RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Eligibles
19,967
Wellcare Of New York
SNA HR & MA-HR
Enrolled
17,865
Cattaraugus
87%
17,465
60%
624
5,870
20%
3,340
214
765
15,841
1,481
6%
3,944
83%
7
0%
388
2,425
10%
329
2,754
50%
214
1,512
6%
140
1,652
30%
19,442
86%
22,514
84%
1%
91
401
2%
604
4,733
2
4,134
3,601
22,535
343
780
469
5,513
0
4,160
3,072
26,695
1,824
6%
4,413
80%
7
0%
276
34
310
13,222
3,031
16,253
72%
2,444
18,697
70%
2,343
536
2,879
13%
537
3,416
13%
7,072
87%
8,270
87%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,458
363
2,821
35%
737
3,558
37%
Eff. Sep 2001
NYS Catholic Health Plan
2,243
318
2,561
31%
315
2,876
30%
Univera Community Health
1,398
292
1,690
21%
146
1,836
19%
3,783
40%
Cayuga
TOTALS:
Mandatory
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
Chautauqua
7,080
25,159
2,359
2,037
Excellus Health Plan
28,940
62%
5
NYS Catholic Health Plan
3,326
21%
1,298
Eff. May 1998
4,395
5,246
Univera Community Health
Mandatory
89%
15,106
NYS Catholic Health Plan
HealthNow/BCBSWNY/Community Blue
18,401
21,833
Percent
Enrolled
2,640
Mandatory
TOTALS:
Capital District Physicians
Health Plan
24,545
Total
Enrolled
1,114
1,267
3,968
3,968
Total
Eligibles
4,132
TOTALS:
Broome
4,578
Enrolled
12,466
Allegany
Eff Feb 2007
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
6,872
United Healthcare Plan Of NY
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community Blue
Eff. Sep 2001
NYS Catholic Health Plan
Chemung
TOTALS:
(Partial)
TOTALS:
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
1,217
5,615
8,089
1,388
44%
3%
17
292
3%
2,202
369
2,571
32%
151
2,722
29%
138
2,933
17,959
702
9%
16,017
89%
235
9,521
275
3,312
1,275
1,198
3,548
13,084
545
8,133
38
9,364
67
2,840
2,495
20,799
769
8%
18,512
89%
2,779
546
3,325
19%
698
4,023
19%
9,975
2,177
12,152
68%
1,690
13,842
67%
6,560
210
1,569
929
11,424
540
3%
7,489
66%
107
2,205
1,467
13,629
647
3%
8,956
66%
3,733
1
3,734
33%
300
4,034
30%
2,827
928
3,755
33%
1,167
4,922
36%
430
7%
449
6%
449
6%
2,215
21%
2,215
21%
360
941
360
7,003
973
237
330
9,855
Southern Tier Priority (Partial)
Chenango
3,003
1,053
564
14,647
Univera Community Health
Voluntary
6,099
1,562
1,562
70
6,556
70
1,559
456
456
1,186
430
8,562
19
7,742
19
2,018
24%
2,018
24%
1,797
197
197
10,359
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 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
3,137
Eff. May 2007
SCHC Total Care
1,128
Delaware
TOTALS:
Voluntary
NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
4,320
749
5,069
29%
614
5,683
28%
Eff. Apr 2007
MVP Health Plan
4,383
1,116
5,499
32%
724
6,223
30%
NYS Catholic Health Plan
1,888
570
2,458
14%
300
2,758
14%
Wellcare Of New York
1,657
191
1,848
11%
291
2,139
10%
89,130
89%
104,168
88%
14%
Mandatory
Eff. May 1998
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
5,062
3,998
874
81,322
763
4,861
4,019
83%
942
620
5,803
4,639
80%
1,903
391
2,294
47%
464
2,758
48%
1,353
372
1,725
35%
156
1,881
32%
5,032
84%
5,620
83%
595
3,732
62%
408
4,140
61%
172
1,300
22%
180
1,480
22%
364
7%
370
7%
4,265
271
918
863
271
14,131
Enrolled
Total
Enrolled
Columbia
3,256
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
12,248
72,580
767
93
5,980
4,861
93
3,055
18,390
2,626
16,550
773
749
364
17,186
99,712
14,874
588
6
6,753
5,610
6
87%
3,234
18,504
1,929
15,038
20,420
118,216
370
7%
16,803
82%
11,999
2,301
14,300
14%
2,073
16,373
Association
21,050
4,217
25,267
25%
4,562
