RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
12,233
2,567
14,800
61%
Eff. Oct 1997
NYS Catholic Health Plan
3,967
1,078
5,045
21%
Wellcare Of New York
1,320
204
1,524
6%
3,876
83%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Feb 2007
Univera Community Health
Broome
TOTALS:
Capital District Physicians
Health Plan
Mandatory
19,883
3,901
18,541
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
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
(Partial)
TOTALS:
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
759
5,626
3,849
597
24,444
4,660
21,369
87%
4,403
778
3,216
Total
Eligibles
Percent
Enrolled
24,585
85%
2,282
17,082
59%
588
5,633
20%
346
1,870
6%
4,348
80%
472
28,847
Total
Enrolled
5,438
1,999
378
2,377
51%
330
2,707
50%
219
1,499
32%
142
1,641
30%
19,444
86%
22,512
84%
15,906
4,106
3,538
22,647
4,164
3,068
26,811
289
35
324
1%
96
420
2%
13,280
2,988
16,268
72%
2,442
18,710
70%
6,000
515
1,025
938
8,026
2,852
13%
6,938
86%
530
1,388
1,184
9,414
3,382
13%
8,122
86%
2,410
347
2,757
34%
726
3,483
37%
2,232
312
2,544
32%
311
2,855
30%
1,637
20%
1,784
19%
1,952
24%
2,066
22%
1,619
279
1,197
333
8,125
147
1,296
114
9,421
1
0
1
0%
1
2
0%
1,383
260
1,643
20%
91
1,734
18%
12,822
73
3,275
2,877
17,925
308
4%
15,699
88%
22
2,855
2,481
20,780
330
4%
18,180
87%
2,765
537
3,302
18%
709
4,011
19%
9,753
2,165
11,918
66%
1,667
13,585
65%
6,585
175
1,535
989
11,141
479
3%
7,574
68%
105
2,199
1,504
13,340
584
3%
9,078
68%
3,649
0
3,649
33%
296
3,945
30%
2,936
989
3,925
35%
1,208
5,133
38%
366
6%
381
5%
381
5%
1,806
17%
1,806
17%
308
929
308
7,056
Enrolled
1,280
304
9,606
Southern Tier Priority (Partial)
Chenango
3,279
4,561
235
14,650
Univera Community Health
Chemung
17,520
1,358
6,928
United Healthcare Plan Of NY
Chautauqua
Eligibles
2,337
7,001
Univera Community Health
Cayuga
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
County
Allegany
Eligibles
SNA HR & MA-HR
1,217
1,217
58
6,555
58
1,568
442
442
1,185
366
8,624
15
7,740
15
1,659
19%
1,659
19%
1,794
147
147
10,418
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Columbia
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
Cortland
TOTALS:
Mandatory
NYS Catholic Health Plan
Eligibles
3,933
5,016
Eff. May 2007 SCHC Total Care
Enrolled
Eligibles
3,211
619
5,754
4,568
79%
48%
474
2,769
48%
34%
145
1,799
31%
4,266
5,038
85%
5,612
84%
3,142
588
3,730
63%
396
4,126
62%
1,124
184
1,308
22%
178
1,486
22%
290
6%
296
5%
TOTALS:
Mandatory
Hudson Health Plan
4,129
Eff. Apr 2007
MVP Health Plan
4,281
NYS Catholic Health Plan
1,756
Wellcare Of New York
1,687
218
902
864
11,853
71,900
772
72
5,918
4,856
72
3,011
18,188
11,912
Eff. May 1998 Association
945
2,295
Dutchess
Mandatory
82%
1,654
218
81,512
3,949
Percent
Enrolled
376
NYS Catholic Health Plan
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
4,809
Total
Enrolled
362
Voluntary
13,965
738
Total
Eligibles
1,919
TOTALS:
Erie
876
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
1,292
Delaware
3,992
SNA HR & MA-HR
2,540
777
738
290
6
6,695
5,594
6
5%
695
4,824
28%
611
5,435
27%
5,399
32%
727
6,126
30%
544
2,300
14%
281
2,581
13%
183
1,870
11%
293
2,163
11%
87,889
88%
102,870
87%
14,094
14%
16,157
14%
2,182
14,981
20,248
81%
1,118
18,470
1,912
16,305
85%
99,700
3,272
296
14,393
15,989
16,976
574
118,170
2,063
20,658
3,968
24,626
25%
4,546
29,172
25%
