RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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 25,312 14,190 3,085 17,275 64% 2,600 19,875 62% 5,238 1,446 6,684 25% 743 7,427 23% 3,632 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled Eligibles Enrolled 94% 4,973 3,622 Eligibles 20,560 4,993 1,132 4,652 Univera Community Health Broome SNA HR & MA-HR 4,752 26,857 221 808 667 5,460 1,353 5% 4,299 79% 31,830 279 1,029 553 6,489 28,934 91% 1,632 5% 4,852 75% 43% 2,051 385 2,436 45% 365 2,801 199 46 245 4% 18 263 4% 1,382 236 1,618 30% 170 1,788 28% 24,140 85% 16,535 4,369 3,884 20,419 86% 178 27 23,725 205 1% 78 283 1% 13,781 3,252 17,033 72% 2,835 19,868 70% 2,563 594 3,157 13% 803 3,960 14% 13 11 24 0% 5 29 0% 7,974 89% 9,283 87% 4,762 3,721 28,487 Cattaraugus TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 2,732 423 3,155 35% 762 3,917 37% Eff. Sep 2001 NYS Catholic Health Plan 2,556 395 2,951 33% 345 3,296 31% Cayuga TOTALS: Mandatory Excellus Health Plan 1,993 Eff. Oct 2010 NYS Catholic Health Plan 3,684 821 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 6,498 13,991 3,518 8,981 1,868 21% 7,771 92% 393 2,386 28% 713 4,397 52% 167 988 12% 17,314 90% 1,273 3,323 8,417 19,244 1,679 1,309 10,660 202 1,286 3,277 2,070 19% 8,597 89% 244 2,630 27% 431 4,828 50% 151 1,139 12% 20,025 89% 826 2,711 9,703 22,521 2,810 657 3,467 18% 709 4,176 19% 10,698 2,348 13,046 68% 1,823 14,869 66% 6,201 318 1,588 975 11,620 801 4% 7,176 62% 179 2,253 1,381 13,873 980 4% 8,557 62% 307 183 490 4% 138 628 5% 3,779 0 3,779 33% 364 4,143 30% 792 2,115 5,578 1,148 330 1,320 483 Univera Community Health Chemung 1,165 1,538 7,097 United Healthcare Plan of NY Chautauqua 6,826 3,468 989 618 6,567 2,907 25% 4,086 62% 879 1,226 285 7,793 3,786 27% 4,371 56% 2,878 478 3,356 51% 215 3,571 46% 590 140 730 11% 70 800 10% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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 7,648 73% 6,246 73% 621 6,867 66% 508 180 688 8% 93 781 8% 4,918 89% 5,642 87% 2,506 45% 3,017 46% 4,052 NYS Catholic Health Plan TOTALS: Mandatory NYS Catholic Health Plan 3,504 Eff. May 2007 SCHC Total Care 1,172 Delaware Mandatory TOTALS: Eff. May 2011 NYS Catholic Health Plan Dutchess TOTALS: Mandatory Hudson Health Plan 5,175 Eff. Apr 2007 MVP Health Plan NYS Catholic Health Plan 5,516 431 44% 94% 663 4,167 71% 161 1,333 23% 4,111 84% 4,111 84% 17,533 96% 1,046 6,221 34% 4,759 1,190 5,949 2,784 856 3,640 3,301 435 899 879 3,301 14,265 824 810 5,861 4,882 810 3,413 1,547 3,268 18,178 176 986 724 10,408 6,502 511 213 2,625 40% 6,140 92% 470 4,637 70% 170 1,503 23% 4,228 75% 4,228 75% 20,035 93% 887 7,108 33% 33% 808 6,757 31% 20% 530 4,170 19% 808 764 640 117 6,669 5,646 117 3,423 2,502 21,601 1,723 9% 98,512 95% 3,345 16,653 16% 5,779 30,215 29% 3,545 22,302 21% 23,131 6,211 29,342 28% 79,632 18,880 98,512 95% PCMP II-A Special Care (Partial) 0 0 0 0% 1 1 0% Total Partial Risk 0 0 0 0% 1 1 0% 2,841 90% 2,932 78% 2,841 90% 2,932 78% 4,390 84% 4,487 70% 4,390 84% 4,487 70% Mandatory HealthNow/BCBS-WNY/Community