RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC County Plan Name Albany TOTALS: Mandatory Capital District Physicians Health Plan Eff. Oct 1997 Eligibles Eligibles 30,055 94% 2,697 20,559 65% NYS Catholic Health Plan 5,516 1,525 7,041 26% 797 7,838 25% Wellcare of New York 1,110 271 1,381 5% 277 1,658 5% 4,525 83% 5,078 78% 44% Mandatory HealthNow/BCBS-WNY/Community Blue Eff Feb 2007 NYS Catholic Health Plan 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 5,460 1,029 3,771 553 31,830 Percent Enrolled 67% 693 4,973 Total Enrolled 98% 808 26,857 Total Eligibles 17,862 3,832 4,925 Eligibles Enrolled 26,284 4,652 4,993 SSI & MA-SSI 3,129 TOTALS: 21,359 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 14,733 Allegany 21,864 Enrolled SNA HR & MA-HR 6,489 2,111 398 2,509 46% 365 2,874 239 56 295 5% 23 318 5% 1,482 239 1,721 32% 165 1,886 29% 25,046 88% 17,368 21,280 90% 178 28 206 1% 75 281 1% 14,461 3,285 17,746 75% 2,868 20,614 72% 2,649 545 3,194 13% 778 3,972 14% 80 54 134 1% 45 179 1% 7,782 87% 9,101 85% 6,704 4,369 1,165 3,912 23,725 4,762 3,766 28,487 Cattaraugus TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 2,759 411 3,170 35% 771 3,941 37% Eff. Sep 2001 NYS Catholic Health Plan 2,457 367 2,824 31% 349 3,173 30% Univera Community Health 1,488 300 1,788 20% 199 1,987 19% 7,867 93% 8,696 90% 1,078 8,981 1,679 1,319 10,660 Cayuga TOTALS: Mandatory Excellus Health Plan 2,119 406 2,525 30% 240 2,765 28% Eff. Oct 2010 NYS Catholic Health Plan 3,678 689 4,367 52% 444 4,811 50% 798 177 975 12% 145 1,120 12% 17,737 92% 20,468 91% 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 Voluntary TOTALS: 6,595 14,405 1,320 3,518 3,332 8,417 19,244 1,286 3,277 829 2,731 9,703 22,521 2,786 636 3,422 18% 697 4,119 18% 11,062 2,390 13,452 70% 1,857 15,309 68% 557 10,032 1,272 5,708 306 1,588 919 11,620 863 4% 6,627 57% 177 2,253 1,228 13,873 1,040 5% 7,855 57% 23% Excellus Health Plan 2,524 233 2,757 24% 473 3,230 NYS Catholic Health Plan 3,184 686 3,870 33% 755 4,625 33% 5,194 79% 5,571 71% 60% 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 5,578 7,061 4,403 989 791 6,567 1,226 377 7,793 3,766 614 4,380 67% 295 4,675 637 177 814 12% 82 896 11% 8,117 95% 8,996 86% 6,671 1,506 1,446 8,567 1,841 879 10,408 6,050 1,207 7,257 85% 764 8,021 77% 621 239 860 10% 115 975 9% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC Eligibles Total Enrolled Percent Enrolled TOTALS: 5,112 93% 5,845 90% Mandatory Capital District Physicians Health Plan 2,176 447 2,623 48% 516 3,139 48% Eff. Oct 1997 NYS Catholic Health Plan 2,050 439 2,489 45% 217 2,706 42% Cortland TOTALS: 5,630 96% 6,260 94% 4,962 Mandatory NYS Catholic Health Plan Eff. May 2007 SCHC Total Care Delaware Mandatory TOTALS: 4,003 Eff. May 2011 NYS Catholic Health Plan 4,810 899 820 5,516 5,861 986 808 733 630 6,502 6,669 3,611 652 4,263 73% 464 4,727 71% 1,199 168 1,367 23% 166 1,533 23% 4,363 89% 4,507 80% 4,363 89% 18,390 101% 3,515 879 3,515 4,882 848 80% 1,078 6,517 36% 907 7,424 34% 