RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
County
Plan Name
Albany
TOTALS:
Mandatory
Capital District Physicians Health Plan
Eff. Oct 1997
NYS Catholic Health Plan
Eligibles
20,302
TOTALS:
Mandatory
NYS Catholic Health Plan
HealthNow/BCBS-WNY/Community
Blue
Eff Feb 2007
3,961
TOTALS:
Mandatory
Capital District Physicians Health Plan
18,645
Eff. May 1998 Excellus Health Plan
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Sep 2001
NYS Catholic Health Plan
Cayuga
TOTALS:
Mandatory
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
7,207
Univera Community Health
United Healthcare Plan Of NY
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Sep 2001
NYS Catholic Health Plan
14,940
Univera Community Health
Chemung
Voluntary
TOTALS:
Southern Tier Pediatrics (Partial)
9,924
Southern Tier Priority (Partial)
Chenango
TOTALS:
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
5,655
25,020
22,184
Eligibles Enrolled
4,440
3,353
89%
Total
Eligibles
29,460
Total
Enrolled
25,537
Percent
Enrolled
87%
2,720
15,351
61%
2,392
17,743
60%
1,152
5,367
21%
628
5,995
20%
3,307
206
759
621
4,720
1,466
6%
3,928
83%
333
750
461
5,470
1,799
6%
4,389
80%
17
8
25
0%
2
27
0%
2,020
395
2,415
10%
320
2,735
50%
15,919
218
4,298
3,650
22,943
1,488
6%
19,569
85%
139
4,191
3,086
27,134
1,627
30%
22,655
83%
276
31
307
1%
90
397
1%
13,340
3,069
16,409
72%
2,462
18,871
70%
6,136
550
1,088
1,037
8,295
2,853
12%
7,173
86%
534
1,403
1,198
9,698
3,387
12%
8,371
86%
2,496
383
2,879
35%
733
3,612
37%
2,250
332
2,582
31%
318
2,900
30%
4,069
322
1,272
753
8,279
1,712
21%
4,822
58%
147
1,286
306
9,565
1,859
19%
5,128
54%
626
119
745
9%
38
783
8%
2,726
463
3,189
39%
181
3,370
35%
717
171
888
11%
87
975
10%
16,133
88%
18,660
88%
13,151
3,383
2,982
18,323
2,913
2,527
21,236
2,763
577
3,340
18%
711
4,051
19%
10,076
2,174
12,250
67%
1,709
13,959
66%
312
231
543
3%
107
650
3%
7,199
62%
8,550
62%
3,691
1
3,692
32%
309
4,001
29%
2,579
928
3,507
30%
1,042
4,549
33%
527
8%
548
7%
548
7%
2,549
25%
2,549
25%
6,270
443
1,644
994
443
7,061
4,078
SSI & MA-SSI
4,215
1,390
7,007
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
12,631
2,303
NYS Catholic Health Plan
Cattaraugus
Eligibles
4,718
18,106
1,270
Univera Community Health
Broome
Enrolled
1,260
Wellcare Of New York
Allegany
SNA HR & MA-HR
1,838
1,838
929
84
11,568
6,649
84
1,542
481
481
2,225
1,197
527
8,603
1,351
21
13,793
7,846
21
2,319
27%
2,319
27%
1,789
230
230
10,392
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
SNA HR & MA-HR
Eligibles Enrolled
84%
956
644
Total
Eligibles
Total
Enrolled
Percent
Enrolled
Plan Name
Columbia
TOTALS:
Mandatory
Capital District Physicians Health Plan
1,959
391
2,350
46%
475
2,825
47%
Eff. Oct 1997
NYS Catholic Health Plan
1,478
405
1,883
37%
169
2,052
34%
Cortland
TOTALS:
5,026
84%
5,610
83%
5,052
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Mandatory
TOTALS:
4,093
Eff. May 2011 NYS Catholic Health Plan
Eligibles
3,437
940
4,247
921
Enrolled
SSI & MA-SSI
County
Eligibles
4,114
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
796
779
5,054
5,973
4,233
781
584
6,010
6,754
4,877
81%
3,134
608
3,742
63%
407
4,149
61%
1,113
171
1,284
21%
177
1,461
22%
493
10%
516
9%
516
9%
381
913
381
112
5,006
112
743
493
23
5,749
23
Dutchess
TOTALS:
15,110
86%
17,100
82%
Mandatory
Hudson Health Plan
4,381
795
5,176
30%
643
5,819
28%
Eff. Apr 2007
MVP Health Plan
4,397
1,161
5,558
32%
737
6,295
30%