Blue 13,308 Eff. May 1998 Independent Health Association 24,436 NYS Catholic Health Plan 18,757 Univera Community Health Total Full Risk Eff, May 2011 866 8,567 2,412 TOTALS: Mandatory Eff. Oct 2010 Franklin Mandatory 1,218 5,500 4,676 Erie Essex 1,026 1,977 Wellcare of New York Percent Enrolled 6,934 Cortland 14,765 Total Enrolled 1,038 Eff. Oct 1997 4,003 Total Eligibles 5,208 2,075 4,962 SSI & MA-SSI Eligibles Enrolled 81% 1,841 714 Eligibles 5,716 1,506 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled TOTALS: 84,163 2,600 NYS Catholic Health Plan TOTALS: NYS Catholic Health Plan 79,632 2,336 19,757 541 2,336 4,280 3,572 3,572 18,880 505 103,920 3,141 505 977 818 818 5,257 277 19,393 637 2,000 9% 114,080 93% 2,868 19,521 16% 5,498 35,713 29% 3,571 25,873 21% 3,630 32,972 27% 15,567 114,079 93% 15,568 91 123,313 3,778 91 1,132 97 97 6,389 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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 1,858 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 7,063 Eligibles Enrolled 93% 1,333 963 931 194 1,125 15% 214 1,339 15% 4,969 969 5,938 78% 749 6,687 75% Eligibles 5,900 1,275 3,793 677 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,163 686 7,587 4,671 766 557 8,920 5,437 8,026 90% 4,479 96% 5,036 93% 309 2,167 46% 228 2,395 44% 1,451 264 1,715 37% 276 1,991 37% 484 113 597 13% 53 650 12% 5,478 93% Greene TOTALS: 4,723 94% Mandatory Capital District Physicians Health Plan 1,837 361 2,198 44% 449 2,647 45% Eff. Oct 1997 NYS Catholic Health Plan 1,928 597 2,525 50% 306 2,831 48% Hamilton TOTALS: 294 332 113% 328 337 103% 332 113% 337 103% 7,433 6,834 92% 8,593 7,641 89% Mandatory Eff. Oct 2010 NYS Catholic Health Plan Herkimer TOTALS: Mandatory Excellus Health Plan Eff. May 2003 NYS Catholic Health Plan 4,019 3,765 244 267 6,139 5,655 1,005 50 65 1,294 1,179 267 United Healthcare Plan of NY 958 5,024 65 891 755 34 5 1,160 807 5,915 5 921 214 1,135 15% 204 1,339 16% 4,690 959 5,649 76% 593 6,242 73% 44 6 50 1% 10 60 1% 944 8% 958 7% 5% Jefferson TOTALS: Voluntary Excellus Health Plan 561 131 692 6% 10 702 United Healthcare Plan of NY 170 82 252 2% 4 256 2% 656 26% 690 23% 13% 9,676 731 1,702 213 11,378 1,948 14 13,326 Lewis TOTALS: Voluntary Excellus Health Plan 335 48 383 15% 12 395 NYS Catholic Health Plan 229 44 273 11% 22 295 10% 4,682 90% 5,319 88% 2,240 4,264 564 3,856 324 927 92 826 2,564 467 34 3,031 Livingston TOTALS: Mandatory Excellus Health Plan 2,776 574 3,350 65% 439 3,789 63% Eff. Apr 2002 MVP Health Plan 842 164 1,006 19% 188 1,194 20% NYS Catholic Health Plan 238 88 326 6% 10 336 6% 5,796 92% 6,391 89% 5,191 867 637 6,058 Madison TOTALS: Mandatory Excellus Health Plan 2,588 480 3,068 49% 321 3,389 47% Eff. Oct 2010 NYS Catholic Health Plan 1,661 358 2,019 32% 203 2,222 31% 578 131 709 11% 71 780 11% United Healthcare Plan of NY 5,276 4,827 1,010 969 6,286 926 595 7,212 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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: 81,633 Total Eligibles Enrolled Eligibles 94% 17,701 13,293 104,107 