RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
TANF ADC & MA-ADC
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
12,401
2,635
15,036
61%
Eff. Oct 1997
NYS Catholic Health Plan
4,094
1,108
5,202
21%
Wellcare Of New York
1,297
213
1,510
6%
3,959
84%
TOTALS:
Mandatory
NYS Catholic Health Plan
HealthNow/BCBSWNY/Community Blue
Eff Feb 2007
19,967
3,968
Mandatory
TOTALS:
Capital District Physicians
Health Plan
18,401
Eff. May 1998 Excellus Health Plan
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
7,080
4,733
780
Percent
Enrolled
25,007
86%
2,314
17,350
60%
595
5,797
20%
350
1,860
6%
4,426
80%
467
5,513
1
0
1
0%
0
1
0%
2,029
383
2,412
10%
327
2,739
50%
15,883
220
4,134
3,600
22,535
1,546
6%
19,483
86%
140
4,160
3,074
26,695
1,686
31%
22,557
84%
282
36
318
1%
93
411
2%
13,281
3,031
16,312
72%
2,453
18,765
70%
2,853
13%
3,381
13%
6,964
86%
8,146
86%
6,017
533
1,053
947
8,133
528
1,388
1,182
9,521
34%
726
3,496
37%
NYS Catholic Health Plan
2,243
311
2,554
31%
312
2,866
30%
Univera Community Health
1,353
287
1,640
20%
144
1,784
19%
2,807
35%
2,956
32%
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
6,872
United Healthcare Plan Of NY
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
14,647
TOTALS:
(Partial)
9,855
Southern Tier Priority (Partial)
TOTALS:
5,615
TOTALS:
Voluntary
NYS Catholic Health Plan
1,217
7,003
454
8,089
1,275
149
9,364
63
10
73
1%
5
78
1%
1,846
324
2,170
27%
110
2,280
24%
444
120
564
7%
34
598
6%
15,976
89%
18,465
89%
13,051
3,312
2,925
17,959
2,840
2,489
20,799
2,770
554
3,324
19%
701
4,025
19%
9,966
2,183
12,149
68%
1,679
13,828
66%
6,502
188
1,569
959
11,424
503
3%
7,461
65%
109
2,205
1,476
13,629
612
3%
8,937
66%
3,626
0
3,626
32%
291
3,917
29%
2,876
959
3,835
34%
1,185
5,020
37%
402
6%
419
5%
419
5%
2,017
19%
2,017
19%
339
941
1,395
1,395
63
6,556
1,559
455
455
1,186
402
63
339
NYS Catholic Health Plan
Clinton
2,353
315
Univera Community Health
Chenango
Voluntary
603
28,940
Total
Enrolled
2,770
Mandatory
Voluntary
3,956
Total
Eligibles
349
TOTALS:
Chemung
765
Enrolled
2,421
Cayuga
Chautauqua
3,356
4,578
2,320
NYS Catholic Health Plan
Cattaraugus
17,792
Eligibles
1,326
Univera Community Health
Broome
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
4,395
89%
24,545
21,748
3,259
County
Allegany
Eligibles
SNA HR & MA-HR
8,562
17
7,742
17
1,850
22%
1,850
22%
1,797
167
167
10,359
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
TANF ADC & MA-ADC
Percent
Enrolled
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Cortland
TOTALS:
Mandatory
NYS Catholic Health Plan
3,120
587
Eff May 2007
SCHC Total Care
1,128
176
Delaware
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
4,251
735
4,986
29%
607
5,593
27%
Eff. Apr 2007
MVP Health Plan
4,345
1,119
5,464
32%
728
6,192
30%
NYS Catholic Health Plan
1,821
566
2,387
14%
294
2,681
13%
Wellcare Of New York
1,678
188
1,866
11%
290
2,156
11%
88,879
89%
103,876
88%
14,150
14%
16,204
14%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
5,062
3,998
874
81,322
4,861
4,000
82%
942
617
5,803
4,617
80%
1,932
377
2,309
48%
467
2,776
48%
368
1,691
35%
150
1,841
32%
5,011
84%
5,586
83%
3,707
62%
399
4,106
61%
1,304
22%
176
1,480
22%
335
7%
341
6%
4,248
249
918
863
12,095
72,544
763
86
5,980
4,861
86
3,055
18,390
11,917
Eff. May 1998 Association
745
1,323
249
14,131
Enrolled
Total
Enrolled
Columbia
3,255
