RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 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 4,652 TOTALS: Mandatory Capital District Physicians Health Plan 19,356 Eff. May 1998 Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY Total Eligibles Total Enrolled Percent Enrolled 25,654 3,055 17,423 65% 2,648 20,071 63% 5,401 1,484 6,885 26% 765 7,650 24% 3,743 Enrolled 4,775 26,857 236 808 688 5,460 400 1,346 5% 4,431 81% 2,488 46% 31,830 280 1,029 546 6,489 365 29,347 92% 1,626 5% 4,977 77% 2,853 44% 203 52 255 5% 19 274 4% 1,452 236 1,688 31% 162 1,850 29% 24,488 86% 4,762 3,724 28,487 20,764 88% 171 27 198 1% 78 276 1% 14,020 3,247 17,267 73% 2,826 20,093 71% 2,649 564 3,213 14% 785 3,998 14% 16,894 4,369 6,789 3,870 23,725 32 54 7,816 SSI & MA-SSI 14,368 Eligibles 4,993 20,879 2,088 Univera Community Health TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled Eligibles Enrolled 4,973 3,693 96% Enrolled 1,110 Wellcare of New York Broome SNA HR & MA-HR 1,165 1,128 8,981 86 0% 7,917 88% 35 1,679 1,310 10,660 121 0% 9,227 87% Cattaraugus TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 2,729 410 3,139 35% 762 3,901 37% Eff. Sep 2001 NYS Catholic Health Plan 2,532 399 2,931 33% 347 3,278 31% Univera Community Health 1,528 319 1,847 21% 2,048 19% 7,908 94% 8,747 90% 201 Cayuga TOTALS: Mandatory Excellus Health Plan 2,047 413 2,460 29% 243 2,703 28% Eff. Oct 2010 NYS Catholic Health Plan 3,738 705 4,443 53% 445 4,888 50% 827 178 1,005 12% 151 1,156 12% 17,576 91% 20,283 90% 7,097 United Healthcare Plan of NY Chautauqua TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan 15,726 Univera Community Health Chemung TOTALS: Voluntary Excellus Health Plan 10,032 NYS Catholic Health Plan Southern Tier Pediatrics (Partial) Southern Tier Priority (Partial) Chenango TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan of NY Clinton TOTALS: Mandatory NYS Catholic Health Plan Eff. Dec 2011 United Healthcare Plan of NY 6,612 14,260 1,320 3,518 7,061 3,316 8,417 19,244 3,277 839 2,707 9,703 22,521 2,836 634 3,470 18% 705 4,175 19% 10,909 2,369 13,278 69% 1,822 15,100 67% 515 313 828 4% 180 1,008 4% 7,085 61% 8,412 61% 6,118 1,588 967 11,620 2,253 1,327 13,873 6 0 6 0% 1 7 0% 754 286 1,040 9% 200 1,240 9% 3,555 0 3,555 31% 356 3,911 28% 2,484 21% 4,924 75% 681 1,803 5,578 1,296 1,286 4,180 989 744 6,567 770 1,226 352 7,793 3,254 23% 5,276 68% 56% 3,527 573 4,100 62% 270 4,370 653 171 824 13% 82 906 12% 7,772 91% 8,572 82% 6,378 1,506 1,394 8,567 1,841 800 10,408 5,781 1,167 6,948 81% 699 7,647 73% 597 227 824 10% 101 925 9% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled County Plan Name Columbia TOTALS: 5,034 Eligibles Enrolled 986 736 91% Mandatory Capital District Physicians Health Plan 2,111 438 2,549 46% 518 3,067 47% Eff. Oct 1997 NYS Catholic Health Plan 2,047 438 2,485 45% 218 2,703 42% Cortland TOTALS: Mandatory NYS Catholic Health Plan Eligibles 4,490 4,962 Eff. May 2007 SCHC Total Care Mandatory TOTALS: 4,003 Eff. May 2011 NYS Catholic Health Plan Enrolled Eligibles 1,026 4,158 876 5,516 6,502 5,770 89% 5,529 94% 6,155 92% 3,518 653 4,171 71% 456 4,627 69% 1,206 152 1,358 23% 170 1,528 23% 4,351 89% 4,482 79% 4,351 89% 4,482 