RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians Health
Plan
12,777
Eff. Oct 1997
NYS Catholic Health Plan
4,269
Wellcare Of New York
1,284
204
Allegany
TOTALS:
Mandatory
NYS Catholic Health Plan
HealthNow/BCBS-WNY/Community
Blue
Eff Feb 2007
Eligibles
SNA HR & MA-HR
20,439
3,917
Mandatory
TOTALS:
Capital District Physicians Health
Plan
18,741
Eff. May 1998 Excellus Health Plan
NYS Catholic Health Plan
Cattaraugus
Eligibles
18,330
3,302
4,715
746
4,118
22,448
89%
2,747
15,524
62%
1,167
5,436
22%
1,488
6%
3,914
84%
612
25,154
4,663
4,459
757
3,389
Total
Eligibles
Percent
Enrolled
25,837
87%
2,427
17,951
61%
634
6,070
20%
328
1,816
6%
4,386
81%
472
29,613
Total
Enrolled
5,420
9
35
0%
3
38
1%
2,014
394
2,408
10%
326
2,734
50%
16,069
209
4,302
3,671
23,043
1,471
6%
19,740
86%
143
4,211
3,126
27,254
1,614
30%
22,866
84%
263
31
294
1%
86
380
1%
13,473
3,099
16,572
72%
2,511
19,083
70%
2,874
12%
3,403
12%
7,265
87%
8,485
87%
2,333
Mandatory
2,497
388
2,885
35%
741
3,626
37%
NYS Catholic Health Plan
2,294
352
2,646
32%
321
2,967
30%
Univera Community Health
1,421
313
1,734
21%
158
1,892
19%
5,527
66%
Mandatory
Excellus Health Plan
Eff. Oct 2010
NYS Catholic Health Plan
7,057
United Healthcare Plan Of NY
Chautauqua
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Sep 2001
NYS Catholic Health Plan
15,009
Univera Community Health
Chemung
Voluntary
TOTALS:
Southern Tier Pediatrics (Partial)
9,905
Southern Tier Priority (Partial)
Chenango
TOTALS:
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
5,648
4,665
1,121
1,289
862
8,329
8,346
1,410
1,282
1,220
353
9,739
9,628
5,880
61%
922
172
1,094
13%
59
1,153
12%
3,000
505
3,505
42%
197
3,702
38%
743
185
928
11%
97
1,025
11%
16,149
88%
18,691
88%
13,130
3,399
3,019
18,408
2,909
2,542
21,317
2,748
598
3,346
18%
710
4,056
19%
10,051
2,177
12,228
66%
1,724
13,952
65%
331
244
575
3%
108
683
3%
6,085
6,958
60%
8,275
60%
3,635
0
3,635
31%
301
3,936
29%
2,450
873
3,323
29%
1,016
4,339
31%
561
8%
586
7%
586
7%
2,706
26%
2,706
26%
470
1,653
987
470
7,112
1,053
529
Eff. Sep 2001
TOTALS:
6,212
541
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Cayuga
7,208
Enrolled
26
1,262
Univera Community Health
Broome
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
1,976
1,976
873
91
11,558
6,635
91
1,539
488
488
2,232
1,200
561
8,651
1,317
25
13,790
7,835
25
2,464
28%
2,464
28%
1,802
242
242
10,453
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 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:
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Mandatory
TOTALS:
Eligibles
4,174
5,060
4,115
Eff. May 2011 NYS Catholic Health Plan
Enrolled
SNA HR & MA-HR
Eligibles
3,485
966
834
5,140
4,319
84%
933
630
Total
Eligibles
6,073
Total
Enrolled
Percent
Enrolled
4,949
81%
1,981
409
2,390
46%
463
2,853
47%
1,504
425
1,929
38%
167
2,096
35%
5,081
85%
5,683
84%
4,283
916
798
5,976
789
602
6,765
3,165
620
3,785
63%
425
4,210
62%
1,118
178
1,296
22%
177
1,473
22%
632
13%
667
12%
667
12%
17,299
83%
481
903
481
5,018
15,285
87%
4,432
820
5,252
30%
638
5,890
28%
Eff. Apr 2007
MVP Health Plan
4,422
1,187
5,609
32%
750
6,359
31%
NYS Catholic Health Plan
1,962
605
2,567
15%
331
2,898
14%
Wellcare Of New York
1,672
185
1,857
11%
295
2,152
10%
91,225
90%
106,373
89%
14%
Mandatory
Mandatory
Eff. Mar 2007
101,414
18,457
2,014
15,148
20,836
119,871
2,462
14,540
14%
2,108
16,648
22,056
4,596
26,652
26%
4,636
31,288
26%
NYS Catholic Health Plan
17,956
2,841
