RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC County Plan Name Albany TOTALS: Mandatory Capital District Physicians Health Plan Eff. Oct 1997 NYS Catholic Health Plan Allegany TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue Eff Feb 2007 NYS Catholic Health Plan Eligibles 21,864 Wellcare of New York TOTALS: Mandatory Capital District Physicians Health Plan Eff. May 1998 Excellus Health Plan Enrolled 19,356 NYS Catholic Health Plan United Healthcare Plan of NY SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled 25,117 14,113 3,091 17,204 64% 2,583 19,787 62% 5,148 1,424 6,572 24% 744 7,316 23% 3,654 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled Eligibles Enrolled 94% 4,973 3,610 Eligibles 20,384 4,993 1,123 4,652 Univera Community Health Broome SNA HR & MA-HR 4,733 26,857 218 808 656 5,460 1,341 5% 4,310 79% 31,830 283 1,029 552 6,489 28,727 90% 1,624 5% 4,862 75% 44% 2,081 382 2,463 45% 362 2,825 183 41 224 4% 18 242 4% 1,390 233 1,623 30% 172 1,795 28% 23,903 84% 16,342 4,369 3,854 20,196 85% 174 30 23,725 204 1% 79 283 1% 13,661 3,245 16,906 71% 2,807 19,713 69% 2,505 573 3,078 13% 816 3,894 14% 2 6 8 0% 5 13 0% 7,974 89% 9,295 87% 4,762 3,707 28,487 Cattaraugus TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 2,741 427 3,168 35% 760 3,928 37% Eff. Sep 2001 NYS Catholic Health Plan 2,516 401 2,917 32% 357 3,274 31% Cayuga TOTALS: Mandatory Excellus Health Plan 1,955 Eff. Oct 2010 NYS Catholic Health Plan 3,688 825 7,816 Univera Community Health TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan 15,726 TOTALS: Voluntary NYS Catholic Health Plan 10,032 Southern Tier Pediatrics (Partial) Southern Tier Priority (Partial) Chenango TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan of NY 6,468 13,918 3,518 8,981 1,889 21% 7,733 92% 390 2,345 28% 708 4,396 52% 167 992 12% 17,241 90% 1,265 3,323 8,417 19,244 1,679 1,321 10,660 204 1,286 3,277 2,093 20% 8,564 88% 246 2,591 27% 432 4,828 50% 153 1,145 12% 19,967 89% 831 2,726 9,703 22,521 2,804 659 3,463 18% 708 4,171 19% 10,624 2,328 12,952 67% 1,827 14,779 66% 6,360 336 1,588 995 11,620 826 4% 7,355 63% 191 2,253 1,389 13,873 1,017 5% 8,744 63% 64 58 122 1% 40 162 1% 3,875 0 3,875 33% 365 4,240 31% 937 2,421 5,578 1,156 328 1,320 490 Univera Community Health Chemung 1,165 1,561 7,097 United Healthcare Plan of NY Chautauqua 6,818 2,978 989 506 6,567 3,358 29% 3,484 53% 984 1,226 243 7,793 4,342 31% 3,727 48% 2,508 401 2,909 44% 192 3,101 40% 470 105 575 9% 51 626 8% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC County Plan Name Clinton TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan of NY Columbia TOTALS: Mandatory Capital District Physicians Health Plan Eligibles 7,061 4,490 SNA HR & MA-HR Enrolled Total Eligibles Total Enrolled Percent Enrolled 6,472 7,129 68% 4,840 984 5,824 68% 576 6,400 61% 481 167 648 8% 81 729 7% 4,864 88% 5,587 86% 2,504 45% 3,015 46% 4,012 1,026 2,078 Eff. Oct 1997 NYS Catholic Health Plan Cortland TOTALS: Mandatory NYS Catholic Health Plan 3,436 Eff. May 2007 SCHC Total Care 1,157 Mandatory TOTALS: 4,593 4,003 3,244 14,765 14,004 1,151 852 8,567 5,516 426 1,934 4,962 SSI & MA-SSI Eligibles Enrolled 76% 1,841 657 Eligibles 5,321 1,506 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 426 899 2,360 43% 5,410 92% 654 4,090 70% 163 1,320 23% 4,882 4,031 83% 4,031 83% 18,178 17,213 95% 817 879 787 3,413 3,209 5,861 986 723 10,408 6,502 511 212 808 2,572 40% 6,033 90% 452 4,542 68% 171 1,491 22% 5,646 4,142 73% 4,142 73% 21,601 19,684 91% 32% 623 764 111 3,423 2,471 6,669 Eff. May 2011 NYS Catholic Health Plan Dutchess TOTALS: Mandatory Hudson Health Plan 5,101 1,022 6,123 34% 866 6,989 Eff. Apr 2007 MVP Health Plan 4,667 