RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC Plan Name Albany Mandatory TOTALS: Capital District Physicians Health Plan 13,922 2,942 16,864 63% Eff. Oct 1997 NYS Catholic Health Plan 4,866 1,325 6,191 23% Wellcare Of New York 1,201 221 1,422 5% 4,219 77% 2,442 45% Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff Feb 2007 NYS Catholic Health Plan 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 Eligibles 19,989 3,581 4,993 808 2,058 Univera Community Health Broome Enrolled Univera Community Health 4,488 638 26,857 5,460 384 24,477 91% SSI & MA-SSI Eligibles Enrolled 4,973 1,029 3,639 Total Eligibles Percent Enrolled 28,116 88% 2,614 19,478 61% 733 6,924 22% 292 1,714 5% 4,731 73% 2,783 43% 512 31,830 Total Enrolled 6,489 341 162 36 198 4% 17 215 3% 1,361 218 1,579 29% 154 1,733 27% 19,916 84% 23,331 82% 16,128 4,369 3,788 23,725 4,762 3,415 28,487 209 29 238 1% 81 319 1% 13,501 3,199 16,700 70% 2,714 19,414 68% 2,978 13% 3,598 13% 7,635 85% 8,887 83% 2,418 7,816 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled County Allegany Eligibles SNA HR & MA-HR 6,533 560 1,165 1,102 8,981 620 1,679 1,252 10,660 2,620 381 3,001 33% 741 3,742 35% 2,418 399 2,817 31% 327 3,144 29% 1,817 20% 2,001 19% 7,501 89% 8,308 86% 1,495 322 184 Cayuga TOTALS: Mandatory Excellus Health Plan 1,842 358 2,200 26% 230 2,430 25% Eff. Oct 2010 NYS Catholic Health Plan 3,615 673 4,288 51% 410 4,698 48% 7,097 United Healthcare Plan Of NY Chautauqua Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan Voluntary TOTALS: Southern Tier Pediatrics (Partial) TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan Of NY 13,667 5,578 1,198 8,417 167 3,518 3,187 19,244 1,013 12% 16,854 88% 1,286 807 9,703 167 3,277 2,684 22,521 1,180 12% 19,538 87% 2,771 645 3,416 18% 715 4,131 18% 10,448 2,247 12,695 66% 1,812 14,507 64% 448 10,032 Southern Tier Priority (Partial) Chenango 1,320 846 15,726 Univera Community Health Chemung 6,303 5,581 295 1,588 803 11,620 743 4% 6,384 55% 157 2,253 1,248 13,873 900 4% 7,632 55% 3,565 0 3,565 31% 303 3,868 28% 2,016 803 2,819 24% 945 3,764 27% 1,153 18% 1,216 16% 994 989 159 6,567 1,226 63 7,793 966 152 1,118 17% 60 1,178 15% 28 7 35 1% 3 38 0% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC County Plan Name Clinton TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan Of NY Columbia Mandatory TOTALS: Capital District Physicians Health Plan Eff. Oct 1997 NYS Catholic Health Plan Cortland TOTALS: Mandatory NYS Catholic Health Plan Eff. May 2007 SCHC Total Care Delaware Mandatory TOTALS: Eligibles 7,061 Enrolled SNA HR & MA-HR Eligibles 2,596 1,506 2,583 4,962 4,003 Eff. May 2011 NYS Catholic Health Plan 3,842 8,567 8 1,026 854 5,516 3,205 37% 3,184 37% 21 0% 4,696 85% SSI & MA-SSI Eligibles Enrolled 1,841 350 Total Eligibles 10,408 350 0 986 692 6,502 Total Enrolled Percent Enrolled 3,555 34% 3,534 34% 21 0% 5,388 83% 2,023 423 2,446 44% 498 2,944 45% 1,819 431 2,250 41% 194 2,444 38% 5,169 88% 5,791 87% 4,377 899 792 5,861 808 622 6,669 3,260 623 3,883 66% 449 4,332 65% 1,117 169 1,286 22% 173 1,459 22% 2,546 879 4,882 16,489 91% 78 5,646 78 87% 4,802 980 5,782 32% 852 6,634 31% 4,534 1,213 5,747 32% 783 6,530 30% NYS Catholic Health Plan 2,503 706 3,209 18% 476 3,685 17% Wellcare Of New York 1,572 179 1,751 10% 300 2,051 9% 95,367 92% 111,662 91% 15% Mandatory 16,295 123,313 2,821 15,545 15% 2,422 17,967 23,588 5,286 28,874 28% 5,061 33,935 28% NYS Catholic Health Plan 18,290 3,005 21,295 20% 3,092 24,387 20% Univera Community Health 22,229 5,617 27,846 27% 3,104 30,950 25% Total Full Risk 76,831 16,729 93,560 90% 13,679 107,239 87% 313 1,494 1,807 2% 2,616 4,423 4% PCMP II-A Special Care (Partial) Total Partial Risk Mandatory Eff. Oct 2010 Franklin Mandatory 19,393 12,724 Eff. May 1998 Independent Health Association Essex 103,920 21,601 