29,829
25%
NYS Catholic Health Plan
17,824
2,735
20,559
21%
2,949
23,508
20%
Univera Community Health
21,357
5,560
26,917
27%
2,744
29,661
25%
Total Full Risk
p
72,230
14,813
87,043
87%
12,328
99,371
84%
(Partial)
350
1,737
2,087
2%
2,710
4,797
4%
Total Partial Risk
350
1,737
2,087
2%
2,710
4,797
4%
1,550
50%
1,590
43%
1,550
50%
1,590
43%
78
1%
Essex
TOTALS:
Mandatory
Eff. Oct 2010
NYS Catholic Health Plan
Franklin
TOTALS:
Voluntary
NYS Catholic Health Plan
Fulton
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
2,536
1,227
541
1,227
4,290
50
5,415
3,077
323
873
50
6,281
323
23
5,163
23
1,212
1,100
7,493
73
1%
73
1%
6,515
87%
632
40
3,709
40
1,126
5
6,289
5
1,264
734
8,757
78
1%
7,249
83%
1,005
213
1,218
16%
184
1,402
16%
4,410
887
5,297
71%
550
5,847
67%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 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
NYS Catholic Health Plan
TOTALS:
Voluntary
Excellus Health Plan
Lewis
TOTALS:
Voluntary
Excellus Health Plan
Livingston
TOTALS:
Mandatory
Excellus Health Plan
Eff. Apr 2002
NYS Catholic Health Plan
TOTALS:
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
NYS Catholic Health Plan
MVP Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
6,554
510
5,063
4,474
88%
202
2,199
43%
37%
273
1,909
38%
3,370
62
921
795
4,761
331
8%
4,165
87%
35
869
645
5,630
366
7%
4,810
85%
1,861
325
2,186
46%
431
2,617
46%
1,509
470
1,979
42%
214
2,193
39%
293
216
74%
33
4
326
220
67%
220
67%
7,279
6,254
86%
1,080
673
8,359
6,927
83%
56
46
1,191
1,060
46
216
4
756
156
912
13%
162
1,074
13%
4,404
896
5,300
73%
501
5,801
69%
34
8
42
1%
10
52
1%
1
0%
1
0%
1
0%
65
3%
20
1%
1
1,490
54
3,171
0
10,785
0
295
11
2,514
1
10
810
661
4,557
45
2%
3,832
84%
1,966
0
12,751
0
457
2
2,971
0
2
771
568
5,328
1
0%
67
2%
20
1%
47
2%
4,400
83%
57%
2,225
462
2,687
59%
371
3,058
39
17
56
1%
1
57
1%
907
182
1,089
24%
196
1,285
24%
2,427
2,920
47%
3,143
44%
1,158
958
211
1,369
22%
103
1,472
21%
962
222
1,184
19%
101
1,285
18%
307
65,821
660
45%
35
5,211
90%
1,636
19
3,747
3,964
Percent
Enrolled
1,997
1
2,219
4,403
Total
Enrolled
219
170
9,295
566
Total
Eligibles
285
5,194
United Healthcare Plan Of NY
Monroe
641
Enrolled
1,417
6,088
MVP Health Plan
Mandatory
Eligibles
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
1,712
170
NYS Catholic Health Plan
Madison
3,398
237
United Healthcare Plan Of NY
Jefferson
Enrolled
269
3,840
NYS Catholic Health Plan
Eff. May 2003
SNA HR & MA-HR
59,956
493
6,169
60
13,284
11,658
79,105
367
6%
71,614
91%
932
223
7,101
19
15,483
11,730
94,588
386
5%
83,344
88%
41,261
6,024
47,285
60%
7,963
55,248
58%
7,027
4,002
11,029
14%
1,201
12,230
13%
11,668
1,632
13,300
17%
2,566
15,866
17%
6,701
89%
7,421
86%
5,829
1,002
872
7,556
1,118
720
8,674
2,623
305
2,928
39%
359
3,287
38%
3,206
567
3,773
50%
361
4,134
48%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
SNA HR & MA-HR
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eff. June 2001
HealthFirst PHSP
Eligibles
60,474
Enrolled
Percent
Enrolled
77,971
87%
10,335
13%
1,082
11,417
13%
11,363
2,694
14,057
18%
1,320
15,377
17%
HealthPlus
Health Insurance Plan of
Greater New York
4,526
1,834
6,360
8%
841
7,201
8%
8,670
3,415
12,085
16%
2,458
14,543
16%
NYS Catholic Health Plan
10,695
2,388
13,083
17%
1,416
14,499
16%
6
1
7
0%
0
7
0%
10,382
2,900
13,282
17%
1,645
14,927
17%
19,708
93%
22,665
92%
29%
Mandatory
TOTALS:
HealthNow/BCBSWNY/Community
Blue
p
5,098
1,298
6,396
30%
831
7,227
