RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians Health
Plan
Eff. Oct 1997
NYS Catholic Health Plan
Eligibles
20,136
SNA HR & MA-HR
Enrolled
Eligibles
17,908
17,517
60%
625
5,913
20%
3,299
205
753
15,754
1,457
6%
3,915
82%
8
0%
394
2,412
10%
322
2,734
49%
219
1,495
6%
138
1,633
30%
19,361
84%
22,415
83%
616
4,780
3
4,271
3,607
22,924
340
753
461
5,533
1
4,183
3,054
27,107
1,797
6%
4,376
79%
9
0%
278
30
308
1%
92
400
1%
13,194
3,038
16,232
71%
2,426
18,658
69%
2,821
12%
3,357
12%
7,070
86%
8,271
86%
2,282
2,476
378
2,854
35%
737
3,591
37%
Eff. Sep 2001
NYS Catholic Health Plan
2,199
316
2,515
31%
319
2,834
29%
Univera Community Health
1,393
308
1,701
21%
145
1,846
19%
4,249
52%
4,516
48%
Mandatory
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
6,954
United Healthcare Plan Of NY
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Sep 2001
NYS Catholic Health Plan
Voluntary
TOTALS:
Southern Tier Pediatrics (Partial)
TOTALS:
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
5,637
641
8,230
8,198
1,402
1,282
1,201
267
9,632
9,480
423
77
500
6%
28
528
6%
414
2,940
36%
166
3,106
33%
13,040
150
3,382
2,936
18,270
809
10%
15,976
87%
73
2,900
2,525
21,170
882
9%
18,501
87%
2,787
556
3,343
18%
702
4,045
19%
9,945
2,159
12,104
66%
1,713
13,817
65%
6,712
221
1,629
1,037
11,574
529
3%
7,749
67%
110
2,216
1,446
13,790
639
3%
9,195
67%
3,702
1
3,703
32%
306
4,009
29%
3,010
1,036
4,046
35%
1,140
5,186
38%
478
7%
498
6%
498
6%
2,412
23%
2,412
23%
402
976
402
7,035
1,002
2,526
308
9,945
Southern Tier Priority (Partial)
Chenango
1,244
659
14,888
Univera Community Health
Chemung
3,608
1,079
536
Mandatory
TOTALS:
6,068
539
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Cayuga
7,151
86%
2,390
2,018
NYS Catholic Health Plan
25,227
61%
1,276
Cattaraugus
29,235
21%
5
Eff. May 1998 Excellus Health Plan
3,355
5,288
Univera Community Health
Mandatory
4,425
Percent
Enrolled
15,127
NYS Catholic Health Plan
HealthNow/BCBS-WNY/Community
Blue
18,653
88%
Total
Enrolled
2,644
Mandatory
TOTALS:
Capital District Physicians Health
Plan
21,872
Total
Eligibles
1,115
TOTALS:
Broome
4,027
24,810
Eligibles Enrolled
4,173
1,252
Wellcare Of New York
3,964
SSI & MA-SSI
12,483
Allegany
Eff Feb 2007
4,674
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
1,735
1,735
76
6,613
76
1,544
461
461
1,199
478
8,579
20
7,812
20
2,196
26%
2,196
26%
1,784
216
216
10,363
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Columbia
Mandatory
TOTALS:
Capital District Physicians Health
Plan
Eff. Oct 1997
NYS Catholic Health Plan
Cortland
TOTALS:
Eligibles
4,072
5,089
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Enrolled
Eligibles
3,330
4,749
80%
472
2,771
47%
163
1,978
33%
4,981
83%
5,573
82%
4,213
933
768
6,022
777
592
6,799
3,092
602
3,694
61%
412
4,106
60%
1,121
166
1,287
21%
180
1,467
22%
397
8%
403
7%
Hudson Health Plan
4,291
Eff. Apr 2007
MVP Health Plan
4,356
NYS Catholic Health Plan
1,920
Wellcare Of New York
1,621
295
901
12,188
73,004
102
4,940
102
3,123
18,998
2,653
734
397
5,674
6
7%
772
5,063
29%
630
5,693
28%
5,482
32%
736
6,218
30%
571
2,491
14%
303
2,794
14%
184
1,805
10%
292
2,097
10%
89,798
89%
104,868
88%
15,070
20,599
82%
1,126
18,487
1,961
16,802
85%
101,094
3,226
403
14,841
16,794
17,373
6
119,581
11,941
2,322
14,263
14%
2,087
16,350
14%
21,415
4,353
25,768
25%
4,597
30,365
25%
NYS Catholic Health Plan
17,800
2,781
20,581
20%
2,934
23,515
20%
Univera Community Health
21,504
5,589
27,093
27%