18,900 MVP Health Plan 18,223 2,411 58% 58% Hudson Health Plan 19,757 3,423 3,257 3,257 Eff. Apr 2007 77,144 18,178 764 Mandatory 84,163 3,078 65% 65% TOTALS: TOTALS: HealthNow/BCBS-WNY/Community Blue 3,413 3,179 3,179 Dutchess Erie 13,411 633 633 2,546 14,765 609 601 13 4,490 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled TOTALS: 313 2,600 NYS Catholic Health Plan TOTALS: Eff, May 2011 NYS Catholic Health Plan 2,212 1,494 541 2,212 4,280 3,090 3,090 456 3,141 456 977 716 716 5,257 1,807 2% 2,668 85% 2,668 85% 3,806 72% 3,806 72% 2,616 637 76 3,778 76 1,132 76 76 6,389 4,423 4% 2,744 73% 2,744 73% 3,882 61% 3,882 61% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC County Plan Name Fulton TOTALS: Capital District Physicians Health Plan Mandatory Eff. Mar 2007 NYS Catholic Health Plan Genesee Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue Eff. Jan 2004 MVP Health Plan Greene TOTALS: Capital District Physicians Health Plan Eligibles 6,312 3,994 NYS Catholic Health Plan Mandatory Eff. Oct 1997 NYS Catholic Health Plan Hamilton TOTALS: Mandatory Eff. Oct 2010 NYS Catholic Health Plan Herkimer TOTALS: Mandatory Excellus Health Plan 244 Voluntary Excellus Health Plan Lewis TOTALS: Voluntary Excellus Health Plan 6,139 9,676 TOTALS: Mandatory Eff. Apr 2002 Excellus Health Plan 1,275 2,240 1,111 7,587 6,786 89% SSI & MA-SSI Eligibles Enrolled 1,333 921 Total Eligibles 8,920 Total Enrolled 7,707 Percent Enrolled 86% 915 194 1,109 15% 205 1,314 15% 917 5,677 75% 716 6,393 72% 4,263 91% 4,790 88% 3,646 677 617 4,671 766 527 5,437 1,786 292 2,078 44% 212 2,290 42% 1,422 226 1,648 35% 274 1,922 35% 3,535 99 1,005 905 5,024 537 11% 4,440 88% 41 891 706 5,915 578 11% 5,146 87% 1,793 318 2,111 42% 433 2,544 43% 1,742 587 2,329 46% 273 2,602 44% 300 102% 308 94% 300 102% 308 94% 251 50 5,427 49 294 49 8 88% 7,296 85% 1,071 14% 179 1,250 15% 4,510 942 5,452 73% 540 5,992 70% 40 5 45 1% 9 54 1% 82 1% 87 1% 82 1% 87 1% 425 17% 449 15% 187 7% 197 6% 375 11,378 10 324 50 2,564 25 213 3,709 10 7,433 328 6,568 1,702 1,141 8 194 72 1,294 34 877 162 4,264 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 4,760 72 NYS Catholic Health Plan Livingston 5,675 251 United Healthcare Plan Of NY TOTALS: Eligibles 438 4,019 Eff. May 2003 NYS Catholic Health Plan Jefferson Enrolled SNA HR & MA-HR 25 927 806 5,191 238 9% 4,515 87% 1,160 1,948 728 5 8,593 13,326 5 467 24 3,031 10 14 867 599 6,058 252 8% 5,114 84% 2,712 598 3,310 64% 409 3,719 61% MVP Health Plan 796 151 947 18% 186 1,133 19% NYS Catholic Health Plan 201 57 258 5% 4 262 4% Madison TOTALS: 5,530 88% 6,120 85% Mandatory Excellus Health Plan 2,541 482 3,023 48% 309 3,332 46% Eff. Oct 2010 NYS Catholic Health Plan 1,527 336 1,863 30% 211 2,074 29% 529 115 644 10% 70 714 10% 79,624 92% 92,112 88% 60% 5,276 United Healthcare Plan Of NY 65,178 1,010 15,481 933 14,446 6,286 86,406 926 17,701 590 12,488 7,212 Monroe TOTALS: Mandatory Eff. Mar 1998 Excellus Health Plan 45,858 8,406 54,264 63% 8,601 62,865 MVP Health Plan 10,584 1,457 12,041 14% 2,418 14,459 14% 8,736 4,583 13,319 15% 1,469 14,788 14% NYS Catholic Health Plan 70,925 4,597 104,107 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC County Plan Name Montgomery Mandatory TOTALS: Capital District Physicians Health Plan Eff. Apr 2007 NYS Catholic Health Plan Nassau TOTALS: Mandatory Affinity Health Plan Eligibles 6,650 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 6,101 1,050 Enrolled 1,023 TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 7,700 7,124 SSI & MA-SSI Eligibles Enrolled 93% 1,150 904 Total Eligibles 8,850 Total Enrolled Percent Enrolled 8,028 91% 2,528 333 2,861 37% 424 3,285 37% 3,573 690 4,263 55% 480 4,743 54% 59,956 77,257 92% 86,693 89% 8,929 18,713 17,301 2,057 83,749 10,986 13% 13,329 9,436 1,136 97,078 12,122 12% 12,259 3,019 