79% 17,994 99% 20,525 95% 34% 4,724 3,516 899 879 3,516 14,765 Enrolled 14,664 805 835 5,861 4,882 835 3,413 3,330 18,178 808 764 626 131 6,669 5,646 131 3,423 2,531 21,601 Dutchess TOTALS: Mandatory Hudson Health Plan 5,309 1,077 6,386 35% 906 7,292 Eff. Apr 2007 MVP Health Plan 4,768 1,171 5,939 33% 801 6,740 31% NYS Catholic Health Plan 3,035 901 3,936 22% 549 4,485 21% TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 84,163 Eff. May 1998 Independent Health Association NYS Catholic Health Plan Mandatory Eff. Oct 2010 Franklin Mandatory TOTALS: 2,600 NYS Catholic Health Plan TOTALS: TOTALS: Mandatory Capital District Physicians Health Plan Eff. Mar 2007 NYS Catholic Health Plan Genesee TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue Eff. Jan 2004 MVP Health Plan NYS Catholic Health Plan 19,757 4,280 3,994 103,920 1,733 10% 100,739 97% 275 19,393 15,615 123,313 2,008 9% 116,354 94% 16% 3,507 17,421 17% 2,877 20,298 24,726 5,850 30,576 29% 5,520 36,096 29% 19,059 3,725 22,784 22% 3,548 26,332 21% 2,384 6,284 541 3,741 509 3,141 509 977 3,741 6,312 19,366 13,914 2,384 Eff, May 2011 NYS Catholic Health Plan Fulton 81,373 23,674 Univera Community Health Essex 181 1,552 Wellcare of New York Erie 837 5,257 837 29,958 29% 2,893 92% 2,893 92% 4,578 87% 4,578 87% 3,670 637 113 3,778 113 1,132 110 6,389 110 1,333 966 8,920 33,628 27% 3,006 80% 3,006 80% 4,688 73% 4,688 73% 8,050 90% 7,084 93% 926 203 1,129 15% 210 1,339 15% 5,005 950 5,955 78% 756 6,711 75% 5,931 1,275 1,153 7,587 766 563 5,437 4,489 96% 5,052 93% 309 2,223 48% 227 2,450 45% 1,418 250 1,668 36% 276 1,944 36% 480 118 598 13% 60 658 12% 3,812 1,914 677 677 4,671 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled County Plan Name Greene TOTALS: 4,693 Eligibles Enrolled 891 745 93% Mandatory Capital District Physicians Health Plan 1,829 355 2,184 43% 445 2,629 44% Eff. Oct 1997 NYS Catholic Health Plan 1,937 572 2,509 50% 300 2,809 47% Hamilton TOTALS: 294 354 120% 328 363 111% Mandatory Eff. Oct 2010 NYS Catholic Health Plan 354 120% 363 111% 7,433 7,133 96% 8,593 7,936 92% Herkimer TOTALS: Mandatory Excellus Health Plan Eligibles 4,019 292 6,139 5,933 Voluntary Excellus Health Plan 9,676 16% 202 1,416 16% 79% 591 6,463 75% 42 5 47 1% 10 57 1% 1,726 15% 1,742 13% 1,286 11% 1,296 10% 1,380 378 246 Excellus Health Plan 9 5,872 NYS Catholic Health Plan Eff. Apr 2002 803 1,214 1,702 624 3,992 346 11,378 210 440 4% 728 28% 51 429 17% 53 299 12% 4,794 92% 3,391 65% 136 304 4,264 1,160 92% 959 Excellus Health Plan Mandatory 62 9 5,438 236 Voluntary TOTALS: 1,200 34 5,915 978 TOTALS: Livingston 1,294 5,024 4,913 Lewis 2,240 927 62 1,076 United Healthcare Plan of NY Enrolled 50 292 United Healthcare Plan of NY TOTALS: Eligibles 1,005 3,766 244 Eff. May 2003 NYS Catholic Health Plan Jefferson Enrolled 324 927 104 802 2,564 5,191 1,948 16 13,326 10 446 3% 763 25% 12 441 15% 23 322 11% 5,435 90% 435 3,826 63% 19% 6 467 867 35 641 3,031 6,058 2,850 541 MVP Health Plan 833 162 995 19% 186 1,181 NYS Catholic Health Plan 309 99 408 8% 20 428 7% 5,839 93% 6,446 89% Madison TOTALS: Mandatory Excellus Health Plan 2,649 481 3,130 50% 330 3,460 48% Eff. Oct 2010 NYS Catholic Health Plan 1,633 351 1,984 