2,752
29,845
25%
Total Full Risk
72,660
15,045
87,705
87%
12,370
100,075
84%
PCMP II-A Special Care (Partial)
344
1,749
2,093
2%
2,700
4,793
4%
Total Partial Risk
344
1,749
2,093
2%
2,700
4,793
4%
1,728
56%
1,769
48%
1,728
56%
1,769
48%
126
2%
Eff. May 1998 Independent Health Association
TOTALS:
2,529
NYS Catholic Health Plan
Franklin
TOTALS:
Voluntary
NYS Catholic Health Plan
Fulton
TOTALS:
Capital District Physicians Health
Plan
Eff. Mar 2007
5,935
36%
Mandatory
Mandatory
635
46%
TOTALS:
Essex
Mandatory
Eff. Oct 2010
942
Percent
Enrolled
1,815
Dutchess
Mandatory
82%
Total
Enrolled
2,299
295
82,096
4,114
Total
Eligibles
390
NYS Catholic Health Plan
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
4,993
Eligibles Enrolled
394
Voluntary
14,250
784
SSI & MA-SSI
1,425
TOTALS:
Erie
921
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
1,905
Delaware
4,039
SNA HR & MA-HR
NYS Catholic Health Plan
1,376
540
1,376
4,220
89
5,408
3,069
352
906
89
6,218
352
30
5,126
30
1,249
1,110
7,467
119
2%
119
2%
6,518
87%
633
41
3,702
41
1,145
7
6,271
7
1,263
731
8,730
126
2%
7,249
83%
978
214
1,192
16%
179
1,371
16%
4,430
896
5,326
71%
552
5,878
67%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,808
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
3,867
Excellus Health Plan
Lewis
TOTALS:
Voluntary
Excellus Health Plan
Livingston
TOTALS:
Mandatory
Eff. Apr 2002
Excellus Health Plan
3,378
639
MVP Health Plan
653
504
5,100
Percent
Enrolled
4,464
88%
45%
197
2,190
43%
1,626
37%
273
1,899
37%
274
67
341
8%
34
375
7%
4,260
88%
4,915
86%
3,421
949
839
4,816
872
655
5,688
1,852
328
2,180
45%
436
2,616
46%
1,569
511
2,080
43%
219
2,299
40%
315
224
71%
33
4
348
228
66%
228
66%
7,300
6,185
85%
1,074
673
8,374
6,858
82%
63
46
1,230
1,056
46
224
4
729
156
885
12%
160
1,045
12%
4,366
892
5,258
72%
503
5,761
69%
34
8
42
1%
10
52
1%
7
0%
7
0%
7
0%
7
0%
81
3%
84
3%
26
1%
26
1%
7
1,584
65
3,211
0
11,036
0
321
16
2,571
4
43
NYS Catholic Health Plan
89%
Total
Enrolled
1,993
22
3,730
3,960
Total
Eligibles
225
7
NYS Catholic Health Plan
4,447
Eligibles Enrolled
290
178
2,250
582
SSI & MA-SSI
1,401
5,129
9,452
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
1,703
6,070
United Healthcare Plan Of NY
Voluntary
Eligibles
178
Eff. May 2003 NYS Catholic Health Plan
TOTALS:
Enrolled
252
NYS Catholic Health Plan
Jefferson
SNA HR & MA-HR
12
843
678
4,573
55
2%
3,889
85%
1,966
0
13,002
0
458
3
3,029
0
3
770
559
5,343
58
2%
4,448
83%
58%
2,256
478
2,734
60%
364
3,098
41
22
63
1%
1
64
1%
914
178
1,092
24%
194
1,286
24%
Madison
TOTALS:
3,265
53%
3,525
49%
Mandatory
Excellus Health Plan
1,321
251
1,572
25%
128
1,700
24%
Eff. Oct 2010
NYS Catholic Health Plan
1,049
243
1,292
21%
107
1,399
20%
335
66
401
6%
25
426
6%
72,499
90%
84,224
87%
5,215
United Healthcare Plan Of NY
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
Montgomery
Mandatory
TOTALS:
Capital District Physicians Health
Plan
Eff. Apr 2007
NYS Catholic Health Plan
66,875
NYS Catholic Health Plan
MVP Health Plan
2,705
60,577
992
13,895
11,922
6,207
80,770
915
15,669
260
11,725
7,122
96,439
41,810
6,233
48,043
59%
7,982
56,025
58%
7,184
4,067
11,251
14%
1,195
12,446
13%
15,753
16%
7,462
86%
11,583
6,571
560
5,864
1,622
1,005
889
7,576
13,205
16%
6,753
89%
2,548
1,140
709
8,716
2,613
312
2,925
39%
355
3,280
38%
3,251
577
3,828
51%
354
4,182
48%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
61,605
Eff. June 2001 HealthFirst PHSP