15,278 18% 1,414 16,692 17% 5,043 1,910 6,953 8% 890 7,843 8% 9,106 3,686 12,792 15% 2,530 15,322 16% 12,218 2,934 15,152 18% 1,578 16,730 17% 5 1 6 0% 0 6 0% 12,396 3,694 16,090 19% 1,888 17,978 19% 20,680 91% 23,739 89% 29% Mandatory TOTALS: HealthNow/BCBS-WNY/Community Blue 5,432 1,385 6,817 30% 879 7,696 Eff Sep 1998 Independent Health Association 4,814 1,184 5,998 26% 1,361 7,359 28% NYS Catholic Health Plan 6,178 1,687 7,865 35% 819 8,684 33% 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 16,424 23,862 4,677 91% 32,569 88% 17% 848 6,079 16% 17,054 2,716 19,770 64% 3,043 22,813 62% 2,639 526 3,165 10% 512 3,677 10% 45,562 88% 53,250 86% 10,009 4,403 26,643 5,231 51,948 5,966 3,059 28,166 7,055 31,000 3,960 1,062 8,152 4,304 22,683 4,169 38,507 4,622 4,256 7,688 36,966 61,957 6,457 1,147 7,604 15% 1,089 8,693 14% NYS Catholic Health Plan 11,644 2,072 13,716 26% 1,919 15,635 25% SCHC Total Care 15,418 2,867 18,285 35% 3,706 21,991 35% 4,988 969 5,957 11% 974 6,931 11% 6,749 83% 7,725 81% 71% United Healthcare Plan Of NY Ontario TOTALS: Mandatory Excellus Health Plan Eff. Mar 1998 MVP Health Plan NYS Catholic Health Plan 6,933 5,815 1,208 934 8,141 1,448 976 9,589 5,210 799 6,009 74% 827 6,836 542 84 626 8% 133 759 8% 63 51 114 1% 16 130 1% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC Eligibles SNA HR & MA-HR Percent Enrolled TOTALS: 40,118 88% Mandatory Affinity Health Plan 11,216 1,919 13,135 29% 1,552 14,687 29% Eff. Mar 2007 Hudson Health Plan 8,234 1,659 9,893 22% 1,295 11,188 22% 14,907 708 15,615 34% 603 16,218 32% 1,215 260 1,475 3% 254 1,729 3% 4,464 86% 4,903 84% 1,594 31% 1,780 30% Wellcare Of New York Orleans TOTALS: 4,190 Mandatory Excellus Health Plan HealthNow/BCBS-WNY/Community Eff. June 2003 Blue NYS Catholic Health Plan 14,419 3,595 5,227 987 4,546 869 45,568 5,177 Eligibles Enrolled Total Enrolled Orange 35,572 Enrolled Total Eligibles Plan Name NYS Catholic Health Plan Eligibles SSI & MA-SSI County 40,341 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 5,137 681 3,704 439 50,705 5,858 86% 1,348 246 757 206 963 19% 128 1,091 19% 1,490 417 1,907 37% 125 2,032 35% 16,812 86% Oswego TOTALS: 14,937 87% Mandatory Eff. Apr 1999 Excellus Health Plan 2,069 387 2,456 14% 385 2,841 15% NYS Catholic Health Plan 6,634 1,236 7,870 46% 858 8,728 45% SCHC Total Care United Healthcare Plan Of NY 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 TOTALS: Capital District Physicians Health Plan Mandatory Eff. Oct 1997 1,911 13,053 NYS Catholic Health Plan Wellcare Of New York 12,609 2,720 17,139 2,453 1,875 19,592 7 3 10 0% 1 11 0% 3,899 702 4,601 27% 631 5,232 27% 5,399 85% 3,946 4,791 90% 2,506 510 3,016 56% 402 3,418 54% 1,440 335 1,775 33% 206 1,981 31% 2,420 79% 1,686 966 3% 51 128 4% 1,631 363 1,994 84% 298 2,292 75% 15,197 94% 17,347 92% 2,736 349 6,378 87% 16,095 678 608 77 2,964 2,381 1,033 2,071 3,042 385 5,345 22 12,233 470 845 55 2,150 3,059 18,831 8,712 2,001 10,713 67% 1,582 12,295 65% 2,956 787 3,743 23% 430 4,173 22% 565 4,157 48,058 741 5% 97% 138 3,520 2,395 51,578 879 5% 49,165 95% Mandatory Affinity Health Plan 3,195 1,018 4,213 9% 616 4,829 9% Eff. Mar 2001 Hudson Health Plan 6,740 967 7,707 16% 595 8,302 16% 30,383 1,946 32,329 67% 1,038 33,367 65% 3 0 3 0% 0 3 0% 2,292 226 2,518 5% 146 2,664 5% Wellcare Of New York 4,654 46,770 TOTALS: United Healthcare Plan Of NY 42,613 176 Rockland NYS Catholic Health Plan 43,404 2,328 186 43,822 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC Percent Enrolled TOTALS: 245 2% 258 2% Excellus Health Plan 97 25 122 1% 7 129 1% NYS Catholic Health Plan 82 41 123 1% 6 129 1% 10,764 90% 12,138 85% 6,912 58% 7,953 56% 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 9,885 Schuyler TOTALS: NYS Catholic Health Plan 2,393 1,801 13,146 2,706 21,703 4,185 29% 18,469 85% 6,281 1,355 