20,797
21%
2,928
23,725
20%
Univera Community Health
21,529
5,591
27,120
27%
2,800
29,920
25%
Total Full Risk
73,619
15,490
89,109
88%
12,472
101,581
85%
PCMP II-A Special Care (Partial)
334
1,782
2,116
2%
2,676
4,792
4%
Total Partial Risk
334
1,782
2,116
2%
2,676
4,792
4%
2,075
66%
2,122
56%
2,075
66%
2,122
56%
373
6%
TOTALS:
2,589
NYS Catholic Health Plan
TOTALS:
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,677
561
1,677
4,271
Eff, May 2011 NYS Catholic Health Plan
Fulton
17,272
3,284
12,078
Eff. May 1998 Independent Health Association
Essex
Mandatory
Eff. Oct 2010
Franklin
Mandatory
19,312
17,552
5,770
35
TOTALS:
73,953
2,797
35
Hudson Health Plan
82,102
3,245
752
632
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
12,488
151
151
Dutchess
Erie
14,307
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
274
5,391
3,150
398
913
274
6,199
398
78
5,184
78
1,248
1,132
7,447
352
7%
352
7%
6,523
88%
629
47
3,779
47
1,133
21
6,317
21
1,278
758
8,725
373
6%
7,281
83%
949
204
1,153
15%
176
1,329
15%
4,442
928
5,370
72%
582
5,952
68%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,784
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
3,941
Excellus Health Plan
Lewis
TOTALS:
Voluntary
Excellus Health Plan
TOTALS:
Mandatory
Excellus Health Plan
Eff. Apr 2002
NYS Catholic Health Plan
645
89%
656
520
5,085
4,480
88%
1,963
44%
202
2,165
43%
1,636
37%
285
1,921
38%
291
70
361
8%
33
394
8%
4,342
88%
5,001
86%
3,474
990
868
4,931
876
659
5,807
1,860
320
2,180
44%
434
2,614
45%
1,614
548
2,162
44%
225
2,387
41%
311
230
74%
34
6
345
236
68%
236
68%
7,217
6,319
88%
1,064
678
8,281
6,997
84%
54
42
1,214
1,077
42
230
6
764
161
925
13%
165
1,090
13%
4,444
908
5,352
74%
504
5,856
71%
42
1%
8
0%
8
0%
214
8%
67
3%
8
8
1,623
183
309
11,128
31
2,581
13
129
3,273
0
0
54
MVP Health Plan
3,960
Percent
Enrolled
219
8
3,844
4,429
Total
Enrolled
296
34
2,272
585
Total
Eligibles
1,417
188
9,505
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
1,667
5,242
NYS Catholic Health Plan
Livingston
3,375
6,003
United Healthcare Plan Of NY
Voluntary
Eligibles
188
Eff. May 2003 NYS Catholic Health Plan
TOTALS:
Enrolled
257
NYS Catholic Health Plan
Jefferson
SNA HR & MA-HR
18
870
706
4,714
147
6%
3,979
84%
9
1,953
0
13,081
0
464
8
3,045
1
7
762
562
5,476
51
1%
8
0%
8
0%
222
7%
68
2%
154
5%
4,541
83%
59%
2,330
513
2,843
60%
370
3,213
62
22
84
2%
1
85
2%
881
171
1,052
22%
191
1,243
23%
Madison
TOTALS:
4,159
66%
4,466
62%
Mandatory
Excellus Health Plan
1,797
336
2,133
34%
157
2,290
32%
Eff. Oct 2010
NYS Catholic Health Plan
1,238
281
1,519
24%
113
1,632
23%
5,262
United Healthcare Plan Of NY
Monroe
TOTALS:
Mandatory
Eff. Mar 1998
Excellus Health Plan
NYS Catholic Health Plan
Mandatory
TOTALS:
Capital District Physicians Health
Plan
Eff. Apr 2007
NYS Catholic Health Plan
1,007
415
68,075
MVP Health Plan
Montgomery
3,450
6,590
61,293
709
6,269
92
14,402
12,473
82,477
507
8%
73,766
89%
923
307
7,192
37
15,652
11,791
98,129
544
8%
85,557
87%
42,430
6,596
49,026
59%
8,052
57,078
58%
7,514
4,296
11,810
14%
1,224
13,034
13%
11,349
1,581
12,930
16%
2,515
15,445
16%
6,879
90%
7,595
87%
5,982
1,016
897
7,606
1,126
716
8,732
2,608
313
2,921
38%
352
3,273
37%
3,374
584
3,958
52%
364
4,322
49%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
63,359
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
Enrolled
Eligibles
56,508
17,623
Enrolled
16,063
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
80,982