Eligibles
Total
Eligibles
Plan Name
3,987
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
County
Erie
Eligibles
SNA HR & MA-HR
2,608
16,335
773
749
335
17,186
99,712
2,233
14,703
575
6
6,753
5,610
6
86%
3,234
18,504
1,919
14,997
20,420
118,216
2,054
341
6%
16,622
81%
21,002
4,119
25,121
25%
4,570
29,691
25%
NYS Catholic Health Plan
17,851
2,704
20,555
21%
2,938
23,493
20%
Univera Community Health
21,407
5,554
26,961
27%
2,723
29,684
25%
Total Full Risk
p
72,177
14,610
86,787
87%
12,285
99,072
84%
(Partial)
367
1,725
2,092
2%
2,712
4,804
4%
Total Partial Risk
367
1,725
2,092
2%
2,712
4,804
4%
1,359
44%
1,397
38%
1,359
44%
1,397
38%
62
1%
62
1%
6,544
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
2,536
NYS Catholic Health Plan
1,057
541
1,057
4,290
47
5,464
3,077
302
873
47
6,281
302
15
5,163
15
1,212
1,080
7,493
632
38
3,709
38
1,126
5
6,289
5
1,264
716
8,757
67
1%
67
1%
7,260
83%
1,025
211
1,236
16%
182
1,418
16%
4,439
869
5,308
71%
534
5,842
67%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,762
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
3,840
Enrolled
3,433
641
44%
1,915
38%
267
59
326
7%
33
359
7%
4,155
87%
4,810
85%
3,362
921
869
655
5,630
317
2,205
46%
436
2,641
47%
476
1,950
41%
219
2,169
39%
293
188
64%
33
3
326
191
59%
191
59%
7,279
6,196
85%
1,080
668
8,359
6,864
82%
56
36
1,191
1,038
36
188
3
772
153
925
13%
162
1,087
13%
4,352
876
5,228
72%
496
5,724
68%
34
9
43
1%
10
53
1%
2,219
25
295
0
10,785
0
0%
1,966
0
12,751
0
0%
4
2,514
457
1
2,971
30
1%
29
1%
4
0
4
0%
0
4
0%
21
4
25
1%
1
26
1%
3,158
810
2,217
5,211
4,761
1,888
TOTALS:
TOTALS:
793
1,474
Excellus Health Plan
Madison
89%
2,225
Voluntary
NYS Catholic Health Plan
4,499
271
1,490
MVP Health Plan
5,063
195
152
3,747
499
37%
0
TOTALS:
660
46%
9,295
Excellus Health Plan
91%
1,644
TOTALS:
Mandatory
Eff. Apr 2002
4,000
Percent
Enrolled
2,030
Lewis
Livingston
4,403
Total
Enrolled
218
5,158
NYS Catholic Health Plan
567
Total
Eligibles
290
6,088
United Healthcare Plan Of NY
Enrolled
1,426
152
NYS Catholic Health Plan
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
1,740
237
Eff. May 2003 NYS Catholic Health Plan
Jefferson
Voluntary
SNA HR & MA-HR
654
4,557
454
3,812
84%
2,671
59%
771
564
5,328
372
4,376
82%
3,043
57%
37
15
52
1%
0
52
1%
904
185
1,089
24%
192
1,281
24%
2,427
39%
2,605
37%
2,020
958
407
6,169
932
178
7,101
Mandatory
Excellus Health Plan
902
160
1,062
17%
79
1,141
16%
Eff. Oct 2010
NYS Catholic Health Plan
849
202
1,051
17%
91
1,142
16%
United Healthcare Plan Of NY
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
269
65,821
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff Apr 2007
NYS Catholic Health Plan
6,554
59,404
45
13,284
11,486
79,105
314
5%
70,890
90%
8
15,483
11,686
94,588
322
5%
82,576
87%
40,943
5,914
46,857
59%
7,937
54,794
58%
6,772
3,923
10,695
14%
1,180
11,875
13%
11,689
1,649
13,338
17%
2,569
15,907
17%
6,699
89%
7,405
85%
5,839
1,002
860
7,556
1,118
706
8,674
2,640
306
2,946
39%
360
3,306
38%
3,199
554
3,753
50%
346
4,099
47%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
60,474
Enrolled Eligibles
53,796
16,394
Enrolled
Total
Eligibles
Percent
Enrolled
77,278
86%
10,298
13%
1,075
11,373
13%
11,343
2,648
13,991
18%
1,315
15,306
17%
HealthPlus
Health Insurance Plan of
Greater New York
4,501
1,786
6,287
8%
841
7,128
8%
8,629
3,347
11,976
16%
2,462