NYS Catholic Health Plan
1,931
597
2,528
14%
323
2,851
14%
14,317
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
82,006
Eff. May 1998 Independent Health Association
NYS Catholic Health Plan
Essex
Mandatory
Eff. Oct 2010
Franklin
Mandatory
3,180
73,542
2,736
17,497
183
1,665
Wellcare Of New York
Erie
12,374
19,242
17,060
101,248
1,848
11%
90,602
89%
3,253
1,990
20,750
287
18,475
15,030
119,723
2,135
10%
105,632
88%
14%
11,995
2,388
14,383
14%
2,090
16,473
21,799
4,472
26,271
26%
4,582
30,853
26%
17,891
2,820
20,711
20%
2,918
23,629
20%
Univera Community Health
21,518
5,593
27,111
27%
2,754
29,865
25%
Total Full Risk
73,203
15,273
88,476
87%
12,344
100,820
84%
PCMP II-A Special Care (Partial)
339
1,787
2,126
2%
2,686
4,812
4%
Total Partial Risk
339
1,787
2,126
2%
2,686
4,812
4%
1,840
59%
1,887
50%
1,840
59%
1,887
50%
175
3%
190
3%
175
3%
190
3%
7,251
83%
TOTALS:
2,566
NYS Catholic Health Plan
TOTALS:
TOTALS:
Mandatory
Capital District Physicians Health Plan
Eff. Mar 2007
NYS Catholic Health Plan
548
1,462
4,206
Eff, May 2011 NYS Catholic Health Plan
Fulton
1,462
140
3,114
378
905
140
6,207
378
35
5,111
35
635
47
3,749
47
1,142
15
6,253
15
6,498
87%
962
208
1,170
16%
179
1,349
16%
4,424
904
5,328
72%
574
5,902
68%
5,386
1,235
1,112
7,442
1,261
753
8,703
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
SNA HR & MA-HR
Eligibles Enrolled
656
502
91%
Total
Eligibles
Total
Enrolled
Percent
Enrolled
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Jan 2004
MVP Health Plan
Greene
TOTALS:
Mandatory
Capital District Physicians Health Plan
1,846
320
2,166
45%
430
2,596
45%
Eff. Oct 1997
NYS Catholic Health Plan
1,584
521
2,105
43%
224
2,329
41%
Hamilton
Mandatory
Eff. Oct 2010
TOTALS:
240
75%
247
70%
247
70%
3,887
260
NYS Catholic Health Plan
TOTALS:
Mandatory
Excellus Health Plan
Eff. May 2003 NYS Catholic Health Plan
United Healthcare Plan Of NY
Jefferson
TOTALS:
Voluntary
Excellus Health Plan
Lewis
TOTALS:
Voluntary
Excellus Health Plan
Livingston
TOTALS:
Mandatory
Excellus Health Plan
Eff. Apr 2002
NYS Catholic Health Plan
9,488
MVP Health Plan
4,517
89%
2,001
45%
195
2,196
43%
1,652
37%
274
1,926
38%
3,430
72
195
965
62
5,204
841
45
4,852
322
45
33
869
32
240
7
5,721
354
7
86%
6,947
83%
159
1,082
13%
4,417
906
5,323
73%
499
5,822
70%
27
8
35
0%
8
43
1%
7
0%
7
0%
7
0%
7
0%
150
6%
156
5%
39
2%
39
1%
124
0
315
3,223
26
2,571
9
17
872
689
4,648
111
4%
3,912
84%
1,952
666
0
8,336
8%
86%
13%
11,094
1,074
395
4,925
923
0
7,262
654
6,281
1,606
1,077
8%
88%
163
7
1,221
362
4,271
760
94
3,776
5,090
290
30
NYS Catholic Health Plan
4,015
224
7
2,256
4,434
1,711
195
6,041
586
1,428
290
NYS Catholic Health Plan
Herkimer
Eligibles
642
3,429
Enrolled
SSI & MA-SSI
County
Eligibles
3,792
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
13,046
0
459
6
3,030
0
6
774
557
5,422
117
4%
4,469
82%
58%
2,285
492
2,777
60%
365
3,142
48
22
70
2%
1
71
1%
890
175
1,065
23%
191
1,256
23%
3,672
59%
3,955
55%
Madison
TOTALS:
Mandatory
Excellus Health Plan
1,525
282
1,807
29%
143
1,950
27%
Eff. Oct 2010
NYS Catholic Health Plan
1,163
264
1,427
23%
108
1,535
21%
366
72
438
7%
32
470
7%
73,312
90%
85,019
87%
5,272
United Healthcare Plan Of NY
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
67,699
NYS Catholic Health Plan
MVP Health Plan
6,529
3,054
61,104
1,003
14,205
618
12,208
6,275
81,904
919
15,746
283
11,707
7,194
97,650
42,206
6,425
48,631
59%
7,970
56,601
58%
7,404
4,199
11,603
14%
1,212