4,794 1,164 5,958 33% 806 6,764 31% NYS Catholic Health Plan 3,220 934 4,154 23% 558 4,712 22% Wellcare of New York 1,563 198 1,761 10% 265 2,026 9% 102,174 98% 117,804 96% HealthNow/BCBS-WNY/Community Blue Eff. May 1998 Independent Health Association Essex Mandatory Eff. Oct 2010 Franklin Mandatory 19,393 15,630 21,601 97% 5,439 103,920 2,536 20,926 MVP Health Plan 19,496 3,423 4,507 Hudson Health Plan 19,757 18,178 5,646 144 Eff. Apr 2007 82,678 3,374 144 Mandatory 84,163 3,413 764 TOTALS: TOTALS: 15,016 848 Dutchess Erie Mandatory 14,765 886 Eligibles Enrolled Total Eligibles Columbia 1,026 Enrolled SSI & MA-SSI Plan Name 4,226 Eligibles TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled County 4,490 Enrolled SNA HR & MA-HR 123,313 14,460 3,602 18,062 17% 2,902 20,964 17% 25,013 5,824 30,837 30% 5,533 36,370 29% NYS Catholic Health Plan 19,227 3,836 23,063 22% 3,522 26,585 22% Univera Community Health 23,978 6,234 30,212 29% 3,673 33,885 27% 2,863 91% 3,004 80% 2,863 91% 3,004 80% 4,550 87% 4,677 73% 4,550 87% 7,133 94% TOTALS: 2,600 NYS Catholic Health Plan TOTALS: 4,280 3,708 6,312 Capital District Physicians Health Plan Eff. Mar 2007 NYS Catholic Health Plan Genesee TOTALS: Mandatory Eff. Jan 2004 HealthNow/BCBS-WNY/Community Blue 1,902 MVP Health Plan 1,436 522 3,994 5,966 504 3,141 504 977 3,708 Fulton Mandatory NYS Catholic Health Plan 541 2,359 Eff, May 2011 NYS Catholic Health Plan TOTALS: 2,359 842 5,257 842 1,275 1,167 7,587 637 141 3,778 141 1,132 127 6,389 127 1,333 977 8,920 4,677 73% 8,110 91% 15% 920 198 1,118 15% 219 1,337 5,046 969 6,015 79% 758 6,773 76% 4,529 97% 5,088 94% 305 2,207 47% 217 2,424 45% 244 1,680 36% 280 1,960 36% 120 642 14% 62 704 13% 3,860 677 669 4,671 766 559 5,437 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC Eligibles Total Enrolled Percent Enrolled TOTALS: 4,798 96% 5,550 94% Capital District Physicians Health Plan 1,910 362 2,272 45% 453 2,725 46% Eff. Oct 1997 NYS Catholic Health Plan 1,972 554 2,526 50% 299 2,825 48% Hamilton Mandatory Eff. Oct 2010 TOTALS: 294 330 112% 328 339 103% NYS Catholic Health Plan 330 112% 339 103% Herkimer TOTALS: 7,433 7,211 97% 8,593 8,026 93% Mandatory Excellus Health Plan 244 278 6,139 5,978 United Healthcare Plan of NY 9,676 1,160 815 9 1,444 17% 4,930 982 5,912 80% 604 6,516 76% 52 5 57 1% 9 66 1% 2,446 21% 2,477 19% 15% 2,008 TOTALS: Mandatory Excellus Health Plan 422 Eff. Oct 2012 NYS Catholic Health Plan 250 4,264 9 202 Lewis TOTALS: 52 34 5,915 17% Excellus Health Plan Excellus Health Plan 1,233 752 1,242 United Healthcare Plan of NY Livingston 1,294 891 246 Mandatory Mandatory Eff. Apr 2002 52 5,024 996 Eff. Oct 2012 2,240 916 50 278 Eff. May 2003 NYS Catholic Health Plan TOTALS: 1,005 Eligibles Enrolled Total Eligibles Greene Mandatory 3,882 Enrolled SSI & MA-SSI Plan Name Jefferson Eligibles TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled County 4,019 Enrolled SNA HR & MA-HR 1,702 438 11,378 1,948 31 13,326 1,640 274 1,914 17% 20 1,934 368 164 532 5% 