1,190 5,857 32% 807 6,664 31% NYS Catholic Health Plan 2,699 823 3,522 19% 516 4,038 19% 3,244 Wellcare of New York 1,537 1,711 9% 94% 3,285 16,429 16% 5,719 29,833 29% 3,480 22,018 21% 22,853 6,129 28,982 28% 78,649 18,613 97,262 94% PCMP II-A Special Care (Partial) 8 25 33 0% Total Partial Risk 8 25 33 0% 2,802 89% 2,802 89% 4,223 80% 4,223 80% TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 13,144 Eff. May 1998 Independent Health Association 24,114 NYS Catholic Health Plan 18,538 Univera Community Health Total Full Risk Mandatory Eff. Oct 2010 Franklin Mandatory Eff, May 2011 174 97,295 Erie Essex 787 TOTALS: 84,163 2,600 NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan 78,657 2,297 19,757 541 2,297 4,280 3,429 3,429 18,638 505 103,920 3,141 505 977 794 794 5,257 111 282 19,393 637 1,993 9% 112,952 92% 2,853 19,282 16% 5,448 35,281 29% 3,552 25,570 21% 3,599 32,581 26% 15,452 112,714 91% 205 238 0% 205 238 0% 2,882 76% 2,882 76% 4,314 68% 4,314 68% 15,657 80 123,313 3,778 80 1,132 91 91 6,389 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC County Plan Name Fulton TOTALS: Mandatory Capital District Physicians Health Plan Eff. Mar 2007 NYS Catholic Health Plan Genesee TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 1,861 Eff. Jan 2004 MVP Health Plan Eligibles 6,312 3,994 NYS Catholic Health Plan SNA HR & MA-HR Enrolled SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled 6,969 Eligibles Enrolled 92% 1,333 942 928 196 1,124 15% 209 1,333 15% 4,902 943 5,845 77% 733 6,578 74% Eligibles 5,830 1,275 3,807 677 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,139 679 7,587 4,671 766 555 8,920 5,437 7,911 89% 4,486 96% 5,041 93% 311 2,172 46% 227 2,399 44% 1,464 252 1,716 37% 273 1,989 37% 482 116 598 13% 55 653 12% 5,435 92% Greene TOTALS: 4,676 93% Mandatory Capital District Physicians Health Plan 1,849 355 2,204 44% 458 2,662 45% Eff. Oct 1997 NYS Catholic Health Plan 1,881 591 2,472 49% 301 2,773 47% Hamilton TOTALS: 294 330 112% 328 339 103% 330 112% 339 103% 7,433 6,750 91% 8,593 7,553 88% Mandatory Eff. Oct 2010 NYS Catholic Health Plan Herkimer TOTALS: Mandatory Excellus Health Plan Eff. May 2003 NYS Catholic Health Plan 4,019 3,730 244 264 6,139 5,583 1,005 50 66 1,294 1,167 264 United Healthcare Plan of NY 946 5,024 66 891 759 34 9 1,160 803 5,915 9 905 209 1,114 15% 203 1,317 15% 4,635 952 5,587 75% 591 6,178 72% 43 6 49 1% 9 58 1% 646 6% 655 5% 4% Jefferson TOTALS: Voluntary Excellus Health Plan 408 85 493 4% 8 501 United Healthcare Plan of NY 107 46 153 1% 1 154 1% 593 23% 628 21% 11% 9,676 515 1,702 131 11,378 1,948 9 13,326 Lewis TOTALS: Voluntary Excellus Health Plan 280 44 324 13% 14 338 NYS Catholic Health Plan 231 38 269 10% 21 290 10% 4,625 89% 5,248 87% 2,240 4,264 511 3,809 324 927 82 816 2,564 467 35 3,031 Livingston TOTALS: Mandatory Excellus Health Plan 2,752 584 3,336 64% 427 3,763 62% Eff. Apr 2002 MVP Health Plan 822 154 976 19% 188 1,164 19% NYS Catholic Health Plan 235 78 313 6% 8 321 5% 5,748 91% 6,346 88% 5,191 867 623 6,058 Madison TOTALS: Mandatory Excellus Health Plan 2,569 493 3,062 49% 326 3,388 47% Eff. Oct 2010 NYS Catholic Health Plan 1,641 351 1,992 32% 202 2,194 30% 567 127 694 11% 70 764 11% United Healthcare Plan of NY 5,276 4,777 1,010 971 6,286 926 598 7,212 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI County Plan Name Monroe TOTALS: 81,317 Total Eligibles Enrolled Eligibles 94% 17,701 13,302 104,107 94,619 91% Mandatory Excellus Health Plan 46,868 8,914 55,782 65% 8,761 64,543 62% Eff. Mar 1998 MVP Health Plan 10,360 1,438 11,798 14% 2,424 14,222 14% 8,975 4,762 13,737 16% 2,117 15,854 15% 7,169 93% 8,071 91% Eligibles 70,925 NYS Catholic Health Plan Enrolled Eligibles 