Eff Sep 1998
Association
4,652
1,031
5,683
27%
1,304
6,987
28%
NYS Catholic Health Plan
5,919
1,710
7,629
36%
822
8,451
34%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
16,920
89,566
Total
Enrolled
1,825
United Healthcare Plan Of NY
15,057
Total
Eligibles
8,510
NYS Catholic Health Plan 1199
Niagara
Enrolled Eligibles
54,152
16,394
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Percent
Total
Eligibles Total Enrolled Enrolled Eligibles Enrolled
76,868
69,209
90%
12,698
8,762
24,256
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
39,206
21,365
4,319
88%
28,940
86%
15%
755
4,999
15%
15,373
2,205
17,578
63%
2,950
20,528
61%
2,482
449
2,931
10%
482
3,413
10%
41,167
90%
48,526
89%
8,744
4,187
24,723
4,244
45,938
5,502
2,957
24,753
5,977
28,089
3,484
734
6,732
3,388
21,239
3,510
35,190
3,833
4,039
7,359
33,591
54,682
5,191
855
6,046
13%
973
7,019
13%
NYS Catholic Health Plan
10,756
1,815
12,571
27%
1,838
14,409
26%
SCHC Total Care
14,853
2,595
17,448
38%
3,646
21,094
39%
United Healthcare Plan Of NY
Ontario
15,669
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
4,390
6,578
NYS Catholic Health Plan
712
1,023
857
7,601
5,102
11%
6,516
86%
902
1,342
929
8,943
6,004
11%
7,445
83%
4,981
742
5,723
75%
785
6,508
73%
651
101
752
10%
137
889
10%
27
14
41
1%
7
48
1%
36,621
86%
39,646
84%
29%
Orange
TOTALS:
Mandatory
Affinity Health Plan
10,724
1,734
12,458
29%
1,368
13,826
Eff. Mar 2007
Hudson Health Plan
7,244
1,351
8,595
20%
981
9,576
20%
13,524
671
14,195
33%
410
14,605
31%
1,153
220
1,373
3%
266
1,639
3%
NYS Catholic Health Plan
Wellcare Of New York
37,823
5,659
32,645
4,703
3,976
42,526
4,564
3,025
47,090
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
TANF ADC & MA-ADC
Percent
Enrolled
TOTALS:
Mandatory
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
1,394
762
217
979
20%
133
1,112
21%
NYS Catholic Health Plan
1,367
380
1,747
36%
112
1,859
34%
16,216
88%
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
13,636
12,137
958
Enrolled
Total
Enrolled
Orleans
3,523
Eligibles
Total
Eligibles
Plan Name
3,840
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
County
Eff. June 2003
Eligibles
SNA HR & MA-HR
860
4,798
263
2,343
2,093
15,979
4,383
91%
1,657
35%
606
425
5,404
180
2,376
1,986
18,355
4,808
89%
1,837
34%
14,230
89%
175
12
187
1%
35
222
1%
NYS Catholic Health Plan
3,608
606
4,214
26%
485
4,699
26%
SCHC Total Care
6,359
1,182
7,541
47%
1,147
8,688
47%
United Healthcare Plan Of NY
1,995
293
2,288
14%
319
2,607
14%
4,527
85%
4,898
78%
Otsego
TOTALS:
Mandatory
Excellus Health Plan
2,571
519
3,090
58%
254
3,344
53%
Eff. May 2007
NYS Catholic Health Plan
1,124
313
1,437
9%
117
1,554
25%
Putnam
TOTALS:
2,207
75%
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
4,382
1,870
12,662
NYS Catholic Health Plan
Wellcare Of New York
Rockland
TOTALS:
3,695
1,556
928
84%
5%
44
153
5%
1,471
360
1,831
80%
223
2,054
70%
14,002
90%
15,977
88%
1,975
2,943
18,201
8,124
1,763
9,887
63%
1,432
11,319
62%
2,649
715
3,364
22%
386
3,750
21%
571
39,670
2,613
267
6,297
109
15,588
644
371
1,940
2,658
2,299
987
24
2,926
384
5,310
85
11,344
429
832
39,125
180
4,225
3,960
43,895
751
5%
43,085
98%
157
2,961
2,171
46,856
908
5%
45,256
97%
Mandatory
Affinity Health Plan
3,010
1,082
4,092
9%
571
4,663
10%
Eff. Mar 2001
Hudson Health Plan
6,126
828
6,954
16%
515
7,469
16%
27,790
1,823
29,613
67%
914
30,527
65%
2,199
227
2,426
6%
171
2,597
6%
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
