RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 TANF ADC & MA-ADC County Plan Name Albany Mandatory TOTALS: Capital District Physicians Health Plan Eff. Oct 1997 NYS Catholic Health Plan Eligibles 21,864 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 4,993 NYS Catholic Health Plan 4,308 26,857 23,497 87% 4,973 3,552 Total Eligibles 31,830 Total Enrolled 27,049 Percent Enrolled 85% 2,831 16,187 60% 2,555 18,742 59% 4,624 1,264 5,888 22% 693 6,581 21% 3,427 213 808 615 5,460 1,422 5% 4,042 74% 304 1,029 506 6,489 1,726 5% 4,548 70% 113 29 142 1% 15 157 2% 2,014 381 2,395 9% 337 2,732 42% 16,342 205 4,369 3,789 23,725 1,505 6% 20,131 85% 154 4,762 3,386 28,487 1,659 26% 23,517 83% 226 30 256 1% 82 338 1% 13,710 3,168 16,878 71% 2,699 19,577 69% 2,997 13% 3,602 13% 7,547 84% 8,792 82% 2,406 7,816 Enrolled TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled 13,356 1,300 19,356 Eff. May 1998 Excellus Health Plan Cattaraugus 19,189 Eligibles 1,209 4,652 Univera Community Health Broome Enrolled SNA HR & MA-HR 6,464 591 1,165 1,083 8,981 605 Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue 1,679 1,245 10,660 2,587 375 2,962 33% 744 3,706 35% Eff. Sep 2001 NYS Catholic Health Plan 2,377 390 2,767 31% 326 3,093 29% Univera Community Health 1,500 318 1,818 20% 175 1,993 19% 7,106 84% 7,752 80% Cayuga TOTALS: Mandatory Excellus Health Plan 1,720 330 2,050 24% 190 2,240 23% Eff. Oct 2010 NYS Catholic Health Plan 3,459 629 4,088 49% 318 4,406 45% 797 171 968 12% 138 1,106 11% 16,394 85% 19,088 85% 7,097 United Healthcare Plan Of NY Chautauqua Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan 15,726 Univera Community Health Chemung Voluntary TOTALS: Southern Tier Pediatrics (Partial) 10,032 Southern Tier Priority (Partial) Chenango Mandatory TOTALS: Eff. Dec 2011 Clinton Mandatory TOTALS: Eff. Dec 2011 NYS Catholic Health Plan 5,578 NYS Catholic Health Plan 5,976 13,272 1,320 3,518 3,122 8,417 19,244 1,286 3,277 646 2,694 9,703 22,521 2,711 620 3,331 17% 727 4,058 18% 10,153 2,214 12,367 64% 1,816 14,183 63% 408 288 696 4% 151 847 4% 5,683 6,556 56% 7,817 56% 3,531 0 3,531 30% 303 3,834 28% 2,152 873 3,025 26% 958 3,983 29% 774 12% 812 10% 812 10% 3,064 29% 3,064 29% 667 1,588 989 667 7,061 1,130 2,243 2,243 873 107 11,620 6,567 107 1,506 521 521 2,253 1,226 774 8,567 1,261 38 13,873 7,793 38 2,764 32% 2,764 32% 1,841 300 300 10,408 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 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 4,490 4,962 Mandatory NYS Catholic Health Plan Eff. May 2007 SCHC Total Care Delaware Mandatory TOTALS: 4,003 Eff. May 2011 NYS Catholic Health Plan Dutchess TOTALS: Mandatory Hudson Health Plan Eff. Apr 2007 Erie Mandatory 14,765 1,026 Enrolled 874 TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled 5,516 4,610 84% 986 690 Total Eligibles 6,502 Total Enrolled Percent Enrolled 5,300 82% 1,966 435 2,401 44% 501 2,902 45% 1,770 439 2,209 40% 189 2,398 37% 4,943 84% 5,536 83% 4,200 899 743 5,861 808 593 6,669 3,111 578 3,689 63% 428 4,117 62% 1,089 165 1,254 21% 165 1,419 21% 2,600 53% 2,664 47% 2,069 879 12,886 531 4,882 531 3,413 2,957 764 2,600 18,178 64 5,646 64 15,843 87% 3,423 2,277 21,601 2,664 47% 18,120 84% 4,607 914 5,521 30% 772 6,293 29% MVP Health Plan 4,458 1,212 5,670 31% 788 6,458 30% NYS Catholic Health Plan 2,256 643 2,899 16% 414 3,313 15% Wellcare Of New York 1,565 188 1,753 10% 303 2,056 10% 93,635 90% 109,388 89% 15,001 14% 17,305 14% TOTALS: HealthNow/BCBS-WNY/Community Blue 84,163 75,653 19,757 12,308 17,982 103,920 2,693 