72,571
90%
12,840
8,842
Total
Eligibles
93,822
Total
Enrolled
Percent
Enrolled
81,413
87%
8,826
1,986
10,812
13%
1,075
11,887
13%
11,748
2,809
14,557
18%
1,327
15,884
17%
4,826
1,884
6,710
8%
852
7,562
8%
8,848
3,561
12,409
15%
2,432
14,841
16%
11,115
2,591
13,706
17%
1,438
15,144
16%
6
1
7
0%
0
7
0%
11,139
3,231
14,370
18%
20,068
93%
1,718
16,088
17%
23,034
92%
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
5,165
1,418
6,583
30%
838
7,421
30%
Eff Sep 1998
Independent Health Association
4,714
1,061
5,775
27%
1,294
7,069
28%
NYS Catholic Health Plan
5,974
1,736
7,710
36%
834
8,544
34%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
16,997
24,807
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
40,677
21,650
4,612
88%
29,518
86%
15%
763
5,172
15%
15,589
2,396
17,985
62%
2,954
20,939
61%
2,463
468
2,931
10%
476
3,407
10%
42,475
88%
49,938
88%
8,779
4,193
25,108
4,409
48,062
5,458
2,966
25,325
6,435
28,847
3,499
811
7,385
3,675
21,609
3,598
36,040
4,040
4,215
7,463
34,305
56,841
5,410
936
6,346
13%
1,004
7,350
13%
NYS Catholic Health Plan
11,065
1,986
13,051
27%
1,854
14,905
26%
SCHC Total Care
15,013
2,714
17,727
37%
3,664
21,391
38%
4,552
799
5,351
11%
941
6,292
11%
6,737
87%
7,652
84%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
6,635
NYS Catholic Health Plan
Orange
15,853
TOTALS:
38,792
5,798
1,144
939
7,779
1,332
915
9,111
5,107
807
5,914
76%
776
6,690
73%
651
105
756
10%
132
888
10%
40
27
67
1%
7
74
1%
38,081
87%
41,177
85%
33,909
4,911
4,172
43,703
4,617
3,096
48,320
Mandatory
Affinity Health Plan
11,108
1,842
12,950
30%
1,385
14,335
30%
Eff. Mar 2007
Hudson Health Plan
7,729
1,427
9,156
21%
1,025
10,181
21%
13,898
675
14,573
33%
433
15,006
31%
1,174
228
1,402
3%
253
1,655
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 JUNE, 2011
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,864
Mandatory
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Eff. June 2003
Blue
SNA HR & MA-HR
Enrolled
Eligibles
3,528
970
1,386
NYS Catholic Health Plan
13,967
Enrolled
880
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
4,834
266
598
425
Total
Eligibles
5,432
Total
Enrolled
Percent
Enrolled
4,408
91%
4,833
89%
1,652
34%
180
1,832
34%
20%
757
207
964
20%
129
1,093
1,385
407
1,792
37%
116
1,908
35%
14,724
89%
16,683
89%
Oswego
TOTALS:
Mandatory
Eff. Apr 1999
178
11
189
1%
36
225
1%
NYS Catholic Health Plan
3,738
671
4,409
27%
465
4,874
26%
SCHC Total Care
6,535
1,228
7,763
47%
1,148
8,911
47%
United Healthcare Plan Of NY
2,037
326
2,363
14%
310
2,673
14%
4,912
77%
Excellus Health Plan
Otsego
TOTALS:
Mandatory
Excellus Health Plan
4,393
Eff. May 2007 NYS Catholic Health Plan
Putnam
TOTALS:
Mandatory
Amerigroup
Eff. Mar 2007
NYS Catholic Health Plan
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
Mandatory
Eff. Oct 1997
1,829
12,488
3,682
2,489
84%
56%
262
3,268
51%
1,179
345
1,524
9%
120
1,644
26%
2,030
89%
2,306
79%
80
3%
127
4%
1,950
85%
14,332
91%
1,584
12,875
NYS Catholic Health Plan
Wellcare Of New York
41,008
11,607
2,290
25
366
2,902
2,725
15,777
641
382
18,829
3,006
391
983
1,959
4,530
461
5,367
2,373
503
55
848
16,456
2,503
1,639
974
2,236
276
6,350
2,931
47
229
2,661
1,978
18,438
2,179
74%
16,310
88%
8,183
1,777
9,960
63%
1,452
11,412
62%
2,820
763
3,583
23%
381
3,964
21%
604
185
789
5%
145
934
5%
Rockland
TOTALS:
44,035
97%
46,203
96%
Mandatory
Affinity Health Plan
3,131
1,093
4,224
9%
568
4,792
10%
Eff. Mar 2001
Hudson Health Plan
6,240
