RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 25,508 14,324 3,050 17,374 65% 2,665 20,039 63% 5,320 1,459 6,779 25% 766 7,545 24% 3,699 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled Eligibles Enrolled 95% 4,973 3,711 Eligibles 20,769 4,993 1,125 4,652 Univera Community Health Broome SNA HR & MA-HR 4,739 26,857 230 808 680 5,460 1,355 5% 4,379 80% 31,830 280 1,029 544 6,489 29,219 92% 1,635 5% 4,923 76% 44% 2,085 389 2,474 45% 364 2,838 214 54 268 5% 16 284 4% 1,400 237 1,637 30% 164 1,801 28% 24,144 85% 16,653 4,369 3,810 20,463 86% 172 27 23,725 199 1% 78 277 1% 13,817 3,191 17,008 72% 2,820 19,828 70% 2,630 573 3,203 14% 778 3,981 14% 34 19 53 0% 5 58 0% 7,988 89% 9,278 87% 4,762 3,681 28,487 Cattaraugus TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 2,747 406 3,153 35% 749 3,902 37% Eff. Sep 2001 NYS Catholic Health Plan 2,558 400 2,958 33% 343 3,301 31% Cayuga TOTALS: Mandatory Excellus Health Plan 2,026 Eff. Oct 2010 NYS Catholic Health Plan 3,716 833 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 6,575 14,149 3,518 8,981 1,877 21% 7,855 93% 413 2,439 29% 700 4,416 52% 167 1,000 12% 17,458 91% 1,280 3,309 8,417 19,244 1,679 1,290 10,660 198 1,286 3,277 2,075 19% 8,690 90% 246 2,685 28% 437 4,853 50% 152 1,152 12% 20,145 89% 835 2,687 9,703 22,521 2,823 649 3,472 18% 699 4,171 19% 10,826 2,350 13,176 68% 1,811 14,987 67% 6,186 310 1,588 966 11,620 810 4% 7,152 62% 177 2,253 1,362 13,873 987 4% 8,514 61% 566 241 807 7% 179 986 7% 3,684 0 3,684 32% 364 4,048 29% 725 1,936 5,578 1,126 320 1,320 500 Univera Community Health Chemung 1,165 1,557 7,097 United Healthcare Plan of NY Chautauqua 6,862 3,835 989 679 6,567 2,661 23% 4,514 69% 819 1,226 318 7,793 3,480 25% 4,832 62% 3,262 522 3,784 58% 242 4,026 52% 573 157 730 11% 76 806 10% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 7,316 8,064 77% 5,513 1,091 6,604 77% 651 7,255 70% 520 192 712 8% 97 809 8% 4,991 90% 5,720 88% 2,503 45% 3,019 46% 4,111 1,026 2,069 Eff. Oct 1997 NYS Catholic Health Plan Cortland TOTALS: Mandatory NYS Catholic Health Plan 3,534 Eff. May 2007 SCHC Total Care 1,187 Mandatory TOTALS: 4,721 4,003 3,394 14,765 14,371 1,283 880 8,567 5,516 434 2,042 4,962 SSI & MA-SSI Eligibles Enrolled 85% 1,841 748 Eligibles 6,033 1,506 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 446 899 2,488 45% 5,531 94% 656 4,190 71% 154 1,341 23% 4,882 4,208 86% 4,208 86% 18,178 17,608 97% 810 879 814 3,413 3,237 5,861 986 729 10,408 6,502 516 213 808 2,701 42% 6,159 92% 461 4,651 70% 167 1,508 23% 5,646 4,333 77% 4,333 77% 21,601 20,133 93% 33% 628 764 125 3,423 2,525 6,669 Eff. May 2011 NYS Catholic Health Plan Dutchess TOTALS: Mandatory Hudson Health Plan 5,223 1,048 6,271 34% 900 7,171 Eff. Apr 2007 MVP Health Plan 4,747 1,164 5,911 33% 811 6,722 31% NYS Catholic Health Plan 2,865 853 3,718 20% 536 4,254 20% 3,394 Wellcare of New York 1,536 Erie TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 13,474 Eff. May 1998 Independent Health Association 24,566 NYS