RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 TANF ADC & MA-ADC Plan Name Albany Mandatory TOTALS: Capital District Physicians Health Plan 13,626 2,844 16,470 61% Eff. Oct 1997 NYS Catholic Health Plan 4,732 1,288 6,020 22% Wellcare Of New York 1,217 221 1,438 5% 4,123 76% TOTALS: Mandatory NYS Catholic Health Plan HealthNow/BCBS-WNY/Community Blue Eff Feb 2007 21,864 4,652 Mandatory TOTALS: Capital District Physicians Health Plan 19,356 Eff. May 1998 Excellus Health Plan NYS Catholic Health Plan Cattaraugus Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan 19,575 3,495 Eligibles 4,993 808 Univera Community Health 4,353 628 26,857 5,460 23,928 89% Eligibles Enrolled 4,973 1,029 3,583 Total Eligibles Percent Enrolled 27,511 86% 2,571 19,041 60% 712 6,732 21% 300 1,738 5% 4,629 71% 506 31,830 Total Enrolled 6,489 32 176 1% 17 193 3% 2,034 388 2,422 9% 338 2,760 43% 16,027 208 4,369 3,730 23,725 1,525 6% 19,757 83% 151 4,762 3,382 28,487 1,676 26% 23,139 81% 222 29 251 1% 82 333 1% 13,447 3,129 16,576 70% 2,697 19,273 68% 2,930 12% 3,533 12% 7,516 84% 8,770 82% 2,358 7,816 Enrolled SSI & MA-SSI 144 1,317 Univera Community Health Broome Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled County Allegany Eligibles SNA HR & MA-HR 6,449 572 1,165 1,067 8,981 603 1,679 1,254 10,660 2,618 367 2,985 33% 745 3,730 35% 2,341 390 2,731 30% 328 3,059 29% 1,800 20% 1,981 19% 7,265 86% 7,973 82% 1,490 310 181 Cayuga TOTALS: Mandatory Excellus Health Plan 1,754 345 2,099 25% 215 2,314 24% Eff. Oct 2010 NYS Catholic Health Plan 3,547 641 4,188 50% 347 4,535 47% 811 167 978 12% 146 1,124 12% 16,797 87% 19,489 87% 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 NYS Catholic Health Plan Eff. Dec 2011 NYS Catholic Health Plan TOTALS: 5,578 6,112 13,591 1,320 3,518 3,206 8,417 19,244 1,286 3,277 708 2,692 9,703 22,521 2,751 642 3,393 18% 729 4,122 18% 10,413 2,266 12,679 66% 1,810 14,489 64% 427 298 725 4% 153 878 4% 5,667 6,509 56% 7,769 56% 3,563 0 3,563 31% 306 3,869 28% 2,104 842 2,946 25% 954 3,900 28% 800 12% 842 11% 842 11% 3,130 30% 3,130 30% 687 1,588 989 687 7,061 1,153 2,276 2,276 842 113 11,620 6,567 113 1,506 540 540 2,253 1,226 800 8,567 1,260 42 13,873 7,793 42 2,816 33% 2,816 33% 1,841 314 314 10,408 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 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 861 TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 5,516 4,626 84% SSI & MA-SSI Eligibles Enrolled 986 688 Total Eligibles 6,502 Total Enrolled 5,314 Percent Enrolled 82% 1,993 425 2,418 44% 499 2,917 45% 1,772 436 2,208 40% 189 2,397 37% 5,065 86% 5,680 85% 4,300 899 765 5,861 808 615 6,669 3,190 596 3,786 65% 446 4,232 63% 1,110 169 1,279 22% 169 1,448 22% 2,834 58% 2,908 52% 2,271 879 13,104 563 4,882 563 3,413 2,986 4,701 932 764 2,834 18,178 74 5,646 74 3,423 2,311 21,601 2,908 52% 18,401 85% 16,090 89% 5,633 31% 792 6,425 30% MVP Health Plan 4,458 1,209 5,667 31% 779 6,446 30% NYS Catholic Health Plan 2,391 666 3,057 17% 442 3,499 16% Wellcare Of New York 1,554 179 1,733 10% 298 2,031 9% 94,510 91% 110,458 90% 15,206 15% 17,533 14% TOTALS: HealthNow/BCBS-WNY/Community Blue 84,163 76,418 19,757 12,479 18,092 103,920 2,727 19,393 15,948 123,313 2,327 23,380 5,245 28,625 28% 4,954 33,579 27% NYS Catholic Health Plan 18,194 2,977 21,171 20% 3,035 24,206 20% Univera Community Health 22,030 5,551 27,581 27% 3,003 30,584 25% Total Full Risk 76,083 16,500 92,583 89% 13,319 105,902 86% 335 1,592 1,927 2% 2,629 4,556 4% PCMP II-A Special Care (Partial) Total Partial Risk TOTALS: 335 