19,393 15,753 123,313 2,304 23,078 5,119 28,197 27% 4,893 33,090 27% NYS Catholic Health Plan 18,119 2,949 21,068 20% 2,992 24,060 20% Univera Community Health 21,806 5,594 27,400 26% 2,934 30,334 25% Total Full Risk 75,311 16,355 91,666 88% 13,123 104,789 85% 342 1,627 1,969 2% 2,630 4,599 4% PCMP II-A Special Care (Partial) Total Partial Risk TOTALS: 342 2,600 NYS Catholic Health Plan TOTALS: Mandatory TOTALS: Capital District Physicians Health Plan Eff. Mar 2007 NYS Catholic Health Plan 2,131 1,627 541 2,131 4,280 Eff, May 2011 NYS Catholic Health Plan Fulton 3,736 Eligibles 2,069 Eff. May 1998 Independent Health Association Essex Mandatory Eff. Oct 2010 Franklin Mandatory Enrolled SNA HR & MA-HR 2,528 5,494 3,141 463 977 2,528 6,312 463 606 5,257 606 1,275 1,098 7,587 1,969 2% 2,594 83% 2,594 83% 3,134 60% 3,134 60% 6,592 87% 2,630 637 60 3,778 60 1,132 51 6,389 51 1,333 879 8,920 4,599 4% 2,654 70% 2,654 70% 3,185 50% 3,185 50% 7,471 84% 892 182 1,074 14% 190 1,264 14% 4,602 916 5,518 73% 689 6,207 70% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 TANF ADC & MA-ADC County Plan Name Genesee Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Jan 2004 MVP Health Plan Eligibles 3,994 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 4,019 Excellus Health Plan Lewis TOTALS: Voluntary Excellus Health Plan 677 88% 766 517 5,437 4,615 85% 43% 209 2,224 41% 1,610 34% 270 1,880 35% 382 91 473 10% 38 511 9% 4,414 88% 5,094 86% 3,531 1,005 883 5,024 891 680 5,915 1,812 292 2,104 42% 429 2,533 43% 1,719 591 2,310 46% 251 2,561 43% 294 271 92% 34 10 328 281 86% 281 86% 7,433 6,527 88% 1,160 727 8,593 7,254 84% 50 46 1,294 1,134 46 271 10 860 183 1,043 14% 178 1,221 14% 4,495 945 5,440 73% 539 5,979 70% 32 6 1,702 32 320 324 TOTALS: 3,557 Mandatory Excellus Health Plan 2,592 Eff. Apr 2002 NYS Catholic Health Plan 170 MVP Health Plan 795 11,378 44 2,564 19 191 Livingston 5 5 129 4,264 4,098 Percent Enrolled 2,015 38 NYS Catholic Health Plan 4,671 Total Enrolled 219 225 2,240 589 Total Eligibles 279 5,393 9,676 Enrolled 1,391 6,139 United Healthcare Plan Of NY Voluntary Eligibles TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled 1,736 225 Eff. May 2003 NYS Catholic Health Plan TOTALS: 3,509 244 NYS Catholic Health Plan Jefferson Enrolled SNA HR & MA-HR 25 927 44 1% 37 0% 37 1% 364 14% 148 6% 216 8% 4,335 84% 577 3,169 61% 46 216 4% 155 950 18% 778 5,191 10 1,948 1 13,326 1 467 26 3,031 9 17 867 54 1% 38 0% 38 1% 390 13% 157 5% 233 8% 4,924 81% 400 3,569 59% 2 218 4% 187 1,137 19% 589 6,058 Madison TOTALS: 5,289 84% 5,772 80% Mandatory Excellus Health Plan 2,385 466 2,851 45% 269 3,120 43% Eff. Oct 2010 NYS Catholic Health Plan 1,483 332 1,815 29% 164 1,979 27% 5,276 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 1,010 507 70,925 MVP Health Plan Montgomery 4,375 64,322 6,286 116 15,481 14,183 86,406 623 10% 78,505 91% 926 483 7,212 50 17,701 12,323 104,107 673 9% 90,828 87% 45,094 8,057 53,151 62% 8,483 61,634 59% 8,538 4,630 13,168 15% 1,407 14,575 14% 14,619 14% 7,844 89% 10,690 6,650 914 5,999 1,496 1,050 987 7,700 12,186 14% 6,986 91% 2,433 1,150 858 8,850 2,462 331 2,793 36% 404 3,197 36% 3,537 656 4,193 54% 454 4,647 53% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 TANF ADC & MA-ADC County Plan Name Nassau TOTALS: Mandatory Affinity Health Plan Eligibles 65,036 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 58,467 18,713 Enrolled 16,970 TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled 83,749 75,437 90% 13,329 9,172 Total Eligibles 97,078 Total Enrolled