14,438
16%
NYS Catholic Health Plan
10,561
2,306
12,867
17%
1,407
14,274
16%
4
1
5
0%
0
5
0%
United Healthcare Plan Of NY
10,246
17%
1,672
16%
29%
6,393
30%
827
7,220
1,011
5,685
27%
1,298
6,983
28%
NYS Catholic Health Plan
5,940
1,703
7,643
36%
816
8,459
34%
Eff Sep 2001
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
24,554
87%
28,715
85%
3,505
727
4,232
15%
752
4,984
15%
15,201
2,196
17,397
62%
2,925
20,322
60%
2,478
39,206
34,981
3,370
28,089
447
6,732
5,846
45,938
2,925
10%
40,827
89%
5,502
4,161
24,723
92%
1,288
3,833
2,941
14,754
4,674
21,184
3,484
22,662
5,105
24,256
21,239
93%
Association
TOTALS:
4,002
13,082
Eff Sep 1998
Excellus Health Plan
4,319
19,721
Mandatory
Oneida
15,719
2,836
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
Mandatory
16,920
89,566
Total
Enrolled
1,786
NYS Catholic Health Plan 1199
14,710
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
76,868
68,506
89%
12,698
8,772
8,512
Eff. June 2001 HealthFirst PHSP
Niagara
SNA HR & MA-HR
33,591
484
8,744
7,352
54,682
3,409
10%
48,179
88%
5,159
814
5,973
13%
974
6,947
13%
NYS Catholic Health Plan
10,619
1,769
12,388
27%
1,848
14,236
26%
SCHC Total Care
14,834
2,576
17,410
38%
3,630
21,040
38%
4,369
687
5,056
11%
900
5,956
11%
6,520
86%
7,451
83%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
6,578
NYS Catholic Health Plan
5,665
1,023
7,601
1,342
931
8,943
4,984
739
5,723
75%
784
6,507
73%
663
100
763
10%
142
905
10%
18
37,823
855
32,590
16
4,703
3,935
42,526
34
0%
36,525
86%
5
4,564
3,001
47,090
39
0%
39,526
84%
Mandatory
Affinity Health Plan
10,655
1,695
12,350
29%
1,350
13,700
29%
Eff. Mar 2007
Hudson Health Plan
7,244
1,338
8,582
20%
979
9,561
20%
13,504
679
14,183
33%
403
14,586
31%
1,187
223
1,410
3%
269
1,679
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 FEBRUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,840
Mandatory
Excellus Health Plan
HealthNow/BCBSEff. June 2003 WNY/Community Blue
Oswego
TOTALS:
Excellus Health Plan
958
863
4,798
265
4,395
92%
1,671
35%
606
419
Total
Eligibles
5,404
179
Total
Enrolled
Percent
Enrolled
4,814
89%
1,850
34%
772
219
991
21%
129
1,120
21%
1,354
379
1,733
36%
111
1,844
34%
16,107
88%
14,110
88%
187
1%
37
224
1%
NYS Catholic Health Plan
3,531
596
4,127
26%
494
4,621
25%
SCHC Total Care
6,332
1,183
7,515
47%
1,153
8,668
47%
United Healthcare Plan Of NY
1,996
285
2,281
14%
313
2,594
14%
4,494
85%
4,858
77%
3,077
58%
3,326
53%
1,532
24%
2,209
75%
Mandatory
Excellus Health Plan
Eff May 2007
NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
13,636
Enrolled
13
TOTALS:
Eff. Oct 1997
3,532
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
174
Otsego
Mandatory
Enrolled
1,406
NYS Catholic Health Plan
Mandatory
Eff. Apr 1999
SNA HR & MA-HR
4,382
12,033
3,666
2,343
928
2,565
12,662
NYS Catholic Health Plan
Wellcare Of New York
1,570
5,310
316
429
375
2,299
1,417
9%
1,945
85%
364
18,355
6,297
249
115
644
264
2,943
120
5%
42
162
6%
1,477
348
1,825
79%
222
2,047
70%
14,021
90%
15,977
88%
11,368
2,926
2,653
15,588
2,613
1,956
18,201
8,140
1,742
9,882
63%
1,417
11,299
62%
2,656
728
3,384
22%
383
3,767
21%
38,790
183
4,225
3,955
43,895
755
5%
42,745
97%
911
5%
44,896
96%
570
4,618
10%
510
7,398
16%
67%
899
30,305
65%
5%
172
2,575
5%
2
0%
TOTALS:
Mandatory
Affinity Health Plan
2,972
1,076
4,048
9%
Eff. Mar 2001
Hudson Health Plan
6,043
845
6,888
16%