832
7,072
16%
510
7,582
16%
28,442
1,837
30,279
67%
923
31,202
65%
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
TOTALS:
Voluntary
Excellus Health Plan
NYS Catholic Health Plan
40,041
4,337
2,228
10,820
19
3,994
45,345
232
2,123
3
12,943
2,460
5%
22
0%
2,996
2,168
48,341
167
2,776
2
15,719
2,627
5%
24
0%
5
0
5
0%
2
7
0%
14
3
17
0%
0
17
0%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 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
TOTALS:
Capital District Physicians Health
Plan
Mandatory
Eligibles
9,385
13,893
SNA HR & MA-HR
Enrolled
Eligibles
8,649
3,870
29%
13,993
86%
16,194
82%
7,405
46%
8,839
45%
6,588
41%
7,355
37%
1,965
67%
2,098
63%
1,172
40%
1,266
38%
832
25%
11,972
1,612
Seneca
Mandatory
Eff. Jan 2007
TOTALS:
Steuben
TOTALS:
Voluntary
NYS Catholic Health Plan
143
Southern Tier Pediatrics (Partial)
256
Southern Tier Priority (Partial)
322
Affinity Health Plan
2,293
70
72,306
353
2,920
222
131
345
44
2,127
2
42
381
2,227
721
16,186
994
479
57
2,227
2,021
1,027
13
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of Greater
New York
60%
7,901
315
NYS Catholic Health Plan
Mandatory
89%
1,052
662
80,267
11,771
32%
Voluntary
TOTALS:
13,173
61%
NYS Catholic Health Plan
8,685
1,367
3,555
TOTALS:
Excellus Health Plan
1,901
6,849
Eff. Oct 2010
2,545
92%
590
950
Southern Tier Priority (Partial)
10,404
Percent
Enrolled
1,165
5,594
1,782
11,272
Total
Enrolled
2,965
6,378
2,441
1,755
Total
Eligibles
5,684
Schuyler
Suffolk
1,887
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
19,602
27%
5%
15
1%
99
5%
2,572
88%
2,572
88%
851
8%
23
166
2%
0
256
3%
107
429
4%
89,703
90%
345
2,926
345
1,457
793
114
130
17,397
10,142
99,869
3,498
2,201
19,684
1,434
767
420
133
3,340
94
39
290
16
2,417
2
14
543
14,423
5%
17
1%
113
5%
3,469
2,956
85%
2,956
85%
12,441
1,152
9%
55
221
2%
25
281
2%
221
650
5%
100,024
88%
384
384
2,299
130
301
10,321
114,292
11,051
2,033
13,084
13%
1,233
14,317
13%
11,366
1,939
13,305
13%
1,338
14,643
13%
14%
10,150
4,062
14,212
14%
2,197
16,409
Neighborhood Health Providers
13,809
2,103
15,912
16%
1,806
17,718
16%
NYS Catholic Health Plan
11,280
2,792
14,072
14%
1,585
15,657
14%
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
0
0
0
0%
1
1
0%
14,650
4,468
19,118
19%
2,161
21,279
19%
Sullivan
TOTALS:
8,144
87%
9,167
84%
Mandatory
Hudson Health Plan
5,673
879
6,552
70%
834
7,386
68%
Eff. Apr 2007
NYS Catholic Health Plan
1,354
238
1,592
17%
189
1,781
16%
7,994
7,027
1,338
1,117
9,332
1,540
1,023
10,872
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians Health
Plan
Voluntary
Eligibles
4,528
NYS Catholic Health Plan
Enrolled
Eligibles
426
414
7%
110
2%
5,111
74%
5,725
71%
840
5%
929
11%
Hudson Health Plan
3,160
Eff Mar 2007
MVP Health Plan
3,398
NYS Catholic Health Plan
1,779
Wellcare Of New York
2,392
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
59,960
NYS Catholic Health Plan
Voluntary
NYS Catholic Health Plan
Yates
Mandatory
Eff. Feb 2007
TOTALS:
Upstate Total
10,729
1,555
4,271
676
2,978
666
4,271
62%
13,316
87%
707
3,867
25%
1,249
4,647
30%
389
2,168
242
2,587
171
15,377
5,154
171
684
589
5,754
1,159
614
8,091
89
525
4,796
59%
14,965
84%
439
4,306
24%
582
5,229
29%
14%
195
2,363
13%
2,634
17%
433
3,067
17%
1,726
33%
1,887
30%
1,726
33%
1,887
30%
4,860
84%
5,447
80%
2,538
1,058
1,649
161
17,915
6,212
161
1,032
587
6,786
233
1,891
33%
263
2,154
32%
2,613
356
2,969
52%
324
3,293
49%
6,004
80%
6,698
74%
5,285
879
719
7,503
1,493