Percent Enrolled 84,609 87% 8,739 2,039 10,778 13% 1,087 11,865 12% 12,026 2,980 15,006 18% 1,391 16,397 17% 4,968 1,918 6,886 8% 842 7,728 8% 8,974 3,669 12,643 15% 2,504 15,147 16% 11,819 2,790 14,609 17% 1,526 16,135 17% 5 1 6 0% 0 6 0% 11,936 3,573 15,509 19% 20,293 89% 1,822 17,331 18% 23,336 88% 28% Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue 5,293 1,381 6,674 29% 872 7,546 Eff Sep 1998 Independent Health Association 4,778 1,117 5,895 26% 1,337 7,232 27% NYS Catholic Health Plan 6,046 1,678 7,724 34% 834 8,558 32% 31,972 86% Oneida TOTALS: Mandatory Excellus Health Plan Eff Sep 2001 NYS Catholic Health Plan 18,006 26,378 United Healthcare Plan Of NY Onondaga TOTALS: Mandatory Eff. Nov 1998 Excellus Health Plan 16,117 23,395 4,677 4,622 31,000 3,960 89% 5,066 16% 825 5,891 16% 16,737 2,684 19,421 63% 3,009 22,430 61% 524 6,926 51,948 3,140 10% 44,709 86% 4,345 26,643 27,627 8,152 5,966 3,043 1,024 37,783 4,232 22,683 4,042 2,616 43,796 4,176 36,966 511 10,009 7,695 61,957 3,651 10% 52,404 85% 6,215 1,083 7,298 14% 1,085 8,383 14% NYS Catholic Health Plan 11,509 2,062 13,571 26% 1,925 15,496 25% SCHC Total Care 15,260 2,822 18,082 35% 3,696 21,778 35% 4,799 959 5,758 11% 989 6,747 11% 6,748 83% 7,713 80% 71% United Healthcare Plan Of NY Ontario TOTALS: Mandatory Excellus Health Plan Eff. Mar 1998 MVP Health Plan 6,933 NYS Catholic Health Plan 1,208 938 8,141 1,448 965 9,589 5,183 791 5,974 73% 819 6,793 554 88 642 8% 131 773 8% 73 59 132 2% 15 147 2% Orange TOTALS: 39,277 86% 42,783 84% Mandatory Affinity Health Plan 11,034 1,949 12,983 28% 1,488 14,471 29% Eff. Mar 2007 Hudson Health Plan 7,904 1,607 9,511 21% 1,210 10,721 21% 14,588 728 15,316 34% 547 15,863 31% 1,212 255 1,467 3% 261 1,728 3% NYS Catholic Health Plan Wellcare Of New York 40,341 5,810 34,738 5,227 4,539 45,568 5,137 3,506 50,705 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 TANF ADC & MA-ADC County Plan Name Orleans TOTALS: Eligibles 4,190 Mandatory Excellus Health Plan HealthNow/BCBS-WNY/Community Eff. June 2003 Blue TOTALS: Mandatory Eff. Apr 1999 Excellus Health Plan 3,502 Eligibles 987 1,329 NYS Catholic Health Plan Oswego Enrolled SNA HR & MA-HR 14,419 Enrolled 863 TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled 5,177 254 681 436 Total Eligibles 5,858 Total Enrolled Percent Enrolled 4,365 84% 4,801 82% 1,583 31% 182 1,765 30% 18% 746 201 947 18% 135 1,082 1,427 408 1,835 35% 119 1,954 33% 15,187 89% 17,155 88% 12,781 2,720 2,406 17,139 2,453 1,968 19,592 196 15 211 1% 38 249 1% 3,997 756 4,753 28% 487 5,240 27% SCHC Total Care 6,404 1,229 7,633 45% 1,131 8,764 45% United Healthcare Plan Of NY 2,184 406 2,590 15% 312 2,902 15% 5,053 79% NYS Catholic Health Plan Otsego TOTALS: Mandatory Excellus Health Plan 4,379 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 1,911 3,731 4,526 85% 2,404 484 2,888 54% 357 3,245 51% 1,327 311 1,638 10% 170 1,808 28% 2,091 88% 2,407 79% 73 3% 115 4% 1,691 966 470 48 Wellcare Of New York 43,404 11,916 400 5,345 2,381 25 1,643 13,053 795 375 3,042 2,842 16,095 2,018 85% 14,758 92% 1,033 678 527 316 6,378 3,059 42 274 2,736 2,086 18,831 2,292 75% 16,844 89% 8,444 1,899 10,343 64% 1,542 11,885 63% 2,890 767 3,657 23% 411 4,068 22% 582 176 758 5% 133 891 5% 45,661 95% 47,939 93% Rockland TOTALS: Mandatory Affinity Health Plan 3,094 1,039 4,133 9% 571 4,704 9% Eff. Mar 2001 Hudson Health Plan 6,510 933 7,443 15% 557 8,000 16% 29,697 1,900 31,597 66% 991 32,588 63% 2,488 5% 184 1% NYS Catholic Health Plan Wellcare Of New York St Lawrence Voluntary TOTALS: 41,558 4,654 