TOTALS:
1
0%
2
0%
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 MARCH, 2011
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians
Health Plan
Mandatory
Eff. Oct 1997
NYS Catholic Health Plan
Schenectady
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Apr 2007
NYS Catholic Health Plan
Schoharie
Mandatory
TOTALS:
Capital District Physicians
Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
Southern Tier Priority (Partial)
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
(Partial)
Eligibles
9,247
13,315
SNA HR & MA-HR
Enrolled
8,473
Eligibles
1,728
Excellus Health Plan
11,487
89%
61%
1,055
7,795
60%
325
3,692
29%
13,135
84%
15,256
80%
6,948
45%
8,340
44%
6,187
40%
6,916
36%
1,490
53%
1,579
49%
11,229
1,249
2,253
1,906
15,568
991
915
451
241
2,812
3,492
2,121
19,060
1,392
729
411
89
3,223
751
163
914
33%
69
983
30%
498
78
576
20%
20
596
18%
131
6%
146
6%
131
6%
2,477
89%
2,477
89%
1,245
12%
260
3%
87
2,154
1,067
324
44
2,022
44
359
323
2,780
323
1,372
178
10,059
0
985
10%
86,125
90%
1,813
12,197
13%
1,804
12,901
14%
10,444
4,065
14,509
13,161
1,945
15,106
10,773
2,552
0
0
14,052
4,035
TOTALS:
Mandatory
Affinity Health Plan
10,384
Eff. June 2001
HealthFirst PHSP
Health Insurance Plan of
Greater New York
11,097
Neighborhood Health Providers
NYS Catholic Health Plan
United Healthcare Plan Of NY
12,908
31%
Suffolk
NYS Catholic Health Plan 1199
1,380
6,740
807
77,233
1,933
3,367
260
Southern Tier Priority (Partial)
92%
533
2,154
8,687
10,107
Percent
Enrolled
1,101
87
2,421
10,975
Total
Enrolled
5,639
5,272
1,698
1,634
Total
Eligibles
2,834
5,957
2,361
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
69,911
178
18,126
16,214
95,359
280
15
2,302
15
532
393
3,312
393
2,342
429
12,401
25
404
146
6%
2,870
87%
2,870
87%
1,674
13%
285
2%
1,389
11%
96,456
88%
1,249
13,446
12%
1,333
14,234
13%
15%
2,327
16,836
15%
16%
1,828
16,934
15%
13,325
14%
1,512
14,837
14%
0
0%
1
1
0%
18,087
19%
2,081
20,168
18%
14,526
10,331
109,885
Sullivan
TOTALS:
7,840
88%
8,861
85%
Mandatory
Hudson Health Plan
5,518
826
6,344
71%
833
7,177
69%
Eff. Apr 2007
NYS Catholic Health Plan
1,279
217
1,496
17%
188
1,684
16%
7,668
6,797
1,248
1,043
8,916
1,546
1,021
10,462
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians
Health Plan
Voluntary
Eligibles
4,402
NYS Catholic Health Plan
Tompkins
TOTALS:
Mandatory
NYS Catholic Health Plan
Eff. Oct 2010
SCHC Total Care
5,600
Enrolled
344
Eligibles
657
Enrolled
74
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Percent
Eligibles Total Enrolled Enrolled Eligibles Enrolled
5,059
418
8%
863
10
Total
Eligibles
5,922
Total
Enrolled
Percent
Enrolled
428
7%
332
74
406
8%
10
416
7%
12
0
12
0%
0
12
0%
5,068
64%
3,755
4,521
67%
428
157
585
4%
53
638
8%
3,327
609
3,936
58%
494
4,430
56%
12,949
87%
14,572
84%
3,726
25%
418
4,144
24%
Eff Mar 2007
MVP Health Plan
3,340
1,207
4,547
31%
583
5,130
29%
NYS Catholic Health Plan
1,673
370
2,043
14%
178
2,221
13%
Wellcare Of New York
2,421
212
2,633
18%
444
3,077
18%
1,643
33%
1,792
30%
1,643
33%
1,792
30%
4,663
83%
5,253
79%
1,836
33%
2,112
32%
2,827
50%
3,141
47%
5,084
69%
5,664
64%
57%
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
1,493
4,988
58,557
Voluntary
NYS Catholic Health Plan
TOTALS:
Upstate Total
7,379
149
6,022
149
1,032
590
6,671
276
314
1,477
580
8,856
469
4,472
61%
549
5,021
517
95
612
8%
31
643
7%
63,372
88%
70,745
85%
11,606
16%
12,998
16%
51,077
13,755
12,295
72,312