94,926 91% Mandatory Excellus Health Plan 47,045 8,917 55,962 65% 8,801 64,763 62% Eff. Mar 1998 MVP Health Plan 10,326 1,431 11,757 14% 2,411 14,168 14% 9,058 4,856 13,914 16% 2,081 15,995 15% 7,193 93% 8,111 92% Eligibles 70,925 NYS Catholic Health Plan Enrolled Eligibles 66,429 15,481 Enrolled 15,204 86,406 Total Enrolled Percent Enrolled Montgomery TOTALS: Mandatory Capital District Physicians Health Plan 2,479 307 2,786 36% 410 3,196 36% Eff. Apr 2007 NYS Catholic Health Plan 3,704 703 4,407 57% 508 4,915 56% Nassau TOTALS: Mandatory Affinity Health Plan 6,650 65,036 Eff. June 2001 Amerigroup HealthFirst PHSP 6,183 63,928 18,713 1,010 18,123 7,700 83,749 1,150 13,329 918 9,716 8,850 82,051 98% 91,767 95% 9,343 2,099 11,442 14% 1,168 12,610 13% 5,210 1,937 7,147 9% 876 8,023 8% 12,899 3,205 16,104 19% 1,444 17,548 18% 97,078 HIP of Greater New York 9,647 3,775 13,422 16% 2,570 15,992 16% NYS Catholic Health Plan 13,382 3,180 16,562 20% 1,658 18,220 19% 19,374 20% 24,817 93% 31% United Healthcare Plan of NY 13,447 18,006 17,374 21% 21,666 96% 1,509 7,247 32% 912 8,159 4,906 1,266 6,172 27% 1,414 7,586 28% 6,533 1,714 8,247 36% 825 9,072 34% 32,932 89% Niagara TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 5,738 Eff Sep 1998 Independent Health Association NYS Catholic Health Plan 26,378 17,177 Oneida TOTALS: Mandatory Excellus Health Plan Eff Sep 2001 NYS Catholic Health Plan Onondaga TOTALS: Mandatory Excellus Health Plan 6,734 Eff. Nov 1998 NYS Catholic Health Plan 11,917 SCHC Total Care United Healthcare Plan of NY TOTALS: 24,075 3,927 4,677 4,622 6,933 4,489 4,303 22,683 31,000 2,000 3,960 4,554 26,643 28,378 92% 1,068 5,331 17% 863 6,194 17% 17,195 2,694 19,889 64% 3,161 23,050 62% 36,966 3,158 10% 46,798 90% 1,226 7,960 15% 1,148 9,108 15% 2,154 14,071 27% 1,980 16,051 26% 15,721 2,961 18,682 36% 3,846 22,528 36% 5,055 1,030 6,085 12% 1,008 7,093 11% 7,195 88% 8,197 85% 76% 39,427 6,163 541 5,966 3,151 4,263 2,617 43,796 United Healthcare Plan of NY Ontario 1,050 8,152 1,208 7,371 1,032 51,948 8,141 530 10,009 1,448 7,982 1,002 61,957 9,589 3,688 10% 54,780 88% Mandatory Excellus Health Plan 5,554 890 6,444 79% 851 7,295 Eff. Mar 1998 MVP Health Plan 501 76 577 7% 124 701 7% NYS Catholic Health Plan 108 66 174 2% 27 201 2% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 2012 TANF ADC & MA-ADC SNA HR & MA-HR Total Eligibles Total Enrolled Percent Enrolled Plan Name Orange TOTALS: 41,649 Eligibles Enrolled 91% 5,137 3,786 Mandatory Affinity Health Plan 11,357 1,886 13,243 29% 1,539 14,782 29% Eff. Mar 2007 Hudson Health Plan 8,907 1,761 10,668 23% 1,377 12,045 24% 15,534 778 16,312 36% 622 16,934 33% 1,166 260 1,426 3% 248 1,674 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 36,964 5,227 3,716 987 Enrolled SSI & MA-SSI County Eligibles 40,341 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 4,685 905 45,568 5,177 681 470 50,705 5,858 45,435 90% 4,621 89% 5,091 87% 1,390 260 1,650 32% 196 1,846 32% 779 210 989 19% 141 1,130 19% 1,547 435 1,982 38% 133 2,115 36% Oswego TOTALS: 16,537 96% 18,553 95% Mandatory