RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
TANF ADC & MA-ADC
County
Plan Name
Albany
Mandatory
TOTALS:
Capital District Physicians Health
Plan
Eff. Oct 1997
NYS Catholic Health Plan
Eligibles
20,750
Wellcare Of New York
Allegany
TOTALS:
Mandatory
NYS Catholic Health Plan
HealthNow/BCBS-WNY/Community
Blue
Eff Feb 2007
Mandatory
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Sep 2001
NYS Catholic Health Plan
18,359
4,782
Univera Community Health
4,121
25,532
22,480
88%
61%
2,419
17,969
60%
21%
641
6,121
20%
3,289
205
753
623
4,733
1,450
6%
3,912
83%
49
1%
1,987
397
2,384
9%
326
2,710
49%
16,085
214
4,382
3,714
23,348
1,482
6%
19,799
85%
282
1%
88
370
1%
71%
2,517
19,144
69%
2,890
12%
3,425
12%
7,231
86%
8,447
86%
6,206
551
1,167
1,025
8,452
374
2,868
34%
741
3,609
37%
2,651
31%
319
2,970
30%
1,712
20%
1,868
19%
6,068
71%
298
16,276
87%
Voluntary
NYS Catholic Health Plan
Clinton
TOTALS:
Voluntary
NYS Catholic Health Plan
5,133
13,187
1,311
3,475
935
3,089
8,504
18,681
156
1,293
6,437
66%
67
1,439
15%
44%
199
3,913
40%
12%
103
1,085
11%
18,820
87%
2,956
369
2,544
9,797
21,637
2,773
592
3,365
18%
706
4,071
19%
10,081
2,236
12,317
66%
1,729
14,046
65%
333
261
594
3%
109
703
3%
5,940
6,778
59%
8,070
59%
3,612
0
3,612
32%
298
3,910
29%
2,328
838
3,166
28%
994
4,160
30%
594
9%
621
8%
621
8%
2,862
27%
2,862
27%
500
1,624
974
500
7,164
9,874
353
982
5,621
1,216
2,494
3,714
TOTALS:
535
1,422
2,298
185
Chenango
30%
83%
16,627
549
Southern Tier Priority (Partial)
1,625
22,939
27
797
9,831
27,651
3,136
3,165
TOTALS:
Southern Tier Pediatrics (Partial)
3,140
255
NYS Catholic Health Plan
Voluntary
143
4,303
13,491
Eff. Oct 2010
Chemung
6%
80%
3
16%
Univera Community Health
1,778
4,384
0%
1,372
NYS Catholic Health Plan
5,492
46
201
Eff. Sep 2001
472
12
1,171
Mandatory
328
759
34
1,414
15,206
86%
5,480
Excellus Health Plan
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
25,868
15,550
Mandatory
Chautauqua
30,035
Percent
Enrolled
2,744
TOTALS:
United Healthcare Plan Of NY
3,388
Total
Enrolled
1,172
Cayuga
7,193
4,503
Total
Eligibles
4,308
2,339
7,285
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
12,806
1,268
18,966
Eff. May 1998 Excellus Health Plan
Cattaraugus
Eligibles
1,245
3,980
Univera Community Health
Broome
Enrolled
SNA HR & MA-HR
2,084
2,084
838
94
11,455
6,595
94
1,529
508
508
2,240
1,216
594
8,693
1,292
27
13,695
7,811
27
2,592
30%
2,592
30%
1,819
270
270
10,512
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 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
4,303
5,082
Mandatory
NYS Catholic Health Plan
Eff. May 2007 SCHC Total Care
Delaware
Mandatory
TOTALS:
4,119
Eff. May 2011 NYS Catholic Health Plan
Dutchess
TOTALS:
Mandatory
Hudson Health Plan
Eff. Apr 2007
Mandatory
14,532
851
5,293
4,393
83%
944
634
Total
Eligibles
6,237
Total
Enrolled
5,027
Percent
Enrolled
81%
1,977
424
2,401
45%
463
2,864
46%
1,565
427
1,992
38%
171
2,163
35%
5,044
84%
5,648
83%
4,263
918
781
6,000
790
604
6,790
3,159
604
3,763
63%
422
4,185
62%
1,104
177
1,281
21%
182
1,463
22%
800
16%
842
15%
599
903
12,620
201
5,022
201
3,306
2,853
757
800
17,838
42
5,779
42
15,473
87%
5,329
30%
3,295
2,022
21,133
15%
17,495
83%
5,977
28%
MVP Health Plan
4,435
1,207
5,642
32%
749
6,391
30%
NYS Catholic Health Plan
2,043
624
2,667
15%
337
3,004
14%
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
1,647
82,830
74,619
188
19,616
12,146
17,572
102,446
2,504
1,835
10%
92,191
90%
14,650
14%
648
842
834
288
18,539
15,212
120,985
2,114
2,123
10%
107,403
89%
16,764
14%
22,235
4,706
26,941
26%
4,677
31,618
26%
NYS Catholic Health Plan
18,151
2,913
21,064
21%
2,924
23,988
20%