2,257 10,696 134 4,103 48,058 231 2,142 50 12,838 3,520 2,278 51,578 159 2,814 12 15,652 2,647 5% 196 1% Excellus Health Plan 66 17 83 1% 6 89 1% NYS Catholic Health Plan 68 33 101 1% 6 107 1% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 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 9,885 15,224 SNA HR & MA-HR Enrolled 8,744 4,135 29% 15,233 84% 17,702 82% 7,849 43% 9,427 43% 7,384 41% 8,275 38% 2,282 79% 2,500 76% 1,314 45% 1,462 44% 1,038 31% 12,747 1,838 86 NYS Catholic Health Plan 168 Southern Tier Pediatrics (Partial) 243 Southern Tier Priority (Partial) 216 2,846 2,349 627 74,886 2,486 18,070 1,191 1,295 503 444 2,896 280 164 326 53 2,127 12 41 396 2,349 21,551 33% 7% 33 2% 106 5% 2,691 88% 2,691 88% 743 7% 39 207 2% 0 243 2% 77 293 3% 93,634 88% 342 3,055 342 1,506 968 139 116 18,748 10,200 106,640 3,633 2,469 21,703 1,578 891 407 218 3,303 148 70 289 16 2,416 1 15 6% 34 1% 121 5% 3,077 86% 3,077 86% 997 8% 62 269 2% 23 266 2% 169 462 4% 104,313 85% 541 386 2,323 254 3,596 386 15,494 155 10,679 12,523 122,134 11,263 2,203 13,466 13% 1,293 14,759 12% 11,604 2,082 13,686 13% 1,382 15,068 12% 9,957 4,044 14,001 13% 2,156 16,157 13% Neighborhood Health Providers 14,677 2,289 16,966 16% 1,852 18,818 15% NYS Catholic Health Plan 12,033 3,145 15,178 14% 1,735 16,913 14% 1 0 1 0% 1 2 0% 15,351 4,985 20,336 19% 2,260 22,596 19% NYS Catholic Health Plan 1199 United Healthcare Plan Of NY Sullivan TOTALS: Mandatory Hudson Health Plan Eff. Apr 2007 55% 7,799 Voluntary Affinity Health Plan 84% 335 TOTALS: Mandatory 11,934 1,049 Steuben Eff. June 2001 HealthFirst PHSP Health Insurance Plan of Greater New York 14,203 32% 65 85,089 1,384 57% TOTALS: 8,694 2,309 3,800 21 Excellus Health Plan 89% 6,750 804 2,659 10,550 Percent Enrolled 625 1,034 1,801 11,894 Total Enrolled 1,181 6,089 2,393 1,806 Total Eligibles 5,569 6,658 Southern Tier Priority (Partial) TOTALS: 2,009 Enrolled 3,175 Seneca Mandatory Eff. Jan 2007 Suffolk Eligibles TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled NYS Catholic Health Plan 8,235 8,444 88% 9,585 86% 5,795 7,328 1,345 1,116 855 9,580 6,650 69% 1,623 1,141 916 11,203 7,566 68% 1,533 261 1,794 19% 225 2,019 18% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 TANF ADC & MA-ADC County Plan Name Tioga TOTALS: Capital District Physicians Health Plan Voluntary Eligibles 4,595 NYS Catholic Health Plan Enrolled 506 4% 5,756 80% 6,554 78% 1,212 8% 1,417 17% Hudson Health Plan 3,291 MVP Health Plan 3,535 NYS Catholic Health Plan 2,276 Wellcare Of New York 2,091 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 62,085 NYS Catholic Health Plan NYS Catholic Health Plan 1199 TOTALS: Voluntary NYS Catholic Health Plan Yates Mandatory Eff. Feb 2007 TOTALS: Upstate Total 1,261 11,193 1,532 4,410 708 3,150 642 4,544 63% 14,017 88% 793 4,084 26% 1,281 4,816 30% 503 2,779 247 2,824 170 15,913 5,054 170 764 623 6,171 1,186 798 8,377 205 593 5,137 61% 15,928 86% 519 4,603 25% 659 5,475 29% 17% 275 3,054 16% 2,338 15% 458 2,796 15% 1,702 34% 1,867 31% 1,702 34% 1,867 31% 5,033 82% 5,750 79% 2,674 1,055 1,911 165 18,587 6,109 165 1,066 717 7,237 1,680 246 1,926 31% 321 2,247 31% 377 3,107 50% 396 3,503 48% 6,832 87% 7,781 83% 5,988 946 844 7,867 1,548 949 9,415 5,162 702 5,864 75% 864 6,728 71% 826 142 968 12% 85 1,053 11% 68,942 89% 76,674 87% 11,734 15% 13,175 15% 55,143 15,172 13,799 77,257 2,725 11,188 7,732 88,445 1,441 4,374 1,711 6,085 8% 1,156 7,241 8% 31,801 5,984 37,785 49% 3,715 41,500 47% 9,956 3,379 13,335 17% 1,420 14,755 17% 3 0 3 0% 0 3 0% 2,954 191 6% 