NYS Catholic Health Plan
17,817
2,643
20,460
21%
2,939
23,399
20%
Univera Community Health
21,132
5,465
26,597
27%
2,719
29,316
25%
Total Full Risk
p
71,519
14,258
85,777
86%
12,267
98,044
83%
(Partial)
381
1,731
2,112
2%
2,714
4,826
4%
Total Partial Risk
381
1,731
2,112
2%
2,714
4,826
4%
1,167
39%
1,202
33%
1,167
39%
1,202
33%
41
1%
46
1%
41
1%
6,556
87%
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
2,494
NYS Catholic Health Plan
911
536
911
4,229
30
5,470
3,030
256
873
30
6,296
256
11
5,102
11
1,206
1,086
7,502
633
35
3,663
35
1,118
5
6,220
5
1,271
715
8,773
46
1%
7,271
83%
1,046
208
1,254
17%
185
1,439
16%
4,424
878
5,302
71%
530
5,832
66%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Genesee
TOTALS:
HealthNow/BCBSWNY/Community Blue
Mandatory
Eff. Jan 2004
Eligibles
3,735
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
3,784
SNA HR & MA-HR
Enrolled
Eligibles
3,394
3,958
90%
661
495
5,046
Percent
Enrolled
4,453
88%
277
1,991
45%
194
2,185
43%
229
1,641
37%
271
1,912
38%
268
58
326
7%
30
356
7%
4,058
87%
4,718
85%
3,287
893
771
4,677
873
660
5,550
1,853
304
2,157
46%
440
2,597
47%
1,434
467
1,901
41%
220
2,121
38%
288
165
57%
33
3
321
168
52%
168
52%
7,124
6,120
86%
1,066
666
8,190
6,786
83%
5,953
5,116
54
28
1,171
1,004
137
United Healthcare Plan Of NY
4,385
Total
Enrolled
1,412
137
Eff. May 2003 NYS Catholic Health Plan
564
Total
Eligibles
1,714
234
NYS Catholic Health Plan
650
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
28
165
3
749
141
890
12%
163
1,053
13%
4,331
854
5,185
73%
493
5,678
69%
36
9
45
1%
10
55
1%
Jefferson
Voluntary
TOTALS:
9,201
0
1,477
0
10,678
0
0%
1,976
0
12,654
0
0%
Lewis
TOTALS:
2,195
17
298
1
2,493
18
1%
459
0
2,952
18
1%
Voluntary
Excellus Health Plan
0%
NYS Catholic Health Plan
Livingston
TOTALS:
Mandatory
Eff. Apr 2002
Excellus Health Plan
3,718
NYS Catholic Health Plan
MVP Health Plan
2
0
2
0%
0
2
15
1
16
1%
0
16
1%
3,789
84%
4,351
82%
57%
3,162
802
627
4,520
773
562
5,293
2,210
438
2,648
59%
367
3,015
32
10
42
1%
0
42
1%
920
179
1,099
24%
195
1,294
24%
1,795
29%
1,948
27%
Madison
TOTALS:
Mandatory
Excellus Health Plan
621
111
732
12%
62
794
11%
Eff. Oct 2010
NYS Catholic Health Plan
693
179
872
14%
83
955
13%
5,222
United Healthcare Plan Of NY
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
NYS Catholic Health Plan
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
942
161
65,941
MVP Health Plan
Montgomery
1,475
6,537
59,152
320
6,164
30
13,249
11,362
79,190
191
3%
70,514
89%
934
153
7,098
8
15,477
11,498
94,667
199
3%
82,012
87%
40,712
5,864
46,576
59%
7,765
54,341
57%
6,600
3,804
10,404
13%
1,169
11,573
12%
11,840
1,694
13,534
17%
2,564
16,098
17%
6,661
88%
7,364
85%
5,798
1,020
863
7,557
1,125
703
8,682
2,650
309
2,959
39%
361
3,320
38%
3,148
554
3,702
49%
342
4,044
47%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
59,475
Enrolled
Percent
Enrolled
76,050
86%
1,069
11,189
13%
11,229
2,647
13,876
18%
1,302
15,178
17%
HealthPlus
Health Insurance Plan of
Greater New York
4,373
1,748
6,121
8%
839
6,960
8%
8,580
3,270
11,850
16%
2,464
14,314
16%
NYS Catholic Health Plan
10,350
2,242
12,592
17%
1,388
13,980
16%
4
0
4
0%
0
4
0%
10,007
16,891
15,715
2,768
4,350
3,935
21,241
12,775
17%
19,650
93%
88,136
Total
Enrolled
13%
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
14,424
Total
Eligibles
10,120
United Healthcare Plan Of NY