Catholic Health Plan 18,864 84,163 Univera Community Health Essex TOTALS: Mandatory Eff. Oct 2010 Franklin Mandatory TOTALS: Eff, May 2011 NYS Catholic Health Plan 814 80,257 172 19,757 23,353 2,600 NYS Catholic Health Plan 2,346 3,669 3,669 9% 95% 3,406 16,880 16% 5,793 30,359 29% 3,593 22,457 22% 103,920 6,166 541 2,346 4,280 1,708 99,215 18,958 503 3,141 503 977 825 825 5,257 29,519 28% 2,849 91% 2,849 91% 4,494 85% 4,494 85% 125 278 19,393 1,986 9% 114,881 93% 2,878 19,758 16% 5,553 35,912 29% 3,561 26,018 21% 15,666 123,313 3,674 637 104 3,778 104 1,132 109 109 6,389 33,193 27% 2,953 78% 2,953 78% 4,603 72% 4,603 72% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 1,887 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 7,088 Eligibles Enrolled 93% 1,333 951 935 201 1,136 15% 209 1,345 15% 4,994 958 5,952 78% 742 6,694 75% Eligibles 5,929 1,275 3,824 677 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,159 683 7,587 4,671 766 553 8,920 5,437 8,039 90% 4,507 96% 5,060 93% 306 2,193 47% 223 2,416 44% 1,450 260 1,710 37% 276 1,986 37% 487 117 604 13% 54 658 12% 5,465 92% Greene TOTALS: 4,724 94% Mandatory Capital District Physicians Health Plan 1,864 357 2,221 44% 444 2,665 45% Eff. Oct 1997 NYS Catholic Health Plan 1,912 591 2,503 50% 297 2,800 47% Hamilton TOTALS: 294 330 112% 328 337 103% 330 112% 337 103% 7,433 7,011 94% 8,593 7,817 91% Mandatory Eff. Oct 2010 NYS Catholic Health Plan Herkimer TOTALS: Mandatory Excellus Health Plan Eff. May 2003 NYS Catholic Health Plan 4,019 3,776 244 266 6,139 5,824 1,005 50 64 1,294 1,187 266 United Healthcare Plan of NY 948 5,024 64 891 741 34 7 1,160 806 5,915 7 959 223 1,182 16% 202 1,384 16% 4,821 959 5,780 78% 595 6,375 74% 44 5 49 1% 9 58 1% 1,253 11% 1,271 10% 7% Jefferson TOTALS: Voluntary Excellus Health Plan 739 163 902 8% 11 913 United Healthcare Plan of NY 244 107 351 3% 7 358 3% 689 27% 725 24% 14% 9,676 983 1,702 270 11,378 1,948 18 13,326 Lewis TOTALS: Voluntary Excellus Health Plan 353 50 403 16% 13 416 NYS Catholic Health Plan 240 46 286 11% 23 309 10% 4,707 91% 5,341 88% 2,240 4,264 593 3,894 324 927 96 813 2,564 467 36 3,031 Livingston TOTALS: Mandatory Excellus Health Plan 2,808 556 3,364 65% 439 3,803 63% Eff. Apr 2002 MVP Health Plan 838 166 1,004 19% 183 1,187 20% NYS Catholic Health Plan 248 91 339 7% 12 351 6% 5,880 94% 6,479 90% 5,191 867 634 6,058 Madison TOTALS: Mandatory Excellus Health Plan 2,647 480 3,127 50% 320 3,447 48% Eff. Oct 2010 NYS Catholic Health Plan 1,671 346 2,017 32% 206 2,223 31% 596 140 736 12% 73 809 11% United Healthcare Plan of NY 5,276 4,914 1,010 966 6,286 926 599 7,212 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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: 82,114 Total Eligibles Enrolled Eligibles 95% 17,701 13,364 104,107 95,478 92% Mandatory Excellus Health Plan 47,454 8,898 56,352 65% 8,901 65,253 63% Eff. Mar 1998 MVP Health Plan 10,301 1,426 11,727 14% 2,415 14,142 14% 9,163 4,872 14,035 16% 2,048 16,083 15% 7,268 94% 8,183 92% Eligibles 