32% 204 2,188 30% 589 136 725 12% 73 798 11% 5,276 United Healthcare Plan of NY 4,871 1,010 968 6,286 926 607 7,212 Monroe TOTALS: 82,434 95% 96,133 92% Mandatory Excellus Health Plan 47,697 8,933 56,630 66% 8,978 65,608 63% Eff. Mar 1998 MVP Health Plan 10,249 1,433 11,682 14% 2,404 14,086 14% 9,274 4,848 14,122 16% 2,317 16,439 16% 7,223 94% 8,148 92% 70,925 NYS Catholic Health Plan 6,650 67,220 6,201 15,481 1,050 15,214 1,022 86,406 7,700 17,701 1,150 13,699 925 104,107 8,850 Montgomery TOTALS: Mandatory Capital District Physicians Health Plan 2,462 313 2,775 36% 409 3,184 36% Eff. Apr 2007 NYS Catholic Health Plan 3,739 709 4,448 58% 516 4,964 56% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC County Plan Name Nassau TOTALS: Mandatory Affinity Health Plan Eligibles 65,036 Eff. June 2001 Amerigroup HealthFirst PHSP Enrolled Eligibles 65,859 18,713 18,764 83,749 84,623 SSI & MA-SSI Eligibles Enrolled 101% 13,329 9,889 Total Eligibles 97,078 Total Enrolled Percent Enrolled 94,512 97% 9,471 2,101 11,572 14% 1,184 12,756 13% 5,526 2,074 7,600 9% 900 8,500 9% 13,198 3,336 16,534 20% 1,493 18,027 19% 9,821 3,830 13,651 16% 2,579 16,230 17% NYS Catholic Health Plan 13,871 3,315 17,186 21% 1,704 18,890 19% 13,972 Niagara TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 5,797 Eff Sep 1998 Independent Health Association 4,925 NYS Catholic Health Plan 6,651 TOTALS: Mandatory Excellus Health Plan Eff Sep 2001 NYS Catholic Health Plan 18,006 26,378 United Healthcare Plan of NY Onondaga TOTALS: Mandatory Excellus Health Plan Eff. Nov 1998 43,796 17,373 24,441 4,108 4,677 4,622 18,080 22% 21,868 96% 1,551 7,348 32% 1,238 6,163 27% 1,706 8,357 37% 841 28,798 93% 4,495 4,357 22,683 31,000 2,029 3,960 5,966 20,109 21% 25,081 94% 959 8,307 31% 1,413 7,576 28% 9,198 35% 33,439 90% 3,213 4,641 26,643 36,966 4,361 1,064 5,425 18% 870 6,295 17% 17,432 2,720 20,152 65% 3,211 23,363 63% 2,648 573 3,221 10% 560 3,781 10% 47,692 92% 55,714 90% 40,246 8,152 7,446 51,948 10,009 8,022 61,957 6,975 1,237 8,212 16% 1,154 9,366 15% NYS Catholic Health Plan 12,125 2,180 14,305 28% 1,977 16,282 26% SCHC Total Care 16,040 3,008 19,048 37% 3,885 22,933 37% 5,106 1,021 6,127 12% 1,006 7,133 12% 7,453 92% 8,440 88% United Healthcare Plan of NY Ontario TOTALS: Mandatory Excellus Health Plan Eff. Mar 1998 MVP Health Plan 6,933 NYS Catholic Health Plan Orange Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled HIP of Greater New York United Healthcare Plan of NY Oneida SNA HR & MA-HR TOTALS: 6,409 1,208 8,141 1,448 987 9,589 5,785 902 6,687 82% 845 7,532 79% 490 68 558 7% 116 674 7% 134 40,341 1,044 37,678 74 5,227 4,741 45,568 208 3% 42,419 93% 26 5,137 3,765 50,705 234 2% 46,184 91% Mandatory Affinity Health Plan 11,448 1,872 13,320 29% 1,502 14,822 29% Eff. Mar 2007 Hudson Health Plan 9,237 1,783 11,020 24% 1,370 12,390 24% 15,846 818 16,664 37% 642 17,306 34% NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York 17 10 27 0% 3 30 0% 1,130 258 1,388 3% 248 1,636 3% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC County Plan Name Orleans TOTALS: Mandatory Excellus Health Plan Eligibles 4,190 Eff. June 2003 HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Total