11 543 4% 769 30% 809 27% 47 469 18% 19 488 16% 50 300 12% 21 321 11% 672 4,084 324 927 97 818 2,564 5,191 467 867 40 639 3,031 4,902 94% 5,541 91% 2,885 530 3,415 66% 429 6,058 3,844 63% MVP Health Plan 807 155 962 19% 190 1,152 19% NYS Catholic Health Plan 392 133 525 10% 20 545 9% 5,977 95% 6,597 91% Madison TOTALS: Mandatory Excellus Health Plan 2,703 479 3,182 51% 336 3,518 49% Eff. Oct 2010 NYS Catholic Health Plan 1,727 346 2,073 33% 208 2,281 32% 579 143 722 11% 76 798 11% 83,052 96% 96,833 93% 5,276 United Healthcare Plan of NY 70,925 5,009 15,481 968 13,781 7,212 104,107 Excellus Health Plan 48,124 8,986 57,110 66% 9,089 66,199 64% MVP Health Plan 10,055 1,402 11,457 13% 2,404 13,861 13% Montgomery TOTALS: Mandatory Capital District Physicians Health Plan 2,496 Eff. Apr 2007 NYS Catholic Health Plan 3,834 6,330 4,888 1,050 14,485 17% 7,368 96% 323 2,819 37% 715 4,549 59% 1,038 7,700 17,701 620 Mandatory Eff. Mar 1998 9,597 86,406 926 TOTALS: 6,650 15,276 6,286 Monroe NYS Catholic Health Plan 67,776 1,010 2,288 1,150 16,773 16% 8,295 94% 407 3,226 36% 520 5,069 57% 927 8,850 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 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 68,088 18,713 Enrolled 19,218 TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 83,749 87,306 SSI & MA-SSI Total Eligibles Enrolled Eligibles 104% 13,329 9,910 97,078 Total Enrolled Percent Enrolled 97,216 100% 9,719 2,125 11,844 14% 1,199 13,043 13% 5,937 2,235 8,172 10% 913 9,085 9% 13,528 3,412 16,940 20% 1,483 18,423 19% HIP of Greater New York 10,027 3,877 13,904 17% 2,570 16,474 17% NYS Catholic Health Plan 14,294 3,337 17,631 21% 1,706 19,337 20% United Healthcare Plan of NY 14,583 Niagara TOTALS: Mandatory HealthNow/BCBS-WNY/Community Blue 5,894 Eff Sep 1998 Independent Health Association 4,880 NYS Catholic Health Plan 6,760 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 17,534 25,102 4,232 4,677 4,622 22% 97% 1,547 7,441 33% 1,261 6,141 27% 1,656 8,416 37% 838 9,254 35% 29,581 95% 34,208 93% 4,479 22,683 31,000 2,039 3,960 5,966 20,854 21% 25,232 95% 962 8,403 32% 1,434 7,575 28% 3,234 4,627 26,643 36,966 4,450 1,069 5,519 18% 879 6,398 17% 17,923 2,802 20,725 67% 3,195 23,920 65% 2,729 43,796 18,815 21,998 4,464 11% 553 11% 7,174 1,281 8,455 16% 1,166 9,621 16% 2,187 14,430 28% 1,959 16,389 26% SCHC Total Care 16,381 3,113 19,494 38% 3,927 23,421 38% 5,185 1,037 6,222 12% 991 7,213 12% 7,625 94% 8,626 90% 80% Mandatory Eff. Mar 1998 Excellus Health Plan 1,050 8,141 1,448 1,001 61,957 91% 12,243 1,208 8,043 3,890 NYS Catholic Health Plan 6,575 10,009 56,644 Excellus Health Plan 6,933 51,948 94% Eff. Nov 1998 TOTALS: 7,618 3,337 Mandatory Ontario 8,152 48,601 TOTALS: United Healthcare Plan of NY 40,983 608 Onondaga 9,589 5,931 911 6,842 84% 861 7,703 MVP Health Plan 487 64 551 7% 116 667 7% NYS Catholic Health Plan 157 75 232 3% 24 256 3% 46,603 92% Orange Mandatory 42,811 94% Affinity Health Plan TOTALS: 11,444 1,863 13,307 29% 1,487 14,794 29% Eff. Mar 