70,925 NYS Catholic Health Plan Enrolled Eligibles 66,918 15,481 Enrolled 15,196 86,406 Total Enrolled Percent Enrolled Montgomery TOTALS: Mandatory Capital District Physicians Health Plan 2,475 313 2,788 36% 405 3,193 36% Eff. Apr 2007 NYS Catholic Health Plan 3,775 705 4,480 58% 510 4,990 56% Nassau TOTALS: Mandatory Affinity Health Plan 6,650 65,036 Eff. June 2001 Amerigroup HealthFirst PHSP 6,250 64,684 18,713 1,018 17,912 7,700 83,749 1,150 13,329 915 10,244 8,850 82,596 99% 92,840 96% 9,409 2,051 11,460 14% 1,219 12,679 13% 5,380 1,927 7,307 9% 920 8,227 8% 12,973 3,146 16,119 19% 1,561 17,680 18% 97,078 HIP of Greater New York 9,660 3,696 13,356 16% 2,688 16,044 17% NYS Catholic Health Plan 13,580 3,151 16,731 20% 1,752 18,483 19% 19,727 20% 25,008 94% 31% United Healthcare Plan of NY 13,682 18,006 17,623 21% 21,866 96% 1,522 7,327 32% 918 8,245 4,948 1,263 6,211 27% 1,412 7,623 29% 6,605 1,723 8,328 37% 812 9,140 34% 33,380 90% Niagara TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 5,805 Eff Sep 1998 Independent Health Association NYS Catholic Health Plan 26,378 17,358 Oneida TOTALS: Mandatory Excellus Health Plan Eff Sep 2001 NYS Catholic Health Plan Onondaga TOTALS: Mandatory Excellus Health Plan 6,878 Eff. Nov 1998 NYS Catholic Health Plan 11,963 SCHC Total Care United Healthcare Plan of NY TOTALS: 24,435 3,941 4,677 4,622 6,933 4,508 4,371 22,683 31,000 2,104 3,960 4,574 26,643 28,806 93% 1,096 5,441 18% 865 6,306 17% 17,413 2,722 20,135 65% 3,184 23,319 63% 36,966 3,230 10% 47,236 91% 1,240 8,118 16% 1,159 9,277 15% 2,187 14,150 27% 1,982 16,132 26% 15,899 2,965 18,864 36% 3,866 22,730 37% 5,076 1,028 6,104 12% 1,006 7,110 11% 7,386 91% 8,367 87% 78% 39,816 6,329 553 5,966 3,142 4,345 2,677 43,796 United Healthcare Plan of NY Ontario 1,050 8,152 1,208 7,420 1,057 51,948 8,141 525 10,009 1,448 8,013 981 61,957 9,589 3,755 10% 55,249 89% Mandatory Excellus Health Plan 5,704 915 6,619 81% 840 7,459 Eff. Mar 1998 MVP Health Plan 506 74 580 7% 117 697 7% NYS Catholic Health Plan 119 68 187 2% 24 211 2% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 2012 TANF ADC & MA-ADC SNA HR & MA-HR Total Eligibles Total Enrolled Percent Enrolled Plan Name Orange TOTALS: 42,013 Eligibles Enrolled 92% 5,137 3,769 Mandatory Affinity Health Plan 11,396 1,869 13,265 29% 1,513 14,778 29% Eff. Mar 2007 Hudson Health Plan 9,122 1,773 10,895 24% 1,378 12,273 24% 15,646 792 16,438 36% 626 17,064 34% 1,153 262 1,415 3% 252 1,667 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 37,317 5,227 3,764 987 Enrolled SSI & MA-SSI County Eligibles 40,341 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 4,696 899 45,568 5,177 681 475 50,705 5,858 45,782 90% 4,663 90% 5,138 88% 1,417 261 1,678 32% 196 1,874 32% 780 213 993 19% 138 1,131 19% 1,567 425 1,992 38% 141 2,133 36% Oswego TOTALS: 16,763 98% 18,799 96% Mandatory Excellus Health Plan 2,506 493 2,999 17% 467 3,466 18% Eff. Apr 1999 NYS Catholic Health Plan 7,671 1,368 9,039 53% 990 10,029 51% United Healthcare