Univera Community Health
21,736
5,645
27,381
27%
2,819
30,200
25%
Total Full Risk
74,268
15,768
90,036
88%
12,534
102,570
85%
351
1,804
2,155
2%
2,678
4,833
4%
PCMP II-A Special Care (Partial)
Total Partial Risk
TOTALS:
351
2,642
NYS Catholic Health Plan
TOTALS:
Mandatory
TOTALS:
Capital District Physicians Health
Plan
Eff. Mar 2007
NYS Catholic Health Plan
1,787
1,804
571
1,787
4,330
Eff, May 2011 NYS Catholic Health Plan
Fulton
990
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
4,495
Eff. May 1998 Independent Health Association
Essex
Mandatory
Eff. Oct 2010
Franklin
Mandatory
3,542
Eligibles
599
Wellcare Of New York
Erie
Enrolled
SNA HR & MA-HR
540
5,424
3,213
417
951
540
6,211
417
150
5,281
150
1,261
1,126
7,472
2,155
2%
2,204
69%
2,204
69%
690
13%
690
13%
6,550
88%
2,678
633
51
3,846
51
1,140
23
6,421
23
1,285
763
8,757
4,833
4%
2,255
59%
2,255
59%
713
11%
713
11%
7,313
84%
954
199
1,153
15%
174
1,327
15%
4,470
927
5,397
72%
589
5,986
68%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
TANF ADC & MA-ADC
County
Plan Name
Genesee
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
Eff. Jan 2004
MVP Health Plan
Eligibles
3,798
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
3,973
260
NYS Catholic Health Plan
6,112
United Healthcare Plan Of NY
TOTALS:
Voluntary
Excellus Health Plan
Lewis
TOTALS:
Voluntary
Excellus Health Plan
9,692
TOTALS:
Mandatory
Eff. Apr 2002
Excellus Health Plan
Eligibles
3,347
651
2,279
MVP Health Plan
4,449
3,931
88%
662
511
5,111
Total
Enrolled
Percent
Enrolled
4,442
87%
295
1,936
44%
198
2,134
42%
220
1,626
37%
281
1,907
37%
300
69
369
8%
32
401
8%
4,385
88%
5,046
86%
3,501
1,004
884
4,977
884
661
5,861
1,848
320
2,168
44%
433
2,601
44%
1,653
564
2,217
45%
228
2,445
42%
239
75%
245
69%
245
69%
197
58
5,305
42
318
42
6
87%
7,099
84%
952
13%
163
1,115
13%
4,482
937
5,419
73%
508
5,927
70%
41
7
48
1%
9
57
1%
9
0%
9
0%
9
0%
9
0%
234
9%
247
8%
72
3%
74
2%
200
3,262
0
7,374
353
6,419
1,650
1,114
239
6
170
9
1,262
35
782
11,342
0
325
34
2,604
14
142
NYS Catholic Health Plan
584
Total
Eligibles
1,406
58
4,174
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
1,641
9
NYS Catholic Health Plan
Livingston
Enrolled
197
Eff. May 2003 NYS Catholic Health Plan
Jefferson
SNA HR & MA-HR
20
893
715
5,067
162
6%
3,977
78%
1,078
1,942
680
0
8,452
13,284
0
475
13
3,079
2
11
839
560
5,906
173
6%
4,537
77%
54%
2,329
521
2,850
56%
366
3,216
68
26
94
2%
1
95
2%
865
168
1,033
20%
193
1,226
21%
4,441
70%
4,753
65%
Madison
TOTALS:
Mandatory
Excellus Health Plan
1,937
371
2,308
36%
159
2,467
34%
Eff. Oct 2010
NYS Catholic Health Plan
1,308
296
1,604
25%
117
1,721
24%
432
97
529
8%
36
565
8%
74,961
90%
86,758
87%
5,353
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
68,942
NYS Catholic Health Plan
MVP Health Plan
3,677
62,128
1,019
14,732
12,833
6,372
83,674
926
15,704
312
11,797
7,298
99,378
43,148
6,896
50,044
60%
8,063
58,107
58%
7,746
4,374
12,120
14%
1,242
13,362
13%
15,289
15%
7,547
86%
11,234
6,631
764
5,922
1,563
1,020
916
7,651
12,797
15%
6,838
89%
2,492
1,124
709
8,775
2,568
320
2,888
38%
350
3,238
37%
3,354
596
3,950
52%
359
4,309
49%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
TANF ADC & MA-ADC
County
Plan Name
Nassau
TOTALS:
Mandatory
Affinity Health Plan
Eligibles
64,024
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
56,851
18,082
Enrolled
16,250
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
82,106
73,101
89%
12,969
8,831
Total
Eligibles
95,075
Total
Enrolled
Percent
Enrolled
81,932
86%
8,778
1,999
10,777
13%
1,055
11,832
12%
11,817
2,820
14,637
18%
1,312
15,949
17%
4,847
1,900
6,747
8%
845
7,592
8%
8,804
3,612
