,908
86%
2,147
85%
775,044
80%
880,934
78%
2,538
25
1,936
1,650
359
6
274
258
25
6
1,650
806,311
2,298
646,012
258
159,234
129,032
965,545
471
5
318
239
5
239
164,034
105,890
1,129,579
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
Eligibles
SNA HR & MA-HR
Enrolled
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
93,196
50,559
143,755
7%
15,443
159,198
7%
Mandatory
Amerigroup
47,865
28,741
76,606
4%
5,198
81,804
4%
228
1,380
1,608
0%
1,191
2,799
0%
Fully
HealthFirst PHSP
239,347
90,075
329,422
17%
40,712
370,134
17%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
165,396
59,769
225,165
11%
17,384
242,549
11%
110,170
47,250
157,420
8%
20,652
178,072
8%
MetroPlus Health Plan
239,686
74,099
313,785
16%
30,906
344,691
15%
Amida Care SN
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:
1,042
1,675
2,717
0%
1,682
4,399
0%
107,940
33,340
141,280
7%
17,349
158,629
7%
289
1,373
1,662
0%
1,143
2,805
0%
128,975
76,013
204,988
10%
21,246
226,234
10%
1,728
353
2,081
0%
55
2,136
0%
104,900
49,289
154,189
8%
13,970
168,159
7%
45,851
2%
50,188
2%
1,406,471
1,267,746
26,984
585,899
532,783
18,867
1,992,370
1,800,529
90%
250,210
191,268
4,337
2,242,580
1,991,797
89%
806,311
646,012
159,234
129,032
965,545
775,044
80%
164,034
105,890
1,129,579
880,934
78%
NEW YORK CITY TOTALS:
1,406,471
1,267,746
585,899
532,783
1,992,370
1,800,529
90%
250,210
191,268
2,242,580
1,991,797
89%
GRAND TOTALS:
2,212,782
1,913,758
745,133
661,815
2,957,915
2,575,573
87%
414,244
297,158
3,372,159
2,872,731
85%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
362,588
311,279
110,794
94,415
473,382
405,694
86%
71,685
55,229
545,067
460,922
85%
Brooklyn
498,735
456,129
209,283
194,185
708,018
650,313
92%
79,166
61,176
787,184
711,490
90%
Manhattan
167,229
144,270
90,346
74,612
257,575
218,882
85%
43,261
31,283
300,836
250,166
83%
Queens
330,943
314,250
155,908
151,266
486,851
465,516
96%
46,139
36,242
532,990
501,758
94%
46,976
41,818
19,568
18,305
66,544
60,124
90%
9,959
7,337
76,503
67,461
88%
1,406,471
1,267,746
585,899
532,783
1,992,370
1,800,529
90%
250,210
191,268
2,242,580
1,991,797
89%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon October, 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 : Lewis County - NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
County
Albany
Allegany
Broome
Plan Name
TOTALS:
Chautauqua
Enrolled
Enrolled
Total Enrolled
2,391
544
2,935
1,156
275
1,431
NYS Catholic Health Plan
1,025
222
1,247
Wellcare Of New York
210
47
257
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Univera Community Health Inc
644
98
742
274
40
314
370
58
428
2,494
481
2,975
TOTALS:
Excellus Health Plan
Cayuga
ADULTS
WITHOUT
CHILDREN
Capital District Physicians Health Plan
Capital District Physicians Health Plan
Cattaraugus
ADULTS WITH
CHILDREN
50
10
60
2,082
407
2,489
NYS Catholic Health Plan
362
64
426
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
934
180
1,114
164
29
193
436
85
521
Univera Community Health Inc
334
66
400
TOTALS:
853
133
986
NYS Catholic Health Plan
522
90
612
United Healthcare Plan Of NY
331
43
374
1,534
268
1,802
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
Univera Community Health Inc
226
40
266
1,225
204
1,429
83
24
107
Chemung
TOTALS:
1,027
174
1,201
Excellus Health Plan
1,027
174
1,201
Chenango
TOTALS:
833
120
953
NYS Catholic Health Plan
833
120
953
1,037
214
1,251
Clinton
TOTALS:
Excellus Health Plan
9
2
11
1,028
212
1,240
TOTALS:
584
88
672
Capital District Physicians Health Plan
165
31
196
NYS Catholic Health Plan
419
57
476
TOTALS:
716
124
840
NYS Catholic Health Plan
576
101
677
SCHC Total Care
140
23
163
TOTALS:
574
82
656
NYS Catholic Health Plan
574
82
656
2,228
338
2,566
NYS Catholic Health Plan
Columbia
Cortland
Delaware
Dutchess
Erie
TOTALS:
Hudson Health Plan
662
85
747
MVP Health Plan
888
142
1,030
NYS Catholic Health Plan
427
79
506
Wellcare Of New York
251
32
283
10,088
1,902
11,990
Univera Community Health Inc
HealthNow/BCBS-WNY/Community
Blue
Independent Health
4,427
891
5,318
1,535
197
1,732
1,980
456
2,436
NYS Catholic Health Plan
2,146
358
2,504
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
County
Essex
Plan Name
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Enrolled
Enrolled
Total Enrolled
92
1
1
2
NYS Catholic Health Plan
542
91
633
TOTALS:
472
85
557
0
1
1
NYS Catholic Health Plan
472
84
556
TOTALS:
909
167