2,600 NYS Catholic Health Plan TOTALS: Mandatory TOTALS: Capital District Physicians Health Plan Eff. Mar 2007 NYS Catholic Health Plan 2,165 1,592 541 2,165 4,280 Eff, May 2011 NYS Catholic Health Plan Fulton 3,765 Eligibles 2,271 Eff. May 1998 Independent Health Association Essex Mandatory Eff. Oct 2010 Franklin Mandatory Enrolled SNA HR & MA-HR 2,822 5,602 3,141 471 977 2,822 6,312 471 674 5,257 674 1,275 1,106 7,587 1,927 2% 2,636 84% 2,636 84% 3,496 67% 3,496 67% 6,708 88% 2,629 637 69 3,778 69 1,132 60 6,389 60 1,333 900 8,920 4,556 4% 2,705 72% 2,705 72% 3,556 56% 3,556 56% 7,608 85% 905 191 1,096 14% 197 1,293 14% 4,697 915 5,612 74% 703 6,315 71% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 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 89% 766 526 5,437 Total Enrolled Percent Enrolled 4,682 86% 2,048 44% 210 2,258 42% 1,613 35% 272 1,885 35% 398 97 495 11% 44 539 10% 4,417 88% 5,102 86% 3,531 1,005 886 5,024 891 685 5,915 1,807 298 2,105 42% 428 2,533 43% 1,724 588 2,312 46% 257 2,569 43% 294 286 97% 34 9 328 295 90% 295 90% 7,433 6,505 88% 1,160 731 8,593 7,236 84% 50 46 1,294 1,131 46 286 9 855 184 1,039 14% 179 1,218 14% 4,482 941 5,423 73% 542 5,965 69% 43 1% 60 1% 60 1% 386 15% 159 6% 53 6 1,702 53 338 324 TOTALS: 3,611 Mandatory Excellus Health Plan 2,633 Eff. Apr 2002 NYS Catholic Health Plan 183 MVP Health Plan 795 11,378 48 2,564 23 202 Livingston 7 7 136 4,264 4,156 Total Eligibles 216 37 NYS Catholic Health Plan 4,671 Eligibles Enrolled 292 240 2,240 605 SSI & MA-SSI 1,397 5,374 9,676 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,756 6,139 United Healthcare Plan Of NY Voluntary 3,551 240 Eff. May 2003 NYS Catholic Health Plan TOTALS: Eligibles 244 NYS Catholic Health Plan Jefferson Enrolled SNA HR & MA-HR 25 927 227 9% 4,380 84% 569 3,202 62% 48 231 4% 152 947 18% 769 5,191 10 1,948 3 13,326 3 467 25 3,031 9 16 867 53 1% 63 0% 63 1% 411 14% 168 6% 243 8% 4,971 82% 404 3,606 60% 3 234 4% 184 1,131 19% 591 6,058 Madison TOTALS: 5,434 86% 5,961 83% Mandatory Excellus Health Plan 2,489 474 2,963 47% 294 3,257 45% Eff. Oct 2010 NYS Catholic Health Plan 1,513 323 1,836 29% 174 2,010 28% 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 1,010 519 70,925 MVP Health Plan Montgomery 4,521 6,650 64,603 913 6,286 116 15,481 14,213 86,406 635 10% 78,816 91% 926 527 7,212 59 17,701 12,380 104,107 694 10% 91,196 88% 45,317 8,155 53,472 62% 8,533 62,005 60% 8,613 4,589 13,202 15% 1,423 14,625 14% 10,673 1,469 12,142 14% 2,424 14,566 14% 7,055 92% 7,932 90% 6,053 1,050 1,002 7,700 1,150 877 8,850 2,494 338 2,832 37% 412 3,244 37% 3,559 664 4,223 55% 465 4,688 53% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 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 TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled 76,250 Eligibles Enrolled 91% 13,329 9,338 85,588 88% 8,811 2,049 10,860 13% 1,116 11,976 12% 12,139 3,017 15,156 18% 1,414 16,570 17% 4,996 1,905 6,901 8% 858 7,759 8% Enrolled Eligibles 59,143 18,713 Enrolled 17,107 83,749 97,078 9,047 3,647 12,694 15% 2,527 15,221 16% 12,051 2,878 14,929 18% 1,558 16,487 17% 1 1 2 0% 0 2 0% 12,098 3,610 15,708 19% 20,277 89% 1,865 17,573 18% 23,336 88% 28% Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue 5,308 1,350 6,658 29% 878 7,536 Eff Sep 1998 Independent Health Association 4,775 1,142 5,917 26% 1,350 7,267 27% NYS Catholic Health Plan 6,063 1,639 7,702 34% 831 8,533 32% 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 43,796 16,146 23,676 4,677 90% 32,263 87% 17% 830 5,974 16% 16,920 2,669 19,589 63% 