Plan of NY 3,980 745 4,725 28% 579 5,304 27% 4,999 94% 5,631 88% 14,419 14,157 2,720 2,606 17,139 2,453 2,036 19,592 Otsego TOTALS: Mandatory Excellus Health Plan 2,534 495 3,029 57% 394 3,423 54% Eff. May 2007 NYS Catholic Health Plan 1,557 413 1,970 37% 238 2,208 35% 2,572 84% 4,379 4,091 966 908 Putnam TOTALS: Mandatory Amerigroup Eff. Mar 2007 NYS Catholic Health Plan Rensselaer TOTALS: Mandatory Capital District Physicians Health Plan 8,857 2,089 Eff. Oct 1997 NYS Catholic Health Plan 3,061 798 1,911 13,053 1,832 470 6,378 2,212 93% 70 3% 45 115 4% 1,783 359 2,142 90% 315 2,457 80% 15,523 96% 17,824 95% 10,946 68% 1,683 12,629 67% 3,859 24% 487 4,346 23% 3,042 16,095 146 4,654 4,264 48,058 718 4% 49,145 102% 2,736 360 2,301 3,059 18,831 131 3,520 2,491 51,578 849 5% 51,636 100% TOTALS: Mandatory Affinity Health Plan 3,253 934 4,187 9% 646 4,833 9% Eff. Mar 2001 Hudson Health Plan 7,218 1,032 8,250 17% 602 8,852 17% 32,024 2,055 34,079 71% 1,083 35,162 68% 60 30 90 0% 9 99 0% 2,326 213 2,539 5% 151 2,690 5% United Healthcare Plan of NY Wellcare of New York 44,881 3,033 678 Rockland NYS Catholic Health Plan 43,404 632 21 12,490 2,381 1,033 49 572 Wellcare of New York 380 5,345 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 441 Eligibles Enrolled 3% 2,814 13 454 3% 249 45 294 2% 8 302 2% 98 49 147 1% 5 152 1% 11,556 97% 12,906 91% 7,312 61% 8,347 59% Eligibles 347 2,142 9,536 2,009 6,009 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 94 2,020 12,838 11,894 1,303 2,309 1,350 15,652 14,203 1,035 Eff. Oct 1997 NYS Catholic Health Plan Schenectady TOTALS: Mandatory Capital District Physicians Health Plan 7,274 1,292 8,566 47% 1,770 10,336 48% Eff. Apr 2007 NYS Catholic Health Plan 6,853 1,482 8,335 46% 1,106 9,441 44% Schoharie TOTALS: 2,874 87% Mandatory Capital District Physicians Health Plan Eff. Oct 2010 NYS Catholic Health Plan 3,527 15,224 2,393 14,127 2,105 717 2,846 503 2,774 488 18,070 2,896 4,244 36% 16,901 94% 315 3,633 2,876 21,703 4,559 32% 19,777 91% 2,593 90% 1,150 281 1,431 49% 186 1,617 49% 955 207 1,162 40% 95 1,257 38% 463 19% 407 281 3,303 Schuyler TOTALS: 427 20% Mandatory Excellus Health Plan 124 27 151 7% 21 172 7% Eff May 2012 NYS Catholic Health Plan 190 86 276 13% 15 291 12% Seneca y Eff. Jan 2007 TOTALS: 2,936 96% 3,335 93% 2,936 96% Steuben TOTALS: 1,195 12% Mandatory Excellus Health Plan 407 47 454 4% Eff May 2012 NYS Catholic Health Plan 592 149 741 7% Suffolk TOTALS: 107,183 101% Mandatory Affinity Health Plan 1,801 2,659 Excellus Health Plan 314 2,574 326 396 2,574 8,694 85,089 999 86,410 113 362 2,127 3,055 362 1,506 21,551 196 20,773 10,200 106,640 289 541 36 399 2,416 3,596 399 2,323 15,494 3,335 93% 1,510 12% 70 524 4% 245 986 8% 118,862 97% 315 11,679 12,523 122,134 12,793 2,359 15,152 14% 1,424 16,576 14% 13,137 2,373 15,510 15% 1,533 17,043 14% HIP of Greater New York 10,730 4,187 14,917 14% 2,217 17,134 14% Neighborhood Health Providers 16,988 2,475 19,463 18% 2,048 21,511 18% NYS Catholic Health Plan 14,792 3,748 