66,203 15,481 Enrolled 15,114 86,406 Total Enrolled Percent Enrolled Montgomery TOTALS: Mandatory Capital District Physicians Health Plan 2,486 305 2,791 36% 403 3,194 36% Eff. Apr 2007 NYS Catholic Health Plan 3,665 713 4,378 57% 499 4,877 55% Nassau TOTALS: Mandatory Affinity Health Plan 6,650 65,036 Eff. June 2001 Amerigroup HealthFirst PHSP HealthPlus 6,151 63,276 1,050 18,713 1,018 17,967 7,700 83,749 1,150 13,329 902 9,685 8,850 81,243 97% 90,928 94% 9,328 2,088 11,416 14% 1,161 97,078 12,577 13% 4,907 1,843 6,750 8% 837 7,587 8% 12,794 3,154 15,948 19% 1,442 17,390 18% 264 90 354 0% 18 372 0% HIP of Greater New York 9,599 3,774 13,373 16% 2,595 15,968 16% NYS Catholic Health Plan 13,138 3,158 16,296 19% 1,634 17,930 18% United Healthcare Plan of NY 13,246 3,860 17,106 20% 1,998 19,104 20% 21,295 94% 24,504 92% 30% Niagara TOTALS: 18,006 Mandatory HealthNow/BCBS-WNY/Community Blue 5,624 1,464 7,088 31% 942 8,030 Eff Sep 1998 Independent Health Association 4,852 1,249 6,101 27% 1,405 7,506 28% NYS Catholic Health Plan 6,394 1,712 8,106 36% 862 8,968 34% 33,211 90% 26,378 16,870 Oneida TOTALS: Mandatory Excellus Health Plan Eff Sep 2001 NYS Catholic Health Plan Onondaga TOTALS: Mandatory Excellus Health Plan 6,677 Eff. Nov 1998 NYS Catholic Health Plan 11,814 SCHC Total Care United Healthcare Plan of NY TOTALS: Mandatory Excellus Health Plan Eff. Mar 1998 MVP Health Plan NYS Catholic Health Plan 4,622 6,933 4,425 4,334 22,683 31,000 3,960 4,563 26,643 28,648 92% 1,072 5,353 17% 869 6,222 17% 17,430 2,723 20,153 65% 3,146 23,299 63% 36,966 3,142 10% 46,454 89% 1,242 7,919 15% 1,130 9,049 15% 2,149 13,963 27% 1,982 15,945 26% 15,622 2,980 18,602 36% 3,821 22,423 36% 4,960 1,010 5,970 11% 1,015 6,985 11% 7,076 87% 8,075 84% 75% 39,073 6,058 539 5,966 3,209 4,281 2,603 43,796 United Healthcare Plan of NY Ontario 24,314 4,677 8,152 1,208 7,381 1,018 51,948 8,141 548 10,009 1,448 7,948 999 61,957 9,589 3,690 10% 54,402 88% 5,434 883 6,317 78% 850 7,167 529 75 604 7% 125 729 8% 95 60 155 2% 24 179 2% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC SNA HR & MA-HR Total Eligibles Total Enrolled Percent Enrolled Plan Name Orange TOTALS: 41,326 Eligibles Enrolled 91% 5,137 3,758 Mandatory Affinity Health Plan 11,349 1,886 13,235 29% 1,536 14,771 29% Eff. Mar 2007 Hudson Health Plan 8,759 1,750 10,509 23% 1,355 11,864 23% 15,366 780 16,146 35% 619 16,765 33% 1,180 256 1,436 3% 248 1,684 3% NYS Catholic Health Plan Wellcare of New York Orleans TOTALS: Mandatory Excellus Health Plan 4,190 Eff. June 2003 HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Eligibles 36,654 5,227 3,680 987 Enrolled SSI & MA-SSI County Eligibles 40,341 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 4,672 897 45,568 5,177 681 469 50,705 5,858 45,084 89% 4,577 88% 5,046 86% 1,387 254 1,641 32% 196 1,837 31% 770 213 983 19% 137 1,120 19% 1,523 430 1,953 38% 136 2,089 36% Oswego TOTALS: 16,268 95% 18,254 93% Mandatory Excellus Health Plan 2,341 458 2,799 16% 450 3,249 17% Eff. Apr 1999 NYS Catholic Health Plan 7,427 1,337 8,764 51% 955 9,719 50% United Healthcare Plan of NY 3,956 749 4,705 27% 581 5,286 27% 5,000 94% 5,629 88% 14,419 13,724 2,720 2,544 17,139 2,453 1,986 19,592 Otsego TOTALS: Mandatory Excellus Health Plan 2,561 523 3,084 58% 405 3,489 55% Eff. May 2007 NYS Catholic Health Plan 1,528 388 1,916 36% 224 2,140 34% 2,558 84% 4,379 4,089 966 911 Putnam TOTALS: Mandatory Amerigroup Eff. Mar 2007 NYS Catholic Health Plan Rensselaer TOTALS: Mandatory Capital District Physicians Health Plan 8,877 2,102 Eff. Oct 1997 NYS Catholic Health Plan 3,013 805 1,911 13,053 1,804 470 6,378 2,202 92% 79 3% 49 128 4% 1,752 371 2,123 89% 307 2,430 79% 15,515 96% 17,810 95% 10,979 68% 