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Niagara
SNA HR & MA-HR
SSI & MA-SSI
Total
Eligibles
Total
Enrolled
Percent
Enrolled
70,257
Eligibles Enrolled
89%
12,709
8,783
79,040
87%
8,577
1,877
10,454
13%
1,066
11,520
13%
11,500
2,724
14,224
18%
1,313
15,537
17%
4,628
1,843
6,471
8%
855
7,326
8%
Enrolled
Eligibles
54,937
16,924
Enrolled
15,320
78,529
91,238
8,743
3,433
12,176
16%
2,452
14,628
16%
10,811
2,429
13,240
17%
1,423
14,663
16%
6
1
7
0%
0
7
0%
10,672
17%
1,674
17%
29%
6,423
30%
839
7,262
1,051
5,698
27%
1,296
6,994
28%
NYS Catholic Health Plan
5,937
1,709
7,646
36%
820
8,466
34%
Eff Sep 2001
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
24,890
87%
29,052
85%
3,515
736
4,251
15%
756
5,007
15%
15,448
2,266
17,714
62%
2,932
20,646
61%
2,473
40,002
35,314
3,454
28,533
452
7,035
6,133
47,037
2,925
10%
41,447
88%
5,476
4,162
24,848
91%
1,324
3,987
2,955
15,359
4,647
21,436
3,475
22,722
5,099
24,546
21,373
92%
Independent Health Association
TOTALS:
4,084
13,685
Eff Sep 1998
Excellus Health Plan
4,453
19,767
Mandatory
Oneida
15,683
3,013
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Mandatory
16,920
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
34,009
474
8,764
7,383
55,801
3,399
10%
48,830
88%
5,217
893
6,110
13%
984
7,094
13%
NYS Catholic Health Plan
10,829
1,876
12,705
27%
1,849
14,554
26%
SCHC Total Care
14,849
2,620
17,469
37%
3,641
21,110
38%
4,419
744
5,163
11%
909
6,072
11%
6,603
87%
7,522
84%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
Orange
TOTALS:
6,525
NYS Catholic Health Plan
5,712
1,078
7,603
1,342
919
8,945
5,018
772
5,790
76%
777
6,567
73%
663
103
766
10%
137
903
10%
31
38,163
891
32,757
16
4,770
4,011
42,933
47
1%
36,768
86%
5
4,554
3,042
47,487
52
1%
39,810
84%
29%
Mandatory
Affinity Health Plan
10,770
1,757
12,527
29%
1,369
13,896
Eff. Mar 2007
Hudson Health Plan
7,261
1,369
8,630
20%
994
9,624
20%
13,592
664
14,256
33%
417
14,673
31%
1,134
221
1,355
3%
262
1,617
3%
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 APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,862
Mandatory
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Eff. June 2003 Blue
NYS Catholic Health Plan
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
13,769
SNA HR & MA-HR
Enrolled
Eligibles
3,504
960
Enrolled
880
4,802
89%
1,839
34%
217
953
20%
128
1,081
20%
396
1,770
37%
112
1,882
35%
14,361
89%
16,332
88%
16,174
2,391
1,971
5,413
Percent
Enrolled
178
2,127
418
Total
Enrolled
34%
736
591
Total
Eligibles
91%
1,374
2,405
Eligibles Enrolled
4,384
267
4,822
SSI & MA-SSI
1,661
1,394
12,234
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
18,565
175
12
187
1%
36
223
1%
NYS Catholic Health Plan
3,630
620
4,250
26%
478
4,728
25%
SCHC Total Care
6,411
1,204
7,615
47%
1,140
8,755
47%
United Healthcare Plan Of NY
2,018
291
2,309
14%
317
2,626
14%
4,535
84%
4,911
77%
3,089
57%
3,348
52%
1,563
24%
2,204
75%
Otsego
TOTALS:
Mandatory
Excellus Health Plan
4,437
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
Mandatory
TOTALS:
Capital District Physicians Health
Plan
Eff. Oct 1997
NYS Catholic Health Plan
982
2,568
Eff. May 21007 NYS Catholic Health Plan
Putnam
3,691
12,733
Wellcare Of New York
40,365
1,548
5,419
521
1,123
1,857
844
323
446
384
2,303
1,446
9%
1,932
84%
996
376
6,415
259
117
639
272
2,942
72
23
95
4%
45
140
5%
1,476
361
1,837
80%
227
2,064
70%
14,058
90%
16,024
88%
11,377
2,886
2,681
15,619
2,635
1,966
18,254
8,106
1,768
9,874
63%
1,424
11,298
62%
2,695