Eff Sep 1998
Eligibles
52,914
16,053
1,749
NYS Catholic Health Plan 1199
Mandatory
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
75,528
67,338
89%
12,608
8,712
8,371
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
1,650
3,487
2,934
24,728
14,425
16%
22,584
91%
29%
5,145
1,252
6,397
30%
818
7,215
Association
4,664
998
5,662
27%
1,296
6,958
28%
NYS Catholic Health Plan
5,906
1,685
7,591
36%
820
8,411
34%
28,564
85%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
24,170
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
21,066
24,395
87%
3,455
3,835
718
4,173
15%
747
4,920
15%
15,101
2,158
17,259
62%
2,937
20,196
60%
2,510
39,172
34,590
3,329
28,005
453
6,664
5,716
45,836
2,963
11%
40,306
88%
5,520
4,169
33,525
485
8,749
7,297
54,585
3,448
10%
47,603
87%
5,030
779
5,809
13%
963
6,772
12%
NYS Catholic Health Plan
10,597
1,742
12,339
27%
1,837
14,176
26%
SCHC Total Care
14,659
2,523
17,182
37%
3,604
20,786
38%
4,304
672
4,976
11%
893
5,869
11%
6,492
86%
7,417
84%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
6,521
NYS Catholic Health Plan
5,679
998
7,519
1,352
925
8,871
4,997
706
5,703
76%
774
6,477
73%
672
98
770
10%
146
916
10%
10
37,644
813
32,354
9
4,696
3,960
42,340
19
0%
36,314
86%
5
4,524
3,004
46,864
24
0%
39,318
84%
29%
Mandatory
Affinity Health Plan
10,613
1,712
12,325
29%
1,353
13,678
Eff. Mar 2007
Hudson Health Plan
7,186
1,338
8,524
20%
975
9,499
20%
13,375
683
14,058
33%
402
14,460
31%
1,180
227
1,407
3%
274
1,681
4%
NYS Catholic Health Plan
Wellcare Of New York
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,818
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
Oswego
TOTALS:
Excellus Health Plan
3,496
971
854
4,789
270
4,350
91%
1,674
35%
419
5,386
179
Total
Enrolled
Percent
Enrolled
4,769
89%
1,853
34%
759
219
978
20%
130
1,108
21%
1,333
365
1,698
35%
110
1,808
34%
16,027
87%
88%
192
1%
35
227
1%
NYS Catholic Health Plan
3,517
586
4,103
26%
484
4,587
25%
SCHC Total Care
6,305
1,188
7,493
47%
1,142
8,635
47%
United Healthcare Plan Of NY
1,995
272
2,267
14%
311
2,578
14%
4,420
84%
4,776
76%
3,049
58%
3,294
53%
1,482
24%
2,209
74%
Excellus Health Plan
4,341
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
11,996
3,628
2,353
912
2,551
Eff. May 2007 NYS Catholic Health Plan
Putnam
12,572
NYS Catholic Health Plan
Wellcare Of New York
1,592
5,253
294
426
368
2,316
1,371
9%
1,960
85%
245
111
650
249
2,966
37
161
5%
1,497
339
1,836
79%
212
2,048
69%
13,987
91%
15,915
88%
11,310
2,882
2,677
15,454
2,591
1,928
18,045
8,104
1,737
9,841
64%
1,389
11,230
62%
2,631
755
3,386
22%
383
3,769
21%
38,723
185
5%
916
5%
44,854
96%
579
4,618
10%
509
7,404
16%
67%
889
30,234
65%
6%
175
2,598
6%
0
0%
1,064
4,039
9%
6,042
853
6,895
16%
27,527
1,818
29,345
2,179
244
2,423
0
0%
0
43,720
98%
2,975
1,877
3,979
760
Hudson Health Plan
0
4,204
42,702
Affinity Health Plan
10,549
6,250
5%
Eff. Mar 2001
TOTALS:
356
18,394
124
Mandatory
NYS Catholic Health Plan
997
1,972
29
TOTALS:
Wellcare Of New York
2,368
95
575
39,516
792
16,026
498
1,077
1,890
2,059
Rockland
St Lawrence
Voluntary
597
Total
Eligibles
14,055
Mandatory
13,673
Enrolled
13
TOTALS:
Eff. Oct 1997
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
179
Otsego
Mandatory
Enrolled
1,404
NYS Catholic Health Plan
Mandatory
Eff. Apr 1999
SNA HR & MA-HR
12,426
156
2,956
2,763
2,152
0
46,676
