RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 2012 TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 25,630 Total Eligibles Enrolled Eligibles 31,830 4,973 3,738 95% 29,368 92% 14,387 3,070 17,457 65% 2,674 20,131 63% NYS Catholic Health Plan 5,356 1,489 6,845 25% 783 7,628 24% Wellcare of New York 1,085 243 1,328 5% 281 1,609 5% 4,444 81% 4,983 77% 44% County Plan Name Albany TOTALS: Mandatory Capital District Physicians Health Plan Eff. Oct 1997 Allegany TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue Eff Feb 2007 NYS Catholic Health Plan Eligibles 21,864 4,652 Univera Community Health Broome TOTALS: Mandatory Capital District Physicians Health Plan 19,356 Eff. May 1998 Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY 7,816 Enrolled Eligibles 4,993 20,828 3,769 808 Enrolled 4,802 675 26,857 5,460 1,029 539 6,489 Total Enrolled Percent Enrolled 2,108 389 2,497 46% 360 2,857 225 53 278 5% 20 298 5% 1,436 233 1,669 31% 159 1,828 28% 24,867 87% 4,762 3,758 28,487 21,109 89% 181 27 208 1% 77 285 1% 14,287 3,276 17,563 74% 2,850 20,413 72% 2,667 564 3,231 14% 790 4,021 14% 61 46 107 0% 41 148 1% 7,908 88% 9,222 87% 17,196 6,788 4,369 1,165 3,913 1,120 23,725 8,981 1,679 1,314 10,660 Cattaraugus TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 2,764 415 3,179 35% 767 3,946 37% Eff. Sep 2001 NYS Catholic Health Plan 2,508 391 2,899 32% 347 3,246 30% Cayuga TOTALS: Mandatory Excellus Health Plan 2,077 Eff. Oct 2010 NYS Catholic Health Plan 3,708 813 7,097 United Healthcare Plan of NY 6,598 Chautauqua TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue Eff. Sep 2001 NYS Catholic Health Plan Chemung TOTALS: Voluntary Excellus Health Plan 2,563 NYS Catholic Health Plan 3,226 Southern Tier Pediatrics (Partial) Southern Tier Priority (Partial) 15,726 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 1,320 3,518 10,032 5,578 7,061 20% 94% 407 2,484 30% 698 4,406 52% 176 989 12% 17,717 92% 1,281 3,313 8,417 19,244 2,030 19% 8,720 90% 244 2,728 28% 450 4,856 50% 147 1,136 12% 20,447 91% 200 1,286 3,277 841 2,730 9,703 22,521 2,819 635 3,454 18% 710 4,164 18% 11,031 2,370 13,401 70% 1,840 15,241 68% 1,042 5% 8,088 58% 463 3,260 23% 778 4,680 34% 1% 16 98 1% 45 0% 5 50 0% 5,051 77% 5,421 70% 862 4% 6,826 59% 234 2,797 24% 676 3,902 34% 82 0 82 28 17 308 554 Univera Community Health Chenango 14,404 1,830 7,879 314 1,516 Univera Community Health 5,899 4,274 1,588 989 927 777 11,620 6,567 180 2,253 1,226 1,262 370 13,873 7,793 3,617 598 4,215 64% 288 4,503 58% 657 179 836 13% 82 918 12% 7,947 93% 8,797 85% 6,513 1,506 1,434 8,567 1,841 850 10,408 5,901 1,197 7,098 83% 744 7,842 75% 612 237 849 10% 106 955 9% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 Columbia TOTALS: 5,063 Total Eligibles Enrolled Eligibles 6,502 986 735 92% Mandatory Capital District Physicians Health Plan 2,129 446 2,575 47% 517 3,092 48% Eff. Oct 1997 NYS Catholic Health Plan 2,051 437 2,488 45% 218 2,706 42% Cortland TOTALS: Mandatory NYS Catholic Health Plan Eff. May 2007 SCHC Total Care Delaware Mandatory TOTALS: Eligibles 4,490 4,962 4,003 Eff. May 2011 NYS Catholic Health Plan Enrolled Eligibles 