2,618
10,490
7,373
82,802
1,392
3,956
1,584
5,540
8%
1,133
6,673
8%
29,351
5,196
34,547
48%
3,524
38,071
46%
8,779
2,897
11,676
16%
1,324
13,000
16%
3
0
3
0%
0
3
0%
2,902
67
2%
3,374
71
2%
67
2%
71
2%
2,203
1,927
87%
2,517
2,171
86%
1,927
87%
2,171
86%
800,418
82%
908,245
79%
47
1,920
1,649
380
20
283
278
47
20
1,649
817,332
564
1,027
17,417
4,003
2,522
Excellus Health Plan
5,639
329
814
8,988
NYS Catholic Health Plan
Yates
Mandatory
Eff. Feb 2007
4,520
545
216
2,498
6,565
NYS Catholic Health Plan 1199
TOTALS:
150
651
1,620
Hudson Health Plan
Wyoming
4,118
4,995
1,623
7,949
679
150
2,549
547
3,047
607
14,868
1,166
TOTALS:
1,493
2,468
6,783
Hudson Health Plan
4,388
2,817
766
Ulster
TOTALS:
10,481
1,183
Mandatory
Warren
12,051
SNA HR & MA-HR
665,108
278
164,210
135,310
981,542
472
4
314
244
4
244
164,368
107,827
1,145,910
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
TANF ADC & MA-ADC
County
Plan Name
NYC
Affinity Health Plan
Mandatory
Amerigroup
Eligibles
Amida Care SN
SNA HR & MA-HR
Enrolled Eligibles
93,056
Enrolled
52,136
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Percent
Total
Eligibles Total Enrolled Enrolled Eligibles Enrolled
145,192
7%
15,655
Total
Eligibles
Total
Enrolled
Percent
Enrolled
160,847
7%
47,589
29,312
76,901
4%
5,251
82,152
4%
289
1,821
2,110
0%
1,542
3,652
0%
Fully
HealthFirst PHSP
242,300
92,633
334,933
17%
41,434
376,367
17%
Implemented:
HealthPlus
Health Insurance Plan of
Greater New York
166,168
60,860
227,028
11%
17,719
244,747
11%
107,703
47,117
154,820
8%
20,515
175,335
8%
MetroPlus Health Plan
240,480
76,024
316,504
16%
31,684
348,188
15%
Sept 2002
MetroPlus Health Plan SN
Neighborhood Health Providers
NYPS Select Health SN
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
1,065
1,921
2,986
0%
1,951
4,937
0%
107,394
33,174
140,568
7%
17,283
157,851
7%
432
2,195
2,627
0%
2,075
4,702
0%
131,457
78,798
210,255
10%
22,062
232,317
10%
1,062
320
1,382
0%
46
1,428
0%
106,195
50,946
157,141
8%
14,111
171,252
8%
26,019
18,489
44,508
2%
4,171
48,679
2%
1,411,961
1,271,209
600,077
545,746
2,012,038
1,816,955
90%
250,318
195,499
2,262,356
2,012,454
89%
817,332
665,108
164,210
135,310
981,542
800,418
82%
164,368
107,827
1,145,910
908,245
79%
NEW YORK CITY TOTALS:
1,411,961
1,271,209
600,077
545,746
2,012,038
1,816,955
90%
250,318
195,499
2,262,356
2,012,454
89%
GRAND TOTALS:
2,229,293
1,936,317
764,287
681,056
2,993,580
2,617,373
87%
414,686
303,326
3,408,266
2,920,699
86%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
TANF ADC & MA-ADC
SNA HR & MA-HR
Enrolled Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Percent
Total
Eligibles Total Enrolled Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
County
Plan Name
NYC Boroughs
Bronx
364,004
313,173
113,475
97,136
477,479
410,308
86%
71,716
57,316
549,195
467,624
85%
Brooklyn
500,681
457,575
214,348
199,339
715,029
656,914
92%
79,201
63,361
794,230
720,275
91%
Manhattan
167,882
143,547
92,532
75,598
260,414
219,145
84%
43,280
30,440
303,694
249,585
82%
Queens
332,234
314,892
159,680
154,938
491,914
469,830
96%
46,159
36,900
538,073
506,730
94%
47,160
42,022
20,042
18,735
67,202
60,757
90%
9,962
7,482
77,164
68,239
88%
1,411,961
1,271,209
600,077
545,746
2,012,038
1,816,955
90%
250,318
195,499
2,262,356
2,012,454
89%
Staten Island
Borough Total
NOTES:
Eligibles
(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
first
the
(3) All percents are rounded to the nearest whole number.