12,416
15%
2,427
14,843
16%
11,321
2,637
13,958
17%
1,440
15,398
16%
6
1
7
0%
0
7
0%
11,278
3,281
14,559
18%
20,117
92%
1,752
16,311
17%
23,084
91%
29%
Mandatory
TOTALS:
HealthNow/BCBS-WNY/Community
Blue
5,132
1,427
6,559
30%
834
7,393
Eff Sep 1998
Independent Health Association
4,759
1,043
5,802
27%
1,286
7,088
28%
NYS Catholic Health Plan
6,018
1,738
7,756
36%
847
8,603
34%
30,023
86%
Oneida
TOTALS:
Mandatory
Excellus Health Plan
Eff Sep 2001
NYS Catholic Health Plan
17,117
25,084
United Healthcare Plan Of NY
Onondaga
TOTALS:
Mandatory
Eff. Nov 1998
Excellus Health Plan
21,973
4,668
4,222
4,208
29,306
3,510
88%
4,535
15%
772
5,307
15%
15,821
2,474
18,295
62%
2,970
21,265
61%
476
6,465
48,593
2,964
10%
42,718
88%
4,229
25,295
25,794
7,554
5,530
2,967
871
36,253
3,821
21,785
3,664
2,488
41,039
34,836
487
8,846
7,475
57,439
3,451
10%
50,193
87%
5,514
968
6,482
13%
1,013
7,495
13%
NYS Catholic Health Plan
11,142
1,989
13,131
27%
1,855
14,986
26%
SCHC Total Care
15,013
2,712
17,725
36%
3,662
21,387
37%
4,584
796
5,380
11%
945
6,325
11%
6,790
86%
7,714
83%
United Healthcare Plan Of NY
Ontario
TOTALS:
Mandatory
Excellus Health Plan
Eff. Mar 1998
MVP Health Plan
6,742
NYS Catholic Health Plan
Orange
15,909
TOTALS:
39,222
5,851
1,182
939
7,924
1,331
924
9,255
5,156
806
5,962
75%
786
6,748
73%
650
106
756
10%
129
885
10%
45
27
72
1%
9
81
1%
38,420
87%
41,558
85%
34,145
5,024
4,275
44,246
4,626
3,138
48,872
Mandatory
Affinity Health Plan
11,201
1,894
13,095
30%
1,404
14,499
30%
Eff. Mar 2007
Hudson Health Plan
7,764
1,471
9,235
21%
1,038
10,273
21%
14,012
676
14,688
33%
439
15,127
31%
1,168
234
1,402
3%
257
1,659
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 JULY, 2011
TANF ADC & MA-ADC
County
Plan Name
Orleans
TOTALS:
Eligibles
3,887
Mandatory
Excellus Health Plan
HealthNow/BCBS-WNY/Community
Eff. June 2003
Blue
TOTALS:
Mandatory
Eff. Apr 1999
Excellus Health Plan
Eligibles
3,525
965
1,384
NYS Catholic Health Plan
Oswego
Enrolled
SNA HR & MA-HR
868
4,852
263
4,393
91%
1,647
34%
593
425
Total
Eligibles
5,445
179
Total
Enrolled
Percent
Enrolled
4,818
88%
1,826
34%
742
203
945
19%
130
1,075
20%
1,399
402
1,801
37%
116
1,917
35%
16,704
88%
14,751
88%
180
10
190
1%
34
224
1%
NYS Catholic Health Plan
3,737
669
4,406
26%
466
4,872
26%
SCHC Total Care
6,537
1,229
7,766
47%
1,138
8,904
47%
United Healthcare Plan Of NY
2,049
340
2,389
14%
315
2,704
14%
4,875
77%
Otsego
TOTALS:
Mandatory
Excellus Health Plan
14,134
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
4,382
Eff. May 2007 NYS Catholic Health Plan
Putnam
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
1,859
12,503
3,651
2,563
84%
55%
260
3,211
51%
1,202
342
1,544
9%
120
1,664
26%
2,077
89%
2,357
79%
81
3%
128
4%
1,614
12,961
Wellcare Of New York
41,614
11,514
2,340
23
382
2,912
2,743
15,873
1,996
85%
14,257
90%
638
380
19,090
2,951
405
997
1,953
4,495
481
5,361
2,393
502
58
844
16,697
2,449
1,672
979
2,248
280
6,358
2,978
47
233
2,673
1,971
18,546
2,229
75%
16,228
88%
8,144
1,808
9,952
63%
1,445
11,397
61%
2,782
740
3,522
22%
385
3,907
21%
588
195
783
5%
141
924
5%
44,527
97%
46,718
95%
Rockland
TOTALS:
Mandatory
Affinity Health Plan
3,204
1,102
4,306
9%
573
4,879
10%
Eff. Mar 2001
Hudson Health Plan
6,278
848
7,126
15%
516
7,642
16%
28,811
1,870
30,681
67%
935
31,616
65%
NYS Catholic Health Plan
Wellcare Of New York
St Lawrence
Voluntary
TOTALS:
40,474
4,378
2,181
10,853
45
4,053
45,992
233
2,164
5
13,017
2,414
5%
50
0%
3,004
2,191
48,996
167
2,783
4
15,800
2,581
5%
54
0%
Excellus Health Plan
17
0
17
0%
2
19
0%
NYS Catholic Health Plan
28
5
33
0%
2
35