735
3,430
22%
389
3,819
21%
576
178
754
5%
153
907
5%
Rockland
TOTALS:
43,281
97%
45,425
95%
Mandatory
Affinity Health Plan
3,001
1,085
4,086
9%
565
4,651
10%
Eff. Mar 2001
Hudson Health Plan
6,142
831
6,973
16%
493
7,466
16%
27,964
1,838
29,802
67%
914
30,716
64%
2,189
231
2,420
5%
172
2,592
5%
NYS Catholic Health Plan
Wellcare Of New York
39,296
4,278
3,985
44,643
2,982
2,144
47,625
St Lawrence
TOTALS:
4
0%
6
0%
Voluntary
Excellus Health Plan
1
0
1
0%
2
3
0%
NYS Catholic Health Plan
3
0
3
0%
0
3
0%
10,721
4
2,014
0
12,735
2,793
2
15,528
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 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
Eligibles
9,334
13,599
2,407
1,748
Enrolled
Eligibles
8,490
1,797
2,519
1,679
11,131
10,169
91%
SSI & MA-SSI
Eligibles Enrolled
1,925
1,370
Total
Eligibles
13,056
Total
Enrolled
Percent
Enrolled
11,539
88%
60%
5,601
1,124
6,725
60%
1,050
7,775
555
3,444
31%
320
3,764
29%
13,221
83%
15,355
79%
11,308
2,285
1,913
15,884
3,484
2,134
19,368
6,079
985
7,064
44%
1,396
8,460
44%
5,229
928
6,157
39%
738
6,895
36%
1,654
58%
1,760
54%
1,383
464
271
2,871
408
106
3,279
797
176
973
34%
78
1,051
32%
586
95
681
24%
28
709
22%
74
331
2,173
823
43
2,079
43
379
2,173
8,736
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
2,889
74
Excellus Health Plan
339
2,898
339
1,420
141
10,156
117
6%
117
6%
2,512
87%
2,512
87%
964
9%
282
16
2,361
133
6%
133
6%
3,448
2,903
84%
2,903
84%
12,490
1,293
10%
16
550
391
2,334
329
391
Southern Tier Pediatrics (Partial)
251
0
251
2%
23
274
2%
Southern Tier Priority (Partial)
572
141
713
7%
306
1,019
8%
Suffolk
TOTALS:
Mandatory
Affinity Health Plan
78,577
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of Greater
New York
87,220
90%
97,489
87%
10,622
70,648
18,745
16,572
1,859
97,322
12,481
13%
14,414
10,269
1,234
111,736
13,715
12%
11,179
1,832
13,011
13%
1,334
14,345
13%
15%
10,323
4,079
14,402
15%
2,263
16,665
Neighborhood Health Providers
13,334
2,000
15,334
16%
1,799
17,133
15%
NYS Catholic Health Plan
10,974
2,658
13,632
14%
1,518
15,150
14%
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Sullivan
TOTALS:
Mandatory
Hudson Health Plan
Eff. Apr 2007
SNA HR & MA-HR
NYS Catholic Health Plan
7,747
0
0
0
0%
1
1
0%
14,216
4,144
18,360
19%
2,120
20,480
18%
6,838
7,891
87%
8,916
84%
5,544
1,309
1,053
829
9,056
6,373
70%
1,548
1,025
835
10,604
7,208
68%
1,294
224
1,518
17%
190
1,708
16%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians Health
Plan
Voluntary
Eligibles
4,461
NYS Catholic Health Plan
Enrolled
Eligibles
360
431
7%
23
0%
5,220
65%
Hudson Health Plan
3,084
MVP Health Plan
3,374
NYS Catholic Health Plan
1,709
Wellcare Of New York
2,399
Eff. Mar 2007
NYS Catholic Health Plan
Wayne
Mandatory
TOTALS:
Eff. Oct 2010
NYS Catholic Health Plan
Westchester
TOTALS:
Mandatory
Affinity Health Plan
Health Insurance Plan of Greater
New York
Eff. Oct 1999
6,605
59,162
Hudson Health Plan
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
Wyoming
TOTALS:
Voluntary
NYS Catholic Health Plan
Yates
TOTALS:
Mandatory
Eff. Feb 2007
Upstate Total
3,866
4,670
68%
497
170
667
4%
58
725
9%
3,369
634
4,003
59%
492
4,495
56%
13,066
86%
14,693
82%
683
3,767
25%
417
4,184
23%
1,219
4,593
30%
586
5,179
29%
374
2,083
14%
178
2,261
13%
224
2,623
17%
446
3,069
17%
1,662
33%
1,816
30%
1,662
33%
1,816
30%
4,727
85%
5,318
80%
10,566
1,517
1,209
2,892
648
1,517
Excellus Health Plan
2,557
4,178
Excellus Health Plan
2,500
145
6,819
15,269
5,102