(4) New plans added this month : Excellus Health Plan - Jefferson County & NYS Catholic Health Plan - Tioga County
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
2,458
1,174
269
1,443
NYS Catholic Health Plan
1,081
228
1,309
Allegany
Broome
Cattaraugus
Cayuga
203
45
248
TOTALS:
626
114
740
1
0
1
NYS Catholic Health Plan
HealthNow/BCBSWNY/Community Blue
253
47
300
Univera Community Health Inc
372
67
439
TOTALS:
Capital District Physicians Health
Plan
2,574
499
3,073
46
10
56
Excellus Health Plan
2,137
413
2,550
NYS Catholic Health Plan
391
76
467
TOTALS:
HealthNow/BCBSWNY/Community Blue
924
187
1,111
153
34
187
NYS Catholic Health Plan
417
73
490
Univera Community Health Inc
354
80
434
TOTALS:
861
136
997
NYS Catholic Health Plan
United Healthcare Plan Of NY
Chenango
Clinton
47
608
304
38
342
256
1,798
222
39
261
NYS Catholic Health Plan
1,234
192
1,426
86
25
111
TOTALS:
994
162
1,156
Excellus Health Plan
994
162
1,156
TOTALS:
827
125
952
NYS Catholic Health Plan
827
125
952
1,066
206
1,272
9
2
11
1,057
204
1,261
TOTALS:
Capital District Physicians Health
Plan
608
97
705
174
38
212
NYS Catholic Health Plan
434
59
493
TOTALS:
NYS Catholic Health Plan
Cortland
6
92
1,542
Excellus Health Plan
Columbia
41
516
TOTALS:
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
Chemung
3,000
Wellcare Of New York
Excellus Health Plan
Chautauqua
542
TOTALS:
723
128
851
NYS Catholic Health Plan
584
112
696
SCHC Total Care
139
16
155
Delaware
TOTALS:
601
99
700
Dutchess
TOTALS:
NYS Catholic Health Plan
Erie
601
99
700
2,371
362
2,733
Hudson Health Plan
725
90
815
MVP Health Plan
901
139
1,040
NYS Catholic Health Plan
481
97
578
Wellcare Of New York
264
36
300
10,410
2,030
12,440
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
4,459
899
5,358
1,572
241
1,813
Independent Health
2,159
509
2,668
NYS Catholic Health Plan
2,220
381
2,601
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
2
NYS Catholic Health Plan
548
93
641
TOTALS:
504
104
608
0
1
1
NYS Catholic Health Plan
504
103
607
TOTALS:
Capital District Physicians Health
Plan
922
160
1,082
165
33
198
NYS Catholic Health Plan
757
127
884
TOTALS:
HealthNow/BCBSWNY/Community Blue
681
105
786
384
47
431
MVP Health Plan
159
39
198
NYS Catholic Health Plan
138
19
157
541
59
600
156
16
172
NYS Catholic Health Plan
385
43
428
TOTALS:
78
13
91
NYS Catholic Health Plan
78
13
91
1,229
161
1,390
185
14
199
1,016
146
1,162
TOTALS:
28
1
29
TOTALS:
1,481
264
1,745
Excellus Health Plan
1,481
264
1,745
335
41
376
89
10
99
246
31
277
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Madison
Monroe
TOTALS:
547
74
621
Excellus Health Plan
448
55
503
32
NYS Catholic Health Plan
26
6
MVP Health Plan
73
13
86
TOTALS:
905
110
1,015
Excellus Health Plan
267
33
300
NYS Catholic Health Plan
277
39
316
United Healthcare Plan Of NY
361
38
399
TOTALS:
6,999
1,307
8,306
Excellus Health Plan
4,870
732
5,602
NYS Catholic Health Plan
1,527
449
1,976
602
126
728
1,017
107
1,124
MVP Health Plan
Montgomery
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Nassau
Niagara
643
TOTALS:
Capital District Physicians Health
Plan
United Healthcare Plan Of NY
Livingston
Total Enrolled
1
NYS Catholic Health Plan
Lewis
Enrolled
1
Excellus Health Plan
Jefferson
Enrolled
94
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
549
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
287
22
309
730
85
815
13,838
2,169
16,007
Affinity Health Plan
2,169
319
2,488
HealthFirst PHSP
2,625
359
2,984
HealthPlus
Health Insurance Plan of Greater
New York
1,066
221
1,287
1,976
311
2,287
NYS Catholic Health Plan
3,044
568
3,612
TOTALS:
United Healthcare Plan Of NY