1,026 4,180 883 5,516 Total Enrolled 5,798 Percent Enrolled 89% 5,537 94% 6,174 93% 3,555 646 4,201 72% 465 4,666 70% 1,183 153 1,336 23% 172 1,508 23% 4,365 89% 4,506 80% 4,365 89% 4,506 80% 18,117 100% 20,688 96% 34% 4,738 3,530 899 879 3,530 14,765 Enrolled 14,802 799 835 5,861 4,882 835 3,413 3,315 18,178 808 764 637 141 6,669 5,646 141 3,423 2,571 21,601 Dutchess TOTALS: Mandatory Hudson Health Plan 5,410 1,065 6,475 36% 928 7,403 Eff. Apr 2007 MVP Health Plan 4,770 1,165 5,935 33% 803 6,738 31% NYS Catholic Health Plan 3,092 897 3,989 22% 566 4,555 21% TOTALS: 84,163 HealthNow/BCBS-WNY/Community Blue Eff. May 1998 Independent Health Association NYS Catholic Health Plan TOTALS: 2,600 NYS Catholic Health Plan TOTALS: 81,891 19,757 4,280 15,615 123,313 1,992 9% 116,994 95% 17% 17% 2,878 20,608 30,621 29% 5,521 36,142 29% 19,128 3,777 22,905 22% 3,538 26,443 21% 30,123 29% 2,846 91% 2,846 91% 4,581 87% 4,581 87% 7,077 93% 2,328 6,305 541 3,737 5,931 518 3,141 518 977 844 5,257 844 1,275 1,146 Eff. Mar 2007 NYS Catholic Health Plan Genesee TOTALS: Mandatory Eff. Jan 2004 HealthNow/BCBS-WNY/Community Blue 1,921 304 MVP Health Plan 1,422 481 NYS Catholic Health Plan 274 19,393 17,730 TOTALS: 3,994 9% 98% 5,837 Fulton Mandatory Capital District Physicians Health Plan 1,718 101,379 3,569 3,737 6,312 103,920 24,784 2,328 Eff, May 2011 NYS Catholic Health Plan 19,488 14,161 23,818 Univera Community Health Essex Mandatory Eff. Oct 2010 Franklin Mandatory 188 1,530 Wellcare of New York Erie Mandatory 7,587 3,678 637 120 3,778 120 1,132 119 6,389 119 1,333 977 8,920 33,801 27% 2,966 79% 2,966 79% 4,700 74% 4,700 74% 8,054 90% 938 193 1,131 15% 223 1,354 15% 4,993 953 5,946 78% 754 6,700 75% 4,493 96% 5,054 93% 2,225 48% 224 2,449 45% 247 1,669 36% 276 1,945 36% 118 599 13% 61 660 12% 3,824 677 669 4,671 766 561 5,437 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 Greene Mandatory TOTALS: 4,745 Total Eligibles Enrolled Eligibles 5,915 891 743 94% Capital District Physicians Health Plan 1,876 352 2,228 44% 450 2,678 45% Eff. Oct 1997 NYS Catholic Health Plan 1,953 564 2,517 50% 293 2,810 48% Hamilton Mandatory Eff. Oct 2010 TOTALS: 294 329 112% 328 338 103% 329 112% 338 103% Herkimer TOTALS: 7,433 7,110 96% 8,593 7,917 92% Mandatory Excellus Health Plan Eligibles 4,019 272 6,139 5,890 United Healthcare Plan of NY Voluntary Excellus Health Plan 9,676 United Healthcare Plan of NY Enrolled 916 50 57 1,294 1,220 272 Eff. May 2003 NYS Catholic Health Plan TOTALS: Eligibles 1,005 3,829 244 NYS Catholic Health Plan Jefferson Enrolled 5,024 57 34 9 1,160 807 9 Total Enrolled 5,488 Percent Enrolled 93% 995 243 1,238 17% 207 1,445 17% 4,849 972 5,821 78% 590 6,411 75% 46 5 51 1% 10 61 1% 2,161 19% 2,184 16% 12% 1,754 1,702 407 11,378 1,948 23 13,326 1,399 245 1,644 14% 13 1,657 355 162 517 5% 10 527 4% 747 29% 784 26% 15% Lewis TOTALS: Voluntary Excellus Health Plan 392 55 447 17% 15 462 NYS Catholic Health Plan 249 51 300 12% 22 322 11% 4,838 93% 5,476 90% Livingston TOTALS: Mandatory Eff. Apr 2002 Excellus Health Plan 2,240 4,264 641 4,026 324 927 106 812 2,564 5,191 467 867 37 638 3,031 6,058 2,853 537 3,390 65% 