0%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 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
Eff. Oct 2010
NYS Catholic Health Plan
Schuyler
TOTALS:
Voluntary
NYS Catholic Health Plan
Eligibles
9,482
14,274
SNA HR & MA-HR
Enrolled
Eligibles
8,634
7,855
59%
318
3,891
29%
14,085
85%
16,301
81%
7,446
45%
8,882
44%
6,639
40%
7,419
37%
2,078
71%
2,222
67%
1,223
42%
1,321
40%
855
29%
901
27%
107
5%
17
1%
12,032
1,697
65
TOTALS:
Voluntary
NYS Catholic Health Plan
145
Southern Tier Pediatrics (Partial)
254
Southern Tier Priority (Partial)
310
Mandatory
Affinity Health Plan
2,244
709
73,300
2,053
16,667
1,035
1,018
487
381
2,920
234
147
345
42
2,108
4
38
398
90
4%
2,604
88%
2,604
88%
839
8%
28
173
2%
0
254
2%
102
412
4%
91,080
90%
360
2,973
360
1,468
20,179
130
17,780
10,248
101,574
3,526
2,216
20,193
1,436
780
411
144
3,331
98
46
291
17
2,399
2
15
5%
19
1%
105
4%
3,513
2,990
85%
2,990
85%
12,544
1,132
9%
59
232
2%
24
278
2%
210
622
5%
101,411
87%
540
386
2,296
293
386
14,507
124
10,331
116,081
11,204
2,096
13,300
13%
1,242
14,542
13%
11,485
1,967
13,452
13%
1,325
14,777
13%
14%
10,138
4,098
14,236
14%
2,178
16,414
Neighborhood Health Providers
14,178
2,161
16,339
16%
1,793
18,132
16%
NYS Catholic Health Plan
11,425
2,902
14,327
14%
1,609
15,936
14%
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Sullivan
TOTALS:
Mandatory
Hudson Health Plan
Eff. Apr 2007
2,393
2,244
Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of Greater
New York
88%
1,038
52
81,395
11,746
60%
Steuben
TOTALS:
13,326
31%
TOTALS:
8,780
1,356
6,817
13
Excellus Health Plan
1,916
3,573
708
2,575
91%
597
989
Southern Tier Priority (Partial)
10,390
Percent
Enrolled
1,159
5,621
1,763
11,410
Total
Enrolled
5,658
6,411
2,433
1,756
Total
Eligibles
2,976
Seneca
Mandatory
Eff. Jan 2007
Suffolk
1,928
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
NYS Catholic Health Plan
8,111
1
0
1
0%
1
2
0%
14,869
4,556
19,425
19%
2,183
21,608
19%
8,140
86%
9,176
83%
5,647
7,020
1,389
1,120
882
9,500
6,529
69%
1,551
1,036
842
11,051
7,371
67%
1,373
238
1,611
17%
194
1,805
16%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
TANF ADC & MA-ADC
County
Plan Name
Tioga
TOTALS:
Capital District Physicians Health
Plan
Voluntary
Eligibles
4,557
NYS Catholic Health Plan
Enrolled
Eligibles
437
144
2%
5,261
75%
5,891
72%
921
6%
1,024
13%
Hudson Health Plan
3,181
MVP Health Plan
3,419
NYS Catholic Health Plan
1,803
Wellcare Of New York
2,382
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
60,789
NYS Catholic Health Plan
Voluntary
NYS Catholic Health Plan
Yates
TOTALS:
Mandatory
Eff. Feb 2007
Upstate Total
10,785
1,506
4,310
676
3,047
700
4,340
62%
13,412
86%
711
3,892
25%
1,266
4,685
30%
408
2,211
242
2,624
2,627
173
15,523
5,234
173
701
597
5,858
1,179
630
8,167
103
4,867
60%
15,056
83%
441
4,333
24%
585
5,270
29%
14%
193
2,404
13%
17%
425
3,049
17%
1,679
32%
1,679
32%
4,907
84%
527
2,550
1,051
1,644
155
18,073
6,285
155
1,039
605
6,897
1,834
29%
1,834
29%
5,512
80%
1,668
237
1,905
33%
269
2,174
32%
360
3,002
51%
336
3,338
48%
5,406
6,164
81%
6,872
76%
4,703
637
5,340
70%
648
5,988
66%
703
121
824
11%
60
884
10%
66,095
87%
73,486
85%
11,823
16%
13,213
15%
52,990
903
14,784
758
13,105
7,582
75,573
2,782
1,488
10,667
708
7,391
9,070
86,240
1,390
4,043
1,678
5,721
8%
1,128
6,849
8%
30,665
5,555
36,220
48%
3,538
39,758
46%
9,235
3,090
12,325
16%
1,334
13,659
16%
6
0
6
0%
1
7
0%
2,997
128
4%
3,474
139
4%
128
4%
139
4%
2,233
1,957
88%
2,554
2,194
86%
1,957
88%
2,194
86%
839,446
82%
948,706
80%
94
1,907
1,673
406
34
326
284
94
34
1,673
847,432
6,988
2,642
2,591
Excellus Health Plan
919
243
9,041
NYS Catholic Health Plan 1199
TOTALS:
1,236
1,506
Hudson Health Plan