3,038 22,627 61% 2,636 516 3,152 10% 510 3,662 10% 45,358 87% 53,017 86% 10,009 4,378 26,643 5,144 51,948 5,966 3,059 27,885 7,043 31,000 3,960 1,024 8,152 4,209 22,683 4,120 38,315 4,622 4,131 7,659 36,966 61,957 6,382 1,122 7,504 14% 1,071 8,575 14% NYS Catholic Health Plan 11,631 2,068 13,699 26% 1,915 15,614 25% SCHC Total Care 15,373 2,889 18,262 35% 3,700 21,962 35% 4,929 964 5,893 11% 973 6,866 11% 6,679 82% 7,654 80% 6,733 70% United Healthcare Plan Of NY Ontario TOTALS: Mandatory Excellus Health Plan Eff. Mar 1998 MVP Health Plan 6,933 NYS Catholic Health Plan 1,208 916 8,141 1,448 975 9,589 5,129 778 5,907 73% 826 562 83 645 8% 133 778 8% 72 55 127 2% 16 143 1% Orange TOTALS: 39,780 87% 43,376 86% Mandatory Affinity Health Plan 11,129 1,936 13,065 29% 1,509 14,574 29% Eff. Mar 2007 Hudson Health Plan 8,101 1,641 9,742 21% 1,252 10,994 22% 14,777 708 15,485 34% 576 16,061 32% 1,230 258 1,488 3% 259 1,747 3% NYS Catholic Health Plan Wellcare Of New York 40,341 5,763 35,237 5,227 4,543 45,568 5,137 3,596 50,705 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 TANF ADC & MA-ADC County Plan Name Orleans TOTALS: Eligibles 4,190 Mandatory Excellus Health Plan HealthNow/BCBS-WNY/Community Eff. June 2003 Blue NYS Catholic Health Plan Oswego TOTALS: Mandatory Eff. Apr 1999 Excellus Health Plan 987 861 5,177 4,403 85% 1,594 31% Eligibles Enrolled 681 444 Total Eligibles 5,858 Percent Enrolled 4,847 83% 1,779 30% 1,341 253 740 198 938 18% 137 1,075 18% 1,461 410 1,871 36% 122 1,993 34% 17,219 88% 89% 217 1% 38 255 1% NYS Catholic Health Plan 4,174 809 4,983 29% 509 5,492 28% SCHC Total Care 6,221 1,151 7,372 43% 1,109 8,481 43% United Healthcare Plan Of NY 2,248 422 2,670 16% 321 2,991 15% 5,205 82% Excellus Health Plan 4,379 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 1,911 12,844 3,829 2,720 87% 55% 372 3,318 52% 1,383 318 1,701 10% 186 1,887 30% 2,078 87% 2,409 79% 77 3% 119 4% 2,001 84% 14,895 93% 1,636 13,053 NYS Catholic Health Plan Wellcare Of New York 43,404 12,023 2,381 23 365 3,042 2,872 16,095 678 558 19,592 2,946 388 1,033 1,977 4,647 470 5,345 2,453 500 54 818 17,139 2,446 1,690 966 2,398 185 Total Enrolled 15,242 TOTALS: Eff. Oct 1997 3,542 Enrolled SSI & MA-SSI 16 Mandatory Mandatory Eligibles TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 201 Otsego 14,419 Enrolled SNA HR & MA-HR 331 6,378 3,059 42 289 2,736 2,107 18,831 2,290 75% 17,002 90% 8,551 1,916 10,467 65% 1,552 12,019 64% 2,900 780 3,680 23% 422 4,102 22% 572 176 748 5% 133 881 5% 48,578 94% Rockland TOTALS: 46,266 96% Mandatory Affinity Health Plan 3,125 1,034 4,159 9% 589 4,748 9% Eff. Mar 2001 Hudson Health Plan 6,667 941 7,608 16% 576 8,184 16% 30,071 1,928 31,999 67% 1,001 33,000 64% 2,270 230 2,500 5% 146 2,646 5% 199 2% 211 1% NYS Catholic Health Plan Wellcare Of New York 42,133 4,654 4,133 48,058 3,520 2,312 51,578 St Lawrence TOTALS: Voluntary Excellus Health Plan 77 16 93 1% 7 100 1% NYS Catholic Health Plan 67 39 106 1% 5 111 1% 10,696 144 2,142 55 12,838 2,814 12 15,652 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 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 Eligibles 8,766 7,817 55% 328 4,117 29% 15,553 86% 18,121 83% 8,045 45% 9,688 45% 7,508 42% 8,433 39% 2,357 81% 2,597 79% 1,331 46% 1,496 45% 1,026 35% 1,101 33% 153 7% 54 3% 12,991 1,905 98 TOTALS: Voluntary NYS Catholic Health Plan 176 Southern Tier Pediatrics (Partial) 222 Southern Tier Priority (Partial) 205 Mandatory Affinity Health Plan 2,414 603 76,692 2,562 18,070 1,243 1,319 503 452 2,896 285 167 326 55 2,127 15 40 