12,815
13%
11,494
1,584
13,078
16%
2,525
15,603
16%
6,804
90%
7,509
86%
5,912
1,018
892
7,547
1,148
705
8,695
Montgomery
TOTALS:
Mandatory
Capital District Physicians Health Plan
2,612
319
2,931
39%
351
3,282
38%
Eff. Apr 2007
NYS Catholic Health Plan
3,300
573
3,873
51%
354
4,227
49%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
62,347
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
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Total
Eligibles
Total
Enrolled
Percent
Enrolled
71,658
Eligibles Enrolled
90%
12,798
8,835
80,493
87%
8,736
1,953
10,689
13%
1,065
11,754
13%
11,688
2,770
14,458
18%
1,313
15,771
17%
4,737
1,859
6,596
8%
861
7,457
8%
Enrolled
Eligibles
55,951
17,315
Enrolled
15,707
79,662
92,460
8,839
3,491
12,330
15%
2,467
14,797
16%
11,044
2,506
13,550
17%
1,434
14,984
16%
6
1
7
0%
0
7
0%
10,901
3,127
14,028
18%
19,988
93%
1,695
15,723
17%
22,947
92%
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
5,148
1,374
6,522
30%
834
7,356
30%
Eff Sep 1998
Independent Health Association
4,689
1,056
5,745
27%
1,304
7,049
28%
NYS Catholic Health Plan
5,970
1,751
7,721
36%
821
8,542
34%
29,201
85%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
16,879
24,710
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
21,501
4,526
4,026
4,181
28,736
3,474
87%
4,319
15%
760
5,079
15%
15,466
2,307
17,773
62%
2,930
20,703
60%
462
6,280
47,497
2,941
10%
41,878
88%
4,168
24,879
25,033
7,246
5,485
2,959
763
35,598
3,532
21,405
3,556
2,479
40,251
34,221
478
8,779
7,396
56,276
3,419
10%
49,274
88%
5,302
908
6,210
13%
992
7,202
13%
NYS Catholic Health Plan
10,905
1,913
12,818
27%
1,852
14,670
26%
SCHC Total Care
14,906
2,684
17,590
37%
3,633
21,223
38%
4,485
775
5,260
11%
919
6,179
11%
6,681
87%
7,594
84%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
6,596
NYS Catholic Health Plan
Orange
15,807
TOTALS:
38,523
5,769
1,123
912
7,719
1,325
913
9,044
5,088
789
5,877
76%
773
6,650
74%
654
106
760
10%
134
894
10%
27
17
44
1%
6
50
1%
37,186
86%
40,247
84%
33,130
4,863
4,056
43,386
4,607
3,061
47,993
Mandatory
Affinity Health Plan
10,833
1,769
12,602
29%
1,375
13,977
29%
Eff. Mar 2007
Hudson Health Plan
7,417
1,387
8,804
20%
1,009
9,813
20%
13,750
677
14,427
33%
424
14,851
31%
1,130
223
1,353
3%
253
1,606
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 MAY, 2011
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,882
Mandatory
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Eff. June 2003
Blue
SNA HR & MA-HR
Enrolled
Eligibles
3,533
969
1,379
NYS Catholic Health Plan
4,851
4,418
Eligibles Enrolled
91%
592
422
1,644
34%
Total
Eligibles
5,443
181
Total
Enrolled
Percent
Enrolled
4,840
89%
1,825
34%
749
210
959
20%
127
1,086
20%
1,405
410
1,815
37%
114
1,929
35%
16,545
89%
14,572
90%
11
189
1%
35
224
1%
NYS Catholic Health Plan
3,691
641
4,332
27%
480
4,812
26%
SCHC Total Care
6,495
1,210
7,705
47%
1,138
8,843
47%
United Healthcare Plan Of NY
2,030
316
2,346
14%
320
2,666
14%
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Otsego
TOTALS:
Mandatory
Excellus Health Plan
4,429
Eff. May 2007 NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
1,826
12,394
3,679
2,433
979
18,655
84%
4,900
77%
56%
257
3,305
52%
1,143
330
1,473
9%
122
1,595
25%
1,986
87%
2,255
77%
457
389
2,283
986
639
379
269
6,394
2,922
26
87
4%
45
132
5%
363
1,899
83%
224
2,123
73%
14,180
90%
16,153
88%
1,775
9,911
63%
1,436
11,347
62%
2,755
741
3,496
22%
390
3,886
21%
598
175