15,189
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
9,204
SNA HR & MA-HR
Enrolled
Eligibles
8,448
7,764
60%
315
3,579
28%
12,949
84%
15,027
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)
265
Southern Tier Priority (Partial)
851
TOTALS:
11,052
2,245
15,479
3,490
2,078
18,969
962
6,874
44%
1,376
8,250
43%
5,140
935
6,075
39%
702
6,777
36%
1,049
38%
1,108
35%
876
442
173
2,747
413
59
3,160
527
120
647
24%
54
701
22%
349
53
402
15%
5
407
13%
90
320
2,064
1,116
68,179
42
1,989
132
7%
132
7%
2,378
86%
2,378
86%
1,299
13%
0
265
3%
27
292
2%
183
1,034
10%
404
1,438
12%
42
358
2,064
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
1,897
5,912
90
76,602
88%
1,046
TOTALS:
Capital District Physicians
Health Plan
Affinity Health Plan
11,343
62%
Schoharie
Mandatory
12,838
30%
NYS Catholic Health Plan
Suffolk
1,361
6,718
Eff. Apr 2007
8,615
1,933
3,264
Mandatory
Excellus Health Plan
92%
492
TOTALS:
Capital District Physicians
Health Plan
2,406
9,982
Percent
Enrolled
1,042
Schenectady
1,669
10,905
Total
Enrolled
5,676
NYS Catholic Health Plan
2,305
1,534
Total
Eligibles
2,772
Eff. Oct 1997
13,234
1,701
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
314
2,764
314
1,345
17,839
183
15,600
9,960
94,441
297
17
2,286
17
522
374
3,286
374
2,331
14,530
431
10,337
12,291
108,971
149
7%
149
7%
2,752
84%
2,752
84%
1,730
14%
83,779
89%
94,116
86%
9,937
1,719
11,656
12%
1,236
12,892
12%
10,909
1,779
12,688
13%
1,322
14,010
13%
10,906
4,114
15,020
16%
2,421
17,441
16%
Neighborhood Health Providers
12,794
1,842
14,636
15%
1,825
16,461
15%
NYS Catholic Health Plan
10,246
2,370
12,616
13%
1,485
14,101
13%
0
0
0
0%
1
1
0%
13,387
3,776
17,163
18%
2,047
19,210
18%
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Sullivan
TOTALS:
7,684
87%
8,714
84%
Mandatory
Hudson Health Plan
5,432
777
6,209
70%
843
7,052
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,257
218
1,475
17%
187
1,662
16%
7,634
6,689
1,229
995
8,863
1,547
1,030
10,410
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Enrolled
Eligibles
Tioga
4,387
355
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,552
3,293
Mandatory
NYS Catholic Health Plan
Eff. Oct 2010
SCHC Total Care
651
68
1,169
649
355
5,038
423
423
8%
6,721
3,942
59%
68
8%
873
7
1,147
500
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,911
430
430
7%
7,868
4,442
56%
7
7%
295
117
412
3%
35
447
6%
2,998
532
3,530
53%
465
3,995
51%
Ulster
TOTALS:
12,530
85%
14,127
81%
Mandatory
Hudson Health Plan
2,925
627
3,552
24%
406
3,958
23%
Eff Mar 2007
MVP Health Plan
3,281
1,155
4,436
30%
576
5,012
29%
NYS Catholic Health Plan
1,622
319
1,941
13%
166
2,107
12%
Wellcare Of New York
2,385
216
2,601
18%
449
3,050
18%
1,602
32%
1,756
29%
1,602
32%
1,756
29%
4,690
82%
5,262
78%
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
11,986
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
4,344
5,018
6,629
58,261
Hudson Health Plan
NYS Catholic Health Plan 1199
TOTALS:
Voluntary
NYS Catholic Health Plan
Yates
Mandatory
Eff. Feb 2007
TOTALS:
Upstate Total
1,461
2,795
586
1,461
NYS Catholic Health Plan
Wyoming
10,213
4,137
4,930
141
671
553
5,689
2,557
1,028
1,597
154
17,338
5,958
154
1,029
572
6,718
1,586
234
1,820
32%
258
2,078
31%
319
2,870
50%
314
3,184
47%
3,982
4,461
60%
4,952
56%
3,592
395
3,987
54%
475
4,462
50%
390
84
474
6%
16
490
5%
62,797
87%
70,092