Wyoming
4,342
3,664
6,679
6%
391
Eff Mar 2007
Eff. Mar 2007
9%
6
Mandatory
Mandatory
535
8
TOTALS:
5,157
6,096
0%
SCHC Total Care
TOTALS:
Capital District Physicians Health
Plan
14
7%
Ulster
Washington
880
138
678
4,534
10%
383
Eff. Oct 2010
TOTALS:
521
Percent
Enrolled
14
NYS Catholic Health Plan
NYS Catholic Health Plan
5,216
Total
Enrolled
70
Mandatory
12,476
84
Total
Eligibles
313
TOTALS:
Warren
659
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
124
Tompkins
Voluntary
5,752
SNA HR & MA-HR
693,335
284
177,650
146,111
1,025,082
477
11
321
237
11
237
166,146
109,260
1,191,228
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
TANF ADC & MA-ADC
Total
Eligibles
Total
Enrolled
Percent
Enrolled
Plan Name
NYC
Affinity Health Plan
92,079
52,070
159,861
7%
Mandatory
Amerigroup
46,775
29,955
76,730
4%
5,295
82,025
4%
307
2,144
2,451
0%
1,800
4,251
0%
Amida Care SN
Eligibles
Enrolled
TANF & MA-ADC, SNA & MA-HR
SSI & MA-SSI
Total
Total
Eligibles
Enrolled Percent Enrolled Eligibles Enrolled
144,149
7%
15,712
County
Eligibles
Enrolled
SNA HR & MA-HR
Fully
HealthFirst PHSP
245,002
95,156
340,158
17%
42,183
382,341
17%
Implemented:
HealthPlus
Health Insurance Plan of Greater
New York
166,375
61,885
228,260
11%
17,867
246,127
11%
103,668
45,956
149,624
7%
20,288
169,912
7%
MetroPlus Health Plan
240,984
78,701
319,685
16%
32,221
351,906
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:
1,111
2,041
3,152
0%
2,148
5,300
0%
106,491
33,390
139,881
7%
17,067
156,948
7%
533
2,666
3,199
0%
2,640
5,839
0%
132,454
81,524
213,978
11%
22,759
236,737
10%
969
347
1,316
0%
48
1,364
0%
106,154
52,298
158,452
8%
14,088
172,540
8%
24,596
18,420
43,016
2%
3,936
46,952
2%
1,407,081
1,267,498
614,561
556,553
2,021,642
1,824,051
90%
249,418
198,052
2,271,060
2,022,103
89%
847,432
693,335
177,650
146,111
1,025,082
839,446
82%
166,146
109,260
1,191,228
948,706
80%
NEW YORK CITY TOTALS:
1,407,081
1,267,498
614,561
556,553
2,021,642
1,824,051
90%
249,418
198,052
2,271,060
2,022,103
89%
GRAND TOTALS:
2,254,513
1,960,833
792,211
702,664
3,046,724
2,663,497
87%
415,564
307,312
3,462,288
2,970,809
86%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 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
362,745
312,934
116,213
100,287
478,958
413,221
86%
71,458
59,032
550,416
472,254
86%
Brooklyn
498,951
456,957
219,521
203,016
718,472
659,973
92%
78,916
62,957
797,388
722,930
91%
Manhattan
167,302
141,382
94,765
76,220
262,067
217,602
83%
43,124
31,198
305,191
248,800
82%
Queens
331,086
313,966
163,535
157,793
494,621
471,759
95%
45,993
37,308
540,614
509,067
94%
46,997
42,258
20,526
19,237
67,523
61,495
91%
9,927
7,557
77,450
69,052
89%
1,407,081
1,267,498
614,560
556,553
2,021,641
1,824,051
90%
249,418
198,052
2,271,059
2,022,103
89%
Staten Island
Borough Total
NOTES:
Enrolled
SNA HR & MA-HR
(1) The Managed Care eligible counts are based upon May, 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 JULY, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Albany
TOTALS:
Capital District Physicians Health
Plan
2,553
558
3,111
1,244
271
1,515
NYS Catholic Health Plan
1,123
241
1,364
Wellcare Of New York
186
46
232
TOTALS:
700
111
811
Allegany
NYS Catholic Health Plan
Broome
Cattaraugus
Cayuga
Chautauqua
29
3
32
HealthNow/BCBSWNY/Community Blue
243
48
291
Univera Community Health Inc
428
60
488
TOTALS:
Capital District Physicians Health
Plan
2,589
498
3,087
44
9
53
Excellus Health Plan
2,131
408
2,539
NYS Catholic Health Plan
414
81
495
TOTALS:
HealthNow/BCBSWNY/Community Blue
959
181
1,140
168
26
194
NYS Catholic Health Plan
406
58
464
Univera Community Health Inc
385
97
482
TOTALS:
881