773
5%
147
920
5%
43,817
97%
45,971
96%
NYS Catholic Health Plan
TOTALS:
Mandatory
Capital District Physicians Health Plan
8,136
NYS Catholic Health Plan
1,536
40,796
1,973
3,048
1,597
5,408
2,376
4,521
Rensselaer
Wellcare Of New York
842
16,279
512
61
12,781
2,178
2,536
Eff. Mar 2007
Eff. Oct 1997
885
265
SSI & MA-SSI
178
Oswego
13,846
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
11,489
39,822
2,893
4,319
2,691
3,995
15,674
45,115
2,645
3,009
1,973
2,154
18,319
48,124
Rockland
TOTALS:
Mandatory
Affinity Health Plan
3,096
1,100
4,196
9%
564
4,760
10%
Eff. Mar 2001
Hudson Health Plan
6,229
831
7,060
16%
500
7,560
16%
28,286
1,834
30,120
67%
925
31,045
65%
2,441
5%
2,606
5%
12
0%
14
0%
NYS Catholic Health Plan
230
2,211
Wellcare Of New York
165
St Lawrence
TOTALS:
Voluntary
Excellus Health Plan
3
0
3
0%
2
5
0%
NYS Catholic Health Plan
9
0
9
0%
0
9
0%
10,758
12
2,065
0
12,823
2,789
2
15,612
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
County
Plan Name
Saratoga
TOTALS:
Mandatory
Eligibles
9,346
SNA HR & MA-HR
Enrolled
Eligibles
8,559
1,846
Enrolled
1,708
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
11,192
10,267
SSI & MA-SSI
Eligibles Enrolled
92%
1,916
1,358
Total
Eligibles
13,108
Total
Enrolled
Percent
Enrolled
11,625
89%
Capital District Physicians Health Plan
5,596
1,139
6,735
60%
1,040
7,775
59%
Eff. Oct 1997
NYS Catholic Health Plan
2,963
569
3,532
32%
318
3,850
29%
Schenectady
TOTALS:
13,702
85%
15,880
81%
Mandatory
Capital District Physicians Health Plan
7,285
45%
8,699
44%
6,417
40%
7,181
37%
1,824
63%
1,941
59%
1,072
37%
1,155
35%
Eff. Apr 2007
NYS Catholic Health Plan
Schoharie
TOTALS:
Mandatory
13,798
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
NYS Catholic Health Plan
2,282
6,271
1,512
Southern Tier Priority (Partial)
2,522
312
2,881
197
637
65
16,080
958
473
875
1,767
1,972
1,014
5,459
2,408
Capital District Physicians Health Plan
Eff. Oct 2010
11,730
115
342
43
2,109
752
26%
108
5%
3,482
2,178
19,562
1,414
764
417
117
3,298
83
34
288
18
2,397
786
24%
126
5%
0%
6
0
6
0%
2
8
59
43
102
5%
16
118
5%
2,526
87%
3,447
2,918
85%
2,526
87%
2,918
85%
856
8%
12,431
1,153
9%
1%
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
NYS Catholic Health Plan
103
18
121
1%
43
164
Southern Tier Pediatrics (Partial)
250
0
250
2%
24
274
2%
Southern Tier Priority (Partial)
370
115
485
5%
230
715
6%
Excellus Health Plan
Suffolk
TOTALS:
Mandatory
Affinity Health Plan
2,195
376
2,195
8,673
79,625
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of Greater New
York
723
331
2,898
331
1,448
133
10,121
549
392
2,310
297
392
88,661
90%
98,982
87%
10,880
1,978
12,858
13%
1,232
14,090
12%
11,283
1,889
13,172
13%
1,333
14,505
13%
15%
71,637
19,278
17,024
98,903
14,459
10,321
113,362
10,267
4,079
14,346
15%
2,257
16,603
Neighborhood Health Providers
13,581
2,034
15,615
16%
1,808
17,423
15%
NYS Catholic Health Plan
11,138
2,722
13,860
14%
1,555
15,415
14%
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
7,830
0
0
0
0%
1
1
0%
14,488
4,322
18,810
19%
2,135
20,945
18%
8,011
88%
9,033
85%
Sullivan
TOTALS:
Mandatory
6,927
1,311
1,084
9,141
1,538
1,022
10,679
Hudson Health Plan
5,601
846
6,447
71%
831
7,278
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,326
238
1,564
17%
191
1,755
16%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Voluntary
Capital District Physicians Health Plan
Eligibles
4,505
NYS Catholic Health Plan
5,685
SNA HR & MA-HR