85%
50,750
813
13,526
479
12,047
7,442
71,787
1,477
10,469
491
7,295
8,919
82,256
8,905
2,513
11,418
16%
1,367
12,785
16%
3,951
1,569
5,520
8%
1,122
6,642
8%
29,297
5,158
34,455
48%
3,507
37,962
46%
8,595
2,807
11,402
16%
1,299
12,701
15%
2
34
1,926
1,656
0
368
11
281
266
34
652,111
2
0%
2,892
45
2%
45
2%
2,207
1,922
87%
1,922
87%
782,911
80%
11
1,656
813,677
141
14,781
2,551
2,524
Excellus Health Plan
2,317
266
162,527
130,800
976,204
0
481
5
319
240
2
0%
3,373
50
1%
50
1%
2,526
2,162
86%
2,162
86%
889,364
78%
5
240
164,268
106,453
1,140,472
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
SNA HR & MA-HR
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
144,795
7%
15,542
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
93,422
51,373
160,337
7%
Mandatory
Amerigroup
47,620
28,844
76,464
4%
5,205
81,669
4%
252
1,483
1,735
0%
1,289
3,024
0%
Amida Care SN
Fully
HealthFirst PHSP
240,138
90,803
330,941
16%
40,942
371,883
16%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
165,636
60,410
226,046
11%
17,502
243,548
11%
109,420
47,375
156,795
8%
20,598
177,393
8%
MetroPlus Health Plan
239,989
74,717
314,706
16%
31,230
345,936
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
1,025
1,754
2,779
0%
1,774
4,553
0%
107,667
33,307
140,974
7%
17,362
158,336
7%
335
1,622
1,957
0%
1,462
3,419
0%
130,450
77,012
207,462
10%
21,537
228,999
10%
1,118
330
1,448
0%
44
1,492
0%
105,276
49,913
155,189
8%
14,060
169,249
7%
45,293
2%
49,596
2%
1,412,873
1,268,886
595,358
537,698
2,008,231
1,806,584
90%
250,406
192,850
2,258,637
1,999,434
89%
813,677
652,111
162,527
130,800
976,204
782,911
80%
164,268
106,453
1,140,472
889,364
78%
NEW YORK CITY TOTALS:
1,412,873
1,268,886
595,358
537,698
2,008,231
1,806,584
90%
250,406
192,850
2,258,637
1,999,434
89%
GRAND TOTALS:
2,226,550
1,920,997
757,885
668,498
2,984,435
2,589,495
87%
414,674
299,303
3,399,109
2,888,798
85%
NYC Total
UPSTATE TOTALS:
26,538
18,755
4,303
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Percent
Eligibles
Enrolled
Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
364,239
312,346
112,582
95,491
476,821
407,837
86%
71,741
56,212
548,562
464,049
85%
Brooklyn
501,005
456,761
212,662
196,139
713,667
652,900
91%
79,228
62,276
792,895
715,176
90%
Manhattan
167,991
143,396
91,804
74,796
259,795
218,192
84%
43,295
30,415
303,090
248,607
82%
Queens
332,449
314,462
158,425
152,857
490,874
467,320
95%
46,175
36,567
537,049
503,887
94%
47,189
41,920
19,885
18,416
67,074
60,336
90%
9,967
7,380
77,041
67,715
88%
1,412,873
1,268,886
595,358
537,698
2,008,231
1,806,584
90%
250,406
192,850
2,258,637
1,999,434
89%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon November, 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 : Excellus Health Plan - Cayuga & Lewis Counties
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
County
Plan Name
Albany
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
Allegany
Broome
Cattaraugus
Cayuga
280
1,436
1,031
224
1,255
Wellcare Of New York
202
46
248
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
634
105
739
268
45
313
366
60
426
TOTALS:
Capital District Physicians
Health Plan
Excellus Health Plan
2,514
475
2,989
NYS Catholic Health Plan
362
68
430
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
918
187
1,105
154
29
183
426
84
510
Univera Community Health Inc
338
74
412