694
8,996
4,607
606
5,213
69%
636
5,849
65%
678
113
791
11%
58
849
9%
65,772
88%
73,161
86%
11,812
16%
13,199
16%
52,755
14,404
13,017
74,364
2,779
10,561
7,389
84,925
1,387
4,061
1,665
5,726
8%
1,124
6,850
8%
30,529
5,522
36,051
48%
3,539
39,590
47%
9,126
3,051
12,177
16%
1,338
13,515
16%
6
0
6
0%
1
7
0%
2,970
115
4%
3,443
123
4%
115
4%
123
4%
2,241
1,976
88%
2,558
2,215
87%
1,976
88%
2,215
87%
830,848
82%
939,802
80%
83
1,925
1,687
418
32
316
289
83
32
1,687
837,660
6,932
1,658
2,552
Excellus Health Plan
893
217
9,033
NYS Catholic Health Plan 1199
TOTALS:
1,219
1,555
Hudson Health Plan
Wyoming
4,218
3,595
6,624
9%
9
Mandatory
Mandatory
524
5
TOTALS:
5,070
6,055
8%
SCHC Total Care
TOTALS:
Capital District Physicians Health
Plan
14
0%
Ulster
Washington
871
405
623
4,488
10%
105
Eff. Oct 2010
TOTALS:
510
Percent
Enrolled
72
NYS Catholic Health Plan
NYS Catholic Health Plan
5,184
Total
Enrolled
12
TOTALS:
12,399
84
Total
Eligibles
93
Mandatory
Warren
656
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
333
Tompkins
Voluntary
5,713
SNA HR & MA-HR
687,094
289
173,918
143,754
1,011,578
473
8
317
239
8
239
164,996
108,954
1,176,574
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
TANF ADC & MA-ADC
County
Plan Name
Eligibles
Enrolled
SNA HR & MA-HR
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
145,580
7%
15,760
Total
Eligibles
Total
Enrolled
Percent
Enrolled
NYC
Affinity Health Plan
92,775
52,805
161,340
7%
Mandatory
Amerigroup
47,080
29,941
77,021
4%
5,336
82,357
4%
304
2,098
2,402
0%
1,797
4,199
0%
Amida Care SN
Fully
HealthFirst PHSP
245,048
94,984
340,032
17%
42,048
382,080
17%
Implemented:
HealthPlus
Health Insurance Plan of Greater
New York
166,268
61,969
228,237
11%
17,886
246,123
11%
104,753
46,623
151,376
8%
20,392
171,768
8%
MetroPlus Health Plan
240,869
78,310
319,179
16%
32,153
351,332
16%
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:
1,105
2,023
3,128
0%
2,124
5,252
0%
106,814
33,577
140,391
7%
17,103
157,494
7%
525
2,621
3,146
0%
2,603
5,749
0%
132,481
81,299
213,780
11%
22,689
236,469
10%
960
334
1,294
0%
50
1,344
0%
106,217
52,058
158,275
8%
14,120
172,395
8%
24,789
18,340
43,129
2%
3,993
47,122
2%
1,400,084
1,269,988
607,245
556,982
2,007,329
1,826,970
91%
248,867
198,054
2,256,196
2,025,024
90%
837,660
687,094
173,918
143,754
1,011,578
830,848
82%
164,996
108,954
1,176,574
939,802
80%
NEW YORK CITY TOTALS:
1,400,084
1,269,988
607,245
556,982
2,007,329
1,826,970
91%
248,867
198,054
2,256,196
2,025,024
90%
GRAND TOTALS:
2,237,744
1,957,082
781,163
700,736
3,018,907
2,657,818
88%
413,863
307,008
3,432,770
2,964,826
86%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
TANF ADC & MA-ADC
County
Plan Name
Eligibles
NYC Boroughs Bronx
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
Total
Eligibles
Total
Enrolled
Percent
Enrolled
360,942
313,389
114,830
100,029
475,772
413,419
87%
71,300
59,017
547,072
472,436
86%
Brooklyn
496,470
457,801
216,908
203,400
713,378
661,201
93%
78,742
63,143
792,120
724,344
91%
Manhattan
166,470
142,015
93,637
76,448
260,107
218,463
84%
43,029
31,150
303,136
249,613
82%
Queens
329,440
314,585
161,588
157,839
491,028
472,424
96%
45,891
37,239
536,919
509,664
95%
46,762
42,197
20,282
19,266
67,044
61,463
92%
9,905
7,504
76,949
68,967
90%
1,400,084
1,269,988
607,245
556,982
2,007,329
1,826,970
91%
248,867
198,054
2,256,196
2,025,024
90%
Staten Island
Borough Total
NOTES:
Enrolled