396 99 5% 2,752 90% 2,752 90% 719 7% 42 218 2% 0 222 2% 74 279 3% 95,746 90% 338 3,055 338 1,506 21,551 116 19,054 10,200 106,640 3,633 2,568 21,703 1,643 925 407 240 3,303 165 75 289 17 2,416 2 15 541 15,494 7% 56 2% 114 5% 3,145 87% 3,145 87% 970 8% 62 280 2% 22 244 2% 167 446 4% 106,662 87% 393 3,596 393 2,323 170 251 10,916 12,523 122,134 11,429 2,264 13,693 13% 1,328 15,021 12% 11,819 2,104 13,923 13% 1,403 15,326 13% 10,058 4,049 14,107 13% 2,177 16,284 13% Neighborhood Health Providers 15,290 2,311 17,601 17% 1,908 19,509 16% NYS Catholic Health Plan 12,413 3,234 15,647 15% 1,793 17,440 14% 1 1 2 0% 1 3 0% 15,682 5,091 20,773 19% 2,306 23,079 19% NYS Catholic Health Plan 1199 United Healthcare Plan Of NY Sullivan TOTALS: Mandatory Hudson Health Plan Eff. Apr 2007 2,846 2,414 Eff. June 2001 HealthFirst PHSP Health Insurance Plan of Greater New York 84% 1,046 59 85,089 11,934 57% Steuben TOTALS: 14,203 32% TOTALS: 8,694 1,374 6,771 39 Excellus Health Plan 2,309 Percent Enrolled 3,789 859 2,659 89% Total Enrolled 632 1,046 Southern Tier Priority (Partial) 10,560 Total Eligibles 1,162 6,189 1,801 11,894 Eligibles Enrolled 5,609 6,802 2,393 1,794 SSI & MA-SSI 3,157 Seneca Mandatory Eff. Jan 2007 Suffolk 2,009 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled NYS Catholic Health Plan 8,235 7,492 8,643 90% 9,808 88% 5,895 1,345 1,151 884 9,580 6,779 71% 1,623 1,165 926 11,203 7,705 69% 1,597 267 1,864 19% 239 2,103 19% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 TANF ADC & MA-ADC County Plan Name Tioga TOTALS: Capital District Physicians Health Plan Voluntary Eligibles 4,595 NYS Catholic Health Plan 518 4% 5,877 82% 6,700 80% 1,280 8% 1,500 18% 3,366 MVP Health Plan 3,571 NYS Catholic Health Plan 2,463 Wellcare Of New York 2,008 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 62,085 NYS Catholic Health Plan TOTALS: Voluntary NYS Catholic Health Plan Yates TOTALS: Mandatory Eff. Feb 2007 Upstate Total 1,261 11,408 1,625 4,483 642 Excellus Health Plan 764 64% 90% 810 4,176 26% 1,266 4,837 30% 530 2,993 243 178 15,913 5,054 637 6,171 1,186 823 8,377 220 603 5,200 62% 16,227 87% 533 4,709 25% 672 5,509 30% 19% 304 3,297 18% 2,251 14% 461 2,712 15% 1,803 36% 1,970 32% 1,803 36% 1,970 32% 5,120 83% 5,864 81% 2,674 1,055 1,970 167 18,587 6,109 167 1,066 744 7,237 1,710 252 1,962 32% 334 2,296 32% 2,773 385 3,158 51% 410 3,568 49% 6,053 6,921 88% 7,916 84% 5,240 722 5,962 76% 901 6,863 73% 813 146 959 12% 94 1,053 11% 69,938 91% 77,921 88% 11,837 15% 13,331 15% 55,993 946 15,172 868 13,945 7,867 77,257 1,548 11,188 995 7,983 9,415 88,445 9,098 2,739 4,449 1,736 6,185 8% 1,203 7,388 8% 32,332 5,989 38,321 50% 3,809 42,130 48% 13,595 18% 15,072 17% 206 7% 227 7% 206 7% 227 7% 1,982 90% 2,240 88% 1,982 90% 2,240 88% 884,146 84% 1,001,553 81% 159 3,481 387 1,710 728,411 47 2,954 47 301 1,710 871,299 4,597 14,257 2,849 178 159 1,913 7,191 715 3,150 10,114 2,567 1,062 347 1,625 Hudson Health Plan Wyoming 4,815 3,882 6,921 6% 254 Hudson Health Plan NYS Catholic Health Plan 10% 391 Eff Mar 2007 Eff. Mar 2007 645 9 Mandatory Mandatory 6,159 7 TOTALS: 5,407 16 0% SCHC Total Care TOTALS: Capital District Physicians Health Plan 891 7% Ulster Washington 12% Percent Enrolled 245 933 4,412 629 Total Enrolled 384 Eff. Oct 2010 TOTALS: 5,268 Total Eligibles 40 NYS Catholic Health Plan 12,763 111 Eligibles Enrolled 71 Mandatory NYS Catholic Health Plan 673 Enrolled SSI & MA-SSI 205 TOTALS: Warren Eligibles TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 313 Tompkins Voluntary 5,930 Enrolled SNA HR & MA-HR 272 2,214 272 183,901 155,735 1,055,200 1,494 1,477 512 21 3,466 21 324 258 2,538 258 177,539 117,407 1,232,739 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 TANF ADC & MA-ADC County Plan Name Eligibles Enrolled SNA HR & MA-HR Eligibles Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled NYC Affinity Health Plan 87,356 46,882 134,238 7% 16,114 150,352 7% Mandatory Amerigroup 47,292 31,218 78,510 4% 5,421 83,931 4% 324 2,401 2,725 0% 2,097 4,822 0% Amida Care SN Fully HealthFirst PHSP 254,041 101,705 355,746 18% 44,608 400,354 17% Implemented: HealthPlus Health Insurance Plan of Greater New York 170,222 63,789 234,011 12% 18,673 252,684 11% 98,485 44,991 143,476 7% 20,250 163,726 7% MetroPlus Health Plan 242,510 82,877 325,387 16% 34,160 359,547 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: 1,069 2,276 3,345 0% 2,315 5,660 0% 107,311 34,564 141,875 7% 17,265 159,140 7% 528 2,818 3,346 0% 2,901 6,247 0% 136,148 87,162 223,310 11% 24,218 247,528 11% 306 86 392 0% 10 402 0% 109,220 55,556 164,776 8% 14,285 179,061 8% 24,379 19,830 44,209 2% 3,653 47,862 2% 1,408,680 1,279,191 623,921 576,155 2,032,601 1,855,346 91% 256,788 205,970 2,289,389 2,061,316 90% 871,299 728,411 183,901 155,735 1,055,200 884,146 84% 177,539 117,407 1,232,739 1,001,553 81% NEW YORK CITY TOTALS: 1,408,680 1,279,191 623,921 576,155 2,032,601 1,855,346 91% 256,788 205,970 2,289,389 2,061,316 90% GRAND TOTALS: 2,279,979 2,007,602 807,822 731,890 3,087,801 2,739,492 89% 434,327 323,377 3,522,128 3,062,869 87% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 TANF ADC & MA-ADC County Plan Name Eligibles NYC Boroughs Bronx Eligibles Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled 363,158 315,566 117,983 103,866 481,141 419,432 87% 73,570 61,459 554,711 480,891 87% Brooklyn 499,518 462,176 222,865 210,353 722,383 672,529 93% 81,248 65,338 803,631 737,867 92% Manhattan 167,492 142,244 96,209 78,688 263,701 220,932 84% 44,399 32,392 308,100 253,325 82% Queens 331,462 316,546 166,025 163,414 497,487 479,960 96% 47,352 38,809 544,839 518,769 95% 47,050 42,660 20,839 19,833 67,889 62,493 92% 10,219 7,971 78,108 70,464 90% 1,408,680 1,279,191 623,921 576,155 2,032,601 1,855,346 91% 256,788 205,970 2,289,389 2,061,316 90% Staten Island Borough Total NOTES: Enrolled 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 JANUARY, 2012 ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled County Plan Name Albany TOTALS: Capital District Physicians Health Plan 2,625 1,248 292 1,540 NYS Catholic Health Plan 1,221 241 1,462 Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Cortland 3,204 Wellcare Of New York 156 46 202 TOTALS: 701 108 809 46 18 64 NYS Catholic Health Plan HealthNow/BCBSWNY/Community Blue 240 44 284 Univera Community Health Inc 415 46 461 TOTALS: Capital District Physicians Health Plan 2,593 503 3,096 38 9 47 Excellus Health Plan 2,148 428 2,576 NYS Catholic Health Plan 407 66 473 TOTALS: HealthNow/BCBSWNY/Community Blue 953 210 1,163 176 35 211 NYS Catholic Health Plan 403 70 473 Univera Community Health Inc 374 105 479 TOTALS: 858 143 1,001 Excellus Health Plan 209 34 243 NYS Catholic Health Plan 440 81 521 United Healthcare Plan Of NY 209 28 237 TOTALS: HealthNow/BCBSWNY/Community Blue 1,516 313 1,829 248 43 291 NYS Catholic Health Plan 1,152 239 1,391 Univera Community Health Inc 116 31 147 TOTALS: 930 146 1,076 Excellus Health Plan 930 146 1,076 TOTALS: 815 112 927 NYS Catholic Health Plan 815 112 927 TOTALS: 988 201 1,189 8 0 8 NYS Catholic Health Plan 980 201 1,181 TOTALS: Capital District