432 3,822 63% MVP Health Plan 827 156 983 19% 189 1,172 19% NYS Catholic Health Plan 346 119 465 9% 17 482 8% 5,901 94% 6,516 90% Madison TOTALS: Mandatory Excellus Health Plan 2,698 484 3,182 51% 331 3,513 49% Eff. Oct 2010 NYS Catholic Health Plan 1,655 349 2,004 32% 209 2,213 31% 575 140 715 11% 75 790 11% 82,228 95% 95,987 92% 63% 5,276 United Healthcare Plan of NY 70,925 4,928 67,036 1,010 15,481 973 15,192 6,286 86,406 926 17,701 615 13,759 7,212 104,107 Monroe TOTALS: Mandatory Eff. Mar 1998 Excellus Health Plan 47,580 8,895 56,475 65% 9,065 65,540 MVP Health Plan 10,039 1,401 11,440 13% 2,410 13,850 13% 9,417 4,896 14,313 17% 2,284 16,597 16% 8,227 93% NYS Catholic Health Plan 1,150 925 8,850 Montgomery TOTALS: 7,302 95% Mandatory Capital District Physicians Health Plan 2,491 323 2,814 37% 405 3,219 36% Eff. Apr 2007 NYS Catholic Health Plan 3,781 707 4,488 58% 520 5,008 57% 6,650 6,272 1,050 1,030 7,700 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 66,374 18,713 Enrolled 18,952 TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 83,749 85,326 SSI & MA-SSI Total Eligibles Enrolled Eligibles 102% 13,329 9,945 97,078 Total Enrolled Percent Enrolled 95,271 98% 9,535 2,105 11,640 14% 1,198 12,838 13% 5,660 2,114 7,774 9% 911 8,685 9% 13,269 3,378 16,647 20% 1,495 18,142 19% HIP of Greater New York 9,809 3,847 13,656 16% 2,581 16,237 17% NYS Catholic Health Plan 13,943 3,345 17,288 21% 1,708 18,996 20% United Healthcare Plan of NY 14,158 Niagara TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 5,868 Eff Sep 1998 Independent Health Association 4,923 NYS Catholic Health Plan 6,737 Oneida SNA HR & MA-HR TOTALS: Mandatory Excellus Health Plan Eff Sep 2001 NYS Catholic Health Plan 18,006 26,378 United Healthcare Plan of NY 17,528 24,534 4,163 4,677 4,622 22% 97% 1,541 7,409 33% 1,244 6,167 27% 1,670 8,407 37% 836 9,243 35% 28,907 93% 33,538 91% 4,373 22,683 31,000 2,052 3,960 5,966 20,373 21% 25,203 95% 964 8,373 31% 1,420 7,587 28% 3,220 4,631 26,643 36,966 4,351 1,056 5,407 17% 872 6,279 17% 17,519 2,739 20,258 65% 3,209 23,467 63% 2,664 43,796 18,321 21,983 4,455 10% 550 10% 7,051 1,268 8,319 16% 1,156 9,475 15% 2,189 14,396 28% 1,981 16,377 26% SCHC Total Care 16,170 3,069 19,239 37% 3,903 23,142 37% 5,141 1,023 6,164 12% 1,003 7,167 12% 7,590 93% 8,588 90% 80% Mandatory Eff. Mar 1998 Excellus Health Plan 1,059 8,141 1,448 998 61,957 91% 12,207 1,208 8,043 3,792 NYS Catholic Health Plan 6,531 10,009 56,161 Excellus Health Plan 6,933 51,948 93% Eff. Nov 1998 TOTALS: 7,549 3,242 Mandatory Ontario 8,152 48,118 TOTALS: United Healthcare Plan of NY 40,569 578 Onondaga 9,589 5,894 915 6,809 84% 857 7,666 MVP Health Plan 491 71 562 7% 115 677 7% NYS Catholic Health Plan 146 73 219 3% 26 245 3% 46,366 91% Orange Mandatory TOTALS: 42,578 93% Affinity Health Plan 11,393 1,879 13,272 29% 1,499 14,771 29% Eff. Mar 2007 Hudson Health Plan 9,283 1,794 11,077 24% 1,385 12,462 25% 15,965 825 16,790 37% 652 17,442 34% 29 20 49 0% 6 55 0% 1,127 263 1,390 3% 246 1,636 3% NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York 40,341 37,797 5,227 4,781 45,568 5,137 3,788 50,705 