Eligibles Total Enrolled Percent Enrolled 4,618 Eligibles Enrolled 681 487 89% 5,105 87% 1,417 255 1,672 32% 196 1,868 32% 768 209 977 19% 141 1,118 19% 1,560 409 1,969 38% 150 2,119 36% Enrolled Eligibles 987 3,745 Enrolled 873 5,177 5,858 Oswego TOTALS: 16,375 96% 18,404 94% Mandatory Excellus Health Plan 2,418 445 2,863 17% 466 3,329 17% Eff. Apr 1999 NYS Catholic Health Plan 7,608 1,328 8,936 52% 987 9,923 51% United Healthcare Plan of NY 3,865 711 4,576 27% 576 5,152 26% 5,003 94% 5,638 88% Otsego TOTALS: Mandatory Excellus Health Plan 14,419 4,379 Eff. May 2007 NYS Catholic Health Plan 1,911 13,891 4,094 2,720 966 2,484 909 1,033 2,029 635 19,592 6,378 2,502 486 2,988 56% 393 3,381 53% 423 2,015 38% 242 2,257 35% 2,230 94% 2,595 85% 1,849 470 381 TOTALS: Mandatory Amerigroup Eff. Mar 2007 NYS Catholic Health Plan Rensselaer TOTALS: Mandatory Capital District Physicians Health Plan 8,857 2,081 Eff. Oct 1997 NYS Catholic Health Plan 3,074 566 Wellcare of New York 5,345 2,453 1,592 Putnam 13,053 17,139 2,381 678 365 3,059 52 20 72 3% 46 118 4% 1,797 361 2,158 91% 319 2,477 81% 15,530 96% 17,862 95% 10,938 68% 1,702 12,640 67% 808 3,882 24% 499 4,381 23% 144 710 4% 131 841 4% 52,132 101% 12,497 3,042 3,033 16,095 2,736 3,520 2,332 2,438 18,831 51,578 Rockland TOTALS: 49,694 103% Mandatory Affinity Health Plan 3,312 948 4,260 9% 615 4,875 9% Eff. Mar 2001 Hudson Health Plan 7,354 1,035 8,389 17% 600 8,989 17% 32,273 2,095 34,368 72% 1,068 35,436 69% 91 53 144 0% 11 155 0% 43,404 NYS Catholic Health Plan United Healthcare Plan of NY 45,351 4,654 TOTALS: Voluntary Excellus Health Plan 328 NYS Catholic Health Plan 109 10,696 9,885 437 9,721 48,058 2,533 5% 543 4% 59 387 3% 47 156 1% 11,740 99% 212 2,321 Wellcare of New York St Lawrence 4,343 2,142 2,009 106 2,019 12,838 11,894 2,677 5% 557 4% 10 397 3% 4 160 1% 13,121 92% 144 2,814 2,309 14 1,381 15,652 14,203 Saratoga TOTALS: Mandatory Capital District Physicians Health Plan 6,122 1,301 7,423 62% 1,050 8,473 60% Eff. Oct 1997 NYS Catholic Health Plan 3,599 718 4,317 36% 331 4,648 33% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC SNA HR & MA-HR Eligibles Enrolled 3,633 2,886 95% Total Eligibles Total Enrolled Percent Enrolled Plan Name Schenectady TOTALS: Mandatory Capital District Physicians Health Plan 7,438 1,323 8,761 48% 1,780 10,541 49% Eff. Apr 2007 NYS Catholic Health Plan 6,904 1,527 8,431 47% 1,106 9,537 44% Schoharie TOTALS: 2,906 88% Mandatory Capital District Physicians Health Plan Eff. Oct 2010 NYS Catholic Health Plan 2,393 Eligibles 2,846 14,342 Enrolled SSI & MA-SSI County Eligibles 15,224 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 2,850 18,070 17,192 407 288 21,703 3,303 20,078 93% 2,618 90% 1,159 274 1,433 49% 191 1,624 49% 972 213 1,185 41% 97 1,282 39% 2,131 503 487 2,896 Schuyler TOTALS: 738 35% 794 33% Mandatory Excellus Health Plan 282 61 343 16% 34 377 16% Eff May 2012 NYS Catholic Health Plan 295 100 395 19% 22 417 17% Seneca y Eff. Jan 2007 TOTALS: 2,961 97% 3,368 94% 2,961 97% Steuben TOTALS: 2,847 28% Mandatory Excellus Health Plan 1,092 197 1,289 13% Eff May 2012 NYS Catholic Health Plan 1,282 276 1,558 15% Suffolk TOTALS: 109,543 103% Mandatory Affinity Health