3,466 211 6% 191 6% 211 6% 2,214 1,976 89% 2,538 2,233 88% 1,976 89% 2,233 88% 873,226 83% 988,895 80% 147 1,913 1,715 387 44 301 261 147 44 1,715 871,299 7,191 2,730 2,567 Excellus Health Plan 1,037 329 9,009 Hudson Health Plan Wyoming 4,719 1,532 6,921 6% 243 Eff Mar 2007 TOTALS: 10% 382 Mandatory Wayne 625 8 3,836 NYS Catholic Health Plan 6,159 7 TOTALS: 5,407 15 0% SCHC Total Care TOTALS: Capital District Physicians Health Plan 891 7% Ulster Washington Mandatory Eff. Mar 2007 12% 235 883 4,412 610 Percent Enrolled 375 Eff. Oct 2010 TOTALS: 5,268 Total Enrolled 33 NYS Catholic Health Plan 12,763 104 Total Eligibles 71 Mandatory NYS Catholic Health Plan 673 Enrolled 202 TOTALS: Warren Eligibles TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled 304 Tompkins Voluntary 5,930 SNA HR & MA-HR 718,804 261 183,901 154,422 1,055,200 512 20 324 257 20 257 177,539 115,669 1,232,739 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 TANF ADC & MA-ADC County Plan Name NYC Affinity Health Plan Mandatory Amerigroup Eligibles Amida Care SN SNA HR & MA-HR Enrolled Eligibles 87,655 Enrolled 47,549 TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled 135,204 7% 15,947 Total Eligibles Total Enrolled Percent Enrolled 151,151 7% 46,893 30,899 77,792 4% 5,274 83,066 4% 333 2,365 2,698 0% 2,042 4,740 0% Fully HealthFirst PHSP 251,673 100,525 352,198 17% 44,007 396,205 17% Implemented: HealthPlus Health Insurance Plan of Greater New York 168,980 63,122 232,102 11% 18,390 250,492 11% 98,662 45,012 143,674 7% 20,148 163,822 7% MetroPlus Health Plan 241,607 82,171 323,778 16% 33,656 357,434 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: 1,082 2,189 3,271 0% 2,261 5,532 0% 106,689 34,203 140,892 7% 17,128 158,020 7% 532 2,816 3,348 0% 2,855 6,203 0% 134,918 86,123 221,041 11% 23,785 244,826 11% 0% 396 112 508 0% 22 530 108,454 54,926 163,380 8% 14,150 177,530 8% 24,295 19,682 43,977 2% 3,677 47,654 2% 1,408,680 1,272,169 623,921 571,694 2,032,601 1,843,863 91% 256,788 203,342 2,289,389 2,047,205 89% 871,299 718,804 183,901 154,422 1,055,200 873,226 83% 177,539 115,669 1,232,739 988,895 80% NEW YORK CITY TOTALS: 1,408,680 1,272,169 623,921 571,694 2,032,601 1,843,863 91% 256,788 203,342 2,289,389 2,047,205 89% GRAND TOTALS: 2,279,979 1,990,973 807,822 726,116 3,087,801 2,717,089 88% 434,327 319,011 3,522,128 3,036,100 86% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 TANF ADC & MA-ADC County Plan Name NYC Boroughs Bronx Enrolled Eligibles Enrolled TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Percent Eligibles Total Enrolled Enrolled Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled 363,158 313,833 117,983 103,062 481,141 416,895 87% 73,570 60,675 554,711 477,570 86% Brooklyn 499,518 459,639 222,865 208,724 722,383 668,363 93% 81,248 64,504 803,631 732,867 91% Manhattan 167,492 141,463 96,209 78,079 263,701 219,542 83% 44,399 31,979 308,100 251,521 82% Queens 331,462 314,808 166,025 162,149 497,487 476,957 96% 47,352 38,314 544,839 515,271 95% 47,050 42,426 20,839 19,680 67,889 62,106 91% 10,219 7,869 78,108 69,975 90% 1,408,680 1,272,169 623,921 571,694 2,032,601 1,843,863 91% 256,788 203,342 2,289,389 2,047,205 89% Staten Island Borough Total NOTES: Eligibles SNA HR & MA-HR (1) The Managed Care eligible counts are based upon September, 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 DECEMBER, 2011 County Plan Name Albany TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan Allegany Cayuga Chautauqua Chemung Chenango Clinton Cortland Delaware Dutchess Erie Enrolled Total