18,540 17% 2,012 20,552 17% United Healthcare Plan of NY 17,970 5,631 23,601 22% 2,445 26,046 21% Eff. June 2001 HealthFirst PHSP RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 2012 TANF ADC & MA-ADC SNA HR & MA-HR Total Enrolled Percent Enrolled Sullivan TOTALS: 10,890 97% Mandatory Hudson Health Plan 6,321 966 7,287 76% 985 8,272 74% Eff. Apr 2007 NYS Catholic Health Plan 1,975 354 2,329 24% 289 2,618 23% Tioga TOTALS: 880 17% 906 15% Mandatory Capital District Physicians Health Plan 359 74 433 8% 12 445 7% Eff. Jun 2012 NYS Catholic Health Plan 371 54 425 8% 13 438 7% 19 3 22 0% 1 23 0% 6,391 89% 7,249 87% 4,595 United Healthcare Plan of NY 5,930 749 TOTALS: Mandatory Excellus Health Plan Eff. Oct 2010 NYS Catholic Health Plan Ulster TOTALS: Mandatory Hudson Health Plan 3,580 Eff Mar 2007 MVP Health Plan 3,738 NYS Catholic Health Plan 3,041 621 TOTALS: Voluntary NYS Catholic Health Plan United Healthcare Plan of NY Washington TOTALS: 5,407 5,268 7,191 9,616 891 1,186 26 858 11,203 6,159 8,377 83 27 110 2% 5 115 1% 399 1,630 23% 258 1,888 23% 12,156 702 3,150 1,797 4,412 1,128 9,580 1,231 3,949 12,763 Wellcare of New York Warren 1,261 131 Tompkins SCHC Total Care 5,263 673 1,320 Eligibles Enrolled 100% 1,623 1,274 Total Eligibles Plan Name Eligibles 8,296 1,345 Enrolled SSI & MA-SSI County Eligibles 8,235 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,982 4,651 65% 15,265 96% 951 4,531 28% 1,291 5,029 32% 3,662 23% 3,109 15,913 246 642 223 5,054 2,043 13% 2,205 44% 595 2,674 5,246 63% 17,333 93% 565 5,096 27% 666 5,695 31% 395 4,057 22% 2,068 18,587 442 1,055 189 6,109 2,485 13% 2,394 39% 38% 1,928 211 2,139 42% 186 2,325 54 12 66 1% 3 69 1% 5,497 89% 6,251 86% 4,794 764 703 6,171 1,066 754 7,237 Mandatory Capital District Physicians Health Plan 1,825 265 2,090 34% 340 2,430 34% Eff. Mar 2007 NYS Catholic Health Plan 2,969 438 3,407 55% 414 3,821 53% Wayne TOTALS: Mandatory Excellus Health Plan Eff. Oct 2010 NYS Catholic Health Plan Westchester TOTALS: Mandatory Affinity Health Plan 9,671 Eff. Oct 1999 HIP of Greater New York 4,816 Hudson Health Plan NYS Catholic Health Plan 6,921 62,085 United Healthcare Plan of NY 7,398 94% 8,484 90% 5,578 771 6,349 81% 938 7,287 77% 902 147 1,049 13% 148 1,197 13% 76,063 98% 84,560 96% 2,725 12,396 16% 1,549 13,945 16% 1,786 6,602 9% 1,270 7,872 9% 35,455 6,119 41,574 54% 3,995 45,569 52% 11,408 3,700 15,108 20% 1,617 16,725 19% 232 151 383 0% 66 449 1% 444 15% 485 14% 6,480 61,582 946 15,172 918 14,481 7,867 77,257 1,548 11,188 1,086 8,497 9,415 88,445 Wyoming TOTALS: Voluntary HealthNow/BCBS-WNY/Community Blue 125 9 134 5% 10 144 4% NYS Catholic Health Plan 247 63 310 10% 31 341 10% 2,214 2,300 104% 2,538 2,562 101% 2,300 104% 2,562 101% 1,055,200 959,599 91% 1,232,739 1,084,307 88% Yates Mandatory Eff. Feb 2007 Upstate Total TOTALS: 2,567 372 1,913 1,986 871,299 792,027 Excellus Health Plan 387 72 301 314 183,901 167,572 1,986 2,954 314 512 41 324 262 177,539 124,708 3,466 262 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 