Enrolled
Eligibles
392
650
8%
11
431
7%
0%
3
56
1%
4,898
71%
5,490
68%
755
5%
832
10%
4,070
SCHC Total Care
Ulster
TOTALS:
Mandatory
Hudson Health Plan
3,116
Eff Mar 2007
MVP Health Plan
3,397
NYS Catholic Health Plan
1,757
Wellcare Of New York
2,407
Washington
TOTALS:
1,214
10,677
1,530
6,899
665
658
58%
429
4,229
24%
573
5,194
29%
14%
187
2,323
13%
17%
445
3,090
17%
1,850
30%
684
3,800
25%
4,621
30%
379
2,136
238
2,645
162
5,127
162
551
5,609
8,057
77
83%
1,224
15,392
592
4,658
60%
86%
2,525
1,158
14,836
4,143
13,202
645
2,951
1,530
4,215
828
183
3,498
4,951
8%
53
572
4,462
487
420
Eff. Oct 2010
TOTALS:
Percent
Enrolled
8
NYS Catholic Health Plan
NYS Catholic Health Plan
473
Total
Enrolled
73
TOTALS:
Voluntary
5,155
Total
Eligibles Enrolled Eligibles
9%
860
14
6,015
45
Mandatory
Warren
81
SSI & MA-SSI
347
Tompkins
12,441
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
1,692
33%
1,692
33%
4,766
85%
515
2,559
1,028
1,634
158
17,951
6,155
158
1,044
589
6,653
1,850
30%
5,355
80%
Mandatory
Capital District Physicians Health Plan
1,630
222
1,852
33%
267
2,119
32%
Eff. Mar 2007
NYS Catholic Health Plan
2,585
329
2,914
52%
322
3,236
49%
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
6,644
Excellus Health Plan
59,386
NYS Catholic Health Plan
NYS Catholic Health Plan 1199
TOTALS:
Voluntary
NYS Catholic Health Plan
Yates
TOTALS:
Mandatory
Eff. Feb 2007
Upstate Total
76%
6,350
71%
561
4,959
66%
603
5,562
62%
631
103
734
10%
54
788
9%
64,726
88%
72,120
86%
11,717
16%
13,112
16%
5,029
52,018
844
14,269
2,569
Excellus Health Plan
73,655
1,492
10,546
657
7,394
8,980
84,201
1,395
3,997
1,648
5,645
8%
1,124
6,769
8%
5,376
35,399
48%
3,530
38,929
46%
8,980
2,982
11,962
16%
1,345
13,307
16%
3
0
3
0%
0
3
0%
99
3%
104
3%
99
3%
1,924
87%
1,924
87%
819,853
82%
72
411
1,650
679,173
27
2,980
27
319
1,650
832,379
12,708
7,488
30,023
72
1,880
664
2,702
9,015
Hudson Health Plan
Wyoming
5,693
4,398
274
2,199
274
172,042
140,680
1,004,421
473
5
3,453
5
312
242
2,511
242
165,004
108,198
1,169,425
104
3%
2,166
86%
2,166
86%
928,051
79%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
SSI & MA-SSI
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
Plan Name
NYC
Affinity Health Plan
92,400
52,550
144,950
7%
15,742
160,692
7%
Mandatory
Amerigroup
46,899
29,417
76,316
4%
5,330
81,646
4%
301
2,016
2,317
0%
1,727
4,044
0%
Amida Care SN
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
County
Eligibles
Enrolled
SNA HR & MA-HR
Eligibles
Fully
HealthFirst PHSP
242,749
93,307
336,056
17%
41,715
377,771
17%
Implemented:
HealthPlus
Health Insurance Plan of Greater New
York
165,492
61,338
226,830
11%
17,784
244,614
11%
105,202
46,526
151,728
8%
20,418
172,146
8%
MetroPlus Health Plan
238,877
76,551
315,428
16%
31,979
347,407
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:
1,081
1,992
3,073
0%
2,082
5,155
0%
106,608
33,335
139,943
7%
17,161
157,104
7%
502
2,524
3,026
0%
2,492
5,518
0%
131,407
79,756
211,163
10%
22,451
233,614
10%
969
324
1,293
0%
41
1,334
0%
106,060
51,523
157,583
8%
14,128
171,711
8%
25,122
18,280
43,402
2%
4,047
47,449
2%
1,407,730
1,263,669
609,960
549,439
2,017,690
1,813,108
90%
249,314
197,097
2,267,004
2,010,205
89%
832,379
679,173
172,042
140,680
1,004,421
819,853
82%
165,004
108,198
1,169,425
928,051
79%
NEW YORK CITY TOTALS:
1,407,730
1,263,669
609,960
549,439
2,017,690
1,813,108
90%
249,314
197,097
2,267,004
2,010,205
89%
GRAND TOTALS:
2,240,109