Enrolled 3,218 1,253 288 1,541 1,229 243 1,472 Wellcare Of New York 160 45 205 TOTALS: 692 113 805 42 18 60 231 50 281 419 45 464 2,587 515 3,102 TOTALS: Capital District Physicians Health Plan Excellus Health Plan 39 9 48 2,142 439 2,581 NYS Catholic Health Plan 406 67 473 TOTALS: HealthNow/BCBSWNY/Community Blue NYS Catholic Health Plan 958 220 1,178 167 37 204 408 72 480 Univera Community Health Inc 383 111 494 TOTALS: 903 148 1,051 Excellus Health Plan 221 37 258 NYS Catholic Health Plan 461 79 540 United Healthcare Plan Of NY 221 32 253 1,571 324 1,895 TOTALS: HealthNow/BCBSWNY/Community Blue NYS Catholic Health Plan 257 46 303 1,201 246 1,447 Univera Community Health Inc 113 32 145 TOTALS: 944 143 1,087 Excellus Health Plan 944 143 1,087 TOTALS: 818 109 927 NYS Catholic Health Plan 818 109 927 TOTALS: 995 211 1,206 Excellus Health Plan Columbia Enrolled 576 HealthNow/BCBSWNY/Community Blue Univera Community Health Inc Cattaraugus ADULTS WITHOUT CHILDREN 2,642 NYS Catholic Health Plan Broome ADULTS WITH CHILDREN 8 0 8 NYS Catholic Health Plan 987 211 1,198 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan 657 121 778 184 33 217 473 88 561 TOTALS: 690 103 793 NYS Catholic Health Plan 567 86 653 SCHC Total Care 123 17 140 TOTALS: 609 116 725 NYS Catholic Health Plan 609 116 725 2,590 353 2,943 TOTALS: Hudson Health Plan 819 98 917 MVP Health Plan 912 118 1,030 NYS Catholic Health Plan 611 104 715 Wellcare Of New York 248 33 281 11,115 2,102 13,217 Univera Community Health Inc 4,424 836 5,260 HealthNow/BCBSWNY/Community Blue Independent Health 1,791 300 2,091 2,622 612 3,234 NYS Catholic Health Plan 2,278 354 2,632 TOTALS: FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 County Plan Name Essex TOTALS: Genesee Greene Hamilton Herkimer Madison Monroe 2 547 86 633 TOTALS: 484 129 613 0 1 1 NYS Catholic Health Plan 484 128 612 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan 877 171 1,048 134 28 162 743 143 886 TOTALS: HealthNow/BCBSWNY/Community Blue MVP Health Plan 672 109 781 360 55 415 169 34 203 NYS Catholic Health Plan 143 20 163 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan 495 81 576 122 20 142 373 61 434 TOTALS: 67 11 78 NYS Catholic Health Plan 67 11 78 1,227 154 1,381 TOTALS: Nassau 194 28 222 1,012 123 1,135 21 3 24 TOTALS: 1,422 236 1,658 Excellus Health Plan 1,422 236 1,658 TOTALS: 351 41 392 Excellus Health Plan 187 21 208 NYS Catholic Health Plan 164 20 184 TOTALS: 569 88 657 Excellus Health Plan 439 63 502 NYS Catholic Health Plan 52 11 63 MVP Health Plan 78 14 92 TOTALS: 930 110 1,040 Excellus Health Plan 368 47 415 NYS Catholic Health Plan 322 36 358 United Healthcare Plan Of NY 240 27 267 TOTALS: 7,644 1,491 9,135 Excellus Health Plan 5,700 983 6,683 NYS Catholic Health Plan 1,452 399 1,851 492 109 601 1,041 129 1,170 287 29 316 754 100 854 15,512 2,440 17,952 Affinity Health Plan 2,359 358 2,717 HealthFirst PHSP 3,010 418 3,428 HealthPlus 1,144 207 1,351 Health Insurance Plan of Greater New York NYS Catholic Health Plan 2,169 330 2,499 3,238 662 3,900 United Healthcare Plan Of NY 3,592 465 4,057 MVP Health Plan Montgomery 635 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 87 Excellus Health Plan Fulton ADULTS WITHOUT CHILDREN 548 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 DECEMBER, 2011 ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled County Plan Name Niagara TOTALS: HealthNow/BCBSWNY/Community Blue NYS Catholic Health Plan 2,590 550 3,140 1,011 228 1,239 1,579 322 1,901 TOTALS: 3,700 473 4,173 689 112 801 2,527 297 2,824 