1,076
Capital District Physicians Health Plan
171
36
207
NYS Catholic Health Plan
738
131
869
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
MVP Health Plan
663
101
764
382
42
424
159
40
199
NYS Catholic Health Plan
122
19
141
TOTALS:
555
65
620
Capital District Physicians Health Plan
172
21
193
NYS Catholic Health Plan
383
44
427
TOTALS:
73
11
84
NYS Catholic Health Plan
73
11
84
1,169
173
1,342
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
543
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
TOTALS:
635
Excellus Health Plan
162
15
177
NYS Catholic Health Plan
980
156
1,136
United Healthcare Plan Of NY
27
2
29
Jefferson
TOTALS:
1,367
249
1,616
GHI
1,367
249
1,616
Lewis
TOTALS:
320
46
366
GHI
265
31
296
55
15
70
TOTALS:
539
63
602
Excellus Health Plan
NYS Catholic Health Plan
Livingston
Madison
Monroe
426
51
477
NYS Catholic Health Plan
26
3
29
MVP Health Plan
87
9
96
TOTALS:
894
111
1,005
Excellus Health Plan
212
26
238
NYS Catholic Health Plan
274
36
310
United Healthcare Plan Of NY
408
49
457
TOTALS:
6,865
1,253
8,118
Excellus Health Plan
4,755
711
5,466
NYS Catholic Health Plan
1,465
399
1,864
645
143
788
1,009
110
1,119
Capital District Physicians Health Plan
320
25
345
NYS Catholic Health Plan
689
85
774
12,955
2,083
15,038
Affinity Health Plan
2,168
322
2,490
HealthFirst PHSP
2,485
345
2,830
964
192
1,156
1,836
315
2,151
2,756
524
3,280
United Healthcare Plan Of NY
2,746
385
3,131
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
2,578
536
3,114
999
211
1,210
1,579
325
1,904
MVP Health Plan
Montgomery
Nassau
TOTALS:
TOTALS:
HealthPlus
Health Insurance Plan of Greater New
York
NYS Catholic Health Plan
Niagara
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
County
Oneida
Plan Name
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Oswego
Rockland
479
504
89
3,847
593
2,331
307
2,638
533
83
616
4,623
733
5,356
703
2,098
SCHC Total Care
1,668
1,413
255
United Healthcare Plan Of NY
763
124
887
TOTALS:
940
172
1,112
Excellus Health Plan
862
158
1,020
76
11
87
2
3
5
TOTALS:
3,712
521
4,233
Affinity Health Plan
1,541
223
1,764
Hudson Health Plan
1,070
154
1,224
NYS Catholic Health Plan
914
122
1,036
Wellcare Of New York
187
22
209
TOTALS:
642
95
737
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
196
34
230
117
TOTALS:
96
21
350
40
390
2,198
313
2,511
11
4
15
640
72
712
1,206
182
1,388
United Healthcare Plan Of NY
341
55
396
TOTALS:
784
125
909
Excellus Health Plan
257
36
293
NYS Catholic Health Plan
527
89
616
TOTALS:
450
68
518
NYS Catholic Health Plan
450
68
518
1,411
336
1,747
Capital District Physicians Health Plan
628
142
770
NYS Catholic Health Plan
653
155
808
Wellcare Of New York
130
39
169
4,287
561
4,848
Affinity Health Plan
545
130
675
Hudson Health Plan
921
126
1,047
2,625
282
2,907
196
23
219
TOTALS:
1,230
220
1,450
Excellus Health Plan
1,230
220
1,450
TOTALS:
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
3,368
85
SCHC Total Care
Rensselaer
Total Enrolled
269
NYS Catholic Health Plan
Putnam
Enrolled
618
Excellus Health Plan
Otsego
Enrolled
1,829
NYS Catholic Health Plan
Orleans
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
MVP Health Plan
Orange
ADULTS WITH
CHILDREN
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
County
Saratoga
Plan Name
TOTALS:
Seneca
716
NYS Catholic Health Plan
1,217
153
1,370
TOTALS:
1,541
229
1,770
503
80
583
1,038
149
1,187
TOTALS:
453
72
525
Capital District Physicians Health Plan
181
26
207
NYS Catholic Health Plan
272
46
318
TOTALS:
258
61
319
Excellus Health Plan
258
61
319
TOTALS:
376
65
441
Excellus Health Plan
376
65
441
1,091
161
1,252
TOTALS:
Suffolk
TOTALS:
GHI
Tompkins
Ulster
Warren
Washington
2,086
1,091
161
1,252
15,030
2,095
17,125
Affinity Health Plan
2,487
304
2,791
HealthFirst PHSP
Health Insurance Plan of Greater New
York
Neighborhood Health Providers
2,228
280
2,508
2,382
394
2,776
1,049
146
1,195
NYS Catholic Health Plan
3,180
505
3,685
1
0
1
United Healthcare Plan Of NY
3,703
466
4,169
TOTALS:
NYS Catholic Health Plan 1199
Tioga
Total Enrolled
110
Steuben
Sullivan
Enrolled
263
NYS Catholic Health Plan
Schuyler
Enrolled
606
Capital District Physicians Health Plan
Schoharie
ADULTS
WITHOUT
CHILDREN
1,823
Capital District Physicians Health Plan
Schenectady
ADULTS WITH
CHILDREN
1,171
139
1,310
Hudson Health Plan
911
94
1,005
NYS Catholic Health Plan
260
45
305
TOTALS:
494
84
578