TOTALS:
834
136
970
1
1
2
516
95
611
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Cortland
Delaware
Dutchess
Erie
48
10
58
2,104
397
2,501
317
40
357
1,544
259
1,803
220
40
260
1,238
196
1,434
86
23
109
TOTALS:
1,025
172
1,197
Excellus Health Plan
1,025
172
1,197
TOTALS:
824
125
949
NYS Catholic Health Plan
824
125
949
1,049
204
1,253
TOTALS:
Excellus Health Plan
Columbia
Total Enrolled
1,156
Univera Community Health Inc
Clinton
Enrolled
2,939
United Healthcare Plan Of NY
Chenango
Enrolled
550
NYS Catholic Health Plan
Chemung
ADULTS
WITHOUT
CHILDREN
2,389
Excellus Health Plan
Chautauqua
ADULTS
WITH
CHILDREN
9
2
11
NYS Catholic Health Plan
1,040
202
1,242
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
593
89
682
166
34
200
427
55
482
TOTALS:
716
117
833
NYS Catholic Health Plan
573
95
668
SCHC Total Care
143
22
165
TOTALS:
598
82
680
NYS Catholic Health Plan
598
82
680
2,269
343
2,612
TOTALS:
Hudson Health Plan
690
85
775
MVP Health Plan
882
138
1,020
NYS Catholic Health Plan
440
85
525
Wellcare Of New York
257
35
292
10,099
1,960
12,059
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,412
909
5,321
1,520
212
1,732
2,006
469
2,475
NYS Catholic Health Plan
2,161
370
2,531
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Lewis
Madison
Monroe
2
NYS Catholic Health Plan
551
90
641
TOTALS:
502
95
597
0
1
1
NYS Catholic Health Plan
502
94
596
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
913
173
1,086
169
37
206
744
136
880
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
666
99
765
374
45
419
169
38
207
NYS Catholic Health Plan
123
16
139
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
555
64
619
166
22
188
389
42
431
TOTALS:
77
13
90
NYS Catholic Health Plan
77
13
90
1,180
164
1,344
TOTALS:
Nassau
Niagara
643
Excellus Health Plan
167
11
178
NYS Catholic Health Plan
986
151
1,137
27
2
29
TOTALS:
1,386
231
1,617
Excellus Health Plan
1,386
231
1,617
316
46
362
59
11
70
NYS Catholic Health Plan
257
35
292
TOTALS:
548
64
612
Excellus Health Plan
434
49
483
NYS Catholic Health Plan
26
3
29
MVP Health Plan
88
12
100
TOTALS:
896
108
1,004
Excellus Health Plan
219
26
245
NYS Catholic Health Plan
284
36
320
United Healthcare Plan Of NY
393
46
439
TOTALS:
6,843
1,224
8,067
Excellus Health Plan
4,744
703
5,447
NYS Catholic Health Plan
1,486
383
1,869
613
138
751
1,023
109
1,132
302
22
324
721
87
808
13,364
2,124
15,488
Affinity Health Plan
2,157
319
2,476
HealthFirst PHSP
2,575
348
2,923
HealthPlus
Health Insurance Plan of
Greater New York
NYS Catholic Health Plan
1,015
202
1,217
1,889
311
2,200
2,923
556
3,479
United Healthcare Plan Of NY
2,805
388
3,193
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,581
519
3,100
990
201
1,191
1,591
318
1,909
TOTALS:
MVP Health Plan
Montgomery
Total Enrolled
1
Excellus Health Plan
Livingston
Enrolled
1
United Healthcare Plan Of NY
Jefferson
Enrolled
91
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
552
Excellus Health Plan
Franklin
ADULTS
WITH
CHILDREN
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
County
Plan Name
Oneida
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Oswego
3,826
594
2,354
295
2,649
506
77
583
4,692
744
5,436
738
SCHC Total Care
1,678
1,424
254
United Healthcare Plan Of NY
752
122
874
TOTALS:
938
169
1,107
Excellus Health Plan
859
157
1,016
71
9
80
8
3
11
TOTALS:
3,814
518
4,332