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon April, 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 JUNE, 2011
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Allegany
Cattaraugus
Cayuga
Chautauqua
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
2,537
553
3,090
1,236
270
1,506
1,110
238
1,348
Wellcare Of New York
191
45
236
TOTALS:
700
115
815
26
2
28
246
50
296
428
63
491
2,570
516
3,086
NYS Catholic Health Plan
HealthNow/BCBSWNY/Community Blue
Univera Community Health Inc
Broome
ADULTS WITH
CHILDREN
TOTALS:
Capital District Physicians Health
Plan
Excellus Health Plan
46
10
56
2,113
419
2,532
NYS Catholic Health Plan
411
87
498
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
951
180
1,131
170
30
200
400
64
464
Univera Community Health Inc
381
86
467
TOTALS:
894
139
1,033
Excellus Health Plan
115
15
130
NYS Catholic Health Plan
501
89
590
United Healthcare Plan Of NY
278
35
313
1,498
289
1,787
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
Univera Community Health Inc
221
41
262
1,184
218
1,402
93
30
123
975
138
1,113
975
138
1,113
856
121
977
Chemung
TOTALS:
Excellus Health Plan
Chenango
TOTALS:
NYS Catholic Health Plan
856
121
977
1,030
211
1,241
Clinton
TOTALS:
Excellus Health Plan
8
2
10
1,022
209
1,231
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
652
99
751
184
32
216
468
67
535
TOTALS:
721
114
835
NYS Catholic Health Plan
585
101
686
SCHC Total Care
136
13
149
TOTALS:
605
114
719
NYS Catholic Health Plan
605
114
719
2,435
376
2,811
Hudson Health Plan
782
100
882
MVP Health Plan
877
142
1,019
NYS Catholic Health Plan
534
97
631
Wellcare Of New York
242
37
279
10,629
2,088
12,717
Univera Community Health Inc
HealthNow/BCBSWNY/Community Blue
Independent Health
4,436
910
5,346
1,628
261
1,889
2,289
549
2,838
NYS Catholic Health Plan
2,276
368
2,644
NYS Catholic Health Plan
Columbia
Cortland
Delaware
Dutchess
Erie
TOTALS:
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
Enrolled
Enrolled
Total Enrolled
98
1
1
2
NYS Catholic Health Plan
537
97
634
TOTALS:
501
108
609
0
1
1
NYS Catholic Health Plan
501
107
608
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
934
157
1,091
154
25
179
780
132
912
TOTALS:
HealthNow/BCBSWNY/Community Blue
MVP Health Plan
647
113
760
354
50
404
153
37
190
NYS Catholic Health Plan
140
26
166
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
517
71
588
141
19
160
376
52
428
TOTALS:
74
14
88
NYS Catholic Health Plan
74
14
88
1,294
159
1,453
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
538
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
636
210
17
227
1,053
139
1,192
31
3
34
Jefferson
TOTALS:
1,606
275
1,881
Excellus Health Plan
1,606
275
1,881
Lewis
TOTALS:
355
50
405
Excellus Health Plan
141
17
158
NYS Catholic Health Plan
214
33
247
TOTALS:
550
85
635
Excellus Health Plan
437
67
504
NYS Catholic Health Plan
33
7
40
MVP Health Plan
80
11
91
TOTALS:
916
116
1,032
Excellus Health Plan
314
43
357
NYS Catholic Health Plan
297
43
340
United Healthcare Plan Of NY
305
30
335
TOTALS:
7,291
1,401
8,692
Excellus Health Plan
5,171
845
6,016
NYS Catholic Health Plan
1,537
442
1,979
583
114
697
1,030
126
1,156
284
28
312
746
98
844
14,809
2,307
17,116
Affinity Health Plan
2,242
343
2,585
HealthFirst PHSP
2,780
384
3,164
HealthPlus
Health Insurance Plan of Greater
New York
NYS Catholic Health Plan
1,118
237
1,355
2,089
319
2,408
3,260
609
3,869
United Healthcare Plan Of NY
3,320
415
3,735
Livingston
Madison
Monroe
MVP Health Plan