141
1,022
Excellus Health Plan
139
24
163
NYS Catholic Health Plan
485
82
567
United Healthcare Plan Of NY
257
35
292
TOTALS:
HealthNow/BCBSWNY/Community Blue
1,502
297
1,799
227
36
263
NYS Catholic Health Plan
1,178
228
1,406
Univera Community Health Inc
97
33
130
966
129
1,095
966
129
1,095
870
120
990
Chemung
TOTALS:
Excellus Health Plan
Chenango
TOTALS:
NYS Catholic Health Plan
870
120
990
1,045
218
1,263
Clinton
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
Columbia
Cortland
Delaware
Erie
2
10
216
1,253
TOTALS:
Capital District Physicians Health
Plan
644
112
756
180
33
213
NYS Catholic Health Plan
464
79
543
TOTALS:
725
124
849
NYS Catholic Health Plan
589
111
700
SCHC Total Care
136
13
149
TOTALS:
593
112
705
593
112
705
2,478
370
2,848
NYS Catholic Health Plan
Dutchess
8
1,037
TOTALS:
Hudson Health Plan
776
104
880
MVP Health Plan
883
135
1,018
NYS Catholic Health Plan
566
97
663
Wellcare Of New York
253
34
287
10,733
2,101
12,834
Univera Community Health Inc
4,470
900
5,370
HealthNow/BCBSWNY/Community Blue
1,660
262
1,922
Independent Health
2,367
566
2,933
NYS Catholic Health Plan
2,236
373
2,609
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
County
Plan Name
Essex
TOTALS:
Genesee
Greene
Hamilton
Herkimer
2
NYS Catholic Health Plan
542
95
637
TOTALS:
508
113
621
0
1
1
NYS Catholic Health Plan
508
112
620
TOTALS:
Capital District Physicians Health
Plan
925
156
1,081
155
24
179
NYS Catholic Health Plan
770
132
902
TOTALS:
HealthNow/BCBSWNY/Community Blue
647
115
762
347
52
399
MVP Health Plan
162
35
197
NYS Catholic Health Plan
138
28
166
TOTALS:
Capital District Physicians Health
Plan
527
73
600
141
18
159
NYS Catholic Health Plan
386
55
441
TOTALS:
70
13
83
NYS Catholic Health Plan
70
13
83
1,302
161
1,463
TOTALS:
United Healthcare Plan Of NY
Livingston
Madison
Monroe
207
19
226
1,066
139
1,205
29
3
32
1,427
240
1,667
Excellus Health Plan
1,427
240
1,667
TOTALS:
332
44
376
Excellus Health Plan
145
14
159
NYS Catholic Health Plan
187
30
217
TOTALS:
545
84
629
Excellus Health Plan
429
64
493
NYS Catholic Health Plan
36
8
44
MVP Health Plan
80
12
92
TOTALS:
907
117
1,024
Excellus Health Plan
329
47
376
NYS Catholic Health Plan
290
40
330
United Healthcare Plan Of NY
288
30
318
TOTALS:
7,396
1,431
8,827
Excellus Health Plan
5,293
886
6,179
NYS Catholic Health Plan
1,541
430
1,971
562
115
677
1,030
124
1,154
289
26
315
741
98
839
14,955
2,361
17,316
TOTALS:
Capital District Physicians Health
Plan
NYS Catholic Health Plan
Nassau
639
TOTALS:
MVP Health Plan
Montgomery
Total Enrolled
1
NYS Catholic Health Plan
Lewis
Enrolled
1
Excellus Health Plan
Jefferson
Enrolled
96
Excellus Health Plan
Fulton
ADULTS
WITHOUT
CHILDREN
543
Excellus Health Plan
Franklin
ADULTS WITH
CHILDREN
TOTALS:
Affinity Health Plan
2,224
350
2,574
HealthFirst PHSP
2,843
388
3,231
HealthPlus
1,102
238
1,340
Health Insurance Plan of Greater
New York
2,133
333
2,466
NYS Catholic Health Plan
3,257
628
3,885
1
0
1
3,395
424
3,819
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Niagara
TOTALS:
HealthNow/BCBSWNY/Community Blue
2,611
518
3,129
1,026
202
1,228
NYS Catholic Health Plan
1,585
316
1,901
TOTALS:
3,613
463
4,076
610
99
709
2,514
292
2,806
Oneida
Excellus Health Plan
NYS Catholic Health Plan
United Healthcare Plan Of NY
Onondaga
TOTALS:
Excellus Health Plan
Orleans
Oswego
561
5,623
839
125
964
1,838
293
2,131
SCHC Total Care
1,424
260
1,684
727
117
844
1,003
213
1,216
TOTALS:
Excellus Health Plan
Orange
72
795
NYS Catholic Health Plan
United Healthcare Plan Of NY
Ontario
489
4,828
931
187
1,118
MVP Health Plan
52
14
66
NYS Catholic Health Plan
20
12
32
TOTALS:
4,124
548
4,672