2007 Hudson Health Plan 9,326 1,787 11,113 24% 1,388 12,501 25% 16,093 834 16,927 37% 662 17,589 35% 52 28 80 0% 7 87 0% 1,129 255 1,384 3% 248 1,632 3% NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York 40,341 38,044 5,227 4,767 45,568 5,137 3,792 50,705 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC County Plan Name Orleans TOTALS: Eligibles 4,190 Enrolled SNA HR & MA-HR Eligibles 91% 5,209 89% 33% 204 1,911 33% 791 203 994 19% 141 1,135 19% NYS Catholic Health Plan 1,601 407 2,008 39% 155 2,163 37% 16,429 96% 18,454 94% TOTALS: Mandatory Excellus Health Plan 2,470 479 2,949 17% 468 3,417 17% Eff. Apr 1999 NYS Catholic Health Plan 7,595 1,310 8,905 52% 983 9,888 50% United Healthcare Plan of NY 3,864 711 4,575 27% 574 5,149 26% 4,997 93% 5,631 88% Mandatory TOTALS: Excellus Health Plan 4,379 Eff. May 2007 NYS Catholic Health Plan 1,911 4,110 966 887 6,378 462 2,924 55% 388 3,312 52% 425 2,073 39% 246 2,319 36% 2,717 89% TOTALS: Amerigroup Eff. Mar 2007 NYS Catholic Health Plan Rensselaer Mandatory TOTALS: Capital District Physicians Health Plan 8,822 2,006 Eff. Oct 1997 NYS Catholic Health Plan 3,061 564 43,404 634 2,462 Mandatory Wellcare of New York 1,033 19,592 1,648 Putnam 13,053 5,345 2,025 5,858 Oswego Otsego 2,453 500 Percent Enrolled 1,707 17,139 681 Total Enrolled 4,709 2,500 5,177 Total Eligibles 261 2,720 871 Eligibles Enrolled 1,446 13,929 987 SSI & MA-SSI Mandatory Excellus Health Plan Eff. June 2003 HealthNow/BCBS-WNY/Community Blue 14,419 3,838 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 1,968 2,350 99% 54 22 76 3% 48 124 4% 1,914 360 2,274 96% 319 2,593 85% 15,374 96% 17,701 94% 10,828 67% 1,710 12,538 67% 793 3,854 24% 491 4,345 23% 128 692 4% 126 818 4% 50,838 106% 53,259 103% 10% 12,447 3,042 2,927 16,095 2,736 2,327 18,831 3,367 979 4,346 9% 602 4,948 Hudson Health Plan 7,549 1,075 8,624 18% 591 9,215 18% 32,985 2,137 35,122 73% 1,073 36,195 70% 0% 10,696 2,421 3,059 Affinity Health Plan TOTALS: 3,520 367 Eff. Mar 2001 St Lawrence 48,058 678 Mandatory United Healthcare Plan of NY 4,477 2,381 TOTALS: Wellcare of New York 4,654 382 Rockland NYS Catholic Health Plan 46,361 470 51,578 115 79 194 0% 18 212 2,345 207 2,552 5% 137 2,689 5% 857 7% 879 6% 714 2,142 143 12,838 2,814 22 15,652 Mandatory Excellus Health Plan 562 81 643 5% 16 659 4% Eff. Oct 2012 NYS Catholic Health Plan 152 62 214 2% 6 220 1% Saratoga TOTALS: 12,057 101% 13,429 95% Mandatory Capital District Physicians Health Plan 9,885 10,010 6,330 2,009 1,311 2,047 11,894 7,641 64% 2,309 1,041 1,372 14,203 8,682 61% Eff. Oct 1997 NYS Catholic Health Plan 3,680 736 4,416 37% 331 4,747 33% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC County Plan Name Eligibles 15,224 Enrolled SNA HR & MA-HR Eligibles 17,277 96% 1,327 8,781 49% 1,788 10,569 49% Eff. Apr 2007 NYS Catholic Health Plan 6,996 1,500 8,496 47% 1,128 9,624 44% Schoharie Mandatory TOTALS: Eff. Oct 2010 NYS Catholic Health Plan Schuyler TOTALS: Mandatory Excellus Health Plan 558 Eff May 