549
5,590
1,161
2,543
1,017
550
1,627
154
7,980
17,812
6,119
154
1,044
591
6,634
1,616
220
1,836
33%
270
2,106
32%
2,562
329
2,891
52%
321
3,212
48%
4,743
5,353
72%
5,976
67%
4,167
514
4,681
63%
581
5,262
59%
576
96
672
9%
42
714
8%
63,997
87%
71,368
85%
11,646
16%
13,049
16%
51,546
835
14,160
610
12,451
9,009
2,637
7,440
73,322
1,483
10,512
623
7,371
8,923
83,834
1,403
3,951
1,607
5,558
8%
1,128
6,686
8%
29,680
5,267
34,947
48%
3,514
38,461
46%
8,903
2,940
11,843
16%
1,326
13,169
16%
3
0
3
0%
0
3
0%
89
3%
94
3%
89
3%
94
3%
1,916
88%
2,153
86%
1,916
88%
2,153
86%
808,441
81%
916,325
79%
63
390
1,639
670,672
26
2,947
26
313
1,639
827,237
804
145
650
63
1,870
8%
2
Eff Mar 2007
Mandatory
454
11
Mandatory
4,940
5,975
8%
TOTALS:
TOTALS:
Capital District Physicians Health
Plan
13
0%
Ulster
NYS Catholic Health Plan
860
Percent
Enrolled
21
SCHC Total Care
Washington
9%
Total
Enrolled
420
Eff. Oct 2010
Voluntary
441
Total
Eligibles
2
NYS Catholic Health Plan
4,454
5,115
Eligibles Enrolled
79
TOTALS:
TOTALS:
81
SSI & MA-SSI
19
Mandatory
12,377
654
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
341
Tompkins
Warren
5,610
SNA HR & MA-HR
277
2,183
277
169,343
137,769
996,580
473
5
3,420
5
313
237
2,496
237
164,599
107,884
1,161,179
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
SNA HR & MA-HR
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
92,628
52,273
144,901
7%
15,668
160,569
7%
Mandatory
Amerigroup
47,204
29,404
76,608
4%
5,271
81,879
4%
298
1,930
2,228
0%
1,626
3,854
0%
Fully
HealthFirst PHSP
241,677
92,761
334,438
17%
41,560
375,998
17%
Implemented:
HealthPlus
Health Insurance Plan of Greater
New York
165,585
61,136
226,721
11%
17,762
244,483
11%
106,238
46,724
152,962
8%
20,456
173,418
8%
MetroPlus Health Plan
239,196
76,212
315,408
16%
31,854
347,262
15%
Amida Care SN
Sept 2002
MetroPlus Health Plan SN
Neighborhood Health Providers
NYPS Select Health SN
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
UPSTATE TOTALS:
1,072
1,938
3,010
0%
2,015
5,025
0%
106,471
33,216
139,687
7%
17,186
156,873
7%
453
2,384
2,837
0%
2,336
5,173
0%
131,082
78,967
210,049
10%
22,261
232,310
10%
1,024
309
1,333
0%
48
1,381
0%
105,542
51,037
156,579
8%
14,080
170,659
8%
25,593
18,463
44,056
2%
4,114
48,170
2%
1,408,185
1,264,063
607,677
546,754
2,015,862
1,810,817
90%
249,400
196,237
2,265,262
2,007,054
89%
827,237
670,672
169,343
137,769
996,580
808,441
81%
164,599
107,884
1,161,179
916,325
79%
NEW YORK CITY TOTALS:
1,408,185
1,264,063
607,677
546,754
2,015,862
1,810,817
90%
249,400
196,237
2,265,262
2,007,054
89%
GRAND TOTALS:
2,235,422
1,934,735
777,020
684,523
3,012,442
2,619,258
87%
413,999
304,121
3,426,441
2,923,379
85%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
TANF ADC & MA-ADC
County
Plan Name
Eligibles
NYC Boroughs Bronx
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
363,030
311,804
114,912
97,799
477,942
409,603
86%
71,453
58,177
549,395
467,780
85%
Brooklyn
499,342
455,255
217,062
199,803
716,404
655,059
91%
78,910
63,256
795,314
718,315
90%
Manhattan
167,433
142,192
93,704
75,619
261,137
217,811
83%
43,121
30,515
304,258
248,326
82%
Queens
331,346
313,019
161,703
154,654
493,049
467,673
95%
45,989
36,875
539,038
504,548
94%
47,034
41,792
20,296
18,879
67,330
60,671
90%
9,927
7,414
77,257
68,084
88%
1,408,185
1,264,063
607,677
546,754
2,015,862
1,810,817
90%
249,400
196,237
2,265,262
2,007,054
89%
Staten Island
Borough Total
NOTES:
Enrolled