2012 TANF ADC & MA-ADC County Plan Name NYC Affinity Health Plan Mandatory Amerigroup Fully HealthFirst PHSP Implemented: HIP of Greater New York Eligibles Amida Care SN Sept 2002 MetroPlus Health Plan SN MetroPlus Health Plan 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 85,884 45,645 131,529 6% 16,709 148,238 6% 217,896 96,753 314,649 15% 25,308 339,957 15% 352 2,674 3,026 0% 2,376 5,402 0% 269,881 109,992 379,873 19% 48,253 428,126 19% 93,701 43,380 137,081 7% 20,509 157,590 7% 1,070 2,348 3,418 0% 2,416 5,834 0% 249,067 88,251 337,318 17% 36,594 373,912 16% Neighborhood Health Providers 109,740 35,914 145,654 7% 17,931 163,585 7% NYS Catholic Health Plan 143,933 93,987 237,920 12% 26,735 264,655 12% United Healthcare Plan of NY 114,557 59,059 173,616 9% 15,277 188,893 8% 463 2,606 3,069 0% 2,782 5,851 0% 24,717 21,701 46,418 2% 3,798 50,216 2% 1,913,571 94% 2,132,259 93% VNS Choice SN Wellcare of New York NYC Total UPSTATE TOTALS: 1,408,680 1,311,261 623,921 602,310 2,032,601 256,788 218,688 2,289,389 871,299 792,027 183,901 167,572 1,055,200 959,599 91% 177,539 124,708 1,232,739 1,084,307 88% NEW YORK CITY TOTALS: 1,408,680 1,311,261 623,921 602,310 2,032,601 1,913,571 94% 256,788 218,688 2,289,389 2,132,259 93% GRAND TOTALS: 2,279,979 2,103,288 807,822 769,882 3,087,801 2,873,170 93% 434,327 343,396 3,522,128 3,216,566 91% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 2012 TANF ADC & MA-ADC County TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 113,419 481,141 441,154 Total Eligibles Enrolled Eligibles 92% 73,570 64,885 554,711 506,039 91% Brooklyn 499,518 473,045 222,865 217,024 722,383 690,069 96% 81,248 68,371 803,631 758,440 94% Manhattan 167,492 143,739 96,209 83,276 263,701 227,015 86% 44,399 34,520 308,100 261,535 85% Queens 331,462 322,746 166,025 168,238 497,487 490,984 99% 47,352 42,402 544,839 533,386 98% 47,050 43,996 20,839 20,353 67,889 64,349 95% 10,219 8,510 78,108 72,859 93% 1,408,680 1,311,261 623,921 602,310 2,032,601 1,913,571 94% 256,788 218,688 2,289,389 2,132,259 93% Plan Name NYC Boroughs Bronx Staten Island Borough Total NOTES: SNA HR & MA-HR Eligibles 363,158 Enrolled Eligibles 327,735 117,983 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 : None Total Enrolled Percent Enrolled FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 2,705 600 1,285 290 1,267 265 153 45 645 106 214 36 18 49 382 52 452 2,727 33 8 376 2,262 61 421 11 7 966 175 190 33 444 59 332 83 883 164 263 48 434 86 186 30 1,621 307 278 42 1,226 240 117 25 927 158 846 130 81 28 807 115 769 104 38 11 977 180 5 0 911 160 61 20 723 117 193 38 530 79 89 656 71 526 18 130 618 82 618 82 Total Enrolled 3,305 1,575 1,532 198 751 250 67 434 3,179 41 2,638 482 18 1,141 223 503 415 1,047 311 520 216 1,928 320 1,466 142 1,085 976 109 922 873 49 1,157 5 1,071 81 840 231 609 745 597 148 700 700 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 2,578 369 764 103 846 116 745 122 223 28 2,043 11,592 2,079 343 580 2,908 2,344 361 