Plan 1,801 2,659 Excellus Health Plan 577 2,587 326 396 2,587 8,694 85,089 2,374 88,233 161 374 2,127 3,055 374 1,506 21,551 473 21,310 10,200 106,640 289 541 56 407 2,416 3,596 407 2,323 15,494 3,368 94% 3,287 26% 139 1,428 11% 301 1,859 15% 121,060 99% 440 11,517 12,523 122,134 13,025 2,399 15,424 14% 1,398 16,822 14% 13,412 2,470 15,882 15% 1,524 17,406 14% HIP of Greater New York 10,912 4,258 15,170 14% 2,164 17,334 14% Neighborhood Health Providers 17,267 2,537 19,804 19% 2,031 21,835 18% NYS Catholic Health Plan 15,206 3,864 19,070 18% 1,987 21,057 17% 26,606 22% 11,086 99% 8,347 75% Eff. June 2001 HealthFirst PHSP United Healthcare Plan of NY 5,782 18,411 8,235 8,473 1,345 1,339 9,580 24,193 23% 9,812 102% 7,361 77% 2,413 1,623 1,274 11,203 Sullivan TOTALS: Mandatory Hudson Health Plan Eff. Apr 2007 NYS Catholic Health Plan Tioga TOTALS: Mandatory Capital District Physicians Health Plan 397 79 476 9% 15 491 8% Eff. Jun 2012 NYS Catholic Health Plan 433 63 496 9% 20 516 8% Tompkins TOTALS: Mandatory Excellus Health Plan 144 38 182 3% 9 191 2% Eff. Oct 2010 NYS Catholic Health Plan 1,267 416 1,683 23% 259 1,942 23% SCHC Total Care 3,957 701 4,658 65% 583 5,241 63% 968 6,393 371 2,080 4,595 United Healthcare Plan of NY 856 673 5,368 5,268 5 26 5,930 147 1,261 1,155 7,191 2,451 26% 1,003 19% 31 1% 6,523 91% 986 288 891 37 6,159 2 1,186 851 8,377 2,739 24% 1,040 17% 33 1% 7,374 88% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC County Plan Name Eligibles 12,763 SNA HR & MA-HR Enrolled Eligibles 3,150 12,299 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Eligibles Enrolled 2,674 2,072 97% Total Eligibles Total Enrolled Percent Enrolled Ulster TOTALS: 17,475 94% Mandatory Hudson Health Plan 3,651 960 4,611 29% 555 5,166 28% Eff Mar 2007 MVP Health Plan 3,726 1,273 4,999 31% 675 5,674 31% NYS Catholic Health Plan 3,129 615 3,744 24% 399 4,143 22% 2,049 13% 2,284 45% TOTALS: Voluntary NYS Catholic Health Plan 4,412 United Healthcare Plan of NY Washington TOTALS: 5,407 2,049 15,913 256 1,793 Wellcare of New York Warren 3,104 642 235 5,054 15,403 18,587 443 1,055 199 6,109 2,492 13% 2,483 41% 39% 1,971 220 2,191 43% 194 2,385 78 15 93 2% 5 98 2% 5,605 91% 6,372 88% 4,878 764 727 6,171 1,066 767 7,237 Mandatory Capital District Physicians Health Plan 1,850 277 2,127 34% 342 2,469 34% Eff. Mar 2007 NYS Catholic Health Plan 3,028 450 3,478 56% 425 3,903 54% Wayne TOTALS: 7,532 96% 8,626 92% Mandatory Excellus Health Plan 79% Eff. Oct 2010 NYS Catholic Health Plan Westchester TOTALS: Mandatory Affinity Health Plan 9,778 Eff. Oct 1999 HIP of Greater New York 4,863 6,921 62,085 6,583 946 949 7,867 1,548 1,094 9,415 5,663 788 6,451 82% 940 7,391 920 161 1,081 14% 154 1,235 13% 77,142 100% 85,426 97% 2,795 12,573 16% 1,545 14,118 16% 1,838 6,701 9% 1,224 7,925 9% 54% 3,874 45,855 52% 19% 62,343 15,172 14,799 77,257 11,188 8,284 88,445 Hudson Health Plan 35,800 6,181 41,981 NYS Catholic Health Plan 11,551 3,780 15,331 20% 1,566 16,897 351 205 556 1% 75 631 1% 801 27% 868 25% United Healthcare Plan of NY Wyoming TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 350 61 411 14% 33 444 13% Eff. Jul 2012 NYS Catholic Health Plan 322 68 390 13% 34 424 12% Yates