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon February, 2011 total eligibles adjusted for excluded populations. The counts include recipients who are
exempt
from mandatory
enrollment.
(Seewas
about
statement
for2003
further
(2)
The source
of plan enrollment
counts
revised
in July,
to details)
be based on the primary and secondary roster reports. The roster reports reflect
month. (See about statement for further details)
enrollees
as of the
the to the nearest whole number.
(3)
All percents
arefirst
rounded
(4) New plans added this month : None
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Allegany
Cayuga
268
1,454
1,091
234
1,325
Wellcare Of New York
192
44
236
TOTALS:
645
112
757
4
1
5
251
47
298
390
64
454
2,544
507
3,051
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
11
58
420
2,527
NYS Catholic Health Plan
390
76
466
952
183
1,135
162
27
189
427
69
496
Univera Community Health Inc
363
87
450
TOTALS:
880
133
1,013
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
Clinton
47
2,107
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
United Healthcare Plan Of NY
Chenango
Total Enrolled
1,186
NYS Catholic Health Plan
Chemung
Enrolled
3,015
Excellus Health Plan
Chautauqua
Enrolled
546
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
Cattaraugus
ADULTS
WITHOUT
CHILDREN
2,469
NYS Catholic Health Plan
Broome
ADULTS
WITH
CHILDREN
72
8
80
517
87
604
291
38
329
1,533
276
1,809
233
40
273
1,206
208
1,414
94
28
122
TOTALS:
994
157
1,151
Excellus Health Plan
994
157
1,151
TOTALS:
836
119
955
NYS Catholic Health Plan
836
119
955
1,050
200
1,250
TOTALS:
Excellus Health Plan
8
2
10
1,042
198
1,240
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
611
95
706
174
37
211
437
58
495
TOTALS:
757
119
876
NYS Catholic Health Plan
609
103
712
SCHC Total Care
148
16
164
Delaware
TOTALS:
589
104
693
589
104
693
Dutchess
TOTALS:
2,395
374
2,769
NYS Catholic Health Plan
Columbia
Cortland
NYS Catholic Health Plan
Erie
Hudson Health Plan
740
94
834
MVP Health Plan
884
146
1,030
NYS Catholic Health Plan
506
99
605
Wellcare Of New York
265
35
300
10,566
2,040
12,606
Univera Community Health Inc
4,523
889
5,412
HealthNow/BCBSWNY/Community Blue
Independent Health
1,595
248
1,843
2,211
528
2,739
NYS Catholic Health Plan
2,237
375
2,612
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
2
533
91
624
TOTALS:
520
103
623
0
1
1
NYS Catholic Health Plan
520
102
622
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
932
164
1,096
170
32
202
762
132
894
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
668
107
775
377
49
426
152
35
187
NYS Catholic Health Plan
139
23
162
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
531
64
595
151
17
168
380
47
427
TOTALS:
73
15
88
NYS Catholic Health Plan
73
15
88
1,229
165
1,394
TOTALS:
Monroe
Nassau
Niagara
17
205
146
1,156
31
2
33
1,502
282
1,784
Excellus Health Plan
1,502
282
1,784
345
46
391
98
12
110
NYS Catholic Health Plan
247
34
281
TOTALS:
543
77
620
Excellus Health Plan
TOTALS:
440
57
497
NYS Catholic Health Plan
29
7
36
MVP Health Plan
74
13
87
TOTALS:
907
110
1,017
Excellus Health Plan
288
34
322
NYS Catholic Health Plan
278
39
317
United Healthcare Plan Of NY
341
37
378
TOTALS:
7,087
1,299
8,386
Excellus Health Plan
4,994
755
5,749
NYS Catholic Health Plan
1,502
423
1,925
591
121
712
1,027
125
1,152
284
25
309
743
100
843
14,177
2,254
16,431
Affinity Health Plan
2,213
341
2,554
HealthFirst PHSP
2,675
367
3,042
HealthPlus
1,102
231
1,333