1,942,842
782,002
690,119
3,022,111
2,632,961
87%
414,318
305,295
3,436,429
2,938,256
86%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
TANF ADC & MA-ADC
County
Plan Name
NYC Boroughs Bronx
Enrolled
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total
Total
Percent
Eligibles
Enrolled
Enrolled
SSI & MA-SSI
Eligibles
Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
362,913
311,707
115,343
98,279
478,256
409,986
86%
71,428
58,432
549,684
468,418
85%
Brooklyn
499,181
455,114
217,878
200,785
717,059
655,898
91%
78,883
63,533
795,942
719,431
90%
Manhattan
167,379
142,148
94,056
75,990
261,435
218,138
83%
43,106
30,649
304,541
248,787
82%
Queens
331,239
312,922
162,310
155,413
493,549
468,335
95%
45,974
37,037
539,523
505,372
94%
47,018
41,779
20,373
18,972
67,391
60,751
90%
9,923
7,446
77,314
68,197
88%
1,407,730
1,263,669
609,960
549,439
2,017,690
1,813,108
90%
249,314
197,097
2,267,004
2,010,205
89%
Staten Island
Borough Total
NOTES:
Eligibles
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon March, 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 : NYS Catholic Health Plan - Schuyler & Stueben Counties
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Allegany
Cayuga
Enrolled
Total Enrolled
3,052
1,204
274
1,478
1,099
242
1,341
Wellcare Of New York
189
44
233
TOTALS:
663
116
779
14
2
16
244
47
291
405
67
472
2,571
515
3,086
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
42
10
52
2,130
426
2,556
NYS Catholic Health Plan
399
79
478
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
982
179
1,161
175
29
204
429
62
491
Univera Community Health Inc
378
88
466
TOTALS:
886
133
1,019
84
13
97
516
84
600
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Chautauqua
Enrolled
560
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
Cattaraugus
ADULTS
WITHOUT
CHILDREN
2,492
NYS Catholic Health Plan
Broome
ADULTS
WITH
CHILDREN
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
286
36
322
1,512
293
1,805
231
42
273
1,189
222
1,411
92
29
121
985
155
1,140
985
155
1,140
863
118
981
Chemung
TOTALS:
Excellus Health Plan
Chenango
TOTALS:
NYS Catholic Health Plan
863
118
981
1,028
212
1,240
Clinton
TOTALS:
Excellus Health Plan
8
2
10
1,020
210
1,230
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
636
105
741
183
37
220
453
68
521
TOTALS:
742
121
863
NYS Catholic Health Plan
594
107
701
SCHC Total Care
148
14
162
TOTALS:
584
104
688
584
104
688
2,432
372
2,804
NYS Catholic Health Plan
Columbia
Cortland
Delaware
NYS Catholic Health Plan
Dutchess
Erie
TOTALS:
Hudson Health Plan
769
98
867
MVP Health Plan
892
144
1,036
NYS Catholic Health Plan
516
95
611
Wellcare Of New York
255
35
290
10,633
2,074
12,707
Univera Community Health Inc
4,495
912
5,407
HealthNow/BCBSWNY/Community Blue
Independent Health
1,620
253
1,873
2,258
540
2,798
NYS Catholic Health Plan
2,260
369
2,629
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Madison
Monroe
2
531
96
627
TOTALS:
509
106
615
0
1
1
NYS Catholic Health Plan
509
105
614
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
932
159
1,091
163
32
195
769
127
896
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
658
113
771
369
52
421
150
38
188
NYS Catholic Health Plan
139
23
162
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
538
63
601
143
18
161
395
45
440
TOTALS:
73
15
88
NYS Catholic Health Plan
73
15
88
1,271
159
1,430
TOTALS:
Nassau
Niagara
202
18
220
1,040
139
1,179
29
2
31
TOTALS:
1,542