27,602
1,804
29,406
2,173
230
2,403
1
0%
Wellcare Of New York
987
1,997
27
Rockland
NYS Catholic Health Plan
2,376
93
572
39,670
828
15,979
512
1,101
1,870
2,077
156
2,961
2,151
46,856
St Lawrence
TOTALS:
Voluntary
Excellus Health Plan
0
0
0
0%
1
1
0%
NYS Catholic Health Plan
1
0
1
0%
0
1
0%
10,603
1
1,887
0
12,490
2,776
1
15,266
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eligibles
9,247
SNA HR & MA-HR
Enrolled
8,482
Eligibles
1,728
Enrolled
1,589
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
10,975
10,071
92%
1,933
1,367
Total
Eligibles
12,908
Total
Enrolled
Percent
Enrolled
11,438
89%
5,674
1,083
6,757
62%
1,049
7,806
60%
2,808
506
3,314
30%
318
3,632
28%
13,101
84%
15,199
80%
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:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
(Partial)
260
0
260
3%
26
286
2%
Southern Tier Priority (Partial)
831
182
1,013
10%
402
1,415
11%
13,315
2,361
1,698
Suffolk
TOTALS:
Affinity Health Plan
2,253
2,421
77,233
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of
Greater New York
15,568
3,492
2,098
19,060
999
6,950
45%
1,380
8,330
44%
5,233
918
6,151
40%
718
6,869
36%
1,322
47%
1,390
43%
1,119
451
203
2,812
411
68
3,223
675
141
816
29%
58
874
27%
444
62
506
18%
10
516
16%
150
7%
92
324
2,140
1,091
68,858
42
2,022
42
359
2,140
8,687
1,917
5,951
92
Excellus Health Plan
Mandatory
11,184
326
2,780
326
1,372
18,126
182
15,911
10,059
95,359
134
7%
134
7%
2,466
89%
2,466
89%
1,273
13%
280
16
2,302
16
532
386
3,312
386
2,342
14,526
428
10,335
12,401
109,885
150
7%
2,852
86%
2,852
86%
1,701
14%
84,769
89%
95,104
87%
10,141
1,758
11,899
12%
1,239
13,138
12%
11,015
1,789
12,804
13%
1,326
14,130
13%
16%
10,622
4,095
14,717
15%
2,353
17,070
Neighborhood Health Providers
12,899
1,892
14,791
16%
1,844
16,635
15%
NYS Catholic Health Plan
10,480
2,456
12,936
14%
1,508
14,444
13%
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
0
0
0
0%
1
1
0%
13,701
3,921
17,622
18%
2,064
19,686
18%
Sullivan
TOTALS:
7,757
87%
8,780
84%
Mandatory
Hudson Health Plan
5,471
809
6,280
70%
835
7,115
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,256
221
1,477
17%
188
1,665
16%
7,668
6,727
1,248
1,030
8,916
1,546
1,023
10,462
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
TANF ADC & MA-ADC
Eligibles
SNA HR & MA-HR
County
Plan Name
Enrolled
Tioga
4,402
347
Voluntary
TOTALS:
Capital District Physicians
Health Plan
Tompkins
TOTALS:
5,600
3,552
Mandatory
NYS Catholic Health Plan
Eff. Oct 2010
SCHC Total Care
Eligibles
657
69
1,183
709
347
5,059
416
416
8%
6,783
4,261
63%
69
8%
863
9
1,166
518
Total
Eligibles
Total
Enrolled
Percent
Enrolled
5,922
425
425
7%
7,949
4,779
60%
9
7%
369
133
502
3%
38
540
7%
3,183
576
3,759
55%
480
4,239
53%
Ulster
TOTALS:
12,738
86%
14,350
82%
Mandatory
Hudson Health Plan
2,978
646
3,624
24%
417
4,041
23%
Eff Mar 2007
MVP Health Plan
3,306
1,181
4,487
30%
577
5,064
29%
NYS Catholic Health Plan
1,642
348
1,990
13%
171
2,161
12%
Wellcare Of New York
2,421
216
2,637
18%
447
3,084
18%
1,643
33%
1,792
30%
1,643
33%
1,792
30%
4,717
84%
5,307
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
12,051
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
4,388
4,988
6,565
58,557
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
1,497
2,817
607
1,497
Hudson Health Plan
Wyoming
10,347
4,179
146
14,868
4,995
146
651
538
5,639
2,549