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
1,999
321
2,320
3,110
590
3,700
United Healthcare Plan Of NY
3,078
404
3,482
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,592
522
3,114
986
197
1,183
1,606
325
1,931
MVP Health Plan
Montgomery
188
1,010
TOTALS:
Excellus Health Plan
Madison
626
NYS Catholic Health Plan
United Healthcare Plan Of NY
Livingston
Total Enrolled
1
NYS Catholic Health Plan
Lewis
Enrolled
1
Excellus Health Plan
Jefferson
Enrolled
92
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
534
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 APRIL, 2011
County
Plan Name
Oneida
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Orange
Orleans
Oswego
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
3,984
3,496
488
530
105
635
2,437
308
2,745
529
75
604
4,777
755
5,532
729
114
843
NYS Catholic Health Plan
1,904
271
2,175
SCHC Total Care
1,676
1,428
248
United Healthcare Plan Of NY
716
122
838
TOTALS:
955
182
1,137
Excellus Health Plan
884
163
1,047
MVP Health Plan
56
12
68
NYS Catholic Health Plan
15
7
22
TOTALS:
3,952
528
4,480
Affinity Health Plan
1,628
231
1,859
Hudson Health Plan
1,197
141
1,338
NYS Catholic Health Plan
925
133
1,058
Wellcare Of New York
202
23
225
TOTALS:
659
96
755
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
209
33
242
114
20
134
336
43
379
2,158
314
2,472
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
16
3
19
659
82
741
1,331
1,156
175
United Healthcare Plan Of NY
327
54
381
TOTALS:
877
137
1,014
Excellus Health Plan
314
47
361
NYS Catholic Health Plan
563
90
653
Putnam
TOTALS:
439
85
524
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Otsego
NYS Catholic Health Plan
439
85
524
1,426
320
1,746
634
151
785
662
133
795
130
36
166
4,617
600
5,217
Affinity Health Plan
627
138
765
Hudson Health Plan
974
127
1,101
2,843
307
3,150
173
28
201
TOTALS:
1,316
234
1,550
Excellus Health Plan
1,312
233
1,545
4
1
5
Wellcare Of New York
Rockland
TOTALS:
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 APRIL, 2011
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,892
258
672
113
785
1,220
145
1,365
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,619
238
1,857
523
74
597
1,096
164
1,260
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
463
75
538
165
24
189
298
51
349
TOTALS:
269
55
324
Excellus Health Plan
263
55
318
6
0
6
374
63
437
Schenectady
Schoharie
Schuyler
NYS Catholic Health Plan
Seneca
TOTALS:
Steuben
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Suffolk
Tioga
Tompkins
Ulster
Warren
Washington
2,150
374
63
437
1,166
183
1,349
1,166
183
1,349
16,353
2,213
18,566
Affinity Health Plan
2,690
318
3,008
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,304
256
2,560
2,293
363
2,656
1,287
164
1,451
NYS Catholic Health Plan
3,622
570
4,192
1
0
1
United Healthcare Plan Of NY
4,156
542
4,698
TOTALS:
TOTALS:
NYS Catholic Health Plan 1199
Sullivan
Total Enrolled
1,183
143
1,326
Hudson Health Plan
918
99
1,017
NYS Catholic Health Plan
265
44
309
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
490
89
579
427
78
505
63
11
74
TOTALS:
685
122
807
SCHC Total Care
519
93
612
NYS Catholic Health Plan
166
29
195
2,036
402
2,438
Hudson Health Plan
594
105
699
MVP Health Plan
782
173
955
NYS Catholic Health Plan
335
70
405
Wellcare Of New York
325
54
379
TOTALS:
752
98
850
NYS Catholic Health Plan
752
98
850
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
702
85
787
125
25
150
577
60
637