276
1,818
Excellus Health Plan
1,542
276
1,818
TOTALS:
351
48
399
Excellus Health Plan
118
15
133
NYS Catholic Health Plan
233
33
266
TOTALS:
557
84
641
Excellus Health Plan
445
66
511
NYS Catholic Health Plan
33
7
40
MVP Health Plan
79
11
90
TOTALS:
911
118
1,029
Excellus Health Plan
297
37
334
NYS Catholic Health Plan
285
46
331
United Healthcare Plan Of NY
329
35
364
TOTALS:
7,185
1,337
8,522
Excellus Health Plan
5,102
807
5,909
NYS Catholic Health Plan
1,488
416
1,904
595
114
709
1,030
122
1,152
292
27
319
738
95
833
14,499
2,295
16,794
Affinity Health Plan
2,271
344
2,615
HealthFirst PHSP
2,704
372
3,076
HealthPlus
1,117
235
1,352
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
2,058
321
2,379
3,195
613
3,808
United Healthcare Plan Of NY
3,154
410
3,564
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,586
528
3,114
1,004
201
1,205
1,582
327
1,909
MVP Health Plan
Montgomery
629
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
97
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
532
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 MAY, 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
3,974
3,503
471
556
95
651
2,441
300
2,741
506
76
582
4,802
775
5,577
754
118
872
NYS Catholic Health Plan
1,890
290
2,180
SCHC Total Care
1,702
1,446
256
United Healthcare Plan Of NY
712
111
823
TOTALS:
954
190
1,144
Excellus Health Plan
885
169
1,054
MVP Health Plan
52
14
66
NYS Catholic Health Plan
17
7
24
TOTALS:
3,958
534
4,492
Affinity Health Plan
1,639
239
1,878
Hudson Health Plan
1,175
141
1,316
NYS Catholic Health Plan
943
130
1,073
Wellcare Of New York
201
24
225
TOTALS:
638
95
733
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
203
33
236
113
17
130
322
45
367
2,193
309
2,502
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
15
4
19
657
85
742
1,357
1,186
171
United Healthcare Plan Of NY
335
49
384
TOTALS:
873
133
1,006
Excellus Health Plan
318
45
363
NYS Catholic Health Plan
555
88
643
Putnam
TOTALS:
452
85
537
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Otsego
NYS Catholic Health Plan
452
85
537
1,452
312
1,764
636
145
781
686
131
817
130
36
166
4,694
622
5,316
Affinity Health Plan
637
144
781
Hudson Health Plan
994
128
1,122
2,885
322
3,207
178
28
206
TOTALS:
1,359
235
1,594
Excellus Health Plan
1,355
234
1,589
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 MAY, 2011
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,907
263
648
122
770
1,259
141
1,400
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,667
251
1,918
522
76
598
1,145
175
1,320
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
477
72
549
164
26
190
313
46
359
TOTALS:
279
53
332
Excellus Health Plan
269
53
322
10
0
10
366
55
421
Schenectady
Schoharie
Schuyler
NYS Catholic Health Plan
Seneca
TOTALS:
Steuben
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Suffolk
2,170
366
55
421
1,185
182
1,367
1,185
182
1,367
16,672
2,242
18,914
Affinity Health Plan
2,785
321
3,106
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,327
253
2,580
2,263
349
2,612
1,327
170
1,497
NYS Catholic Health Plan
3,667
598
4,265
1
0
1
United Healthcare Plan Of NY
4,302
551
4,853
TOTALS:
TOTALS:
NYS Catholic Health Plan 1199
1,212
144
1,356
Hudson Health Plan
940
104
1,044
NYS Catholic Health Plan
272
40
312
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
494
99
593
387
73
460
107
26
133
TOTALS:
696
121
817
SCHC Total Care
527
94
621
NYS Catholic Health Plan