7,636 42% 1,005 8,641 40% 2,444 84% 2,718 82% 1,982 503 462 2,896 407 274 3,303 1,090 285 1,375 47% 182 1,557 47% 892 177 1,069 37% 92 1,161 35% 200 8% 93 4% 121 187 Southern Tier Pediatrics (Partial) 218 Affinity Health Plan 333 3,633 45% NYS Catholic Health Plan Eff. June 2001 HealthFirst PHSP Health Insurance Plan of Greater New York 87% 9,828 Voluntary Mandatory 32% 1,041 1,701 TOTALS: 326 2,416 597 2,127 36 396 9% 91 4% 91 4% 90% 2,747 90% 708 7% 44 231 2% 0 218 2% 3,055 111 10,200 67 21,551 182 2,747 331 331 1,506 192 78,301 61 25 2,416 85,089 3,852 15,763 14,203 45% Steuben TOTALS: 18,070 1,374 15,652 8,127 55 Southern Tier Priority (Partial) 2,617 2,309 13 1,262 TOTALS: 8,694 11,894 2,814 6,865 Seneca Mandatory Eff. Jan 2007 Excellus Health Plan 1,846 12,838 656 2,846 66 2,659 66 1,190 3,196 15,224 Southern Tier Priority (Partial) Suffolk 2,009 5,722 NYS Catholic Health Plan Voluntary 8,918 2,142 Eligibles Enrolled Total Enrolled Voluntary 179 Enrolled Total Eligibles St Lawrence TOTALS: Capital District Physicians Health Plan Eligibles SSI & MA-SSI Plan Name 10,696 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled County Saratoga Eligibles SNA HR & MA-HR 19,314 106,640 259 3% 97,615 92% 289 18 2,416 2 16 541 107 4% 3,146 87% 3,146 87% 951 8% 60 291 2% 21 239 2% 399 3,596 399 2,323 243 12,523 162 15,494 11,018 122,134 421 3% 108,633 89% 11,682 2,285 13,967 13% 1,340 15,307 13% 11,979 2,119 14,098 13% 1,417 15,515 13% 10,209 4,025 14,234 13% 2,171 16,405 13% Neighborhood Health Providers 15,524 2,371 17,895 17% 1,930 19,825 16% NYS Catholic Health Plan 12,733 3,332 16,065 15% 1,839 17,904 15% 1 1 2 0% 1 3 0% 16,173 5,181 21,354 20% 2,320 23,674 19% NYS Catholic Health Plan 1199 United Healthcare Plan Of NY RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC County Plan Name Sullivan TOTALS: Mandatory Hudson Health Plan Eff. Apr 2007 Tioga Voluntary Eligibles 8,235 TOTALS: Mandatory NYS Catholic Health Plan Eff. Oct 2010 SCHC Total Care Ulster TOTALS: Eligibles 7,723 1,345 520 12,763 9,580 109 5,268 71 216 4,903 1,203 292 673 304 5,930 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 911 1,664 4,595 NYS Catholic Health Plan Tompkins Enrolled 6,059 NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan SNA HR & MA-HR 38 1,261 1,095 7,191 8,926 93% 6,970 73% 1,956 20% 629 12% 375 7% 254 5% 5,998 83% SSI & MA-SSI Eligibles Enrolled 1,623 1,211 Total Eligibles 11,203 955 256 891 16 6,159 7 9 1,186 861 8,377 Total Enrolled Percent Enrolled 10,137 90% 7,925 71% 2,212 20% 645 10% 382 6% 263 4% 6,859 82% 19% 977 355 1,332 19% 247 1,579 3,926 740 4,666 65% 614 5,280 63% 14,533 91% 16,553 89% 11,621 3,150 2,912 15,913 2,674 2,020 18,587 Mandatory Hudson Health Plan 3,466 837 4,303 27% 558 4,861 26% Eff Mar 2007 MVP Health Plan 3,628 1,282 4,910 31% 671 5,581 30% NYS Catholic Health Plan 2,590 552 3,142 20% 340 3,482 19% Wellcare Of New York 1,937 241 2,178 14% 451 2,629 14% 1,918 38% 2,083 34% 1,918 38% 2,083 34% 5,177 84% 5,948 82% Warren TOTALS: Voluntary NYS Catholic Health Plan Washington Mandatory TOTALS: Capital District Physicians Health Plan Eff. Mar 2007 NYS Catholic Health Plan Wayne Mandatory TOTALS: Eff. Oct 2010 NYS Catholic Health Plan Westchester TOTALS: Mandatory Affinity Health Plan Health Insurance Plan of Greater New York Eff. Oct 1999 4,412 642 1,726 5,407 6,921 Excellus Health Plan 62,085 4,538 192 5,054 192 764 639 6,171 1,055 165 6,109 165 1,066 771 7,237 1,720 258 1,978 32% 344 2,322 32% 2,818 381 3,199 52% 427 3,626 50% 6,140 7,048 90% 8,105 86% 5,310 763 6,073 77% 928 7,001 74% 830 145 975 12% 129 1,104 12% 71,393 92% 79,467 90% 57,257 946 15,172 908 14,136 7,867 77,257 1,548 11,188 1,057 8,074 9,415 88,445 9,220 2,756 11,976 16% 1,527 13,503 15% 4,575 1,752 6,327 8% 1,206 7,533 9% Hudson Health Plan 33,028 6,060 39,088 51% 