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS APRIL, 2011
County
Plan Name
Wayne
TOTALS:
Westchester
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
126
1,181
Excellus Health Plan
870
98
968
NYS Catholic Health Plan
185
28
213
TOTALS:
9,267
1,858
11,125
Affinity Health Plan
Health Insurance Plan of Greater
New York
Hudson Health Plan
1,714
420
2,134
802
171
973
4,725
716
5,441
NYS Catholic Health Plan
2,025
551
2,576
1
0
1
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
432
58
490
352
43
395
80
15
95
TOTALS:
413
58
471
NYS Catholic Health Plan 1199
Wyoming
Yates
Excellus Health Plan
413
58
471
123,311
20,253
143,564
Affinity Health Plan
15,081
7,526
22,607
Amerigroup
11,554
5,417
16,971
HealthFirst PHSP
28,300
10,325
38,625
Health Insurance Plan of Greater
New York
HealthPlus
17,648
5,297
22,945
25,415
7,373
32,788
MetroPlus Health Plan
26,647
7,643
34,290
Neighborhood Health Providers
13,378
3,792
17,170
NYS Catholic Health Plan
25,803
12,287
38,090
1,220
96
1,316
19,711
6,069
25,780
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
Total Enrolled
1,055
5,499
2,965
8,464
NYC Total
190,256
68,790
259,046
UPSTATE TOTALS:
123,311
20,253
143,564
NEW YORK CITY TOTALS:
190,256
68,790
259,046
GRAND TOTALS
313,567
89,043
402,610
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,482
9,322
40,804
Brooklyn
65,681
23,338
89,019
Manhattan
18,229
9,452
27,681
Queens
67,080
24,515
91,595
7,784
2,163
9,947
190,256
68,790
259,046
Staten Island
Borough Total
NOTES:
(1) The source of plan enrollment counts was revised in July, 2003 to be based
on the primary and secondary roster reports which reflect enrollees as of the
first of the month.
(2) New plans added this month : None
MANAGED LONG TERM CARE ENROLLMENT
BY PLAN, COUNTY, AND PROGRAM
NYS APRIL, 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
138
Total
138
ERIE
43
Total
43
NASSAU
14
NEW YORK
2,349
SUFFOLK
61
WESTCHESTER
160
Total
2,584
ALBANY
4
SCHENECTADY
114
Total
118
MONROE
271
Total
271
CHAUTAUQUA
0
ONONDAGA
384
OSWEGO
1
Total
385
ALLEGANY
3
CATTARAUGUS
62
Total
65
3,604
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:
997
997
1,932
37
1,969
112
42
154
3,673
3,673
18
394
2
17
431
207
190
397
464
5,359
394
6,217
993
993
1,673
1,673
2,685
2,685
48
336
384
135
135
8,918
8,918
1,338
1,338
29,964
33,568
(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 APRIL, 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
198
12
186
10
10
14
14
37
7
30
6
1
5
3
3
11
3
8
169
23
127
18
1
14
14
32
8
24
55
9
31
15
4
4
65
8
57
43
43
27
27
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS APRIL, 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
76
15
61
82
11
71
106
4
7
95
25
25
4
4
52
37
10
5
1,033
221
764
662
1,425
383
94
111
1,196
4,856
1,033
4,856
5,889
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 APRIL, 2011
County
Albany
Columbia
Dutchess
Greene
Montgomery
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Warren
Washington
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
86
8
78
6
6
6
6
1
1
3
2
1
6
6
53
7
46
9
9
31
2
29
61
61
3
3
2
2
267
13
459
333
124
27
58
60
1,074
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
267
1074
1,341
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
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
NYS Catholic Health Plan
Senior Whole Health
Total
Senior Whole Health
Total
Senior Whole Health
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 - Senior Whole
Health