2,958
391
3,349
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,563
513
3,076
982
197
1,179
NYS Catholic Health Plan
1,581
316
1,897
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
County
Plan Name
Oneida
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Orange
Orleans
Oswego
102
3,940
613
2,431
313
2,744
509
74
583
4,715
751
5,466
793
2,160
SCHC Total Care
1,673
1,426
247
United Healthcare Plan Of NY
721
119
840
TOTALS:
944
172
1,116
Excellus Health Plan
1,020
865
155
MVP Health Plan
66
12
78
NYS Catholic Health Plan
13
5
18
TOTALS:
3,859
528
4,387
Affinity Health Plan
1,581
230
1,811
Hudson Health Plan
1,162
152
1,314
NYS Catholic Health Plan
915
121
1,036
Wellcare Of New York
201
25
226
TOTALS:
648
97
745
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
205
35
240
104
21
125
NYS Catholic Health Plan
339
41
380
2,161
309
2,470
TOTALS:
11
2
13
651
84
735
1,334
1,163
171
United Healthcare Plan Of NY
336
52
388
TOTALS:
847
125
972
Excellus Health Plan
300
37
337
NYS Catholic Health Plan
547
88
635
TOTALS:
444
77
521
NYS Catholic Health Plan
444
77
521
1,424
341
1,765
TOTALS:
Capital District Physicians Health
Plan
Wellcare Of New York
TOTALS:
634
158
792
657
145
802
133
38
171
4,611
603
5,214
Affinity Health Plan
626
141
767
Hudson Health Plan
983
132
1,115
2,818
302
3,120
184
28
212
TOTALS:
1,294
233
1,527
Excellus Health Plan
1,290
232
1,522
4
1
5
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
511
280
NYS Catholic Health Plan
Rockland
Total Enrolled
489
105
SCHC Total Care
Rensselaer
Enrolled
3,451
688
NYS Catholic Health Plan
Putnam
Enrolled
1,880
Excellus Health Plan
Otsego
ADULTS
WITHOUT
CHILDREN
NYS Catholic Health Plan
Excellus Health Plan
Ontario
ADULTS WITH
CHILDREN
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
1,880
658
114
772
NYS Catholic Health Plan
1,222
149
1,371
TOTALS:
Capital District Physicians Health
Plan
1,592
243
1,835
507
77
584
NYS Catholic Health Plan
1,085
166
1,251
TOTALS:
Capital District Physicians Health
Plan
470
80
550
169
26
195
NYS Catholic Health Plan
301
54
355
Schenectady
Schoharie
Schuyler
284
54
338
Excellus Health Plan
281
54
335
TOTALS:
Excellus Health Plan
Steuben
TOTALS:
Suffolk
TOTALS:
NYS Catholic Health Plan
Tioga
Ulster
0
3
63
447
384
63
447
1,138
169
1,307
1,138
169
1,307
2,176
18,085
Affinity Health Plan
2,641
324
2,965
HealthFirst PHSP
Health Insurance Plan of Greater
New York
2,299
258
2,557
2,274
382
2,656
Neighborhood Health Providers
1,216
154
1,370
NYS Catholic Health Plan
3,477
551
4,028
1
0
1
United Healthcare Plan Of NY
4,001
507
4,508
TOTALS:
1,176
135
1,311
Hudson Health Plan
908
89
997
NYS Catholic Health Plan
268
46
314
TOTALS:
Capital District Physicians Health
Plan
492
88
580
461
86
547
31
2
33
681
121
802
NYS Catholic Health Plan
Tompkins
3
384
15,909
NYS Catholic Health Plan 1199
Sullivan
2,143
TOTALS:
NYS Catholic Health Plan
Seneca
263
TOTALS:
SCHC Total Care
520
90
610
NYS Catholic Health Plan
161
31
192
TOTALS:
2,047
398
2,445
Hudson Health Plan
586
108
694
MVP Health Plan
798
170
968
NYS Catholic Health Plan
337
67
404
Wellcare Of New York
326
53
379
Warren
TOTALS:
726
93
819
NYS Catholic Health Plan
726
93
819
Washington
TOTALS:
Capital District Physicians Health
Plan
696
92
788
123
25
148
NYS Catholic Health Plan
573
67
640
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MARCH, 2011
County
Plan Name
Wayne
TOTALS:
Westchester
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
122
1,188
Excellus Health Plan
873
97
970
NYS Catholic Health Plan
193
25
218
TOTALS:
9,087
1,779
10,866
Affinity Health Plan
Health Insurance Plan of Greater
New York
1,672
397