Physicians Health Plan 683 119 802 189 34 223 NYS Catholic Health Plan 494 85 579 Excellus Health Plan Columbia 579 TOTALS: 670 99 769 NYS Catholic Health Plan 545 82 627 SCHC Total Care 125 17 142 Delaware TOTALS: 596 114 710 Dutchess TOTALS: NYS Catholic Health Plan Erie 596 114 710 2,566 362 2,928 Hudson Health Plan 790 99 889 MVP Health Plan 902 121 1,023 NYS Catholic Health Plan 631 109 740 Wellcare Of New York 243 33 276 11,182 2,108 13,290 Univera Community Health Inc HealthNow/BCBSWNY/Community Blue 4,409 835 5,244 1,831 298 2,129 Independent Health 2,640 621 3,261 NYS Catholic Health Plan 2,302 354 2,656 TOTALS: FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 County Plan Name Essex TOTALS: Genesee Greene Hamilton Herkimer Madison Monroe 1 513 81 594 TOTALS: 473 113 586 0 1 1 NYS Catholic Health Plan 473 112 585 TOTALS: Capital District Physicians Health Plan 871 178 1,049 134 26 160 NYS Catholic Health Plan 737 152 889 TOTALS: HealthNow/BCBSWNY/Community Blue 668 113 781 358 56 414 MVP Health Plan 168 35 203 NYS Catholic Health Plan 142 22 164 TOTALS: Capital District Physicians Health Plan 492 81 573 125 22 147 NYS Catholic Health Plan 367 59 426 TOTALS: 66 14 80 NYS Catholic Health Plan 66 14 80 1,236 152 1,388 203 26 229 1,014 123 1,137 TOTALS: 19 3 22 TOTALS: 1,421 237 1,658 Excellus Health Plan 1,658 1,421 237 TOTALS: 357 40 397 Excellus Health Plan 189 21 210 NYS Catholic Health Plan 168 19 187 TOTALS: 553 87 640 Excellus Health Plan 420 62 482 NYS Catholic Health Plan 54 11 65 MVP Health Plan 79 14 93 TOTALS: 909 114 1,023 Excellus Health Plan 369 53 422 NYS Catholic Health Plan 311 36 347 United Healthcare Plan Of NY 229 25 254 TOTALS: 7,629 1,474 9,103 Excellus Health Plan 5,665 974 6,639 NYS Catholic Health Plan 1,478 397 1,875 486 103 589 TOTALS: Capital District Physicians Health Plan 1,050 132 1,182 272 31 303 NYS Catholic Health Plan 778 101 879 MVP Health Plan Montgomery Nassau Niagara 595 NYS Catholic Health Plan United Healthcare Plan Of NY Livingston Total Enrolled 1 NYS Catholic Health Plan Lewis Enrolled 0 Excellus Health Plan Jefferson Enrolled 82 Excellus Health Plan Fulton ADULTS WITHOUT CHILDREN 513 Excellus Health Plan Franklin ADULTS WITH CHILDREN 15,546 2,427 17,973 Affinity Health Plan 2,390 370 2,760 HealthFirst PHSP 3,013 425 3,438 HealthPlus Health Insurance Plan of Greater New York 1,160 198 1,358 2,160 318 2,478 NYS Catholic Health Plan 3,238 645 3,883 TOTALS: United Healthcare Plan Of NY 3,585 471 4,056 TOTALS: HealthNow/BCBSWNY/Community Blue 2,542 560 3,102 1,005 232 1,237 NYS Catholic Health Plan 1,537 328 1,865 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 County Plan Name Oneida TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY Onondaga TOTALS: Orange Orleans Oswego ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled 4,217 3,739 478 713 109 822 2,555 303 2,858 471 66 537 5,223 834 6,057 972 152 1,124 NYS Catholic Health Plan 1,927 280 2,207 SCHC Total Care 1,545 278 1,823 United Healthcare Plan Of NY 779 124 903 TOTALS: 938 212 1,150 Excellus Health Plan 1,077 Excellus Health Plan Ontario ADULTS WITH CHILDREN 886 191 MVP Health Plan 40 15 55 NYS Catholic Health Plan 12 6 18 TOTALS: 4,369 581 4,950 Affinity Health Plan 1,715 245 1,960 Hudson Health Plan 1,345 148 1,493 NYS Catholic Health Plan 1,080 157 1,237 Wellcare Of New York 229 31 260 TOTALS: 722 87 809 Excellus Health Plan HealthNow/BCBSWNY/Community Blue 255 35 290 100 13 113 NYS Catholic Health Plan 367 39 406 2,135 321 2,456 TOTALS: Excellus Health Plan NYS Catholic Health