Mandatory Eff. Feb 2007 TOTALS: 2,214 2,304 104% 2,538 2,557 101% 2,304 104% 2,557 101% 1,055,200 974,540 92% 1,232,739 1,099,399 89% Upstate Total 2,567 672 1,913 1,993 871,299 803,784 Excellus Health Plan 387 129 301 311 183,901 170,756 1,993 2,954 311 512 67 324 253 177,539 124,859 3,466 253 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC County Plan Name NYC Affinity Health Plan Mandatory Amerigroup Eligibles Amida Care SN 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 86,763 46,854 133,617 7% 16,423 150,040 7% 221,303 99,740 321,043 16% 24,808 345,851 15% 362 2,717 3,079 0% 2,414 5,493 0% 274,869 114,664 389,533 19% 47,656 437,189 19% HIP of Greater New York 94,183 44,478 138,661 7% 19,900 158,561 7% MetroPlus Health Plan SN 1,048 2,323 3,371 0% 2,419 5,790 0% 16% Fully HealthFirst PHSP Implemented: Sept 2002 MetroPlus Health Plan 250,242 89,847 340,089 17% 35,993 376,082 Neighborhood Health Providers 110,698 36,933 147,631 7% 17,723 165,354 7% NYS Catholic Health Plan 146,328 96,839 243,167 12% 25,988 269,155 12% United Healthcare Plan of NY 116,180 60,687 176,867 9% 14,784 191,651 8% 470 2,622 3,092 0% 2,769 5,861 0% 24,866 22,414 47,280 2% 3,434 50,714 2% 1,947,430 96% 2,161,741 94% VNS Choice SN Wellcare of New York NYC Total UPSTATE TOTALS: 1,408,680 1,327,312 623,921 620,118 2,032,601 256,788 214,311 2,289,389 871,299 803,784 183,901 170,756 1,055,200 974,540 92% 177,539 124,859 1,232,739 1,099,399 89% NEW YORK CITY TOTALS: 1,408,680 1,327,312 623,921 620,118 2,032,601 1,947,430 96% 256,788 214,311 2,289,389 2,161,741 94% GRAND TOTALS: 2,279,979 2,131,096 807,822 790,874 3,087,801 2,921,970 95% 434,327 339,170 3,522,128 3,261,140 93% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 2012 TANF ADC & MA-ADC County Plan Name NYC Boroughs Bronx Enrolled Eligibles 331,816 117,983 TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 116,877 481,141 448,693 Eligibles Enrolled 64,613 73,570 93% Enrolled Total Eligibles Total Enrolled Percent Enrolled 554,711 513,306 93% Brooklyn 499,518 479,042 222,865 222,958 722,383 702,000 97% 81,248 66,868 803,631 768,868 96% Manhattan 167,492 144,895 96,209 86,115 263,701 231,010 88% 44,399 34,210 308,100 265,220 86% Queens 331,462 326,886 166,025 173,031 497,487 499,917 100% 47,352 40,285 544,839 540,202 99% 47,050 44,673 20,839 21,137 67,889 65,810 97% 10,219 8,335 78,108 74,145 95% 1,408,680 1,327,312 623,921 620,118 2,032,601 1,947,430 96% 256,788 214,311 2,289,389 2,161,741 94% Staten Island Borough Total NOTES: Eligibles 363,158 SNA HR & MA-HR (1) The Managed Care eligible counts are based upon September, 2011 total eligibles adjusted for excluded populations. The counts include recipients who are exempt from mandatory enrollment. (Seewas about statement for2003 further (2) The source of plan enrollment counts revised in July, to details) be based on the primary and secondary roster reports. The roster reports reflect month. (See about statement for further details) enrollees as of the the to the nearest whole number. (3) All percents arefirst rounded (4) New plans added this month : Orange County - United HealthCare Plan of NY; Chemung County - Excellus Health Plan FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 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 2,690 580 1,291 275 1,254 259 145 46 624 108 225 38 17 47 352 53 454 2,720 32 8 377 2,276 61 397 15 8 987 189 218 44 438 61 331 84 890 168 258 51 436 89 196 28 1,663 303 298 41 1,249 242 116 20 930 171 798 126 132 45 794 118 751 107 43 11 983 189 5 0 914 168 64 21 705 115 192 40 513 75 86 627 74 507 12 120 644 75 644 75 Total Enrolled 3,270 1,566 1,513 191 732 263 64 405 3,174 40 2,653 458 23 1,176 262 499 415 1,058 309 525 224 1,966 339 1,491 136 1,101 924 177 912 858 54 1,172 5 1,082 85 820 232 588 713 581 132 719 719 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 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 2,522 362 751 109 833 109 724 119 214 25 2,032 11,591 2,085 347 568 2,928 2,340 375 742 4,238 80 511 0 1 79 511 533 102 0 1 533 101 937 173 122 22 815 151 615 114 329 60 154 26 132 28 557 89 157 36 400 53 69 14 69 14 1,220 146 211 27 1,001 119 8 0 1,367 221 1,256 192 111 29 361 38 219 20 142 18 87 591 60 450 13 61 14 80 Total Enrolled 2,884 860 942 843 239 13,623 2,432 3,496 2,715 4,980 591 1 590 635 1 634 1,110 144 966 729 389 180 160 646 193 453 83 83 1,366 238 1,120 8 1,588 1,448 140 399 239 160 678 510 74 94 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 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 United Healthcare Plan of NY Wellcare of New York ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 926 124 411 56 311 42 204 26 7,870 1,386 5,947 954 508 78 1,415 354 137 1,075 284 46 791 91 16,280 2,518 2,357 375 1,567 276 3,140 438 2,145 296 3,185 625 3,886 508 2,498 515 1,024 209 1,474 306 3,753 467 741 105 2,555 299 457 63 5,284 725 1,003 143 1,948 226 1,483 242 850 114 1,013 221 948 198 38 15 27 8 4,372 589 1,539 226 1,442 176 1,162 152 18 1 211 34 Total Enrolled 1,050 467 353 230 9,256 6,901 586 1,769 1,212 330 882 18,798 2,732 1,843 3,578 2,441 3,810 4,394 3,013 1,233 1,780 4,220 846 2,854 520 6,009 1,146 2,174 1,725 964 1,234 1,146 53 35 4,961 1,765 1,618 1,314 19 245 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 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 749 111 246 39 119 18 384 54 2,053 322 392 61 166 1,112 549 95 786 98 43 309 477 55 383 55 383 55 1,434 223 693 107 643 92 98 24 4,961 676 564 135 1,083 128 3,097 381 78 18 139 14 1,285 239 1,206 215 79 24 2,041 276 784 136 1,257 140 1,928 332 653 111 1,275 221 517 78 171 35 346 43 298 66 229 47 69 19 418 59 418 59 159 1,132 11 77 148 1,055 Total Enrolled 860 285 137 438 2,375 453 1,278 644 884 352 532 438 438 1,657 800 735 122 5,637 699 1,211 3,478 96 153 1,524 1,421 103 2,317 920 1,397 2,260 764 1,496 595 206 389 364 276 88 477 477 1,291 88 1,203 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 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 19,516 2,519 3,168 362 2,642 268 2,367 332 2,303 304 4,066 653 4,970 600 1,382 183 111 1,019 363 72 459 72 24 197 42 224 6 38 679 142 17 13 189 44 473 85 2,174 456 666 127 823 195 417 81 268 53 792 96 744 78 48 18 806 93 151 22 655 71 1,055 130 934 118 121 12 10,115 1,863 1,597 330 825 152 5,149 680 2,196 615 348 86 65 517 31 307 34 210 438 48 438 48 134,120 21,057 Total Enrolled 22,035 3,530 2,910 2,699 2,607 