169
27
196
2,072
415
2,487
Hudson Health Plan
592
109
701
MVP Health Plan
819
178
997
NYS Catholic Health Plan
343
68
411
Wellcare Of New York
318
60
378
Warren
TOTALS:
761
97
858
NYS Catholic Health Plan
761
97
858
Washington
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
739
83
822
129
26
155
610
57
667
Sullivan
Tioga
Tompkins
Ulster
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS MAY, 2011
County
Plan Name
Wayne
TOTALS:
Westchester
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
121
1,156
Excellus Health Plan
859
98
957
NYS Catholic Health Plan
176
23
199
TOTALS:
9,322
1,909
11,231
Affinity Health Plan
Health Insurance Plan of Greater
New York
Hudson Health Plan
1,718
416
2,134
791
168
959
4,775
742
5,517
NYS Catholic Health Plan
2,038
582
2,620
0
1
1
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
440
55
495
353
42
395
87
13
100
TOTALS:
414
61
475
NYS Catholic Health Plan 1199
Wyoming
Yates
Excellus Health Plan
414
61
475
124,799
20,561
145,360
Affinity Health Plan
15,146
7,529
22,675
Amerigroup
11,541
5,376
16,917
HealthFirst PHSP
28,535
10,349
38,884
Health Insurance Plan of Greater
New York
HealthPlus
17,563
5,222
22,785
25,438
7,337
32,775
MetroPlus Health Plan
26,669
7,604
34,273
Neighborhood Health Providers
13,448
3,829
17,277
NYS Catholic Health Plan
25,912
12,296
38,208
1,160
91
1,251
20,103
6,211
26,314
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
Total Enrolled
1,035
5,471
2,952
8,423
NYC Total
190,986
68,796
259,782
UPSTATE TOTALS:
124,799
20,561
145,360
NEW YORK CITY TOTALS:
190,986
68,796
259,782
GRAND TOTALS:
315,785
89,357
405,142
Plan Name
ADULTS
WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,501
9,362
40,863
Brooklyn
66,047
23,326
89,373
Manhattan
18,259
9,417
27,676
Queens
67,363
24,531
91,894
7,816
2,160
9,976
190,986
68,796
259,782
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 MAY, 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
145
Total
145
ERIE
47
Total
47
NASSAU
16
NEW YORK
2,374
SUFFOLK
59
WESTCHESTER
161
Total
2,610
ALBANY
4
SCHENECTADY
116
Total
120
MONROE
272
Total
272
CHAUTAUQUA
0
ONONDAGA
383
OSWEGO
1
Total
384
ALLEGANY
3
CATTARAUGUS
64
Total
67
3,645
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:
1,042
1,042
2,034
38
2,072
116
45
161
3,745
3,745
19
473
4
20
516
214
188
402
466
5,349
414
6,229
995
995
1,688
1,688
2,766
2,766
48
336
384
132
132
8,991
8,991
1,387
1,387
30,510
34,155
(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 MAY, 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
201
12
189
14
14
15
15
37
9
28
6
1
5
3
3
16
7
9
165
20
125
19
1
17
17
32
8
24
55
8
32
15
5
5
62
8
54
43
43
27
27
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS MAY, 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
79
18
61
83
11
72
106
4
7
95
24
24
4
4
57
37
10
10
1,051
238
825
648
1,406
379
103
119
1,158
4,876
1,051
4,876
5,927
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 MAY, 2011
County
Albany
Columbia
Dutchess
Greene
Montgomery
Orange
Rensselaer
Saratoga
Schenectady
Ulster
Warren
Washington
Upstate Total:
NYC
NOTES:
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
Total
Enrolled
84
7
77
5
5
6
6
1
1
3
2
1
7
7
52
7
45
9
9
34
5
29
61
61
4
4
2
2
268
12
471
339
132
32
62
58
1,106
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
268
1106
1,374
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
(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