3,849 42,937 49% NYS Catholic Health Plan 10,431 3,568 13,999 18% 1,492 15,491 18% 3 0 3 0% 0 3 0% 2,954 216 7% 3,466 237 7% 216 7% 237 7% 2,214 2,040 92% 2,538 2,306 91% 2,040 92% 2,306 91% 897,483 85% 1,016,792 82% United Healthcare Plan Of NY Wyoming TOTALS: Voluntary NYS Catholic Health Plan Yates TOTALS: Mandatory Eff. Feb 2007 Excellus Health Plan Upstate Total 1,726 2,567 165 1,913 1,754 387 51 301 286 165 51 1,754 871,299 739,385 286 183,901 158,098 1,055,200 512 21 324 266 21 266 177,539 119,309 1,232,739 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 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 87,155 46,269 133,424 7% 16,402 149,826 7% Mandatory Amerigroup 47,576 31,494 79,070 4% 5,731 84,801 4% 334 2,451 2,785 0% 2,132 4,917 0% Amida Care SN Fully HealthFirst PHSP 256,530 103,209 359,739 18% 44,895 404,634 18% Implemented: HealthPlus Health Insurance Plan of Greater New York 171,622 64,424 236,046 12% 19,099 255,145 11% 98,199 45,054 143,253 7% 20,423 163,676 7% 1,090 2,312 3,402 0% 2,328 5,730 0% MetroPlus Health Plan 243,485 83,852 327,337 16% 34,768 362,105 16% Neighborhood Health Providers 108,018 34,881 142,899 7% 17,546 160,445 7% Sept 2002 MetroPlus Health Plan SN 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: 529 2,828 3,357 0% 2,878 6,235 0% 138,056 88,700 226,756 11% 24,722 251,478 11% 32 15 47 0% 2 49 0% 109,901 56,159 166,060 8% 14,610 180,670 8% 24,489 20,220 44,709 2% 3,594 48,303 2% 1,408,680 1,287,016 623,921 581,868 2,032,601 1,868,884 92% 256,788 209,130 2,289,389 2,078,014 91% 871,299 739,385 183,901 158,098 1,055,200 897,483 85% 177,539 119,309 1,232,739 1,016,792 82% NEW YORK CITY TOTALS: 1,408,680 1,287,016 623,921 581,868 2,032,601 1,868,884 92% 256,788 209,130 2,289,389 2,078,014 91% GRAND TOTALS: 2,279,979 2,026,401 807,822 739,966 3,087,801 2,766,367 90% 434,327 328,439 3,522,128 3,094,806 88% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 TANF ADC & MA-ADC County Plan Name NYC Boroughs Bronx Enrolled Eligibles Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled 363,158 320,025 117,983 107,892 481,141 427,917 89% 73,570 63,090 554,711 491,007 89% Brooklyn 499,518 464,962 222,865 210,877 722,383 675,839 94% 81,248 65,673 803,631 741,512 92% Manhattan 167,492 142,515 96,209 80,262 263,701 222,777 84% 44,399 33,125 308,100 255,902 83% Queens 331,462 316,117 166,025 163,038 497,487 479,155 96% 47,352 39,099 544,839 518,254 95% 47,050 43,397 20,839 19,799 67,889 63,196 93% 10,219 8,143 78,108 71,339 91% 1,408,680 1,287,016 623,921 581,868 2,032,601 1,868,884 92% 256,788 209,130 2,289,389 2,078,014 91% 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 : United HealthCare - Chenango, Clinton, Rockland, & Westchester counties FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled County Plan Name Albany TOTALS: 2,688 578 3,266 Capital District Physicians Health Plan 1,266 292 1,558 NYS Catholic Health Plan 1,505 Allegany 1,265 240 Wellcare Of New York 157 46 203 TOTALS: 690 112 802 HealthNow/BCBS-WNY/Community Blue 235 47 282 47 16 63 NYS Catholic Health Plan Univera Community Health Inc Broome TOTALS: Capital District Physicians Health Plan Excellus Health Plan Cattaraugus Cayuga Chautauqua 65 486 1,132 HealthNow/BCBS-WNY/Community Blue 183 36 219 NYS Catholic Health Plan 407 62 469 Univera Community Health Inc 353 91 444 TOTALS: 855 141 996 Excellus Health Plan 225 35 260 NYS Catholic Health Plan 433 78 511 United Healthcare Plan Of NY 197 28 225 1,497 324 1,821 TOTALS: 234 41 275 1,155 251 1,406 Univera Community Health Inc 108 32 140 TOTALS: 926 144 1,070 Excellus Health Plan 926 144 1,070 TOTALS: 808 103 911 NYS Catholic Health Plan 804 103 907 4 0 4 1,002 188 1,190 TOTALS: United Healthcare Plan Of NY Delaware 48 2,597 189 NYS Catholic Health Plan Cortland 11 421 421 Excellus Health Plan Columbia 