Excellus Health Plan 2,432 477 2,909 17% 461 3,370 17% Eff. Apr 1999 NYS Catholic Health Plan 7,539 1,371 8,910 52% 976 9,886 50% United Healthcare Plan of NY 3,981 737 4,718 28% 579 5,297 27% 4,958 93% 5,585 88% 14,419 13,952 2,720 2,585 17,139 2,453 2,016 19,592 Otsego TOTALS: Mandatory Excellus Health Plan 2,523 513 3,036 57% 398 3,434 54% Eff. May 2007 NYS Catholic Health Plan 1,526 396 1,922 36% 229 2,151 34% 2,576 84% 4,379 4,049 966 909 Putnam TOTALS: Mandatory Amerigroup Eff. Mar 2007 NYS Catholic Health Plan Rensselaer TOTALS: Mandatory Capital District Physicians Health Plan 8,813 2,114 Eff. Oct 1997 NYS Catholic Health Plan 3,042 818 1,911 13,053 1,824 470 6,378 2,218 93% 75 3% 48 123 4% 1,772 371 2,143 90% 310 2,453 80% 15,494 96% 17,764 94% 10,927 68% 1,660 12,587 67% 3,860 24% 476 4,336 23% 3,042 16,095 144 4,654 4,302 48,058 707 4% 48,651 101% 2,736 358 2,270 3,059 18,831 134 3,520 2,406 51,578 841 4% 51,057 99% TOTALS: Mandatory Affinity Health Plan 3,201 980 4,181 9% 616 4,797 9% Eff. Mar 2001 Hudson Health Plan 7,127 1,023 8,150 17% 592 8,742 17% 31,637 2,069 33,706 70% 1,049 34,755 67% 61 17 78 0% 6 84 0% 2,323 213 2,536 5% 143 2,679 5% United Healthcare Plan of NY Wellcare of New York 44,349 3,076 678 Rockland NYS Catholic Health Plan 43,404 627 23 12,418 2,381 1,033 52 563 Wellcare of New York 394 5,345 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 2012 TANF ADC & MA-ADC SNA HR & MA-HR Total Eligibles Total Enrolled Percent Enrolled Plan Name St Lawrence TOTALS: 393 Eligibles Enrolled 3% 2,814 13 406 3% Voluntary Excellus Health Plan 206 39 245 2% 10 255 2% NYS Catholic Health Plan 100 48 148 1% 3 151 1% 11,515 97% 12,903 91% 7,349 62% 8,414 59% Eligibles 306 2,142 Enrolled SSI & MA-SSI County Eligibles 10,696 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 87 12,838 15,652 Saratoga TOTALS: Mandatory Capital District Physicians Health Plan Eff. Oct 1997 NYS Catholic Health Plan Schenectady TOTALS: Mandatory Capital District Physicians Health Plan 7,194 1,294 8,488 47% 1,753 10,241 47% Eff. Apr 2007 NYS Catholic Health Plan 6,802 1,470 8,272 46% 1,074 9,346 43% Schoharie TOTALS: 2,807 85% Mandatory Capital District Physicians Health Plan Eff. Oct 2010 NYS Catholic Health Plan 9,885 9,491 2,009 6,038 2,393 13,996 2,035 323 3,633 2,827 21,703 4,489 32% 19,587 90% 48% 187 1,587 48% 922 201 1,123 39% 97 1,220 37% 337 14% Eff May 2012 NYS Catholic Health Plan Seneca y Eff. Jan 2007 TOTALS: Steuben TOTALS: Mandatory Excellus Health Plan 224 Eff May 2012 NYS Catholic Health Plan 395 Suffolk TOTALS: Mandatory Affinity Health Plan 326 96 284 3,303 309 15% 21 70 3% 17 87 4% 164 75 239 11% 11 250 10% 2,887 95% 3,289 91% 2,887 95% 3,289 91% 738 7% 1,031 8% 8 232 2% 50 282 2% 111 506 5% 243 749 6% 106,131 100% 117,536 96% 2,525 396 619 85,441 362 2,127 407 49 2,525 85,089 35% 93% 87% 213 2,896 4,166 16,760 1,065 1,400 TOTALS: 8,694 488 18,070 14,203 2,523 Excellus Health Plan 2,659 503 2,764 1,388 287 Mandatory Excellus Health Plan 713 2,846 2,309 1,113 Schuyler 1,801 11,894 1,311 3,453 15,224 2,024 