Oneida Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY Onondaga TOTALS: Excellus Health Plan Ontario Orange Orleans Oswego 941 143 1,084 279 2,186 SCHC Total Care 1,541 270 1,811 United Healthcare Plan Of NY 757 115 872 TOTALS: 955 208 1,163 Excellus Health Plan 896 188 1,084 MVP Health Plan 42 14 56 NYS Catholic Health Plan 17 6 23 TOTALS: 4,308 567 4,875 Affinity Health Plan 1,680 244 1,924 Hudson Health Plan 1,318 145 1,463 NYS Catholic Health Plan 1,094 145 1,239 Wellcare Of New York 216 33 249 TOTALS: 710 89 799 Excellus Health Plan HealthNow/BCBSWNY/Community Blue NYS Catholic Health Plan 260 37 297 107 TOTALS: SCHC Total Care Rensselaer 12 40 395 2,187 322 2,509 15 6 21 652 79 731 1,131 185 1,316 389 52 441 TOTALS: 816 117 933 Excellus Health Plan 305 44 349 NYS Catholic Health Plan 511 73 584 TOTALS: 458 61 519 NYS Catholic Health Plan 458 61 519 1,446 253 1,699 608 110 718 703 114 817 135 29 164 4,839 661 5,500 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Affinity Health Plan 617 161 778 Hudson Health Plan 1,060 119 1,179 NYS Catholic Health Plan 2,983 355 3,338 179 26 205 TOTALS: 1,297 229 1,526 Excellus Health Plan 1,251 224 1,475 46 5 51 Wellcare Of New York St Lawrence 95 355 United Healthcare Plan Of NY Wellcare Of New York Rockland 548 5,953 1,907 NYS Catholic Health Plan Putnam 64 807 NYS Catholic Health Plan Excellus Health Plan Otsego 484 5,146 NYS Catholic Health Plan FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 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 1,955 293 694 136 830 1,261 157 1,418 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan 1,865 296 2,161 578 87 665 1,287 209 1,496 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan 451 66 517 158 30 188 293 36 329 TOTALS: 287 53 340 Excellus Health Plan 255 46 301 32 7 39 352 52 404 Schenectady Schoharie Schuyler NYS Catholic Health Plan Seneca TOTALS: Excellus Health Plan Steuben TOTALS: NYS Catholic Health Plan Suffolk Sullivan Tioga Tompkins Ulster Warren Washington 2,248 352 52 404 1,044 166 1,210 1,044 166 1,210 18,007 2,310 20,317 Affinity Health Plan 3,023 355 3,378 HealthFirst PHSP Health Insurance Plan of Greater New York Neighborhood Health Providers 2,527 253 2,780 2,142 273 2,415 1,638 206 1,844 NYS Catholic Health Plan 3,822 581 4,403 United Healthcare Plan Of NY 4,855 642 5,497 TOTALS: 1,329 171 1,500 Hudson Health Plan TOTALS: 1,001 112 1,113 NYS Catholic Health Plan 328 59 387 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan 497 95 592 278 44 322 219 51 270 TOTALS: 708 150 858 SCHC Total Care 523 104 627 NYS Catholic Health Plan 185 46 231 2,142 425 2,567 Hudson Health Plan 627 111 738 MVP Health Plan 842 179 1,021 NYS Catholic Health Plan 375 75 450 Wellcare Of New York 298 60 358 TOTALS: 823 90 913 NYS Catholic Health Plan 823 90 913 TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan 812 82 894 149 22 171 663 60 723 TOTALS: FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS DECEMBER, 2011 County Plan Name Wayne TOTALS: Westchester ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled 125 1,162 Excellus Health Plan 891 106 997 NYS Catholic Health Plan 146 19 165 TOTALS: 9,921 1,920 11,841 Affinity Health Plan Health Insurance Plan of Greater New York Hudson Health Plan 1,769 411 2,180 830 159 989 5,127 748 5,875 NYS Catholic Health Plan 2,193 602 2,795 2 0 2 TOTALS: HealthNow/BCBSWNY/Community Blue NYS Catholic Health Plan 451 65 516 321 36 357 130 29 159 TOTALS: 424 54 478 Excellus Health Plan 424 54 478 130,167 21,181 151,348 Affinity Health Plan 