37 2,176 943 United Healthcare Plan Of NY Clinton 457 3,131 NYS Catholic Health Plan NYS Catholic Health Plan Chenango 49 497 TOTALS: HealthNow/BCBS-WNY/Community Blue Chemung 408 2,634 8 0 8 983 187 1,170 11 1 12 TOTALS: 667 115 782 Capital District Physicians Health Plan 179 33 212 NYS Catholic Health Plan 488 82 570 TOTALS: 666 94 760 NYS Catholic Health Plan 543 78 621 SCHC Total Care 123 16 139 TOTALS: 629 110 739 NYS Catholic Health Plan 629 110 739 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 County Plan Name Dutchess TOTALS: Erie Essex Genesee Greene Hamilton Herkimer 2,914 102 890 MVP Health Plan 900 118 1,018 NYS Catholic Health Plan 619 111 730 Wellcare Of New York 244 32 276 11,223 2,115 13,338 HealthNow/BCBS-WNY/Community Blue 1,855 313 2,168 Independent Health 2,681 628 3,309 NYS Catholic Health Plan 2,305 348 2,653 Univera Community Health Inc 4,382 826 5,208 509 79 588 0 1 1 NYS Catholic Health Plan 509 78 587 TOTALS: 476 117 593 0 1 1 NYS Catholic Health Plan 476 116 592 TOTALS: 888 179 1,067 Capital District Physicians Health Plan 135 26 161 NYS Catholic Health Plan 753 153 906 TOTALS: 655 107 762 HealthNow/BCBS-WNY/Community Blue 347 53 400 MVP Health Plan 171 31 202 NYS Catholic Health Plan 137 23 160 TOTALS: 493 81 574 Capital District Physicians Health Plan 128 23 151 NYS Catholic Health Plan 365 58 423 TOTALS: 66 14 80 NYS Catholic Health Plan 66 14 80 1,225 145 1,370 203 21 224 1,005 122 1,127 17 2 19 TOTALS: 1,441 244 1,685 Excellus Health Plan 1,405 235 1,640 36 9 45 TOTALS: 360 45 405 Excellus Health Plan 194 24 218 NYS Catholic Health Plan 166 21 187 TOTALS: 552 80 632 Excellus Health Plan TOTALS: TOTALS: TOTALS: United Healthcare Plan Of NY United Healthcare Plan Of NY Livingston Total Enrolled 363 NYS Catholic Health Plan Lewis Enrolled 788 Excellus Health Plan Jefferson Enrolled 2,551 Excellus Health Plan Fulton ADULTS WITHOUT CHILDREN Hudson Health Plan Excellus Health Plan Franklin ADULTS WITH CHILDREN 416 54 470 MVP Health Plan 77 14 91 NYS Catholic Health Plan 59 12 71 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 County Madison Monroe Plan Name Nassau Oneida 111 1,000 53 420 NYS Catholic Health Plan 294 38 332 United Healthcare Plan Of NY 228 20 248 TOTALS: 7,734 1,479 9,213 Excellus Health Plan 5,773 986 6,759 493 100 593 NYS Catholic Health Plan 1,468 393 1,861 TOTALS: 1,068 125 1,193 Capital District Physicians Health Plan 288 30 318 NYS Catholic Health Plan 780 95 875 15,541 2,435 17,976 2,407 375 2,782 TOTALS: HealthFirst PHSP 3,009 431 3,440 HealthPlus 1,171 192 1,363 Health Insurance Plan of Greater New York 2,147 319 2,466 NYS Catholic Health Plan 3,208 637 3,845 United Healthcare Plan Of NY 3,599 481 4,080 TOTALS: 2,555 568 3,123 HealthNow/BCBS-WNY/Community Blue 1,001 232 1,233 NYS Catholic Health Plan 1,554 336 1,890 TOTALS: 3,707 485 4,192 United Healthcare Plan Of NY TOTALS: Excellus Health Plan Orange Orleans Total Enrolled 367 NYS Catholic Health Plan Ontario Enrolled 889 Excellus Health Plan Onondaga Enrolled TOTALS: Affinity Health Plan Niagara ADULTS WITHOUT CHILDREN Excellus Health Plan MVP Health Plan Montgomery ADULTS WITH CHILDREN 711 110 821 2,525 305 2,830 471 70 541 5,199 800 5,999 981 149 1,130 NYS Catholic Health Plan 1,916 276 2,192 SCHC Total Care 1,499 266 1,765 United Healthcare Plan Of NY 803 109 912 TOTALS: 957 202 1,159 Excellus Health Plan 896 180 1,076 MVP Health Plan 47 16 63 NYS Catholic Health Plan 14 6 20 4,305 571 4,876 TOTALS: Affinity Health Plan 1,667 238 1,905 Hudson Health Plan 1,329 144 1,473 NYS Catholic Health Plan 1,235 1,077 158 Wellcare Of New York 232 31 263 TOTALS: 730 90 820 Excellus Health Plan 257 35 292 HealthNow/BCBS-WNY/Community Blue 101 11 112 NYS Catholic Health Plan 372 44 416 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 County Plan Name