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 2012 TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 4,666 Total Eligibles Enrolled Eligibles 5,858 681 493 90% 5,159 88% Mandatory Excellus Health Plan Eff. June 2003 HealthNow/BCBS-WNY/Community Blue 1,446 258 1,704 33% 203 1,907 33% 777 202 979 19% 138 1,117 19% NYS Catholic Health Plan 1,577 406 1,983 38% 152 2,135 36% County Plan Name Orleans TOTALS: Eligibles 4,190 Enrolled Eligibles 987 3,800 Enrolled 866 5,177 Total Enrolled Percent Enrolled Oswego TOTALS: 16,363 95% 18,392 94% Mandatory Excellus Health Plan 2,446 451 2,897 17% 469 3,366 17% Eff. Apr 1999 NYS Catholic Health Plan 7,594 1,314 8,908 52% 982 9,890 50% United Healthcare Plan of NY 3,861 697 4,558 27% 578 5,136 26% 5,007 94% 5,639 88% Otsego Mandatory TOTALS: Excellus Health Plan 14,419 4,379 Eff. May 2007 NYS Catholic Health Plan 1,911 13,901 4,125 2,720 966 2,462 882 17,139 5,345 2,453 1,033 2,029 632 19,592 6,378 2,473 463 2,936 55% 386 3,322 52% 1,652 419 2,071 39% 246 2,317 36% 2,641 86% 678 367 3,059 2,274 96% 51 20 71 3% 50 121 4% 1,829 374 2,203 93% 317 2,520 82% 15,384 96% 17,730 94% 10,818 67% 1,722 12,540 67% 3,877 24% 495 4,372 23% 1,880 470 394 2,381 Putnam TOTALS: Mandatory Amerigroup Eff. Mar 2007 NYS Catholic Health Plan Rensselaer Mandatory TOTALS: Capital District Physicians Health Plan 8,784 2,034 Eff. Oct 1997 NYS Catholic Health Plan 3,066 811 Rockland TOTALS: Mandatory Affinity Health Plan 3,317 965 4,282 9% 605 4,887 9% Eff. Mar 2001 Hudson Health Plan 7,435 1,034 8,469 18% 594 9,063 18% 32,613 2,133 34,746 72% 1,070 35,816 69% 107 62 169 0% 15 184 0% 2,307 209 2,516 5% 143 2,659 5% 13,053 12,411 3,042 43,404 NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York 45,779 16,095 128 561 Wellcare of New York 2,973 4,654 4,403 48,058 689 4% 50,182 104% 2,736 2,346 18,831 129 3,520 2,427 51,578 818 4% 52,609 102% St Lawrence TOTALS: 695 5% 710 5% Voluntary Excellus Health Plan 437 69 506 4% 11 517 3% NYS Catholic Health Plan 134 55 189 1% 4 193 1% 11,895 100% 13,272 93% 10,696 9,885 571 9,868 2,142 2,009 124 2,027 12,838 11,894 2,814 2,309 15 1,377 15,652 14,203 Saratoga Mandatory TOTALS: Capital District Physicians Health Plan 6,216 1,294 7,510 63% 1,044 8,554 60% Eff. Oct 1997 NYS Catholic Health Plan 3,652 733 4,385 37% 333 4,718 33% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 2012 TANF ADC & MA-ADC SNA HR & MA-HR Enrolled SSI & MA-SSI Total Eligibles Enrolled Eligibles 21,703 3,633 2,912 95% Total Enrolled Percent Enrolled County Plan Name Schenectady TOTALS: Mandatory Capital District Physicians Health Plan 7,427 1,338 8,765 49% 1,781 10,546 49% Eff. Apr 2007 NYS Catholic Health Plan 6,948 1,495 8,443 47% 1,131 9,574 44% Schoharie Mandatory TOTALS: 2,950 89% Eff. Oct 2010 NYS Catholic Health Plan Eligibles 15,224 2,393 Capital District Physicians Health Plan Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled Eligibles 2,846 14,375 2,833 18,070 17,208 407 290 3,303 20,120 93% 2,660 92% 1,180 274 1,454 50% 191 1,645 50% 986 220 1,206 42% 99 1,305 40% 2,166 503 494 2,896 Schuyler TOTALS: 1,000 47% 1,071 44% Mandatory Excellus Health Plan 423 79 502 24% 42 544 