759 4,261 84 514 0 1 83 514 526 107 0 1 526 106 959 184 127 24 832 160 631 112 338 57 160 22 133 33 550 94 150 33 400 61 64 13 64 13 1,239 149 209 28 1,020 121 10 0 1,384 215 1,284 189 100 26 368 41 218 20 150 21 86 593 58 452 14 69 14 72 Total Enrolled 2,947 867 962 867 251 13,635 2,422 3,488 2,705 5,020 598 1 597 633 1 632 1,143 151 992 743 395 182 166 644 183 461 77 77 1,388 237 1,141 10 1,599 1,473 126 409 238 171 679 510 83 86 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 918 123 400 51 310 46 208 26 7,888 1,421 5,966 963 495 88 1,427 370 126 1,068 282 40 786 86 16,191 2,487 2,360 376 1,485 251 3,172 439 2,128 303 3,185 616 3,861 502 2,475 536 999 215 1,476 321 3,726 481 730 104 2,534 316 462 61 5,268 746 989 141 1,979 239 1,473 252 827 114 1,028 212 965 189 45 16 18 7 4,337 586 1,535 224 1,440 166 1,147 156 215 40 Total Enrolled 1,041 451 356 234 9,309 6,929 583 1,797 1,194 322 872 18,678 2,736 1,736 3,611 2,431 3,801 4,363 3,011 1,214 1,797 4,207 834 2,850 523 6,014 1,130 2,218 1,725 941 1,240 1,154 61 25 4,923 1,759 1,606 1,303 255 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 721 112 244 43 108 16 369 53 2,137 336 426 65 173 1,120 591 98 797 98 41 301 496 57 404 56 404 56 1,396 232 654 106 642 102 100 24 4,970 675 584 142 1,109 128 3,063 374 68 16 146 15 1,277 239 1,206 216 71 23 2,026 262 746 125 1,280 137 1,944 330 649 110 1,295 220 510 73 157 29 353 44 299 65 234 48 65 17 409 57 409 57 158 1,134 2 34 156 1,100 Total Enrolled 833 287 124 422 2,473 491 1,293 689 895 342 553 460 460 1,628 760 744 124 5,645 726 1,237 3,437 84 161 1,516 1,422 94 2,288 871 1,417 2,274 759 1,515 583 186 397 364 282 82 466 466 1,292 36 1,256 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 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 19,343 2,489 3,180 366 2,654 272 2,271 308 2,227 288 4,071 639 4,940 616 1,363 177 113 1,005 358 64 481 67 23 218 40 230 4 33 685 144 12 9 194 50 479 85 2,171 446 654 123 826 192 415 80 276 51 799 97 758 81 41 16 819 93 150 24 669 69 1,066 127 941 114 125 13 10,257 1,898 1,631 344 824 161 5,253 690 2,239 623 310 80 70 503 33 302 37 201 421 49 421 49 134,084 21,110 Total Enrolled 21,832 3,546 2,926 2,579 2,515 4,710 5,556 1,540 1,118 422 548 241 270 37 829 21 244 564 2,617 777 1,018 495 327 896 839 57 912 174 738 1,193 1,055 138 12,155 1,975 985 5,943 2,862 390 573 335 238 470 470 155,194 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, JULY 2012 County NYC Plan Name Affinity Health Plan Amerigroup HealthFirst PHSP 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 13,400 5,707 13,145 38,542 33,228 11,783 15,918 4,750 29,009 8,201 14,101 4,269 14,210 31,063 23,060 7,405 3,576 6,065 204,386 73,046 134,084 204,386 338,470 21,110 73,046 94,156 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County NYC Borough NOTES: Plan Name Bronx Brooklyn Manhattan Queens Staten Island Borough Total Enrolled 34,139 71,039 18,471 72,339 8,398 204,386 Enrolled 10,463 24,985 9,682 25,736 2,180 73,046 Total Enrolled 19,107 51,687 