Plan 15 6 21 682 86 768 1,229 1,055 174 United Healthcare Plan Of NY 383 55 438 TOTALS: 813 118 931 Excellus Health Plan 300 45 345 NYS Catholic Health Plan 513 73 586 Putnam TOTALS: 453 61 514 NYS Catholic Health Plan 453 61 514 Rensselaer TOTALS: Capital District Physicians Health Plan 1,426 257 1,683 607 115 722 NYS Catholic Health Plan 686 115 801 SCHC Total Care Otsego Wellcare Of New York Rockland TOTALS: 27 160 679 5,617 636 167 803 Hudson Health Plan 1,083 122 1,205 NYS Catholic Health Plan 3,045 365 3,410 174 25 199 TOTALS: 1,308 228 1,536 Excellus Health Plan 1,263 222 1,485 45 6 51 Affinity Health Plan Wellcare Of New York St Lawrence 133 4,938 NYS Catholic Health Plan FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled County Plan Name Saratoga TOTALS: Capital District Physicians Health Plan 1,935 684 137 821 NYS Catholic Health Plan 1,251 152 1,403 TOTALS: Capital District Physicians Health Plan 1,876 301 2,177 599 91 690 NYS Catholic Health Plan 1,277 210 1,487 TOTALS: Capital District Physicians Health Plan 463 67 530 163 31 194 NYS Catholic Health Plan 300 36 336 Schenectady Schoharie Schuyler 283 50 333 Excellus Health Plan 252 42 294 NYS Catholic Health Plan TOTALS: Steuben TOTALS: Suffolk TOTALS: Excellus Health Plan NYS Catholic Health Plan Tioga Tompkins 2,224 TOTALS: Seneca Sullivan 289 31 8 39 361 56 417 361 56 417 1,040 163 1,203 1,040 163 1,203 18,042 2,306 20,348 Affinity Health Plan 3,037 352 3,389 HealthFirst PHSP Health Insurance Plan of Greater New York 2,520 248 2,768 2,150 283 2,433 Neighborhood Health Providers 1,649 215 1,864 NYS Catholic Health Plan 3,831 577 4,408 United Healthcare Plan Of NY 4,855 631 5,486 TOTALS: 1,341 180 1,521 Hudson Health Plan 1,127 1,009 118 NYS Catholic Health Plan 332 62 394 TOTALS: Capital District Physicians Health Plan 510 92 602 275 41 316 NYS Catholic Health Plan 235 51 286 TOTALS: 721 151 872 SCHC Total Care 525 101 626 196 50 246 2,139 434 2,573 Hudson Health Plan 634 114 748 MVP Health Plan 855 183 1,038 NYS Catholic Health Plan 362 77 439 Wellcare Of New York 288 60 348 Warren TOTALS: 802 88 890 NYS Catholic Health Plan 802 88 890 Washington TOTALS: Capital District Physicians Health Plan 832 83 915 149 22 171 NYS Catholic Health Plan 683 61 744 NYS Catholic Health Plan Ulster TOTALS: FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS JANUARY, 2012 County Plan Name Wayne TOTALS: Westchester ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled 126 1,153 Excellus Health Plan 888 106 994 NYS Catholic Health Plan 139 20 159 10,071 1,925 11,996 Affinity Health Plan Health Insurance Plan of Greater New York 1,804 412 2,216 829 163 992 Hudson Health Plan 5,193 744 5,937 NYS Catholic Health Plan 2,244 606 2,850 1 0 1 TOTALS: HealthNow/BCBSWNY/Community Blue 456 59 515 327 33 360 NYS Catholic Health Plan 129 26 155 TOTALS: NYS Catholic Health Plan 1199 Wyoming Yates TOTALS: 421 51 472 Excellus Health Plan 421 51 472 151,584 Upstate Total NYC 130,386 21,198 Affinity Health Plan 13,954 6,389 20,343 Amerigroup 11,803 5,796 17,599 HealthFirst PHSP Health Insurance Plan of Greater New York 31,041 11,561 42,602 16,681 5,097 21,778 HealthPlus 26,251 7,771 34,022 MetroPlus Health Plan 27,906 8,269 36,175 Neighborhood Health Providers 13,827 4,197 18,024 NYS Catholic Health Plan 28,867 13,759 42,626 68 16 84 21,630 7,230 28,860 NYS Catholic Health Plan 1199 United Healthcare Plan Of NY Wellcare Of New York County Total Enrolled 1,027 5,684 3,332 9,016 NYC Total 197,712 73,417 271,129 UPSTATE TOTALS: 130,386 21,198 151,584 NEW YORK CITY