3,055 362 1,506 21,551 119 20,690 10,200 106,640 289 541 28 402 2,416 3,596 402 2,323 15,494 293 11,405 12,523 122,134 12,638 2,362 15,000 14% 1,401 16,401 13% 13,001 2,360 15,361 14% 1,475 16,836 14% HIP of Greater New York 10,618 4,194 14,812 14% 2,171 16,983 14% Neighborhood Health Providers 16,993 2,484 19,477 18% 2,009 21,486 18% NYS Catholic Health Plan 14,486 3,741 18,227 17% 1,949 20,176 17% 23,254 22% 25,654 21% 9,420 98% 10,686 95% Eff. June 2001 HealthFirst PHSP United Healthcare Plan of NY 17,705 5,549 2,400 Sullivan TOTALS: Mandatory Hudson Health Plan 6,211 953 7,164 75% 989 8,153 73% Eff. Apr 2007 NYS Catholic Health Plan 1,907 349 2,256 24% 277 2,533 23% 8,235 8,118 1,345 1,302 9,580 1,623 1,266 11,203 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 2012 TANF ADC & MA-ADC SNA HR & MA-HR Total Enrolled Percent Enrolled Tioga TOTALS: Mandatory Capital District Physicians Health Plan 329 72 401 8% 9 410 7% Eff. Jun 2012 NYS Catholic Health Plan 313 50 363 7% 8 371 6% Tompkins TOTALS: Mandatory Excellus Health Plan Eff. Oct 2010 NYS Catholic Health Plan Ulster TOTALS: Mandatory Hudson Health Plan 3,542 Eff Mar 2007 MVP Health Plan 3,714 NYS Catholic Health Plan 2,932 609 United Healthcare Plan of NY 13 5,930 SCHC Total Care TOTALS: Voluntary NYS Catholic Health Plan United Healthcare Plan of NY Washington TOTALS: 5,407 1,127 7,191 780 16 0% 6,336 88% 6,159 0 1,186 866 8,377 797 13% 16 0% 7,202 86% 59 20 79 1% 1 80 1% 1,233 406 1,639 23% 260 1,899 23% 11,998 701 3,150 1,810 4,412 5,268 3 1,261 3,917 12,763 Wellcare of New York Warren 5,209 125 Eligibles Enrolled 15% 891 17 Total Eligibles Plan Name Eligibles 655 673 Enrolled SSI & MA-SSI County Eligibles 4,595 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,953 4,618 64% 15,109 95% 962 4,504 28% 1,291 5,005 31% 3,541 22% 3,111 15,913 249 642 224 5,054 2,059 13% 2,177 43% 605 2,674 5,223 62% 17,178 92% 563 5,067 27% 666 5,671 31% 388 3,929 21% 2,069 18,587 452 1,055 189 6,109 2,511 14% 2,366 39% 38% 1,916 214 2,130 42% 186 2,316 37 10 47 1% 3 50 1% 5,470 89% 6,238 86% 4,760 764 710 6,171 1,066 768 7,237 Mandatory Capital District Physicians Health Plan 1,808 263 2,071 34% 345 2,416 33% Eff. Mar 2007 NYS Catholic Health Plan 2,952 447 3,399 55% 423 3,822 53% Wayne TOTALS: Mandatory Excellus Health Plan Eff. Oct 2010 NYS Catholic Health Plan Westchester TOTALS: Mandatory Affinity Health Plan 9,575 Eff. Oct 1999 HIP of Greater New York 4,740 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: 7,361 94% 8,464 90% 5,553 770 6,323 80% 952 7,275 77% 893 145 1,038 13% 151 1,189 13% 75,432 98% 83,740 95% 2,718 12,293 16% 1,533 13,826 16% 1,817 6,557 8% 1,230 7,787 9% 35,135 6,233 41,368 54% 3,899 45,267 51% 11,193 3,740 14,933 19% 1,580 16,513 19% 165 116 281 0% 66 347 0% 329 11% 355 10% 6,446 60,808 264 15,172 387 915 14,624 65 7,867 77,257 2,954 1,548 11,188 512 1,103 8,308 26 9,415 88,445 3,466 41 3 44 1% 2 46 1% 223 62 285 10% 24 309 9% 2,214 2,256 102% 2,538 2,525 99% 2,256 102% 2,525 99% 1,055,200 949,567 90% 1,232,739 1,072,865 87% 1,913 1,948 871,299 