Affinity Health Plan
1,692
252
1,944
Hudson Health Plan
1,236
133
1,369
NYS Catholic Health Plan
999
137
1,136
Wellcare Of New York
197
26
223
TOTALS:
643
88
731
Excellus Health Plan
203
29
232
HealthNow/BCBSWNY/Community Blue
107
15
122
NYS Catholic Health Plan
333
44
377
2,173
324
2,497
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
SCHC Total Care
13
4
17
652
84
736
1,345
1,159
186
United Healthcare Plan Of NY
349
50
399
TOTALS:
874
127
1,001
Excellus Health Plan
332
47
379
NYS Catholic Health Plan
542
80
622
Putnam
TOTALS:
462
78
540
Rensselaer
TOTALS:
Capital District Physicians Health
Plan
Otsego
NYS Catholic Health Plan
Rockland
78
540
297
1,796
643
136
779
NYS Catholic Health Plan
714
124
838
Wellcare Of New York
142
37
179
4,772
657
5,429
TOTALS:
Affinity Health Plan
657
156
813
Hudson Health Plan
1,018
126
1,144
NYS Catholic Health Plan
2,918
350
3,268
179
25
204
TOTALS:
1,334
242
1,576
Excellus Health Plan
1,329
240
1,569
5
2
7
Wellcare Of New York
St Lawrence
462
1,499
NYS Catholic Health Plan
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
County
Plan Name
Saratoga
TOTALS:
Capital District Physicians Health
Plan
1,935
273
669
127
796
NYS Catholic Health Plan
1,266
146
1,412
TOTALS:
Capital District Physicians Health
Plan
1,733
265
1,998
517
85
602
NYS Catholic Health Plan
1,216
180
1,396
Schenectady
Schoharie
Schuyler
2,208
TOTALS:
Capital District Physicians Health
Plan
479
82
561
160
30
190
NYS Catholic Health Plan
319
52
371
TOTALS:
285
56
341
Excellus Health Plan
266
55
321
19
1
20
376
52
428
NYS Catholic Health Plan
Seneca
TOTALS:
Steuben
TOTALS:
Excellus Health Plan
NYS Catholic Health Plan
376
52
428
1,236
199
1,435
1,236
199
1,435
17,382
2,272
19,654
Affinity Health Plan
2,919
329
3,248
HealthFirst PHSP
2,427
252
2,679
Health Insurance Plan of Greater
New York
2,224
333
2,557
Neighborhood Health Providers
1,481
178
1,659
NYS Catholic Health Plan
3,818
603
4,421
United Healthcare Plan Of NY
4,513
577
5,090
TOTALS:
1,213
154
1,367
Hudson Health Plan
922
105
1,027
NYS Catholic Health Plan
291
49
340
TOTALS:
Capital District Physicians Health
Plan
512
112
624
353
65
418
NYS Catholic Health Plan
159
47
206
TOTALS:
676
129
805
SCHC Total Care
505
102
607
NYS Catholic Health Plan
171
27
198
2,080
426
2,506
Hudson Health Plan
618
114
732
MVP Health Plan
825
184
1,009
NYS Catholic Health Plan
345
69
414
Wellcare Of New York
292
59
351
Warren
TOTALS:
776
98
874
NYS Catholic Health Plan
776
98
874
Washington
TOTALS:
Capital District Physicians Health
Plan
757
86
843
139
28
167
NYS Catholic Health Plan
618
58
676
Suffolk
Sullivan
Tioga
Tompkins
Ulster
TOTALS:
TOTALS:
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS JULY, 2011
County
Plan Name
Wayne
TOTALS:
Westchester
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
124
1,150
Excellus Health Plan
864
103
967
NYS Catholic Health Plan
162
21
183
TOTALS:
9,660
1,953
11,613
Affinity Health Plan
1,742
428
2,170
Health Insurance Plan of Greater
New York
827
167
994
Hudson Health Plan
4,979
738
5,717
NYS Catholic Health Plan
2,110
619
2,729
2
1
3
TOTALS:
HealthNow/BCBSWNY/Community Blue
448
54
502
347
39
386
NYS Catholic Health Plan
101
15
116
TOTALS:
365
59
424
NYS Catholic Health Plan 1199
Wyoming
Yates
Excellus Health Plan
365
59
424
127,227
20,944
148,171
Affinity Health Plan
15,194
7,496
22,690
Amerigroup
11,603
5,402
17,005
HealthFirst PHSP
29,104
10,519
39,623
Health Insurance Plan of Greater
New York
17,331
5,119
22,450
HealthPlus
25,915
7,416
33,331
MetroPlus Health Plan
27,043
7,769
34,812
Neighborhood Health Providers
13,553
3,923
17,476
NYS Catholic Health Plan
26,536
12,601