1,675 12,654 67% 3,818 24% 481 4,299 23% 3,042 16,095 159 4,654 4,301 48,058 718 4% 48,442 101% 2,736 356 2,295 3,059 18,831 139 3,520 2,402 51,578 857 5% 50,844 99% TOTALS: Mandatory Affinity Health Plan 3,246 990 4,236 9% 625 4,861 9% Eff. Mar 2001 Hudson Health Plan 7,039 1,042 8,081 17% 578 8,659 17% 31,494 2,037 33,531 70% 1,048 34,579 67% 58 13 71 0% 5 76 0% 2,304 219 2,523 5% 146 2,669 5% United Healthcare Plan of NY Wellcare of New York 44,141 3,066 678 Rockland NYS Catholic Health Plan 43,404 629 27 12,449 2,381 1,033 52 559 Wellcare of New York 398 5,345 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC County Plan Name St Lawrence TOTALS: Voluntary Excellus Health Plan Eligibles 10,696 NYS Catholic Health Plan Saratoga TOTALS: Mandatory Capital District Physicians Health Plan 9,885 SNA HR & MA-HR Enrolled SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled 337 Eligibles Enrolled 3% 2,814 13 350 2% 165 35 200 2% 9 209 1% 94 43 137 1% 4 141 1% 11,278 95% 12,672 89% 7,203 61% 8,269 58% Eligibles 259 2,142 9,309 2,009 5,940 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 78 1,969 12,838 11,894 1,263 2,309 1,394 15,652 14,203 1,066 Eff. Oct 1997 NYS Catholic Health Plan Schenectady TOTALS: Mandatory Capital District Physicians Health Plan 7,166 1,296 8,462 47% 1,732 10,194 47% Eff. Apr 2007 NYS Catholic Health Plan 6,704 1,437 8,141 45% 1,064 9,205 42% Schoharie TOTALS: 2,797 85% Mandatory Capital District Physicians Health Plan Eff. Oct 2010 NYS Catholic Health Plan Schuyler TOTALS: Mandatory Excellus Health Plan Eff May 2012 NYS Catholic Health Plan 3,369 15,224 2,393 1,801 Southern Tier Priority (Partial) 2,659 13,870 2,031 706 2,846 503 2,733 488 18,070 34% 92% 328 3,633 2,796 21,703 4,403 31% 19,399 89% 2,519 87% 1,123 292 1,415 49% 185 1,600 48% 908 196 1,104 38% 93 1,197 36% 176 87 278 3,303 263 12% 287 12% 13 45 2% 12 57 2% 142 73 215 10% 10 225 9% 2 1 3 0% 2 5 0% 2,863 94% 3,264 91% 2,863 94% 3,264 91% 670 7% 939 7% TOTALS: Mandatory Excellus Health Plan 194 3 197 2% 35 232 2% Eff May 2012 NYS Catholic Health Plan 357 99 456 4% 200 656 5% 10 0 10 0% 1 11 0% 6 1 7 0% 33 40 0% 104,129 98% 115,445 95% Southern Tier Pediatrics (Partial) Southern Tier Priority (Partial) TOTALS: Mandatory Affinity Health Plan 1,506 103 2,506 85,089 567 83,765 357 21,551 20,364 10,200 106,640 541 401 2,323 269 2,416 Steuben 8,694 3,055 24 TOTALS: Suffolk 357 289 Seneca y Eff. Jan 2007 Excellus Health Plan 396 2,127 407 32 2,506 326 2,896 4,075 16,603 3,596 401 15,494 11,316 12,523 122,134 12,421 2,344 14,765 14% 1,391 16,156 13% 12,741 2,253 14,994 14% 1,460 16,454 13% HIP of Greater New York 10,540 4,137 14,677 14% 2,174 16,851 14% Neighborhood Health Providers 16,737 2,486 19,223 18% 1,992 21,215 17% NYS Catholic Health Plan 13,982 3,663 17,645 17% 1,917 19,562 16% United Healthcare Plan of NY 17,344 5,481 22,825 21% 2,382 25,207 21% Eff. June 2001 HealthFirst PHSP RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC SNA HR & MA-HR Total Eligibles Total Enrolled Percent Enrolled Plan Name Sullivan TOTALS: 9,325 Eligibles Enrolled 97% 1,623 1,268 10,593 95% Mandatory Hudson Health Plan 6,180 952 7,132 74% 993 8,125 73% Eff. Apr 2007 NYS Catholic Health Plan 1,865 328 2,193 23% 275 2,468 22% Tioga TOTALS: 735 14% 750 12% Voluntary Capital District Physicians Health Plan 313 73 386 7% 7 393 6% NYS Catholic Health Plan 293 44 337 6% 8 345 6% 9 3 12 0% 0 12 0% 6,308 88% 7,172 86% 4,595 United Healthcare Plan of NY 5,930 Eligibles 8,045 1,345 615 120 TOTALS: Mandatory Excellus Health Plan Eff. Oct 2010 NYS Catholic Health Plan Ulster TOTALS: Mandatory Hudson Health Plan 3,501 Eff Mar 2007 MVP Health Plan 3,658 NYS Catholic Health Plan 2,864 577 TOTALS: Voluntary NYS Catholic Health Plan United Healthcare Plan of NY Washington TOTALS: 5,407 5,268 7,191 891 1,186 15 864 11,203 6,159 8,377 37 9 46 1% 0 46 1% 411 1,588 22% 262 1,850 22% 11,856 719 3,150 1,833 4,412 1,139 9,580 1,177 3,955 12,763 Wellcare of New York Warren 1,261 1,280 Tompkins SCHC Total Care 5,169 673 Enrolled SSI & MA-SSI County Eligibles 8,235 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,901 4,674 65% 14,890 94% 936 4,437 28% 1,276 4,934 31% 3,441 22% 3,034 15,913 245 642 215 5,054 2,078 13% 2,116 42% 602 2,674 5,276 63% 16,948 91% 561 4,998 27% 673 5,607 30% 376 3,817 21% 2,058 18,587 448 1,055 191 6,109 2,526 14% 2,307 38% 37% 1,875 207 2,082 41% 189 2,271 26 8 34 1% 2 36 1% 5,404 88% 6,160 85% 4,716 764 688 6,171 1,066 756 7,237 Mandatory Capital District Physicians Health Plan 1,817 264 2,081 34% 340 2,421 33% Eff. Mar 2007 NYS Catholic Health Plan 2,899 424 3,323 54% 416 3,739 52% Wayne TOTALS: Mandatory Excellus Health Plan Eff. Oct 2010 NYS Catholic Health Plan Westchester TOTALS: Mandatory Affinity Health Plan 9,483 Eff. Oct 1999 HIP of Greater New York 4,720 Hudson Health Plan NYS Catholic Health Plan 6,921 62,085 United Healthcare Plan of NY Wyoming TOTALS: Voluntary HealthNow/BCBS-WNY/Community Blue 2,567 NYS Catholic Health Plan Yates Mandatory Eff. Feb 2007 Upstate Total TOTALS: 7,331 93% 8,427 90% 5,538 785 6,323 80% 950 7,273 77% 855 153 1,008 13% 146 1,154 12% 74,600 97% 82,820 94% 2,736 12,219 16% 1,523 13,742 16% 1,822 6,542 8% 1,197 7,739 9% 34,650 6,233 40,883 53% 3,899 44,782 51% 11,052 3,703 14,755 19% 1,562 16,317 18% 108 93 201 0% 39 240 0% 301 10% 327 9% 6,393 60,013 238 15,172 387 938 14,587 63 7,867 77,257 2,954 1,548 11,188 512 1,096 8,220 26 9,415 88,445 3,466 27 1 28 1% 2 30 1% 211 62 273 9% 24 297 9% 2,214 2,219 100% 2,538 2,484 98% 2,219 100% 2,484 98% 1,055,200 938,966 89% 1,232,739 1,061,844 86% 1,913 1,906 871,299 773,126 Excellus Health Plan 946 301 313 183,901 165,840 1,906 313 324 265 177,539 122,878 265 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC County Plan Name NYC Affinity Health Plan Mandatory Amerigroup Eligibles Amida Care SN Fully HealthFirst PHSP 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 86,284 45,678 131,962 6% 16,280 148,242 6% 215,434 94,990 310,424 15% 24,156 334,580 15% 344 2,577 2,921 0% 2,261 5,182 0% 264,979 108,262 373,241 18% 46,042 419,283 18% 0% 176 2,480 0% 7% Implemented: HealthPlus 1,402 902 2,304 Sept 2002 HIP of Greater New York 96,777 45,033 141,810 7% 20,243 162,053 MetroPlus Health Plan SN 1,086 2,338 3,424 0% 2,363 5,787 0% MetroPlus Health Plan 247,980 87,372 335,352 16% 35,399 370,751 16% Neighborhood Health Providers 109,030 35,745 144,775 7% 17,507 162,282 7% 498 2,750 3,248 0% 2,857 6,105 0% NYS Catholic Health Plan 141,616 92,385 234,001 12% 25,190 259,191 11% United Healthcare Plan of NY 112,824 58,412 171,236 8% 14,571 185,807 8% 24,656 21,457 46,113 2% 3,513 49,626 2% 1,900,811 94% 256,788 210,558 2,289,389 2,111,369 92% NYPS Select Health SN Wellcare of New York NYC Total UPSTATE TOTALS: 1,408,680 1,302,910 623,921 597,901 2,032,601 871,299 773,126 183,901 165,840 1,055,200 938,966 89% 177,539 122,878 1,232,739 1,061,844 86% NEW YORK CITY TOTALS: 1,408,680 1,302,910 623,921 597,901 2,032,601 1,900,811 94% 256,788 210,558 2,289,389 2,111,369 92% GRAND TOTALS: 2,279,979 2,076,036 807,822 763,741 3,087,801 2,839,777 92% 434,327 333,436 3,522,128 3,173,213 90% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 TANF ADC & MA-ADC County TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 111,792 481,141 436,965 Total Eligibles Enrolled Eligibles 91% 73,570 63,575 554,711 500,540 90% Brooklyn 499,518 469,759 222,865 215,540 722,383 