782,058 Excellus Health Plan 946 301 308 183,901 167,509 1,948 308 324 269 177,539 123,298 269 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 2012 TANF ADC & MA-ADC County Plan Name NYC Affinity Health Plan Mandatory Amerigroup Eligibles Amida Care SN Fully HealthFirst PHSP Implemented: HIP of Greater New York Sept 2002 HIP of Greater New York UFT SNA HR & MA-HR 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 85,734 45,529 131,263 6% 16,404 147,667 6% 215,678 96,169 311,847 15% 24,480 336,327 15% 347 2,615 2,962 0% 2,335 5,297 0% 267,471 109,827 377,298 19% 46,603 423,901 19% 93,559 43,907 137,466 7% 19,902 157,368 7% 0 2 2 0% 0 2 0% 1,088 2,345 3,433 0% 2,389 5,822 0% MetroPlus Health Plan 248,758 88,117 336,875 17% 35,668 372,543 16% Neighborhood Health Providers 109,207 35,904 145,111 7% 17,649 162,760 7% 8 47 55 0% 19 74 0% NYS Catholic Health Plan 142,498 93,825 236,323 12% 25,461 261,784 11% United Healthcare Plan of NY 113,448 58,691 172,139 8% 14,661 186,800 8% 466 2,591 3,057 0% 2,758 5,815 0% 24,701 21,449 46,150 2% 3,490 49,640 2% 1,903,981 94% 256,788 211,819 2,289,389 2,115,800 92% MetroPlus Health Plan SN NYPS Select Health SN VNS Choice SN Wellcare of New York NYC Total UPSTATE TOTALS: 1,408,680 1,302,963 623,921 601,018 2,032,601 871,299 782,058 183,901 167,509 1,055,200 949,567 90% 177,539 123,298 1,232,739 1,072,865 87% NEW YORK CITY TOTALS: 1,408,680 1,302,963 623,921 601,018 2,032,601 1,903,981 94% 256,788 211,819 2,289,389 2,115,800 92% GRAND TOTALS: 2,279,979 2,085,021 807,822 768,527 3,087,801 2,853,548 92% 434,327 335,117 3,522,128 3,188,665 91% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 2012 TANF ADC & MA-ADC County TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 112,428 481,141 437,580 Total Eligibles Enrolled Eligibles 91% 73,570 63,861 554,711 501,441 90% Brooklyn 499,518 470,113 222,865 216,586 722,383 686,699 95% 81,248 66,306 803,631 753,005 94% Manhattan 167,492 143,058 96,209 82,692 263,701 225,750 86% 44,399 33,694 308,100 259,444 84% Queens 331,462 321,121 166,025 168,929 497,487 490,050 99% 47,352 39,748 544,839 529,798 97% 47,050 43,519 20,839 20,383 67,889 63,902 94% 10,219 8,210 78,108 72,112 92% 1,408,680 1,302,963 623,921 601,018 2,032,601 1,903,981 94% 256,788 211,819 2,289,389 2,115,800 92% Plan Name NYC Boroughs Bronx Staten Island Borough Total NOTES: SNA HR & MA-HR Eligibles 363,158 Enrolled Eligibles 325,152 117,983 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 : New York City - HIP of Greater New York UFT & VNS Choice SN; Total Enrolled Percent Enrolled FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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 2,665 594 1,248 295 1,261 255 156 44 638 111 217 40 19 49 372 52 454 2,711 33 7 380 2,254 60 419 5 7 974 172 176 32 450 58 348 82 869 158 254 49 429 78 186 31 1,593 309 271 39 1,206 244 116 26 916 150 861 131 55 19 796 108 764 100 32 8 993 175 5 0 932 160 56 15 703 111 185 32 518 79 90 647 73 521 17 126 624 86 624 86 Total Enrolled 3,259 1,543 1,516 200 749 257 68 424 3,165 40 2,634 479 12 