Montgomery
Nassau
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
2,564
533
3,097
1,010
202
1,212
1,554
331
1,885
TOTALS:
3,535
461
3,996
583
100
683
2,463
290
2,753
Oneida
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Ontario
Orange
Orleans
Oswego
122
931
291
2,147
SCHC Total Care
1,691
1,433
258
United Healthcare Plan Of NY
730
111
841
TOTALS:
978
202
1,180
Excellus Health Plan
907
179
1,086
MVP Health Plan
55
15
70
NYS Catholic Health Plan
16
8
24
TOTALS:
4,057
539
4,596
Affinity Health Plan
1,661
236
1,897
Hudson Health Plan
1,225
137
1,362
NYS Catholic Health Plan
976
139
1,115
Wellcare Of New York
195
27
222
TOTALS:
635
96
731
Excellus Health Plan
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
196
34
230
107
17
124
332
45
377
2,158
319
2,477
TOTALS:
4
17
88
735
1,335
1,156
179
342
48
390
TOTALS:
867
136
1,003
Excellus Health Plan
321
49
370
NYS Catholic Health Plan
546
87
633
TOTALS:
457
84
541
NYS Catholic Health Plan
457
84
541
1,488
310
1,798
646
143
789
707
128
835
135
39
174
4,732
641
5,373
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
TOTALS:
Affinity Health Plan
641
158
799
Hudson Health Plan
1,014
123
1,137
NYS Catholic Health Plan
2,906
330
3,236
171
30
201
TOTALS:
1,381
243
1,624
Excellus Health Plan
1,375
242
1,617
6
1
7
Wellcare Of New York
St Lawrence
13
647
United Healthcare Plan Of NY
Wellcare Of New York
Rockland
560
5,610
809
SCHC Total Care
Rensselaer
71
782
1,856
NYS Catholic Health Plan
Putnam
489
4,828
NYS Catholic Health Plan
Excellus Health Plan
Otsego
Total Enrolled
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,966
268
673
126
799
1,293
142
1,435
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
1,743
259
2,002
538
86
624
1,205
173
1,378
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
476
76
552
160
27
187
316
49
365
TOTALS:
283
55
338
Excellus Health Plan
270
55
325
13
0
13
378
54
432
Schenectady
Schoharie
Schuyler
NYS Catholic Health Plan
Seneca
TOTALS:
Excellus Health Plan
Steuben
TOTALS:
Suffolk
TOTALS:
NYS Catholic Health Plan
Tioga
Tompkins
Ulster
Warren
Washington
2,234
378
54
432
1,218
190
1,408
1,218
190
1,408
17,028
2,253
19,281
Affinity Health Plan
2,882
335
3,217
HealthFirst PHSP
Health Insurance Plan of Greater
New York
Neighborhood Health Providers
2,365
258
2,623
2,237
338
2,575
1,395
179
1,574
NYS Catholic Health Plan
3,752
590
4,342
1
0
1
United Healthcare Plan Of NY
4,396
553
4,949
TOTALS:
NYS Catholic Health Plan 1199
Sullivan
Total Enrolled
1,210
153
1,363
Hudson Health Plan
920
108
1,028
NYS Catholic Health Plan
290
45
335
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
495
110
605
358
70
428
137
40
177
TOTALS:
689
125
814
SCHC Total Care
513
99
612
NYS Catholic Health Plan
176
26
202
2,083
424
2,507
Hudson Health Plan
601
118
719
MVP Health Plan
828
180
1,008
NYS Catholic Health Plan
349
69
418
Wellcare Of New York
305
57
362
TOTALS:
769
101
870
NYS Catholic Health Plan
769
101
870
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
750
83
833
133
27
160
617
56
673
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JUNE, 2011
County
Plan Name
Wayne
TOTALS:
Westchester
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
1,026
119
1,145
Excellus Health Plan
857
96
953
NYS Catholic Health Plan
169
23
192
TOTALS:
9,599
1,941
11,540
Affinity Health Plan
Health Insurance Plan of Greater
New York
Hudson Health Plan
1,746
425
2,171
811
163
974
4,925
736
5,661
NYS Catholic Health Plan