39,137
1,117
115
1,232
20,328
6,494
26,822
Upstate Total
NYC
NYS Catholic Health Plan 1199
United Healthcare Plan Of NY
Wellcare Of New York
County
Total Enrolled
1,026
5,430
2,995
8,425
NYC Total
193,154
69,849
263,003
UPSTATE TOTALS:
127,227
20,944
148,171
NEW YORK CITY TOTALS:
193,154
69,849
263,003
GRAND TOTALS
320,381
90,793
411,174
Plan Name
ADULTS WITH
CHILDREN
ADULTS
WITHOUT
CHILDREN
Enrolled
Enrolled
Total Enrolled
NYC
Borough
Bronx
31,880
9,561
41,441
Brooklyn
66,926
23,722
90,648
Manhattan
18,350
9,432
27,782
Queens
68,075
24,936
93,011
7,923
2,198
10,121
193,154
69,849
263,003
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 JULY, 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
161
161
53
53
13
2,392
58
158
2,621
4
113
117
279
279
0
385
1
386
5
67
72
3,689
1,132
1,132
2,321
37
2,358
119
45
164
4,068
4,068
20
715
11
22
768
211
189
400
457
5,452
415
6,324
1,066
1,066
1,732
1,732
2,915
2,915
51
336
387
131
131
9,230
9,230
1,522
1,522
32,197
35,886
(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 JULY, 2011
County
Albany
Broome
Columbia
Dutchess
Greene
Herkimer
Montgomery
Nassau
Oneida
Onondaga
Orange
Oswego
Rensselaer
Rockland
Saratoga
Total
Enrolled
Plan Name
202
TOTAL
14
Fidelis
188
Senior Whole Health
13
TOTAL
13
Touchstone/Prestige
15
TOTAL
15
Senior Whole Health
40
TOTAL
12
Fidelis
28
Senior Whole Health
5
TOTAL
1
Fidelis
4
Senior Whole Health
3
TOTAL
3
Fidelis
18
TOTAL
8
Fidelis
10
Senior Whole Health
164
TOTAL
19
GHI
Health Insurance Plan of
124
Greater New York
20
Liberty Health Advantage
1
United HealthCare
21
TOTAL
21
Fidelis
33
TOTAL
8
Fidelis
25
Touchstone/Prestige
50
TOTAL
8
GHI
28
Senior Whole Health
14
Touchstone/Prestige
8
TOTAL
8
Fidelis
65
TOTAL
9
Fidelis
56
Senior Whole Health
41
TOTAL
41
GHI
30
TOTAL
30
Senior Whole Health
MEDICAID ADVANTAGE ENROLLMENT
BY COUNTY AND PLAN
NYS JULY, 2011
Total
Enrolled
Plan Name
81
TOTAL
20
Fidelis
61
Senior Whole Health
Suffolk
81
TOTAL
11
GHI
Health Insurance Plan of
70
Greater New York
Ulster
102
TOTAL
5
Fidelis
5
GHI
92
Senior Whole Health
Warren
20
TOTAL
20
Senior Whole Health
Washington
4
TOTAL
4
Senior Whole Health
Westchester
58
TOTAL
35
GHI
Health Insurance Plan of
9
Greater New York
1
Managed Health
13
Touchstone/Prestige
Upstate Total:
1,054
NYC
260
Affinity
2
ElderPlan
916
Fidelis
629
GHI
Health Insurance Plan of
1,357
Greater New York
351
Liberty Health Advantage
116
Managed Health
136
MetroPlus
1,146
Touchstone/Prestige
4,913
NYC Total
County
Schenectady
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
1,054
4,913
5,967
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 : Westchester County - Managed
Health
MEDICAID ADVANTAGE PLUS ENROLLMENT
REPORT BY COUNTY AND PLAN
NYS JULY, 2011
County
Plan Name
Albany
Total
NYS Catholic Health Plan
Senior Whole Health
Columbia
Total
Senior Whole Health
Dutchess
Total
Senior Whole Health
Greene
Total
Senior Whole Health
Montgomery
Total
NYS Catholic Health Plan
Senior Whole Health
Orange
Total
Senior Whole Health
Rensselaer
Total
NYS Catholic Health Plan
Senior Whole Health
Saratoga
Total
Senior Whole Health
Schenectady
Total
NYS Catholic Health Plan
Senior Whole Health
Ulster
Total
Senior Whole Health
Warren
Total
Senior Whole Health
Washington
Total
Senior Whole Health
Upstate Total:
NYC
AmeriGroup
Elderplan
Guildnet
HIP of Greater New York
NYS Catholic Health Plan
VNS Choice Plus
WellCare
NYC Total
UPSTATE TOTAL
NEW YORK CITY TOTAL
GRAND TOTAL
NOTES:
Total Enrolled
85
8
77
4
4
5
5
1
1
2
1
1
10
10
52
7
45
9
9
35
6
29
60
60
5
5
5
5
273
12
488
346
184
35
69
54
1,188
273
1,188
1,461
(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