23% Eff May 2012 NYS Catholic Health Plan 380 118 498 23% 29 527 22% Seneca Mandatory Eff. Jan 2007 TOTALS: 2,929 96% 3,596 3,335 93% 3,335 93% Steuben TOTALS: 12,523 5,065 40% Mandatory Excellus Health Plan 1,735 18% Eff May 2012 NYS Catholic Health Plan 2,009 Suffolk TOTALS: Mandatory Affinity Health Plan 1,801 803 2,659 2,558 8,694 3,744 Excellus Health Plan 326 396 371 1,506 706 2,558 85,089 89,207 197 2,127 3,055 371 21,551 289 71 541 406 2,323 615 2,416 2,929 96% 4,450 44% 333 2,068 20% 232 2,300 373 2,382 23% 383 2,765 22% 110,615 104% 122,248 100% 21,408 10,200 106,640 406 15,494 11,633 122,134 13,147 2,427 15,574 15% 1,396 16,970 14% 13,552 2,478 16,030 15% 1,537 17,567 14% HIP of Greater New York 10,954 4,266 15,220 14% 2,194 17,414 14% Neighborhood Health Providers 17,357 2,514 19,871 19% 2,046 21,917 18% NYS Catholic Health Plan 15,535 3,946 19,481 18% 2,022 21,503 18% 26,877 22% 11,064 99% 74% Eff. June 2001 HealthFirst PHSP United Healthcare Plan of NY 5,777 18,662 8,235 1,311 9,580 24,439 23% 9,787 102% 2,438 1,623 1,277 11,203 TOTALS: Mandatory Eff. Apr 2007 Hudson Health Plan NYS Catholic Health Plan Tioga TOTALS: Mandatory Capital District Physicians Health Plan 457 82 539 10% 17 556 9% Eff. Jun 2012 NYS Catholic Health Plan 600 89 689 13% 27 716 12% Tompkins Mandatory TOTALS: 165 49 214 3% 9 223 3% Eff. Oct 2010 NYS Catholic Health Plan 1,263 428 1,691 24% 249 1,940 23% SCHC Total Care 3,907 697 4,604 64% 582 5,186 62% 4,595 United Healthcare Plan of NY Excellus Health Plan 8,476 1,345 Sullivan 6,399 949 7,348 77% 987 8,335 2,077 362 2,439 25% 290 2,729 24% 1,270 24% 1,316 21% 1,091 673 5,335 5,268 8 34 5,930 179 1,261 1,174 7,191 42 1% 6,509 91% 891 46 6,159 2 1,186 840 8,377 44 1% 7,349 88% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 2012 TANF ADC & MA-ADC County Plan Name Eligibles 12,763 SNA HR & MA-HR Enrolled Eligibles 3,150 12,384 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Total Eligibles Enrolled Eligibles 18,587 2,674 2,069 97% Total Enrolled Percent Enrolled Ulster TOTALS: 17,569 95% Mandatory Hudson Health Plan 3,711 971 4,682 29% 553 5,235 28% Eff Mar 2007 MVP Health Plan 3,688 1,277 4,965 31% 676 5,641 30% NYS Catholic Health Plan 3,220 611 3,831 24% 403 4,234 23% TOTALS: Voluntary NYS Catholic Health Plan 4,412 United Healthcare Plan of NY Washington TOTALS: 5,407 2,129 15,913 257 1,765 Wellcare of New York Warren 3,116 642 251 5,054 15,500 2,022 13% 2,380 47% 437 1,055 206 6,109 2,459 13% 2,586 42% 40% 2,032 232 2,264 45% 199 2,463 97 19 116 2% 7 123 2% 5,650 92% 6,397 88% 4,905 764 745 6,171 1,066 747 7,237 Mandatory Capital District Physicians Health Plan 1,846 295 2,141 35% 336 2,477 34% Eff. Mar 2007 NYS Catholic Health Plan 3,059 450 3,509 57% 411 3,920 54% Wayne Mandatory TOTALS: Eff. Oct 2010 NYS Catholic Health Plan Westchester TOTALS: Mandatory Affinity Health Plan 9,823 Eff. Oct 1999 HIP of Greater New York 4,881 Hudson Health Plan NYS Catholic Health Plan 6,921 Excellus Health Plan 62,085 United Healthcare Plan of NY 7,565 96% 8,668 92% 5,686 788 6,474 82% 943 7,417 79% 939 152 1,091 14% 160 1,251 13% 77,835 101% 86,077 97% 2,805 12,628 16% 1,538 