1,027
1,612
149
17,417
6,022
149
1,032
590
6,671
1,614
224
1,838
33%
272
2,110
32%
2,565
314
2,879
51%
318
3,197
48%
4,291
4,813
65%
5,347
60%
3,835
431
4,266
58%
514
4,780
54%
456
91
547
7%
20
567
6%
63,218
87%
70,549
85%
51,009
814
13,755
522
12,209
7,379
72,312
1,477
10,490
534
7,331
8,856
82,802
8,987
2,574
11,561
16%
1,377
12,938
16%
3,961
1,586
5,547
8%
1,128
6,675
8%
29,332
5,188
34,520
48%
3,513
38,033
46%
8,727
2,861
11,588
16%
1,313
12,901
16%
2
0
2
0%
0
2
0%
2,902
62
2%
3,374
66
2%
62
2%
66
2%
2,203
1,936
88%
2,517
2,180
87%
1,936
88%
2,180
87%
793,000
81%
900,135
79%
2,522
45
1,920
1,663
380
17
283
273
45
17
1,663
817,332
2,391
659,716
273
164,210
133,284
981,542
472
4
314
244
4
244
164,368
107,135
1,145,910
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
TANF ADC & MA-ADC
County
Plan Name
NYC
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
Amida Care SN
SNA HR & MA-HR
Enrolled Eligibles
93,159
Enrolled
51,793
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
144,952
7%
15,591
Total
Eligibles
Total
Enrolled
Percent
Enrolled
160,543
7%
47,593
29,086
76,679
4%
5,219
81,898
4%
265
1,656
1,921
0%
1,415
3,336
0%
Fully
HealthFirst PHSP
241,515
92,095
333,610
17%
41,257
374,867
17%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
166,087
60,650
226,737
11%
17,643
244,380
11%
108,371
47,354
155,725
8%
20,549
176,274
8%
MetroPlus Health Plan
240,125
75,568
315,693
16%
31,471
347,164
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
1,058
1,834
2,892
0%
1,869
4,761
0%
107,464
33,183
140,647
7%
17,283
157,930
7%
402
1,962
2,364
0%
1,822
4,186
0%
131,068
78,088
209,156
10%
21,808
230,964
10%
1,094
317
1,411
0%
42
1,453
0%
105,823
50,641
156,464
8%
14,097
170,561
8%
45,123
2%
49,368
2%
1,411,961
1,270,489
600,077
542,885
2,012,038
1,813,374
90%
250,318
194,311
2,262,356
2,007,685
89%
817,332
659,716
164,210
133,284
981,542
793,000
81%
164,368
107,135
1,145,910
900,135
79%
NEW YORK CITY TOTALS:
1,411,961
1,270,489
600,077
542,885
2,012,038
1,813,374
90%
250,318
194,311
2,262,356
2,007,685
89%
GRAND TOTALS:
2,229,293
1,930,205
764,287
676,169
2,993,580
2,606,374
87%
414,686
301,446
3,408,266
2,907,820
85%
NYC Total
UPSTATE TOTALS:
26,465
18,658
4,245
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
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
364,004
312,995
113,475
96,626
477,479
409,622
86%
71,716
56,967
549,195
466,589
85%
Brooklyn
500,681
457,316
214,348
198,294
715,029
655,610
92%
79,201
62,976
794,230
718,586
90%
Manhattan
167,882
143,465
92,532
75,202
260,414
218,667
84%
43,280
30,255
303,694
248,922
82%
Queens
332,234
314,714
159,680
154,126
491,914
468,840
95%
46,159
36,676
538,073
505,515
94%
47,160
41,999
20,042
18,636
67,202
60,635
90%
9,962
7,437
77,164
68,072
88%
1,411,961
1,270,489
600,077
542,885
2,012,038
1,813,374
90%
250,318
194,311
2,262,356
2,007,685
89%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon December, 2010 total eligibles adjusted for excluded populations. The counts include recipients who are
exempt
from mandatory
enrollment.
(Seewas
about
statement
for2003
further
(2)
The source
of plan enrollment
counts
revised
in July,
to details)
be based on the primary and secondary roster reports. The roster reports reflect
month. (See about statement for further details)
enrollees
as of the
the to the nearest whole number.