685,299 95% 81,248 65,941 803,631 751,240 93% Manhattan 167,492 143,369 96,209 82,623 263,701 225,992 86% 44,399 33,464 308,100 259,456 84% Queens 331,462 320,924 166,025 167,711 497,487 488,635 98% 47,352 39,340 544,839 527,975 97% 47,050 43,685 20,839 20,235 67,889 63,920 94% 10,219 8,238 78,108 72,158 92% 1,408,680 1,302,910 623,921 597,901 2,032,601 1,900,811 94% 256,788 210,558 2,289,389 2,111,369 92% Plan Name NYC Boroughs Bronx Staten Island Borough Total NOTES: SNA HR & MA-HR Eligibles 363,158 Enrolled Eligibles 325,173 117,983 Enrolled (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 : Excellus Health Plan - Schuyler & Steuben Counties; NYS Catholic Health Plan - Chemung County; Amerigroup - Nassau County. Total Enrolled Percent Enrolled FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 County Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Plan Name TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc TOTALS: Capital District Physicians Health Plan Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan SCHC Total Care TOTALS: NYS Catholic Health Plan ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 2,653 580 1,228 291 1,272 242 153 47 642 110 211 39 19 51 380 52 458 2,686 33 6 388 2,237 59 415 1 5 968 179 176 35 436 60 356 84 859 159 251 49 414 80 194 30 1,550 308 263 38 1,177 244 110 26 923 150 895 141 28 9 799 113 775 106 24 7 1,010 173 5 0 950 160 55 13 711 112 183 37 528 75 90 651 73 532 17 119 618 89 618 89 Total Enrolled 3,233 1,519 1,514 200 752 250 70 432 3,144 39 2,625 474 6 1,147 211 496 440 1,018 300 494 224 1,858 301 1,421 136 1,073 1,036 37 912 881 31 1,183 5 1,110 68 823 220 603 741 605 136 707 707 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 County Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Plan Name TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: HealthNow/BCBS-WNY/Community Blue Independent Health NYS Catholic Health Plan Univera Community Health Inc TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: HealthNow/BCBS-WNY/Community Blue MVP Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan MVP Health Plan NYS Catholic Health Plan ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 2,529 349 750 88 869 116 690 115 220 30 2,033 11,339 1,973 335 578 2,816 2,308 345 775 4,242 83 498 0 1 82 498 498 104 0 1 498 103 925 173 129 24 796 149 621 99 333 51 156 20 132 28 546 81 140 26 406 55 59 15 59 15 1,218 150 200 30 1,005 120 13 0 1,405 213 1,335 195 70 18 380 45 219 21 161 24 71 592 51 446 10 76 10 70 Total Enrolled 2,878 838 985 805 250 13,372 2,308 3,394 2,653 5,017 581 1 580 602 1 601 1,098 153 945 720 384 176 160 627 166 461 74 74 1,368 230 1,125 13 1,618 1,530 88 425 240 185 663 497 86 80 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 County Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Plan Name TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan MVP Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Affinity Health Plan Amerigroup HealthFirst PHSP HealthPlus HIP of Greater New York NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care United Healthcare Plan of NY TOTALS: Excellus Health Plan MVP Health Plan NYS Catholic Health Plan TOTALS: Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan Wellcare of New York ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 915 113 392 49 303 43 220 21 7,761 1,438 5,859 971 484 93 1,418 374 118 1,054 262 34 792 84 16,025 2,455 2,410 384 1,180 174 3,128 428 129 36 2,177 314 3,211 628 3,790 491 2,439 549 963 228 1,476 321 3,648 494 712 112 2,451 316 485 66 5,239 737 975 145 1,957 237 1,469 256 838 99 982 201 925 181 43 13 14 7 4,270 596 1,543 235 1,397 167 1,121 157 209 37 Total Enrolled 1,028 441 346 241 9,199 