2012 NYS Catholic Health Plan 423 Seneca Mandatory Eff. Jan 2007 TOTALS: Steuben TOTALS: Mandatory Excellus Health Plan 2,240 Eff May 2012 NYS Catholic Health Plan 2,574 Suffolk TOTALS: Mandatory Affinity Health Plan 1,801 93% 2,984 90% 1,487 51% 184 1,671 51% 997 217 1,214 42% 99 1,313 40% 1,218 57% 1,298 54% 114 672 32% 46 718 30% 123 546 26% 34 580 24% 3,055 2,973 97% 3,596 3,377 94% 2,973 97% 3,377 94% 10,200 5,692 56% 12,523 6,404 51% 440 2,680 26% 294 2,974 24% 438 3,012 30% 418 3,430 27% 111,748 105% 123,376 101% 2,659 2,595 8,694 4,814 Excellus Health Plan 396 378 1,506 878 2,595 85,089 90,256 2,127 378 21,551 21,492 106,640 289 541 80 404 3,303 93% 2,701 237 283 20,193 284 326 407 21,703 1,203 981 2,896 2,916 Percent Enrolled 7,454 501 3,633 Total Enrolled TOTALS: 503 18,070 Total Eligibles Capital District Physicians Health Plan 2,200 2,827 Eligibles Enrolled Schenectady 2,393 2,846 SSI & MA-SSI Mandatory Capital District Physicians Health Plan 14,450 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled 2,416 404 2,323 15,494 712 11,628 122,134 13,297 2,420 15,717 15% 1,398 17,115 14% 13,800 2,542 16,342 15% 1,537 17,879 15% HIP of Greater New York 10,946 4,231 15,177 14% 2,192 17,369 14% Neighborhood Health Providers 17,434 2,523 19,957 19% 2,032 21,989 18% NYS Catholic Health Plan 15,863 3,964 19,827 19% 2,026 21,853 18% United Healthcare Plan of NY 18,916 5,812 24,728 23% 2,443 27,171 22% 9,846 103% 11,136 99% 75% Eff. June 2001 HealthFirst PHSP Sullivan TOTALS: Mandatory Eff. Apr 2007 Hudson Health Plan NYS Catholic Health Plan Tioga TOTALS: 8,235 4,595 8,541 1,345 1,305 9,580 1,623 1,290 11,203 6,415 951 7,366 77% 999 8,365 2,126 354 2,480 26% 291 2,771 25% 2,000 38% 2,094 34% 1,721 673 279 5,268 891 94 6,159 Mandatory Capital District Physicians Health Plan Eff. Jun 2012 NYS Catholic Health Plan Tompkins Mandatory TOTALS: Excellus Health Plan 193 61 254 4% 9 263 3% Eff. Oct 2010 NYS Catholic Health Plan 1,290 426 1,716 24% 251 1,967 23% SCHC Total Care 3,913 691 4,604 64% 587 5,191 62% United Healthcare Plan of NY 610 108 718 14% 30 748 12% 1,032 151 1,183 22% 54 1,237 20% 79 5,930 5,396 20 1,261 1,178 7,191 99 2% 6,574 91% 10 1,186 847 8,377 109 2% 7,421 89% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC County Plan Name Eligibles 12,763 Enrolled Eligibles 15,518 98% 17,593 95% 4,690 29% 557 5,247 28% Eff Mar 2007 MVP Health Plan 3,688 1,281 4,969 31% 684 5,653 30% NYS Catholic Health Plan 3,254 613 3,867 24% 397 4,264 23% Wellcare of New York 1,734 258 1,992 13% 437 2,429 13% 2,436 48% 2,657 43% 41% Mandatory NYS Catholic Health Plan Eff. Oct 2012 United Healthcare Plan of NY Washington TOTALS: Mandatory Capital District Physicians Health Plan 1,870 Eff. Mar 2007 NYS Catholic Health Plan 3,073 Wayne Mandatory TOTALS: Excellus Health Plan Eff. Oct 2010 NYS Catholic Health Plan Westchester TOTALS: Mandatory Affinity Health Plan 9,885 Eff. Oct 1999 HIP of Greater New York 4,954 Hudson Health Plan NYS Catholic Health Plan 5,407 6,921 