(3)
All percents
arefirst
rounded
(4) New plans added this month : NYS Catholic Health Plan - Allegany & St Lawrence Counties, Excellus Health Plan - St Lawrence County
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
County
Plan Name
Albany
TOTALS:
2,439
541
2,980
Capital District Physicians Health
Plan
1,171
276
1,447
NYS Catholic Health Plan
1,063
223
1,286
Wellcare Of New York
205
42
247
TOTALS:
629
102
731
HealthNow/BCBSWNY/Community Blue
256
44
300
Univera Community Health Inc
373
58
431
2,539
481
3,020
Allegany
Broome
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
Cattaraugus
Cayuga
74
452
930
180
1,110
HealthNow/BCBSWNY/Community Blue
153
28
181
NYS Catholic Health Plan
427
72
499
Univera Community Health Inc
350
80
430
TOTALS:
835
125
960
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
Clinton
Delaware
Erie
23
598
303
36
339
1,555
265
1,820
226
41
267
1,241
199
1,440
88
25
113
168
1,166
Excellus Health Plan
998
168
1,166
TOTALS:
821
128
949
NYS Catholic Health Plan
821
128
949
1,069
205
1,274
9
2
11
1,060
203
1,263
TOTALS:
602
97
699
Capital District Physicians Health
Plan
171
37
208
NYS Catholic Health Plan
431
60
491
TOTALS:
716
114
830
NYS Catholic Health Plan
577
97
674
SCHC Total Care
139
17
156
TOTALS:
599
94
693
TOTALS:
NYS Catholic Health Plan
Dutchess
2
87
998
NYS Catholic Health Plan
Cortland
21
511
TOTALS:
Excellus Health Plan
Columbia
59
2,509
378
United Healthcare Plan Of NY
Chenango
10
397
NYS Catholic Health Plan
NYS Catholic Health Plan
Chemung
49
2,112
TOTALS:
Excellus Health Plan
Chautauqua
Total Enrolled
TOTALS:
599
94
693
2,313
364
2,677
Hudson Health Plan
696
89
785
MVP Health Plan
886
149
1,035
NYS Catholic Health Plan
465
92
557
Wellcare Of New York
266
34
300
10,335
1,996
12,331
Univera Community Health Inc
4,442
915
5,357
HealthNow/BCBSWNY/Community Blue
1,559
221
1,780
Independent Health
2,096
485
2,581
NYS Catholic Health Plan
2,238
375
2,613
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
2
NYS Catholic Health Plan
556
88
644
TOTALS:
518
99
617
0
1
1
518
98
616
TOTALS:
910
166
1,076
Capital District Physicians Health
Plan
169
33
202
NYS Catholic Health Plan
741
133
874
TOTALS:
671
102
773
HealthNow/BCBSWNY/Community Blue
380
47
427
MVP Health Plan
156
37
193
NYS Catholic Health Plan
135
18
153
TOTALS:
556
61
617
Capital District Physicians Health
Plan
166
18
184
NYS Catholic Health Plan
390
43
433
75
14
89
TOTALS:
TOTALS:
United Healthcare Plan Of NY
Madison
Monroe
Nassau
14
89
166
1,378
177
12
189
1,008
154
1,162
27
0
27
1,445
248
1,693
Excellus Health Plan
1,445
248
1,693
325
42
367
TOTALS:
75
10
85
NYS Catholic Health Plan
250
32
282
TOTALS:
553
65
618
Excellus Health Plan
448
49
497
NYS Catholic Health Plan
27
3
30
MVP Health Plan
78
13
91
TOTALS:
902
113
1,015
Excellus Health Plan
238
33
271
NYS Catholic Health Plan
284
42
326
United Healthcare Plan Of NY
380
38
418
TOTALS:
6,913
1,241
8,154
Excellus Health Plan
4,816
707
5,523
NYS Catholic Health Plan
1,491
399
1,890
606
135
741
1,034
109
1,143
Capital District Physicians Health
Plan
298
21
319
NYS Catholic Health Plan
736
88
824
MVP Health Plan
Montgomery
75
1,212
TOTALS:
Excellus Health Plan
Livingston
646
NYS Catholic Health Plan
NYS Catholic Health Plan
Lewis
Total Enrolled
1
Excellus Health Plan
Jefferson
Enrolled
1
NYS Catholic Health Plan
Herkimer
Enrolled
89
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
557
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
TOTALS:
TOTALS:
13,649
2,145
15,794
Affinity Health Plan
2,190
314
2,504
HealthFirst PHSP
2,610
351
2,961
HealthPlus
1,032
220
1,252