6,830 577 1,792 1,172 296 876 18,480 2,794 1,354 3,556 165 2,491 3,839 4,281 2,988 1,191 1,797 4,142 824 2,767 551 5,976 1,120 2,194 1,725 937 1,183 1,106 56 21 4,866 1,778 1,564 1,278 246 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 County Orleans Oswego Otsego Putnam Rensselaer Rockland St Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Plan Name TOTALS: Excellus Health Plan HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY Wellcare of New York TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan TOTALS: NYS Catholic Health Plan ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 757 104 267 37 102 14 388 53 2,180 323 400 58 168 1,163 617 97 812 97 38 304 508 59 402 56 402 56 1,412 251 628 110 678 114 106 27 4,942 669 599 140 1,086 127 3,055 370 47 11 155 21 1,289 230 1,234 219 55 11 1,947 264 693 126 1,254 138 1,983 320 653 100 1,330 220 503 69 166 28 337 41 279 50 228 38 51 12 390 58 390 58 1,082 171 1,082 171 Total Enrolled 861 304 116 441 2,503 458 1,331 714 909 342 567 458 458 1,663 738 792 133 5,611 739 1,213 3,425 58 176 1,519 1,453 66 2,211 819 1,392 2,303 753 1,550 572 194 378 329 266 63 448 448 1,253 1,253 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 County Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates Upstate Total Plan Name TOTALS: Affinity Health Plan HealthFirst PHSP HIP of Greater New York Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Hudson Health Plan NYS Catholic Health Plan TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare of New York TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan TOTALS: Excellus Health Plan NYS Catholic Health Plan TOTALS: Affinity Health Plan HIP of Greater New York Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan of NY TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan TOTALS: Excellus Health Plan ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 18,755 2,468 3,146 374 2,599 272 2,161 290 2,004 258 3,957 622 4,888 652 1,349 179 111 987 362 68 495 83 33 225 48 245 2 25 687 151 6 3 196 54 485 94 2,161 441 677 114 813 191 398 77 273 59 825 88 794 84 31 4 812 88 142 22 670 66 1,067 111 937 96 130 15 10,337 1,880 1,709 348 830 171 5,291 691 2,277 608 230 62 61 489 32 310 29 179 419 46 419 46 132,387 20,896 Total Enrolled 21,223 3,520 2,871 2,451 2,262 4,579 5,540 1,528 1,098 430 578 258 293 27 838 9 250 579 2,602 791 1,004 475 332 913 878 35 900 164 736 1,178 1,033 145 12,217 2,057 1,001 5,982 2,885 292 550 342 208 465 465 153,283 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, MAY 2012 County NYC Plan Name Affinity Health Plan Amerigroup HealthFirst PHSP HealthPlus HIP of Greater New York MetroPlus Health Plan Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York NYC Total UPSTATE TOTALS: NEW YORK CITY TOTALS: GRAND TOTALS ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 13,524 5,863 37,999 13,031 32,790 11,762 103 44 16,309 4,850 28,852 8,193 14,013 4,272 30,421 14,133 22,512 7,281 5,927 3,476 202,450 72,905 132,387 202,450 334,837 20,896 72,905 93,801 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County NYC Borough NOTES: Plan Name Bronx Brooklyn Manhattan Queens Staten Island Borough Total Enrolled 33,581 70,114 18,516 71,972 8,267 202,450 Enrolled 10,232 25,021 9,690 25,767 2,195 72,905 Total Enrolled 19,387 51,030 44,552 147 21,159 37,045 18,285 44,554 29,793 9,403 275,355 153,283 275,355 428,638 Total Enrolled 43,813 95,135 28,206 97,739 10,462 275,355 (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 : NYS Catholic Health Plan - Chemung County; Amerigroup - Nassau County MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS, MAY 2012 PLAN NAME MLTC PACE PLANS 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 