14,166 16% 1,813 6,694 9% 1,210 7,904 9% 36,121 6,199 42,320 55% 3,846 46,166 52% 11,710 3,823 15,533 20% 1,556 17,089 19% 433 227 660 1% 92 752 1% 1,037 35% 1,116 32% 6,625 62,968 946 15,172 940 14,867 7,867 77,257 1,548 11,188 1,103 8,242 9,415 88,445 Wyoming TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 513 85 598 20% 43 641 18% Eff. Jul 2012 NYS Catholic Health Plan 367 72 439 15% 36 475 14% Yates Mandatory Eff. Feb 2007 TOTALS: 2,214 2,263 102% 2,538 2,517 99% 2,263 102% 2,517 99% 1,055,200 982,956 93% 1,232,739 1,108,491 90% Upstate Total 2,567 880 1,913 1,952 871,299 811,144 Excellus Health Plan 387 157 301 311 183,901 171,812 1,952 2,954 311 512 79 324 254 177,539 125,535 3,466 254 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 2012 TANF ADC & MA-ADC County Plan Name NYC Affinity Health Plan Mandatory Amerigroup Fully HealthFirst PHSP Implemented: Sept 2002 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 86,859 46,916 133,775 7% 16,505 150,280 7% 224,066 101,895 325,961 16% 25,080 351,041 15% 373 2,762 3,135 0% 2,446 5,581 0% 277,312 116,014 393,326 19% 48,397 441,723 19% HIP of Greater New York 94,078 44,320 138,398 7% 19,951 158,349 7% MetroPlus Health Plan SN 1,024 2,329 3,353 0% 2,426 5,779 0% 250,125 89,987 340,112 17% 36,187 376,299 16% MetroPlus Health Plan Neighborhood Health Providers 110,839 37,058 147,897 7% 17,784 165,681 7% NYS Catholic Health Plan 147,570 97,567 245,137 12% 26,406 271,543 12% United Healthcare Plan of NY 116,827 61,251 178,078 9% 14,839 192,917 8% 464 2,631 3,095 0% 2,758 5,853 0% 24,843 22,475 47,318 2% 3,425 50,743 2% 1,959,585 96% 2,175,789 95% VNS Choice SN Wellcare of New York NYC Total UPSTATE TOTALS: 1,408,680 1,334,380 623,921 625,205 2,032,601 256,788 216,204 2,289,389 871,299 811,144 183,901 171,812 1,055,200 982,956 93% 177,539 125,535 1,232,739 1,108,491 90% NEW YORK CITY TOTALS: 1,408,680 1,334,380 623,921 625,205 2,032,601 1,959,585 96% 256,788 216,204 2,289,389 2,175,789 95% GRAND TOTALS: 2,279,979 2,145,524 807,822 797,017 3,087,801 2,942,541 95% 434,327 341,739 3,522,128 3,284,280 93% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 2012 TANF ADC & MA-ADC County TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 117,703 481,141 451,212 Total Eligibles Enrolled Eligibles 554,711 65,083 73,570 94% 516,295 93% Brooklyn 499,518 482,035 222,865 224,852 722,383 706,887 98% 81,248 67,456 803,631 774,343 96% Manhattan 167,492 145,247 96,209 86,772 263,701 232,019 88% 44,399 34,552 308,100 266,571 87% Queens 331,462 328,418 166,025 174,544 497,487 502,962 101% 47,352 40,732 544,839 543,694 100% Plan Name NYC Boroughs Bronx Staten Island Borough Total NOTES: SNA HR & MA-HR Eligibles 363,158 Enrolled Eligibles 333,509 117,983 Enrolled Percent Enrolled 47,050 45,171 20,839 21,334 67,889 66,505 98% 10,219 8,381 78,108 74,886 96% 1,408,680 1,334,380 623,921 625,205 2,032,601 1,959,585 96% 256,788 216,204 2,289,389 2,175,789 95% (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 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 2,681 566 1,300 263 1,235 256 146 47 623 109 229 42 14 51 343 53 460 2,722 31 8 378 2,293 66 382 