62,085 United Healthcare Plan of NY Wyoming TOTALS: 2,567 5,054 1,055 221 18,587 Percent Enrolled 950 248 2,075 Total Enrolled 3,740 642 2,674 Total Eligibles TOTALS: 2,188 15,913 Eligibles Enrolled Hudson Health Plan TOTALS: 3,102 SSI & MA-SSI Ulster Warren 3,150 Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled Mandatory 4,412 12,416 SNA HR & MA-HR 6,109 2,083 227 2,310 46% 212 2,522 105 21 126 2% 9 135 2% 5,704 92% 6,449 89% 296 2,166 35% 334 2,500 35% 465 3,538 57% 411 3,949 55% 7,627 97% 8,735 93% 79% 4,943 6,661 764 946 761 966 6,171 7,867 1,066 1,548 745 1,108 7,237 9,415 5,708 810 6,518 83% 949 7,467 953 156 1,109 14% 159 1,268 13% 78,854 102% 87,117 98% 2,809 12,694 16% 1,520 14,214 16% 1,840 6,794 9% 1,206 8,000 9% 36,595 6,206 42,801 55% 3,854 46,655 53% 11,917 3,935 15,852 21% 1,579 17,431 20% 472 241 713 1% 104 817 1% 1,243 42% 1,332 38% 63,823 1,039 15,172 387 15,031 204 77,257 2,954 11,188 512 8,263 89 88,445 3,466 Mandatory HealthNow/BCBS-WNY/Community Blue 623 121 744 25% 49 793 23% Eff. Jul 2012 NYS Catholic Health Plan 416 83 499 17% 40 539 16% Yates Mandatory Eff. Feb 2007 TOTALS: 2,214 2,258 102% 2,538 2,511 99% 2,258 102% 2,511 99% 1,055,200 996,212 94% 1,232,739 1,122,039 91% Upstate Total 1,913 1,947 871,299 822,874 Excellus Health Plan 301 311 183,901 173,338 1,947 311 324 253 177,539 125,827 253 RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC County Plan Name NYC Affinity Health Plan Mandatory Amerigroup Fully HealthFirst PHSP Implemented: Sept 2002 HIP of Greater New York Eligibles Amida Care SN SNA HR & MA-HR Enrolled Eligibles Enrolled TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI Eligibles Enrolled Total Eligibles Total Enrolled Percent Enrolled 86,849 46,975 133,824 7% 16,383 150,207 7% 226,537 103,249 329,786 16% 25,060 354,846 15% 378 2,756 3,134 0% 2,458 5,592 0% 279,955 117,111 397,066 20% 48,489 445,555 19% 93,742 44,153 137,895 7% 19,771 157,666 7% 3 4 7 0% 0 7 0% 1,007 2,326 3,333 0% 2,416 5,749 0% MetroPlus Health Plan 249,803 89,929 339,732 17% 35,960 375,692 16% Neighborhood Health Providers 111,084 36,993 148,077 7% 17,721 165,798 7% NYS Catholic Health Plan 149,124 99,057 248,181 12% 26,488 274,669 12% United Healthcare Plan of NY 117,985 61,533 179,518 9% 14,629 194,147 8% 466 2,617 3,083 0% 2,755 5,838 0% 24,994 22,575 47,569 2% 3,353 50,922 2% 1,971,205 97% 256,788 215,483 2,289,389 2,186,688 96% HIP of Greater New York UFT MetroPlus Health Plan SN VNS Choice SN Wellcare of New York NYC Total UPSTATE TOTALS: 1,408,680 1,341,927 623,921 629,278 2,032,601 871,299 822,874 183,901 173,338 1,055,200 996,212 94% 177,539 125,827 1,232,739 1,122,039 91% NEW YORK CITY TOTALS: 1,408,680 1,341,927 623,921 629,278 2,032,601 1,971,205 97% 256,788 215,483 2,289,389 2,186,688 96% GRAND TOTALS: 2,279,979 2,164,801 807,822 802,616 3,087,801 2,967,417 96% 434,327 341,310 3,522,128 3,308,727 94% RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 TANF ADC & MA-ADC County TANF & MA-ADC, SNA & MA-HR Total Total