TOTALS: 197,712 73,417 271,129 GRAND TOTALS 328,098 94,615 422,713 Plan Name ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled NYC Borough Bronx 32,521 10,176 42,697 Brooklyn 68,575 25,127 93,702 Manhattan 18,253 9,833 28,086 Queens 70,300 26,040 96,340 8,063 2,241 10,304 197,712 73,417 271,129 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 JANUARY, 2012 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 Total MLTC PACE Enrollment TOTAL COUNTY ENROLLMENT NEW YORK 196 Total 196 ERIE 75 Total 75 NIAGARA 21 Total 21 NASSAU 19 NEW YORK 2,688 SUFFOLK 65 WESTCHESTER 156 Total 2,928 ALBANY 3 SCHENECTADY 113 Total 116 MONROE 286 Total 286 ONONDAGA 399 OSWEGO 1 Total 400 ALLEGANY 5 CATTARAUGUS 70 Total 75 4,097 MLTC PARTIAL CAPITATION PLAN NAME AMERIGROUP NEW YORK Total CCM SELECT NEW YORK WESTCHESTER Total ELANT ORANGE ROCKLAND Total ELDERPLAN NEW YORK Total ELDERSERVE NASSAU NEW YORK SUFFOLK WESTCHESTER Total FIDELIS CARE AT HOME ORANGE ROCKLAND Total GUILDNET NASSAU NEW YORK SUFFOLK Total HHH CHOICES NEW YORK Total INDEPENDENCE CARE SYSTEMS NEW YORK Total SENIOR HEALTH PARTNERS INC NEW YORK Total SENIOR NETWORK HEALTH HERKIMER ONEIDA Total TOTAL AGING IN PLACE PROGRAM ERIE Total VNS CHOICE NEW YORK Total WELLCARE NEW YORK Total Total MLTC Partial Capitation Enrollment Total Statewide Enrollment NOTES: 1,429 1,429 3,567 39 3,606 126 53 179 4,878 4,878 30 4,097 16 43 4,186 244 196 440 490 6,588 445 7,523 1,266 1,266 1,970 1,970 3,426 3,426 50 342 392 127 127 10,060 10,060 1,908 1,908 41,390 45,487 (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 JANUARY, 2012 County Albany Broome Columbia Dutchess Greene Herkimer Montgomery Nassau Oneida Onondaga Orange Oswego Rensselaer Rockland Saratoga Total Enrolled Plan Name 219 TOTAL 38 Fidelis 181 Senior Whole Health 0 TOTAL 0 Touchstone/Prestige 15 TOTAL 1 Fidelis 14 Senior Whole Health 46 TOTAL 18 Fidelis 28 Senior Whole Health 7 TOTAL 4 Fidelis 3 Senior Whole Health 4 TOTAL 4 Fidelis 31 TOTAL 17 Fidelis 14 Senior Whole Health 208 TOTAL 16 GHI Health Insurance Plan of 138 Greater New York 31 Liberty Health Advantage 4 Managed Health 19 United HealthCare 30 TOTAL 30 Fidelis 22 TOTAL 20 Fidelis 2 Touchstone/Prestige 41 TOTAL 31 Senior Whole Health 10 Touchstone/Prestige 8 TOTAL 8 Fidelis 75 TOTAL 11 Fidelis 64 Senior Whole Health 38 TOTAL 38 GHI 37 TOTAL 37 Senior Whole Health MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS JANUARY, 2012 Total Enrolled Plan Name 92 TOTAL 32 Fidelis 60 Senior Whole Health Suffolk 85 TOTAL 7 GHI Health Insurance Plan of 78 Greater New York Ulster 106 TOTAL 10 Fidelis 2 GHI 94 Senior Whole Health Warren 23 TOTAL 23 Senior Whole Health Washington 6 TOTAL 6 Senior Whole Health Westchester 104 TOTAL 29 GHI Health Insurance Plan of 8 Greater New York 1 Managed Health 66 Touchstone/Prestige Upstate Total: 1,197 NYC 260 Affinity 12 ElderPlan 1,271 Fidelis 591 GHI Health Insurance Plan of 1,395 Greater New York 426 Liberty Health Advantage 164 Managed Health 195 MetroPlus 1,530 Touchstone/Prestige 181 United HealthCare 6,025 NYC Total County Schenectady UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 1,197 6,025 7,222 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 JANUARY, 2012 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 104 9 95 4 4 6 6 1 1 3 1 2 12 12 55 10 45 11 11 44 13 31 61 61 5 5 9 9 315 10 570 358 274 53 92 48 1,405 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 315 1,405 1,720 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
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