4,719 5,570 1,565 1,130 435 531 221 266 44 821 30 233 558 2,630 793 1,018 498 321 888 822 66 899 173 726 1,185 1,052 133 11,978 1,927 977 5,829 2,811 434 582 338 244 486 486 155,177 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, AUGUST 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 13,347 5,678 13,153 38,723 33,795 11,891 15,708 4,685 28,776 8,165 13,985 4,327 14,197 31,167 23,066 7,408 3,543 6,109 204,676 73,047 134,120 204,676 338,796 21,057 73,047 94,104 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County NYC Borough NOTES: Plan Name Bronx Brooklyn Manhattan Queens Staten Island Borough Total Enrolled 34,320 71,245 18,418 72,287 8,406 204,676 Enrolled 10,556 24,932 9,571 25,764 2,224 73,047 Total Enrolled 19,025 51,876 45,686 20,393 36,941 18,312 45,364 30,474 9,652 277,723 155,177 277,723 432,900 Total Enrolled 44,876 96,177 27,989 98,051 10,630 277,723 (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 : Orange County - United HealthCare Plan of NY MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS, AUGUST 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 225 225 104 104 48 48 22 2,921 71 164 3,178 4 124 128 307 307 411 1 412 5 78 83 4,485 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 1,516 1,516 4,769 43 4,812 13 125 87 225 5,953 5,953 38 5,768 15 68 5,889 3 140 244 4 214 3 608 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, AUGUST 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 550 7,571 518 9 8,648 1,420 5 1,425 83 83 2,507 2,507 4,332 4,332 54 329 383 123 123 129 129 70 11,849 8 64 11,991 2,804 2,804 51,428 55,913 (1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : None MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, AUGUST 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 WellCare TOTAL Fidelis TOTAL Fidelis Senior Whole Health TOTAL GHI WellCare TOTAL Senior Whole Health Total Enrolled 281 60 161 60 17 3 14 45 22 23 162 162 10 7 3 5 5 134 134 39 24 15 244 16 129 36 11 52 65 65 40 40 94 33 61 50 35 13 2 17 17 83 19 64 41 38 3 38 38 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, AUGUST 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 WellCare 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 Guildnet HIP of Greater New York Liberty Health Advantage Managed Health MetroPlus Senior Whole Health Touchstone/Prestige United HealthCare WellCare NYC Total 127 45 60 22 79 7 72 104 17 1 84 2 20 20 6 6 4 4 141 27 14 5 94 1 1,846 316 8 1,682 562 1 1,272 446 223 246 12 1,317 372 45 6,502 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 1,846 6,502 8,348 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 : WellCare - Orange, Rockland, and Ulster Counties; Guildnet - New York City MEDICAID ADVANTAGE PLUS ENROLLMENT REPORT BY COUNTY AND PLAN NYS, AUGUST 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 Guildnet 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 114 13 101 6 6 10 10 4 1 3 30 30 10 10 66 16 50 16 16 46 12 34 9 1 8 59 59 6 6 7 7 7 7 390 9 695 380 157 333 68 24 90 49 1,805 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 390 1,805 2,195 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 : Suffolk County - Guildnet
© Copyright 2026 Paperzz