Health Insurance Plan of Greater
New York
1,941
315
2,256
NYS Catholic Health Plan
3,011
554
3,565
United Healthcare Plan Of NY
2,865
391
3,256
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBSWNY/Community Blue
Oneida
1,181
1,878
TOTALS:
3,390
485
3,875
494
98
592
2,385
310
2,695
TOTALS:
511
77
588
4,763
735
5,498
662
94
756
NYS Catholic Health Plan
1,889
275
2,164
SCHC Total Care
1,713
1,465
248
United Healthcare Plan Of NY
747
118
865
TOTALS:
934
160
1,094
Excellus Health Plan
856
146
1,002
MVP Health Plan
67
9
76
NYS Catholic Health Plan
11
5
16
TOTALS:
3,838
529
4,367
Affinity Health Plan
1,580
233
1,813
Hudson Health Plan
1,140
151
1,291
NYS Catholic Health Plan
921
121
1,042
Wellcare Of New York
197
24
221
TOTALS:
660
99
759
Excellus Health Plan
204
34
238
HealthNow/BCBSWNY/Community Blue
104
20
124
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
Otsego
3,059
313
NYS Catholic Health Plan
Oswego
Total Enrolled
509
196
Excellus Health Plan
Orleans
Enrolled
2,550
985
United Healthcare Plan Of NY
Orange
Enrolled
1,565
NYS Catholic Health Plan
Ontario
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Excellus Health Plan
Onondaga
ADULTS WITH
CHILDREN
352
45
397
2,211
310
2,521
12
2
14
657
81
738
1,373
1,198
175
United Healthcare Plan Of NY
344
52
396
TOTALS:
843
122
965
Excellus Health Plan
294
31
325
NYS Catholic Health Plan
549
91
640
Putnam
TOTALS:
452
73
525
Rensselaer
TOTALS:
NYS Catholic Health Plan
Rockland
452
73
525
1,432
346
1,778
Capital District Physicians Health
Plan
640
155
795
NYS Catholic Health Plan
659
155
814
Wellcare Of New York
133
36
169
4,519
590
5,109
612
131
743
TOTALS:
Affinity Health Plan
Hudson Health Plan
955
135
1,090
2,761
296
3,057
191
28
219
TOTALS:
1,275
228
1,503
Excellus Health Plan
1,272
227
1,499
3
1
4
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
Schenectady
Total Enrolled
260
2,130
113
767
147
1,363
TOTALS:
1,582
243
1,825
498
73
571
1,084
170
1,254
TOTALS:
464
80
544
Capital District Physicians Health
Plan
172
26
198
NYS Catholic Health Plan
292
54
346
TOTALS:
280
57
337
Excellus Health Plan
277
57
334
3
0
3
384
64
448
Seneca
TOTALS:
Steuben
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
384
64
448
1,075
146
1,221
1,075
146
1,221
15,744
2,140
17,884
Affinity Health Plan
2,619
319
2,938
HealthFirst PHSP
2,264
269
2,533
Health Insurance Plan of Greater
New York
2,321
381
2,702
Neighborhood Health Providers
1,181
152
1,333
NYS Catholic Health Plan
3,461
549
4,010
1
0
1
United Healthcare Plan Of NY
3,897
470
4,367
TOTALS:
1,168
133
1,301
916
87
1,003
TOTALS:
NYS Catholic Health Plan 1199
Sullivan
Enrolled
1,870
654
NYS Catholic Health Plan
Suffolk
Enrolled
1,216
NYS Catholic Health Plan
Schuyler
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Capital District Physicians Health
Plan
Schoharie
ADULTS WITH
CHILDREN
Hudson Health Plan
NYS Catholic Health Plan
252
46
298
TOTALS:
499
95
594
Capital District Physicians Health
Plan
492
94
586
7
1
8
TOTALS:
664
126
790
SCHC Total Care
509
94
603
NYS Catholic Health Plan
155
32
187
2,028
389
2,417
Hudson Health Plan
580
113
693
MVP Health Plan
793
163
956
NYS Catholic Health Plan
325
64
389
Wellcare Of New York
330
49
379
Warren
TOTALS:
737
90
827
NYS Catholic Health Plan
737
90
827
Washington
TOTALS:
692
97
789
Capital District Physicians Health
Plan
124
24
148
NYS Catholic Health Plan
568
73
641
Tioga
NYS Catholic Health Plan
Tompkins
Ulster
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS FEBRUARY, 2011
County
Plan Name
Wayne
TOTALS:
Westchester
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
121
1,177
Excellus Health Plan
853