2,069
782
172
954
Hudson Health Plan
4,643
692
5,335
NYS Catholic Health Plan
1,989
518
2,507
1
0
1
432
63
495
368
50
418
64
13
77
420
52
472
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Yates
TOTALS:
Excellus Health Plan
420
52
472
121,652
19,940
141,592
Affinity Health Plan
14,947
7,516
22,463
Amerigroup
11,579
5,365
16,944
HealthFirst PHSP
Health Insurance Plan of Greater
New York
28,254
10,349
38,603
17,900
5,298
23,198
HealthPlus
25,403
7,338
32,741
Upstate Total
NYC
MetroPlus Health Plan
26,715
7,650
34,365
Neighborhood Health Providers
13,374
3,815
17,189
NYS Catholic Health Plan
25,692
12,212
37,904
1,303
103
1,406
19,504
6,059
25,563
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
Total Enrolled
1,066
5,553
3,013
8,566
NYC Total
190,224
68,718
258,942
UPSTATE TOTALS:
121,652
19,940
141,592
NEW YORK CITY TOTALS:
190,224
68,718
258,942
GRAND TOTALS
311,876
88,658
400,534
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,415
9,249
40,664
Brooklyn
65,520
23,387
88,907
Manhattan
18,326
9,563
27,889
Queens
67,235
24,362
91,597
7,728
2,157
9,885
190,224
68,718
258,942
Staten Island
Borough Total
NOTES:
(1) The source of plan enrollment counts was revised in July, 2003 to be based on
the primary and secondary roster reports which reflect enrollees as of the first of
the month.
(2) New plans added this month : NYS Catholic Health Plan - Allegany County
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS MARCH, 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
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:
TOTAL
ENROLLMENT
127
127
44
44
13
2,339
62
160
2,574
3
118
121
272
272
1
390
1
392
2
59
61
3,591
973
973
1,913
37
1,950
116
38
154
3,619
3,619
14
330
1
17
362
202
189
391
465
5,357
390
6,212
960
960
1,642
1,642
2,605
2,605
49
331
380
141
141
8,748
8,748
1,294
1,294
29,431
33,022
(1) The source of plan enrollment counts is the primary and secondary roster reports which reflect
enrollees as of the first of the month.
(2) New plans added this month : None
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS MARCH, 2011
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
Touchstone/Prestige
TOTAL
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
Senior Whole Health
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
United HealthCare
TOTAL
Fidelis
TOTAL
Fidelis
Touchstone/Prestige
TOTAL
GHI
Senior Whole Health
Touchstone/Prestige
TOTAL
Fidelis
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
TOTAL
Senior Whole Health
Total
Enrolled
199
11
188
12
12
13
13
34
6
28
4
1
3
3
3
13
3
10
169
23
127
18
1
13
13
27
7
20
55
9
29
17
4
4
63
8
55
43
43
27
27
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS MARCH, 2011
County
Schenectady
Suffolk
Ulster
Warren
Washington
Westchester
Plan Name
TOTAL
Fidelis
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
TOTAL
Fidelis
GHI
Senior Whole Health
TOTAL
Senior Whole Health
TOTAL
Senior Whole Health
TOTAL
GHI
Health Insurance Plan of
Greater New York
Touchstone/Prestige
Upstate Total:
NYC
Affinity
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Touchstone/Prestige
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
Total
Enrolled
78
12
66
82
11
71
109
4
7
98
23
23
3
3
53
37
10
6
1,027
207
720
674
1,458
408
91
95
1,175
4,828
1,027
4,828
5,855
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 MARCH, 2011
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
85
8
77
6
6
9
9
1
1
2
2
6
6
51
6
45
9
9
32
2
30
62
62
3
3
1
1
267
13
431
326
106
26
58
62
1,022
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
267
1022
1,289
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