2,115
616
2,731
2
1
3
TOTALS:
HealthNow/BCBSWNY/Community Blue
NYS Catholic Health Plan
453
59
512
356
44
400
97
15
112
TOTALS:
397
61
458
Excellus Health Plan
397
61
458
126,358
20,810
147,168
NYS Catholic Health Plan 1199
Wyoming
Yates
Upstate Total
NYC
Affinity Health Plan
15,180
7,622
22,802
Amerigroup
11,612
5,383
16,995
HealthFirst PHSP
Health Insurance Plan of Greater
New York
HealthPlus
28,719
10,501
39,220
17,430
5,176
22,606
25,735
7,395
33,130
MetroPlus Health Plan
26,844
7,748
34,592
Neighborhood Health Providers
13,501
3,855
17,356
NYS Catholic Health Plan
26,344
12,517
38,861
1,121
100
1,221
20,091
6,385
26,476
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
NYC Total
County
Total Enrolled
5,439
2,951
8,390
192,016
69,633
261,649
UPSTATE TOTALS:
126,358
20,810
147,168
NEW YORK CITY TOTALS:
192,016
69,633
261,649
GRAND TOTALS
318,374
90,443
408,817
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,657
9,480
41,137
Brooklyn
66,478
23,687
90,165
Manhattan
18,228
9,408
27,636
Queens
67,768
24,882
92,650
7,885
2,176
10,061
192,016
69,633
261,649
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 JUNE, 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
153
153
46
46
13
2,391
60
157
2,621
3
113
116
273
273
0
383
1
384
3
64
67
3,660
1,092
1,092
2,160
38
2,198
116
47
163
3,922
3,922
21
594
7
20
642
207
188
395
461
5,380
411
6,252
1,025
1,025
1,710
1,710
2,834
2,834
50
333
383
129
129
9,067
9,067
1,457
1,457
31,269
34,929
(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 JUNE, 2011
County
Plan Name
Albany
TOTAL
Fidelis
Senior Whole Health
Broome
TOTAL
Touchstone/Prestige
Columbia
TOTAL
Senior Whole Health
Dutchess
TOTAL
Fidelis
Senior Whole Health
Greene
TOTAL
Fidelis
Senior Whole Health
Herkimer
TOTAL
Fidelis
Montgomery
TOTAL
Fidelis
Senior Whole Health
Nassau
TOTAL
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
United HealthCare
Oneida
TOTAL
Fidelis
Onondaga
TOTAL
Fidelis
Touchstone/Prestige
Orange
TOTAL
GHI
Senior Whole Health
Touchstone/Prestige
Oswego
TOTAL
Fidelis
Rensselaer
TOTAL
Fidelis
Senior Whole Health
Rockland
TOTAL
GHI
Saratoga
TOTAL
Senior Whole Health
Total Enrolled
198
12
186
13
13
15
15
39
10
29
6
1
5
3
3
18
8
10
163
19
124
19
1
20
20
32
9
23
50
8
27
15
6
6
63
9
54
41
41
27
27
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JUNE, 2011
County
Plan Name
Schenectady
TOTAL
Fidelis
Senior Whole Health
Suffolk
TOTAL
GHI
Health Insurance Plan of
Greater New York
Ulster
TOTAL
Fidelis
GHI
Senior Whole Health
Warren
TOTAL
Senior Whole Health
Washington
TOTAL
Senior Whole Health
Westchester
TOTAL
GHI
Health Insurance Plan of
Greater New York
Touchstone/Prestige
Upstate Total:
NYC
Affinity
ElderPlan
Fidelis
GHI
Health Insurance Plan of
Greater New York
Liberty Health Advantage
Managed Health
MetroPlus
Touchstone/Prestige
NYC Total
Total Enrolled
82
19
63
81
11
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
70
104
4
6
94
24
24
1
1
58
35
10
13
1,044
250
2
876
637
1,378
362
110
125
1,057
4,797
1,044
4,797
5,841
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 : New York City - ElderPlan
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS JUNE, 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
85
8
77
4
4
5
5
1
1
2
1
1
8
8
53
8
45
9
9
33
5
28
59
59
5
5
4
4
268
11
481
340
162
35
66
57
1,152
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
268
1,152
1,420
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 : None