Oswego TOTALS: Excellus Health Plan NYS Catholic Health Plan Otsego Putnam Rensselaer Rockland 2,405 61 414 1,247 744 821 116 937 Excellus Health Plan 303 45 348 NYS Catholic Health Plan 518 71 589 TOTALS: 435 60 495 NYS Catholic Health Plan 435 60 495 1,415 240 1,655 Capital District Physicians Health Plan 600 102 702 NYS Catholic Health Plan 686 112 798 Wellcare Of New York 129 26 155 4,896 682 5,578 618 159 777 Hudson Health Plan 1,066 122 1,188 NYS Catholic Health Plan 3,035 373 3,408 8 5 13 TOTALS: TOTALS: 169 23 192 TOTALS: 1,311 222 1,533 Excellus Health Plan 1,263 217 1,480 48 5 53 1,918 302 2,220 682 140 822 TOTALS: NYS Catholic Health Plan 1,236 162 1,398 TOTALS: 1,905 308 2,213 615 93 708 1,290 215 1,505 TOTALS: 463 66 529 Capital District Physicians Health Plan 158 29 187 NYS Catholic Health Plan NYS Catholic Health Plan 305 37 342 TOTALS: 287 48 335 Excellus Health Plan 246 40 286 41 8 49 374 57 431 NYS Catholic Health Plan TOTALS: Excellus Health Plan Steuben 311 353 TOTALS: Capital District Physicians Health Plan Seneca 2,094 96 Capital District Physicians Health Plan Schuyler Total Enrolled 154 NYS Catholic Health Plan Schoharie Enrolled 648 Wellcare Of New York Schenectady Enrolled 1,093 United Healthcare Plan Of NY Saratoga ADULTS WITHOUT CHILDREN United Healthcare Plan Of NY Affinity Health Plan St Lawrence ADULTS WITH CHILDREN 374 57 431 TOTALS: 1,016 163 1,179 NYS Catholic Health Plan 1,016 163 1,179 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 County Plan Name Suffolk TOTALS: Sullivan Tioga Ulster Warren Wayne 20,587 370 3,433 HealthFirst PHSP 2,552 248 2,800 Health Insurance Plan of Greater New York 2,182 290 2,472 Neighborhood Health Providers 1,690 221 1,911 NYS Catholic Health Plan 3,854 586 4,440 United Healthcare Plan Of NY 4,897 634 5,531 TOTALS: 1,366 181 1,547 Hudson Health Plan 1,013 113 1,126 NYS Catholic Health Plan 353 68 421 TOTALS: 517 88 605 Capital District Physicians Health Plan 261 38 299 NYS Catholic Health Plan 251 50 301 5 0 5 TOTALS: 702 145 847 NYS Catholic Health Plan 201 49 250 SCHC Total Care 501 96 597 2,137 443 2,580 Hudson Health Plan 640 115 755 MVP Health Plan 858 185 1,043 NYS Catholic Health Plan 363 80 443 Wellcare Of New York 276 63 339 TOTALS: 795 87 882 NYS Catholic Health Plan 790 87 877 5 0 5 TOTALS: 825 85 910 Capital District Physicians Health Plan 154 22 176 NYS Catholic Health Plan 671 63 734 1,054 120 1,174 911 100 1,011 TOTALS: TOTALS: TOTALS: Affinity Health Plan Health Insurance Plan of Greater New York 143 20 163 10,160 1,918 12,078 1,762 397 2,159 846 167 1,013 Hudson Health Plan 5,227 742 5,969 NYS Catholic Health Plan 2,258 602 2,860 United Healthcare Plan Of NY Yates Total Enrolled 2,349 NYS Catholic Health Plan Wyoming Enrolled 3,063 Excellus Health Plan Westchester Enrolled 18,238 United Healthcare Plan Of NY Washington ADULTS WITHOUT CHILDREN Affinity Health Plan United Healthcare Plan Of NY Tompkins ADULTS WITH CHILDREN 67 10 77 TOTALS: 458 58 516 HealthNow/BCBS-WNY/Community Blue 323 31 354 NYS Catholic Health Plan 135 27 162 TOTALS: 431 49 480 Excellus Health Plan 431 49 480 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS FEBRUARY, 2012 County Plan Name Upstate Total NYC ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled 130,747 21,128 151,875 Affinity Health Plan 13,841 6,218 20,059 Amerigroup 11,760 5,822 17,582 HealthFirst PHSP 31,512 11,776 43,288 HealthPlus 26,467 7,775 34,242 Health Insurance Plan of Greater New York 16,562 5,036 21,598 MetroPlus Health Plan 28,233 8,284 36,517 Neighborhood Health Providers 13,907 4,221 18,128 NYS Catholic Health Plan 29,561 13,955 43,516 3 1 4 21,836 7,247 29,083 NYS Catholic Health Plan 1199 United Healthcare Plan Of NY Wellcare Of New York County Total Enrolled 5,808 3,431 9,239 NYC Total 199,490 73,766 273,256 UPSTATE TOTALS: 