16 8 1,007 190 224 52 436 64 347 74 896 168 259 53 445 83 192 32 1,706 297 311 47 1,273 227 122 23 915 174 752 124 163 50 792 122 740 111 52 11 976 184 5 0 910 162 61 22 718 114 199 42 519 72 90 653 75 527 15 126 632 81 632 81 Total Enrolled 3,247 1,563 1,491 193 732 271 65 396 3,182 39 2,671 448 24 1,197 276 500 421 1,064 312 528 224 2,003 358 1,500 145 1,089 876 213 914 851 63 1,160 5 1,072 83 832 241 591 743 602 141 713 713 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 2,516 365 761 113 818 111 732 114 205 27 2,039 11,688 2,118 366 568 2,975 2,328 386 719 4,267 80 521 0 1 79 521 537 111 0 1 537 110 952 175 133 21 819 154 643 118 340 62 162 28 141 28 564 94 178 36 386 58 67 13 67 13 1,201 134 204 26 991 108 6 0 1,352 211 1,231 183 121 28 348 40 210 20 138 20 99 588 71 444 16 64 12 80 Total Enrolled 2,881 874 929 846 232 13,727 2,484 3,543 2,714 4,986 601 1 600 648 1 647 1,127 154 973 761 402 190 169 658 214 444 80 80 1,335 230 1,099 6 1,563 1,414 149 388 230 158 687 515 80 92 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 927 114 422 56 302 39 203 19 7,875 1,377 5,896 934 519 80 1,460 363 138 1,077 297 49 780 89 16,306 2,529 2,319 359 1,649 296 3,123 427 2,125 304 3,191 633 3,899 510 2,525 514 1,044 209 1,481 305 3,747 473 749 105 2,552 301 446 67 5,243 718 997 142 1,919 230 1,484 236 843 110 1,028 227 963 206 40 13 25 8 4,394 590 1,550 231 1,441 171 1,179 151 22 2 202 35 Total Enrolled 1,041 478 341 222 9,252 6,830 599 1,823 1,215 346 869 18,835 2,678 1,945 3,550 2,429 3,824 4,409 3,039 1,253 1,786 4,220 854 2,853 513 5,961 1,139 2,149 1,720 953 1,255 1,169 53 33 4,984 1,781 1,612 1,330 24 237 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 719 110 236 36 122 18 361 56 2,028 317 387 55 165 1,091 550 97 789 91 37 312 477 54 360 62 360 62 1,484 221 746 112 642 87 96 22 4,962 671 565 131 1,076 128 3,090 375 94 21 137 16 1,290 228 1,209 203 81 25 2,038 277 797 139 1,241 138 1,928 336 663 118 1,265 218 545 81 194 37 351 44 304 68 235 47 69 21 431 50 431 50 162 1,153 22 121 140 1,032 Total Enrolled 829 272 140 417 2,345 442 1,256 647 880 349 531 422 422 1,705 858 729 118 5,633 696 1,204 3,465 115 153 1,518 1,412 106 2,315 936 1,379 2,264 781 1,483 626 231 395 372 282 90 481 481 1,315 143 1,172 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 19,671 2,549 3,159 357 2,659 280 2,395 335 2,359 329 4,073 664 5,026 584 1,376 184 111 1,016 360 73 485 71 25 203 41 229 5 53 684 129 25 13 196 41 463 75 2,173 462 664 126 822 206 422 81 265 49 789 91 737 73 52 18 792 97 165 26 627 71 1,054 135 932 122 122 13 10,052 1,871 1,564 314 802 150 5,148 694 2,174 623 364 90 60 511 30 306 30 205 436 53 436 53 134,474 21,090 Total Enrolled 22,220 3,516 2,939 2,730 2,688 4,737 5,610 1,560 1,127 433 556 228 270 58 813 38 237 538 2,635 790 1,028 503 314 880 810 70 889 191 698 1,189 1,054 135 11,923 1,878 952 5,842 2,797 454 571 336 235 489 489 155,564 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, SEPTEMBER 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 13,240 5,671 13,304 39,031 33,851 11,846 15,443 4,668 28,534 8,130 13,916 4,309 14,156 31,241 23,100 7,312 3,522 6,119 204,475 72,918 134,474 