217 217 98 98 36 36 22 2,870 70 163 3,125 2 112 114 294 294 413 1 414 3 76 79 4,377 NEW YORK Total NEW YORK WESTCHESTER Total ORANGE ROCKLAND Total NEW YORK Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total NEW YORK ORANGE RENSSELAER ROCKLAND SCHENECTADY Total 1,485 1,485 4,152 39 4,191 124 56 180 5,523 5,523 39 5,858 18 72 5,987 5 239 1 211 1 457 Total MLTC PACE Enrollment MLTC PARTIAL CAPITATION PLANS AMERIGROUP CCM SELECT ELANT ELDERPLAN ELDERSERVE FIDELIS CARE AT HOME TOTAL ENROLLED MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS, MAY 2012 PLAN NAME MLTC PARTIAL CAPITATION PLANS cont. 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 Total Statewide Enrollment NOTES: COUNTY NASSAU NEW YORK SUFFOLK Total NEW YORK WESTCHESTER Total NEW YORK Total NEW YORK Total HERKIMER ONEIDA Total ERIE Total NASSAU NEW YORK WESTCHESTER Total NEW YORK Total TOTAL ENROLLED 520 7,149 470 8,139 1,339 1 1,340 2,159 2,159 3,823 3,823 53 335 388 123 123 9 10,734 7 10,750 2,300 2,300 46,845 51,222 (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 : Fidelis Care at Home - Rensselaer, Schenectady & New York; VNS Choice - Nassau & Westchester Counties; HHH Choices - Westchester County. MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, MAY 2012 County Albany Columbia Dutchess Erie Greene Herkimer Monroe Montgomery Nassau Niagara Oneida Onondaga Orange Oswego Rensselaer Rockland Saratoga Plan Name TOTAL Fidelis Senior Whole Health WellCare TOTAL Fidelis Senior Whole Health TOTAL Fidelis Senior Whole Health TOTAL WellCare TOTAL Fidelis Senior Whole Health TOTAL Fidelis TOTAL WellCare TOTAL Fidelis Senior Whole Health TOTAL GHI HIP of Greater New York Liberty Health Advantage Managed Health United HealthCare TOTAL WellCare TOTAL Fidelis TOTAL Fidelis WellCare TOTAL Senior Whole Health Touchstone/Prestige TOTAL Fidelis TOTAL Fidelis Senior Whole Health TOTAL GHI TOTAL Senior Whole Health Total Enrolled 238 53 167 18 17 2 15 48 22 26 72 72 10 7 3 5 5 52 52 38 23 15 209 16 128 33 5 27 33 33 41 41 53 28 25 49 36 13 14 14 77 16 61 38 38 36 36 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, MAY 2012 County Schenectady Suffolk Ulster Warren Washington Wayne Westchester Plan Name TOTAL Fidelis Senior Whole Health WellCare TOTAL GHI HIP of Greater New York TOTAL Fidelis GHI Senior Whole Health TOTAL Senior Whole Health TOTAL Senior Whole Health TOTAL WellCare TOTAL GHI HIP of Greater New York Managed Health Touchstone/Prestige WellCare Upstate Total: NYC Affinity ElderPlan Fidelis GHI HIP of Greater New York Liberty Health Advantage Managed Health MetroPlus Touchstone/Prestige United HealthCare WellCare NYC Total UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL Total Enrolled 114 41 60 13 81 7 74 106 16 1 89 20 20 6 6 4 4 122 27 8 3 83 1 1,483 284 10 1438 563 1313 453 189 212 1459 244 54 6,219 1,483 6,219 7,702 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, MAY 2012 County Albany Columbia Dutchess Greene Montgomery Nassau Orange Rensselaer Saratoga Schenectady Suffolk Ulster Warren Washington Westchester Upstate Total: NYC 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 HIP of Greater New York Total Senior Whole Health Total Senior Whole Health Total Senior Whole Health Total HIP of Greater New York Total Enrolled AmeriGroup Elderplan Guildnet HIP of Greater New York NYS Catholic Health Plan VNS Choice Plus WellCare NYC Total 109 11 98 4 4 7 7 1 1 4 1 3 20 20 11 11 60 13 47 15 15 47 15 32 3 3 60 60 6 6 7 7 1 1 355 9 650 374 319 64 103 44 1,563 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 355 1,563 1,918 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 : HIP of Greater New York Westchester
© Copyright 2026 Paperzz