45,011 20,668 37,210 18,370 45,273 30,465 9,641 277,432 155,194 277,432 432,626 Total Enrolled 44,602 96,024 28,153 98,075 10,578 277,432 (1) The source of plan enrollment counts was revised in July, 2003 to be based on the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : None MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS, JULY 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 219 219 104 104 43 43 23 2,932 70 163 3,188 4 126 130 296 296 414 1 415 5 76 81 4,476 NEW YORK Total NEW YORK WESTCHESTER Total DUTCHESS ORANGE ROCKLAND Total NEW YORK Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total MONTGOMERY NEW YORK ORANGE RENSSELAER ROCKLAND SCHENECTADY Total 1,488 1,488 4,558 42 4,600 7 121 67 195 5,725 5,725 38 5,730 18 70 5,856 3 86 244 2 213 2 550 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, JULY 2012 PLAN NAME MLTC PARTIAL CAPITATION PLANS cont. GUILDNET HHH CHOICES HIP OF GREATER NEW YORK INDEPENDENCE CARE SYSTEMS SENIOR HEALTH PARTNERS INC SENIOR NETWORK HEALTH TOTAL AGING IN PLACE PROGRAM VILLAGE CARE MAX 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 NEW YORK Total HERKIMER ONEIDA Total ERIE Total NEW YORK Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total NEW YORK Total TOTAL ENROLLED 551 7,374 500 10 8,435 1,395 3 1,398 43 43 2,316 2,316 4,131 4,131 54 328 382 122 122 15 15 48 11,359 3 39 11,449 2,614 2,614 49,319 53,795 (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 : VNS Choice - Suffolk County, Elant - Dutchess County, HIP of Greater New York - New York City, Village Care Max - New York City MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, JULY 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 270 58 163 49 17 3 14 46 22 24 142 142 10 7 3 5 5 71 71 39 24 15 236 16 131 37 10 42 54 54 39 39 84 28 56 49 36 13 17 17 80 17 63 38 38 37 37 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, JULY 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 Affinity ElderPlan Fidelis GHI HIP of Greater New York Liberty Health Advantage Managed Health MetroPlus Senior Whole Health Touchstone/Prestige United HealthCare WellCare NYC Total UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL Total Enrolled 126 46 58 22 78 7 71 101 16 1 84 20 20 6 6 4 4 132 27 8 6 90 1 1,701 314 9 1597 561 1293 464 219 258 11 1370 342 52 6,490 1,701 6,490 8,191 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 : Senior Whole Health - New York City MEDICAID ADVANTAGE PLUS ENROLLMENT REPORT BY COUNTY AND PLAN NYS, JULY 2012 County Albany Columbia Dutchess 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 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 HealthFirst 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 4 1 3 27 27 12 12 66 15 51 17 17 46 14 32 7 7 60 60 6 6 7 7 7 7 386 9 655 381 28 341 73 13 100 43 1,643 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 386 1,643 2,029 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 - HealthFirst
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