Affinity Health Plan
1,578
222
1,800
Hudson Health Plan
1,111
148
1,259
NYS Catholic Health Plan
929
125
1,054
Wellcare Of New York
196
23
219
TOTALS:
652
92
744
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
205
35
240
103
18
121
344
39
383
2,212
310
2,522
TOTALS:
9
1
10
638
80
718
1,217
178
1,395
United Healthcare Plan Of NY
348
51
399
TOTALS:
828
124
952
Excellus Health Plan
285
34
319
NYS Catholic Health Plan
543
90
633
TOTALS:
445
75
520
NYS Catholic Health Plan
445
75
520
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
1,412
340
1,752
637
146
783
650
155
805
125
39
164
4,435
573
5,008
Affinity Health Plan
592
132
724
Hudson Health Plan
948
129
1,077
2,695
288
2,983
200
24
224
TOTALS:
1,289
224
1,513
Excellus Health Plan
1,289
224
1,513
TOTALS:
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
97
2,146
Wellcare Of New York
Rockland
497
88
SCHC Total Care
Rensselaer
Total Enrolled
469
280
NYS Catholic Health Plan
Putnam
Enrolled
3,357
650
Excellus Health Plan
Otsego
Enrolled
1,866
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 JANUARY, 2011
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
1,872
270
646
116
762
1,226
154
1,380
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
1,574
231
1,805
501
77
578
1,073
154
1,227
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
461
74
535
182
27
209
279
47
326
TOTALS:
259
59
318
Excellus Health Plan
259
59
318
TOTALS:
371
68
439
Excellus Health Plan
371
68
439
1,104
165
1,269
Schenectady
Schoharie
Schuyler
Seneca
Steuben
TOTALS:
GHI
Suffolk
Tioga
Tompkins
Ulster
Warren
Washington
2,142
1,104
165
1,269
15,504
2,146
17,650
Affinity Health Plan
2,590
321
2,911
HealthFirst PHSP
Health Insurance Plan of
Greater New York
Neighborhood Health Providers
2,272
273
2,545
2,345
390
2,735
1,139
152
1,291
NYS Catholic Health Plan
3,361
533
3,894
1
0
1
United Healthcare Plan Of NY
3,796
477
4,273
TOTALS:
TOTALS:
NYS Catholic Health Plan 1199
Sullivan
Total Enrolled
1,186
143
1,329
Hudson Health Plan
925
95
1,020
NYS Catholic Health Plan
261
48
309
TOTALS:
Capital District Physicians
Health Plan
TOTALS:
502
86
588
502
86
588
654
124
778
SCHC Total Care
499
91
590
NYS Catholic Health Plan
155
33
188
2,010
382
2,392
Hudson Health Plan
567
113
680
MVP Health Plan
790
158
948
NYS Catholic Health Plan
324
64
388
Wellcare Of New York
329
47
376
TOTALS:
733
85
818
NYS Catholic Health Plan
733
85
818
TOTALS:
Capital District Physicians
Health Plan
NYS Catholic Health Plan
705
97
802
123
22
145
582
75
657
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JANUARY, 2011
County
Plan Name
Wayne
TOTALS:
Westchester
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
118
1,141
Excellus Health Plan
816
84
900
NYS Catholic Health Plan
207
34
241
TOTALS:
8,920
1,741
10,661
Affinity Health Plan
Health Insurance Plan of
Greater New York
Hudson Health Plan
1,667
376
2,043
810
164
974
4,529
716
5,245
NYS Catholic Health Plan
1,913
485
2,398
1
0
1
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
409
59
468
373
51
424
36
8
44
TOTALS:
422
42
464
NYS Catholic Health Plan 1199
Wyoming
Yates
Excellus Health Plan
422
42
464
119,191
19,456
138,647
Affinity Health Plan
14,789
7,551
22,340
Amerigroup
11,653
5,359
17,012
HealthFirst PHSP
Health Insurance Plan of
Greater New York
HealthPlus
27,901
10,353
38,254
18,151
5,397
23,548
25,402
7,431