Capital District Physicians Health Plan
494
84
578
TOTALS:
616
119
735
SCHC Total Care
476
86
562
NYS Catholic Health Plan
140
33
173
1,988
381
2,369
Hudson Health Plan
556
109
665
MVP Health Plan
791
166
957
NYS Catholic Health Plan
322
61
383
Wellcare Of New York
319
45
364
TOTALS:
735
85
820
NYS Catholic Health Plan
735
85
820
TOTALS:
712
101
813
Capital District Physicians Health Plan
126
22
148
NYS Catholic Health Plan
586
79
665
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2010
County
Wayne
Westchester
Plan Name
TOTALS:
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
1,015
114
1,129
Excellus Health Plan
803
78
881
NYS Catholic Health Plan
212
36
248
TOTALS:
8,793
1,711
10,504
Affinity Health Plan
Health Insurance Plan of Greater New
York
Hudson Health Plan
1,603
354
1,957
812
170
982
4,550
723
5,273
NYS Catholic Health Plan
1,826
464
2,290
2
0
2
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
NYS Catholic Health Plan
403
52
455
382
48
430
21
4
25
TOTALS:
423
47
470
NYS Catholic Health Plan 1199
Wyoming
Yates
Excellus Health Plan
423
47
470
117,415
19,293
136,708
Affinity Health Plan
14,625
7,352
21,977
Amerigroup
11,665
5,286
16,951
HealthFirst PHSP
Health Insurance Plan of Greater New
York
HealthPlus
27,738
10,341
38,079
18,178
5,468
23,646
25,257
7,417
32,674
MetroPlus Health Plan
26,618
7,731
34,349
Neighborhood Health Providers
13,507
3,907
17,414
NYS Catholic Health Plan
24,905
11,762
36,667
1,364
107
1,471
19,149
5,964
25,113
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
County
Total Enrolled
5,665
2,974
8,639
188,671
68,309
256,980
UPSTATE TOTALS:
117,415
19,293
136,708
NEW YORK CITY TOTALS:
188,671
68,309
256,980
GRAND TOTALS
306,086
87,602
393,688
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,137
9,155
40,292
Brooklyn
64,861
23,202
88,063
Manhattan
18,237
9,609
27,846
Queens
66,701
24,161
90,862
7,735
2,182
9,917
188,671
68,309
256,980
Staten Island
Borough Total
NOTES:
(1) The source of plan enrollment counts was revised in July, 2003 to be based on the
primary and secondary roster reports which reflect enrollees as of the first of the month.
(2) New plans added this month : None
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS DECEMBER, 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
WESTCHESTER
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
116
116
42
42
10
2,303
63
167
2,543
2
106
108
271
271
1
390
1
392
3
54
57
3,529
903
903
1,808
30
1,838
111
36
147
7
175
2
184
199
183
382
473
5,438
375
6,286
934
934
3,550
3,550
1,615
1,615
2,498
2,498
52
338
390
140
140
8,668
8,668
1,200
1,200
28,735
32,264
(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 : Westchester County - Elderserve
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS DECEMBER, 2010
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Schenectady
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
Touchstone/Prestige
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
TOTAL
Fidelis
TOTAL
Fidelis
Touchstone/Prestige
TOTAL
GHI
Senior Whole Health
Touchstone/Prestige
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
Total
Enrolled
193
9
184
11
11
13
13
32
4
28
3
1
2
3
3
10
1
9
177
23
135
19
12
12
17
5
12
58
10
31
17
2
2
75
9
66
43
43
28
28
78
10
68
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS DECEMBER, 2010
County
Suffolk
Ulster
Warren
Washington
Westchester
Plan Name
TOTAL
GHI
Health Insurance Plan of
Greater New York
TOTAL
Fidelis
GHI
Senior Whole Health
TOTAL
Senior Whole Health
TOTAL
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Touchstone/Prestige
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
Total
Enrolled
86
11
75
106
4
7
95
26
26
1
1
55
39
10
6
1,029
197
620
696
1,535
417
77
68
1,231
4,841
1,029
4,841
5,870
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 DECEMBER, 2010
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
79
9
70
6
6
7
7
2
2
7
7
51
6
45
7
7
28
1
27
61
61
2
2
250
14
410
291
66
19
52
61
913
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
250
913
1,163
County
Albany
Columbia
Dutchess
Greene
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Warren
Plan Name
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
NOTES:
(1) The source of plan enrollment counts is the primary and
secondary roster reports which reflect enrollees as of the first of
the month.
(2) New plans added this month : None