1,146 208 508 430 1,027 303 507 217 1,902 310 1,450 142 1,066 992 74 904 864 40 1,168 5 1,092 71 814 217 597 737 594 143 710 710 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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 2,560 349 766 93 857 105 718 123 219 28 2,026 11,426 2,023 340 583 2,864 2,309 347 756 4,230 80 496 0 1 79 496 511 103 0 1 511 102 950 177 133 25 817 152 629 105 335 54 158 20 136 31 542 86 149 31 393 55 57 15 57 15 1,224 154 203 31 1,011 123 10 0 1,417 216 1,317 192 100 24 383 44 223 22 160 22 76 586 53 442 12 72 11 72 Total Enrolled 2,909 859 962 841 247 13,452 2,363 3,447 2,656 4,986 576 1 575 614 1 613 1,127 158 969 734 389 178 167 628 180 448 72 72 1,378 234 1,134 10 1,633 1,509 124 427 245 182 662 495 84 83 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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 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 911 116 392 48 307 42 212 26 7,769 1,403 5,868 948 477 90 1,424 365 121 1,044 257 33 787 88 16,115 2,489 2,386 387 1,428 234 3,134 432 2,148 312 3,210 631 3,809 493 2,457 536 968 215 1,489 321 3,662 485 712 105 2,474 319 476 61 5,250 724 975 144 1,980 233 1,455 242 840 105 1,005 209 941 185 46 17 18 7 4,286 596 1,522 230 1,398 169 1,145 159 221 38 Total Enrolled 1,027 440 349 238 9,172 6,816 567 1,789 1,165 290 875 18,604 2,773 1,662 3,566 2,460 3,841 4,302 2,993 1,183 1,810 4,147 817 2,793 537 5,974 1,119 2,213 1,697 945 1,214 1,126 63 25 4,882 1,752 1,567 1,304 259 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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: Excellus Health Plan NYS Catholic Health Plan ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 734 101 255 39 105 12 374 50 2,157 325 412 63 165 1,136 609 97 788 99 41 301 487 58 409 57 409 57 1,392 235 646 103 645 106 101 26 4,900 664 588 136 1,090 123 3,017 374 52 15 153 16 1,298 227 1,226 211 72 16 1,999 256 731 120 1,268 136 1,963 323 649 103 1,314 220 511 65 165 29 346 36 290 64 235 47 55 17 403 59 403 59 160 1,130 0 8 160 1,122 Total Enrolled 835 294 117 424 2,482 475 1,301 706 887 342 545 466 466 1,627 749 751 127 5,564 724 1,213 3,391 67 169 1,525 1,437 88 2,255 851 1,404 2,286 752 1,534 576 194 382 354 282 72 462 462 1,290 8 1,282 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 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 19,053 2,458 3,168 364 2,604 267 2,199 304 2,147 270 4,025 625 4,910 628 1,345 183 109 982 363 74 480 76 25 222 48 231 3 27 682 152 8 5 195 56 479 91 2,181 450 665 125 833 190 407 77 276 58 816 96 779 83 37 13 805 82 148 21 657 61 1,070 121 942 107 128 14 10,231 1,846 1,671 341 820 159 5,241 665 2,245 610 254 71 65 488 31 298 34 190 423 48 423 48 132,957 20,840 Total Enrolled 21,511 3,532 2,871 2,503 2,417 4,650 5,538 1,528 1,091 437 556 247 279 30 834 13 251 570 2,631 790 1,023 484 334 912 862 50 887 169 718 1,191 1,049 142 12,077 2,012 979 5,906 2,855 325 553 329 224 471 471 153,797 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JUNE 2012 County NYC Plan Name Affinity Health Plan Amerigroup HealthFirst PHSP