204,475 338,949 21,090 72,918 94,008 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County NYC Borough NOTES: Plan Name Bronx Brooklyn Manhattan Queens Staten Island Borough Total Enrolled 34,318 71,264 18,325 72,135 8,433 204,475 Enrolled 10,627 24,827 9,512 25,733 2,219 72,918 Total Enrolled 18,911 52,335 45,697 20,111 36,664 18,225 45,397 30,412 9,641 277,393 155,564 277,393 432,957 Total Enrolled 44,945 96,091 27,837 97,868 10,652 277,393 (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, SEPTEMBER 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 223 223 106 106 52 52 22 2,908 73 163 3,166 4 123 127 338 338 405 1 406 6 78 84 4,502 NEW YORK Total NEW YORK ROCKLAND WESTCHESTER Total DUTCHESS ORANGE ROCKLAND Total NASSAU NEW YORK WESTCHESTER Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total 1,581 1,581 4,998 28 41 5,067 14 123 94 231 1 6,090 2 6,093 32 6,008 15 67 6,122 Total MLTC PACE Enrollment MLTC PARTIAL CAPITATION PLANS AMERIGROUP CCM SELECT ELANT ELDERPLAN ELDERSERVE TOTAL ENROLLED MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM NYS, SEPTEMBER 2012 PLAN NAME MLTC PARTIAL CAPITATION PLANS cont. FIDELIS CARE AT HOME 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 VNS CHOICE WELLCARE Total MLTC Partial Capitation Enrollment Total Statewide Enrollment NOTES: COUNTY MONTGOMERY NEW YORK ONONDAGA ORANGE RENSSELAER ROCKLAND SCHENECTADY SULLIVAN WESTCHESTER Total 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 ERIE NEW YORK Total TOTAL ENROLLED 2 269 1 239 5 220 4 1 2 743 559 7,713 534 12 8,818 1,455 4 1,459 137 137 2,673 2,673 4,477 4,477 54 335 389 125 125 287 287 107 12,498 10 89 12,704 1 2,966 2,967 53,873 58,375 (1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : Fidelis Care at Home - Onondaga, Sullivan, & Westchester Counties; CCM Select - Rockland County; WellCare - Erie County; Elderplan - Nassau & Westchester Counties. MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, SEPTEMBER 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 WellCare TOTAL GHI WellCare TOTAL Senior Whole Health Total Enrolled 283 64 156 63 17 3 14 43 21 22 204 204 10 7 3 5 5 150 150 39 24 15 265 16 129 43 12 65 73 73 41 41 119 34 85 54 35 13 6 21 21 88 20 62 6 46 38 8 38 38 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, SEPTEMBER 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 Touchstone/Prestige United HealthCare VNS Choice WellCare NYC Total 135 47 61 27 78 7 71 108 17 1 84 6 18 18 6 6 4 4 128 27 14 5 81 1 1,973 319 8 1,731 566 1 1,259 461 232 244 1,339 408 1 46 6,615 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 1,973 6,615 8,588 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 - Rennselaer County; VNS Choice - New York City MEDICAID ADVANTAGE PLUS ENROLLMENT REPORT BY COUNTY AND PLAN NYS, SEPTEMBER 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 12 12 4 1 3 29 29 11 11 61 14 47 15 15 44 11 33 12 1 11 59 59 6 6 7 7 6 6 386 10 731 386 337 341 73 41 90 47 2,056 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 386 2,056 2,442 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
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