86
939
NYS Catholic Health Plan
203
35
238
TOTALS:
9,057
1,763
10,820
Affinity Health Plan
1,687
389
2,076
Health Insurance Plan of Greater
New York
802
166
968
Hudson Health Plan
4,593
699
5,292
NYS Catholic Health Plan
1,974
509
2,483
1
0
1
TOTALS:
431
64
495
HealthNow/BCBSWNY/Community Blue
375
52
427
56
12
68
433
48
481
NYS Catholic Health Plan 1199
Wyoming
NYS Catholic Health Plan
Yates
TOTALS:
Excellus Health Plan
433
48
481
120,731
19,622
140,353
Affinity Health Plan
14,836
7,524
22,360
Amerigroup
11,691
5,378
17,069
HealthFirst PHSP
28,046
10,362
38,408
Health Insurance Plan of Greater
New York
17,989
5,396
23,385
HealthPlus
25,413
7,372
32,785
MetroPlus Health Plan
26,722
7,735
34,457
Neighborhood Health Providers
13,465
3,834
17,299
NYS Catholic Health Plan
25,474
12,131
37,605
1,303
107
1,410
19,390
6,059
25,449
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
County
Total Enrolled
1,056
5,620
3,010
8,630
189,949
68,908
258,857
UPSTATE TOTALS:
120,731
19,622
140,353
NEW YORK CITY TOTALS:
189,949
68,908
258,857
GRAND TOTALS
310,680
88,530
399,210
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,436
9,276
40,712
Brooklyn
65,456
23,434
88,890
Manhattan
18,245
9,590
27,835
Queens
67,070
24,424
91,494
Staten Island
Borough Total
NOTES:
7,742
2,184
9,926
189,949
68,908
258,857
(1) The source of plan enrollment counts was revised in July, 2003 to be based on
the primary and secondary roster reports which reflect enrollees as of the first of
the month.
(2) New plans added this month : NYS Catholic Health Plan - St Lawrence,
Schuyler, Steuben, & Tioga Counties
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS FEBRUARY, 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
Total MLTC PACE Enrollment
TOTAL
COUNTY
ENROLLMENT
NEW YORK
119
Total
119
ERIE
42
Total
42
NASSAU
11
NEW YORK
2,322
SUFFOLK
62
WESTCHESTER
163
Total
2,558
ALBANY
2
SCHENECTADY
114
Total
116
MONROE
275
Total
275
CHAUTAUQUA
1
ONONDAGA
390
OSWEGO
1
Total
392
ALLEGANY
3
CATTARAUGUS
58
Total
61
3,563
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
SUFFOLK
WESTCHESTER
Total
FIDELIS CARE AT HOME
ORANGE
ROCKLAND
Total
GUILDNET
NASSAU
NEW YORK
SUFFOLK
Total
HHH CHOICES
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:
937
937
1,877
36
1,913
115
34
149
3,580
3,580
9
267
1
11
288
200
186
386
469
5,394
380
6,243
947
947
1,634
1,634
2,553
2,553
51
330
381
136
136
8,726
8,726
1,267
1,267
29,140
32,703
(1) The source of plan enrollment counts is the primary and secondary roster reports which reflect
enrollees as of the first of the month.
(2) New plans added this month : Elderserve - Suffolk County
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS FEBRUARY, 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
United HealthCare
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
200
11
189
12
12
13
13
34
5
29
4
1
3
3
3
12
2
10
173
23
131
18
1
12
12
16
4
12
55
10
28
17
4
4
62
8
54
43
43
29
29
81
14
67
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS FEBRUARY, 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
83
11
72
109
4
7
98
24
24
3
3
52
36
10
6
1,024
204
720
683
1,486
432
91
77
1,230
4,923
1,024
4,923
5,947
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 : Nassau County - United HealthCare
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS FEBRUARY, 2011
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
83
8
75
6
6
8
8
1
1
2
2
6
6
52
6
46
7
7
31
1
30
63
63
2
2
1
1
262
15
444
311
87
26
56
61
1000
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
262
1000
1,262
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 : None