HIP of Greater New York HIP of Greater New York UFT 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 13,377 5,735 38,047 13,109 32,991 11,785 16,051 4,827 0 1 28,955 8,208 14,090 4,286 30,784 14,167 22,788 7,327 5,942 3,488 203,025 72,933 132,957 203,025 335,982 20,840 72,933 93,773 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County NYC Borough NOTES: Plan Name Bronx Brooklyn Manhattan Queens Staten Island Borough Total Enrolled 33,804 70,397 18,402 72,086 8,336 203,025 Enrolled 10,333 24,962 9,684 25,759 2,195 72,933 Total Enrolled 19,112 51,156 44,776 20,878 1 37,163 18,376 44,951 30,115 9,430 275,958 153,797 275,958 429,755 Total Enrolled 44,137 95,359 28,086 97,845 10,531 275,958 (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 : Steuben County - Excellus Health Plan; New York City HIP of Greater New York UFT MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS, JUNE 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 221 221 97 97 38 38 22 2,891 68 163 3,144 3 117 120 300 300 411 1 412 3 75 78 4,410 NEW YORK Total NEW YORK WESTCHESTER Total ORANGE ROCKLAND Total NEW YORK Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total MONTGOMERY NEW YORK ORANGE RENSSELAER ROCKLAND SCHENECTADY Total 1,474 1,474 4,297 39 4,336 123 56 179 5,698 5,698 38 5,768 18 72 5,896 2 46 242 1 214 2 507 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, JUNE 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 WESTCHESTER 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 551 7,279 490 3 8,323 1,365 1 1,366 2,276 2,276 4,008 4,008 54 335 389 124 124 27 10,974 17 11,018 2,475 2,475 48,069 52,479 (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 : Montgomery County - Fidelis Care at Home; Westchester County - Guildnet; MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, JUNE 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 258 60 167 31 16 2 14 46 22 24 100 100 10 7 3 5 5 55 55 37 23 14 218 16 128 32 7 35 39 39 39 39 63 28 35 50 37 13 15 15 76 17 59 38 38 37 37 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, JUNE 2012 County Schenectady Suffolk Ulster Warren Washington Wayne Westchester Upstate Total: NYC 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 Total Enrolled Affinity ElderPlan Fidelis GHI HIP of Greater New York Liberty Health Advantage Managed Health MetroPlus Touchstone/Prestige United HealthCare WellCare NYC Total 117 42 58 17 80 7 73 104 16 1 87 20 20 6 6 4 4 124 27 8 6 82 1 1,557 310 10 1500 568 1304 426 205 228 1433 285 55 6,324 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 1,557 6,324 7,881 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, JUNE 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 Senior Whole Health VNS Choice Plus WellCare NYC Total 112 11 101 6 6 9 9 1 1 6 3 3 25 25 12 12 65 14 51 15 15 50 15 35 7 7 61 61 6 6 7 7 7 7 389 9 645 374 353 71 13 103 43 1,611 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 389 1,611 2,000 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 : New York City - Senior Whole Health Plan
© Copyright 2026 Paperzz