32,833
MetroPlus Health Plan
26,789
7,801
34,590
Neighborhood Health Providers
13,505
3,893
17,398
NYS Catholic Health Plan
25,279
11,951
37,230
1,341
109
1,450
19,242
6,029
25,271
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
County
Total Enrolled
1,023
5,650
3,043
8,693
189,702
68,917
258,619
UPSTATE TOTALS:
119,191
19,456
138,647
NEW YORK CITY TOTALS:
189,702
68,917
258,619
GRAND TOTALS
308,893
88,373
397,266
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,347
9,267
40,614
Brooklyn
65,282
23,468
88,750
Manhattan
18,275
9,594
27,869
Queens
67,064
24,388
91,452
7,734
2,200
9,934
189,702
68,917
258,619
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 : Excellus Health Plan - Cayuga, Jefferson, &
Lewis Counties
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS JANUARY, 2011
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
ELDERPLAN
NEW YORK
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
117
117
44
44
9
2,320
63
164
2,556
2
107
109
275
275
1
398
1
400
3
55
58
3,559
924
924
1,843
31
1,874
114
34
148
3,545
3,545
9
240
7
256
204
184
388
475
5,389
379
6,243
950
950
35
35
1,645
1,645
2,535
2,535
51
335
386
137
137
8,751
8,751
1,226
1,226
29,043
32,602
(1) The source of plan enrollment counts is the primary and secondary roster reports which reflect
enrollees as of the first of the month.
(2) New plans added this month : New York City - Elderplan
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JANUARY, 2011
County
Plan Name
Albany
TOTAL
Fidelis
Senior Whole Health
Broome
TOTAL
Touchstone/Prestige
Columbia
TOTAL
Senior Whole Health
Dutchess
TOTAL
Fidelis
Senior Whole Health
Greene
TOTAL
Fidelis
Senior Whole Health
Herkimer
TOTAL
Fidelis
Montgomery
TOTAL
Fidelis
Senior Whole Health
Nassau
TOTAL
GHI
Health Insurance Plan of Greater
New York
Liberty Health Advantage
Oneida
TOTAL
Fidelis
Onondaga
TOTAL
Fidelis
Touchstone/Prestige
Orange
TOTAL
GHI
Senior Whole Health
Touchstone/Prestige
Oswego
TOTAL
Fidelis
Rensselaer
TOTAL
Fidelis
Senior Whole Health
Rockland
TOTAL
GHI
Saratoga
TOTAL
Senior Whole Health
Schenectady
TOTAL
Fidelis
Senior Whole Health
Total Enrolled
201
10
191
11
11
13
13
33
4
29
3
1
2
3
3
10
1
9
175
23
133
19
12
12
17
5
12
56
10
29
17
4
4
73
9
64
43
43
29
29
78
11
67
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JANUARY, 2011
County
Plan Name
Suffolk
TOTAL
GHI
Health Insurance Plan of Greater
New York
Ulster
TOTAL
Fidelis
GHI
Senior Whole Health
Warren
TOTAL
Senior Whole Health
Washington
TOTAL
Senior Whole Health
Westchester
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
85
11
74
105
4
7
94
26
26
2
2
52
36
10
6
1,031
198
653
690
1,508
445
82
74
1,302
4,952
1,031
4,952
5,983
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 JANUARY, 2011
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
81
7
74
6
6
8
8
1
1
1
1
7
7
52
6
46
7
7
29
1
28
62
62
2
2
1
1
257
14
422
301
75
24
53
61
950
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
257
950
1,207
County
Albany
Columbia
Dutchess
Greene
Montgomery
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Warren
Washington
Plan Name
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
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
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 : Montgomery County - NYS
Catholic Health Plan & Washington County - Senior Whole Health