130,747 21,128 151,875 NEW YORK CITY TOTALS: 199,490 73,766 273,256 GRAND TOTALS 330,237 94,894 425,131 Plan Name ADULTS WITH CHILDREN ADULTS WITHOUT CHILDREN Enrolled Enrolled Total Enrolled NYC Borough Bronx 32,960 10,288 43,248 Brooklyn 69,093 25,186 94,279 Manhattan 18,449 9,869 28,318 Queens 70,870 26,134 97,004 8,118 2,289 10,407 199,490 73,766 273,256 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 : United HealthCare - Chenango, Clinton, Jefferson, Rockland, Tioga, Warren, & Westchester counties MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS FEBRUARY, 2012 TOTAL 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 ONONDAGA OSWEGO Total ALLEGANY CATTARAUGUS Total 200 200 83 83 26 26 21 2,712 67 158 2,958 2 115 117 290 290 398 1 399 5 72 77 4,150 NEW YORK Total NEW YORK WESTCHESTER Total ORANGE ROCKLAND Total NEW YORK Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total ORANGE ROCKLAND Total NASSAU NEW YORK SUFFOLK Total NEW YORK Total NEW YORK Total NEW YORK Total HERKIMER ONEIDA Total ERIE Total NEW YORK Total NEW YORK Total 1,436 1,436 3,655 39 3,694 123 54 177 4,968 4,968 35 4,716 16 50 4,817 243 195 438 485 6,747 440 7,672 1,288 1,288 1,994 1,994 3,529 3,529 47 340 387 124 124 10,191 10,191 1,970 1,970 42,685 Total MLTC PACE Enrollment MLTC PARTIAL CAPITATION PLAN NAME AMERIGROUP CCM SELECT ELANT ELDERPLAN ELDERSERVE FIDELIS CARE AT HOME GUILDNET HHH CHOICES INDEPENDENCE CARE SYSTEMS SENIOR HEALTH PARTNERS INC SENIOR NETWORK HEALTH TOTAL AGING IN PLACE PROGRAM VNS CHOICE WELLCARE Total MLTC Partial Capitation Enrollment ENROLLMENT Total Statewide Enrollment 46,835 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 ENROLLMENT BY COUNTY AND PLAN NYS FEBRUARY, 2012 County Plan Name Albany TOTAL Fidelis Senior Whole Health TOTAL Fidelis Senior Whole Health TOTAL Fidelis Senior Whole Health TOTAL Fidelis Senior Whole Health TOTAL Fidelis TOTAL Fidelis Senior Whole Health TOTAL GHI Health Insurance Plan of Greater New York Liberty Health Advantage Managed Health United HealthCare TOTAL Fidelis TOTAL Fidelis Touchstone/Prestige TOTAL Senior Whole Health Touchstone/Prestige TOTAL Fidelis TOTAL Fidelis Senior Whole Health TOTAL GHI TOTAL Senior Whole Health TOTAL Fidelis Senior Whole Health Columbia Dutchess Greene Herkimer Montgomery Nassau Oneida Onondaga Orange Oswego Rensselaer Rockland Saratoga Schenectady Total Enrolled 219 40 179 15 2 13 47 18 29 7 4 3 4 4 31 17 14 212 17 137 31 5 22 33 33 24 22 2 43 32 11 10 10 73 12 61 38 38 38 38 95 36 59 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS FEBRUARY, 2012 County Plan Name Suffolk TOTAL GHI Health Insurance Plan of Greater New York TOTAL Fidelis GHI Senior Whole Health TOTAL Senior Whole Health TOTAL Senior Whole Health TOTAL GHI Health Insurance Plan of Greater New York Managed Health Touchstone/Prestige Ulster Warren Washington Westchester Upstate Total: NYC Affinity ElderPlan Fidelis GHI Health Insurance Plan of Greater New York Liberty Health Advantage Managed Health MetroPlus Touchstone/Prestige United HealthCare NYC Total UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL Total Enrolled 85 7 78 102 10 2 90 22 22 6 6 97 28 8 1 60 1,201 278 11 1,308 581 1,369 473 168 201 1,512 181 6,082 1,201 6,082 7,283 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 FEBRUARY, 2012 County Albany Columbia Dutchess Greene Montgomery Nassau 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 5 5 6 6 1 1 3 1 2 1 1 12 12 57 11 46 12 12 45 14 31 60 60 6 6 8 8 320 10 586 366 286 53 96 45 1,442 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 320 1,442 1,762 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 HIP of Greater New York 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 : Nassau County - HIP of Greater New York
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