14,029 6,529 20,558 Amerigroup 11,795 5,747 17,542 HealthFirst PHSP 30,523 11,369 41,892 Health Insurance Plan of Greater New York HealthPlus 16,652 5,109 21,761 26,126 7,717 33,843 MetroPlus Health Plan 27,579 8,209 35,788 Neighborhood Health Providers 13,691 4,176 17,867 NYS Catholic Health Plan 28,488 13,652 42,140 98 25 123 21,394 7,073 28,467 NYS Catholic Health Plan 1199 Wyoming Yates Upstate Total NYC NYS Catholic Health Plan 1199 United Healthcare Plan Of NY Wellcare Of New York County Total Enrolled 1,037 5,572 3,255 8,827 NYC Total 195,947 72,861 268,808 UPSTATE TOTALS: 130,167 21,181 151,348 NEW YORK CITY TOTALS: 195,947 72,861 268,808 GRAND TOTALS 326,114 94,042 420,156 Plan Name ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled NYC Borough Bronx 32,098 10,179 42,277 Brooklyn 68,027 24,851 92,878 Manhattan 18,151 9,709 27,860 Queens 69,712 25,874 95,586 7,959 2,248 10,207 195,947 72,861 268,808 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 DECEMBER, 2011 MLTC PACE PLAN NAME ARCHCARE SENIOR LIFE CHS BUFFALO LIFE COMPLETE SENIOR CARE COMPREHENSIVE CARE MGMT EDDY SENIOR CARE INDEPENDENT LIVING FOR SENIORS PACE CNY TOTAL SENIOR CARE COUNTY NEW YORK Total ERIE Total NIAGARA 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 189 189 72 72 19 19 17 2,641 65 154 2,877 3 109 112 289 289 0 400 1 401 5 72 77 4,036 1,415 1,415 3,337 38 3,375 126 53 179 4,711 4,711 24 3,238 17 39 3,318 240 193 433 482 6,357 444 7,283 1,234 1,234 1,929 1,929 3,353 3,353 49 340 389 129 129 9,893 9,893 1,846 1,846 39,487 43,523 (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 DECEMBER, 2011 County Albany Broome Columbia Dutchess Greene Herkimer Montgomery Nassau Oneida Onondaga Orange Oswego Rensselaer Rockland Saratoga Total Enrolled Plan Name 209 TOTAL 29 Fidelis 180 Senior Whole Health 11 TOTAL 11 Touchstone/Prestige 16 TOTAL 1 Fidelis 15 Senior Whole Health 46 TOTAL 17 Fidelis 29 Senior Whole Health 7 TOTAL 4 Fidelis 3 Senior Whole Health 4 TOTAL 4 Fidelis 31 TOTAL 17 Fidelis 14 Senior Whole Health 199 TOTAL 17 GHI Health Insurance Plan of 142 Greater New York 26 Liberty Health Advantage 4 Managed Health 10 United HealthCare 30 TOTAL 30 Fidelis 49 TOTAL 13 Fidelis 36 Touchstone/Prestige 43 TOTAL 0 GHI 32 Senior Whole Health 11 Touchstone/Prestige 9 TOTAL 9 Fidelis 73 TOTAL 9 Fidelis 64 Senior Whole Health 39 TOTAL 39 GHI 37 TOTAL 37 Senior Whole Health MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS DECEMBER, 2011 Total Enrolled Plan Name 90 TOTAL 30 Fidelis 60 Senior Whole Health Suffolk 90 TOTAL 7 GHI Health Insurance Plan of 83 Greater New York Ulster 104 TOTAL 9 Fidelis 2 GHI 93 Senior Whole Health Warren 23 TOTAL 23 Senior Whole Health Washington 6 TOTAL 6 Senior Whole Health Westchester 69 TOTAL 31 GHI Health Insurance Plan of 8 Greater New York 1 Managed Health 29 Touchstone/Prestige Upstate Total: 1,185 NYC 249 Affinity 4 ElderPlan 1,199 Fidelis 597 GHI Health Insurance Plan of 1,425 Greater New York 345 Liberty Health Advantage 152 Managed Health 178 MetroPlus 1,171 Touchstone/Prestige 158 United HealthCare 5,478 NYC Total County Schenectady UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 1,185 5,478 6,663 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 DECEMBER, 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 101 9 92 4 4 6 6 1 1 3 1 2 12 12 54 9 45 11 11 42 11 31 60 60 5 5 8 8 307 11 551 359 259 50 86 48 1,364 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 307 1,364 1,671 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
© Copyright 2026 Paperzz