Percent Eligibles Enrolled Enrolled SSI & MA-SSI 118,520 481,141 453,629 Total Eligibles Enrolled Eligibles 554,711 64,997 73,570 94% 518,626 93% Brooklyn 499,518 484,730 222,865 226,279 722,383 711,009 98% 81,248 67,120 803,631 778,129 97% Manhattan 167,492 146,037 96,209 87,289 263,701 233,326 88% 44,399 34,414 308,100 267,740 87% Queens 331,462 330,316 166,025 175,588 497,487 505,904 102% 47,352 40,559 544,839 546,463 100% Plan Name NYC Boroughs Bronx Staten Island Borough Total NOTES: SNA HR & MA-HR Eligibles 363,158 Enrolled Eligibles 335,109 117,983 Enrolled Percent Enrolled 47,050 45,735 20,839 21,602 67,889 67,337 99% 10,219 8,393 78,108 75,730 97% 1,408,680 1,341,927 623,921 629,278 2,032,601 1,971,205 97% 256,788 215,483 2,289,389 2,186,688 96% (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, OCTOBER 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 2,737 582 1,339 270 1,245 266 153 46 633 107 239 43 13 54 340 51 459 2,701 29 9 371 2,277 69 380 15 10 991 198 232 59 428 64 331 75 901 175 259 55 455 89 187 31 1,739 301 320 45 1,302 235 117 21 904 171 715 115 189 56 796 122 726 109 70 13 965 182 5 0 884 157 76 25 719 115 210 44 509 71 89 638 73 518 16 120 637 81 637 81 Total Enrolled 3,319 1,609 1,511 199 740 282 67 391 3,160 38 2,648 449 25 1,189 291 492 406 1,076 314 544 218 2,040 365 1,537 138 1,075 830 245 918 835 83 1,147 5 1,041 101 834 254 580 727 591 136 718 718 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 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 2,532 377 763 115 813 119 749 117 207 26 1,960 11,711 2,136 377 542 3,001 2,346 362 679 4,228 76 515 0 1 75 515 532 110 0 1 532 109 942 173 136 20 806 153 620 114 326 60 163 26 131 28 570 98 184 35 386 63 66 12 66 12 1,213 124 209 23 999 101 5 0 1,355 216 1,229 184 126 32 343 39 205 24 138 15 99 565 70 429 16 61 13 75 Total Enrolled 2,909 878 932 866 233 13,671 2,513 3,543 2,708 4,907 591 1 590 642 1 641 1,115 156 959 734 386 189 159 668 219 449 78 78 1,337 232 1,100 5 1,571 1,413 158 382 229 153 664 499 77 88 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 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 936 113 436 60 298 33 202 20 7,973 1,351 6,004 925 522 81 1,447 345 135 1,093 309 46 784 89 16,504 2,580 2,298 358 1,766 337 3,136 424 2,114 311 3,227 643 3,963 507 2,543 502 1,058 201 1,485 301 3,810 493 763 113 2,587 314 460 66 5,308 708 1,011 143 1,925 229 1,501 228 871 108 1,053 224 986 202 42 13 25 9 4,402 587 1,543 229 1,432 168 1,184 153 36 3 207 34 Total Enrolled 1,049 496 331 222 9,324 6,929 603 1,792 1,228 355 873 19,084 2,656 2,103 3,560 2,425 3,870 4,470 3,045 1,259 1,786 4,303 876 2,901 526 6,016 1,154 2,154 1,729 979 1,277 1,188 55 34 4,989 1,772 1,600 1,337 39 241 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 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 715 101 233 31 125 18 357 52 1,983 317 394 54 175 1,055 534 88 779 92 35 309 470 57 376 63 376 63 1,503 224 779 118 630 85 94 21 5,026 670 557 123 1,074 124 3,145 382 107 25 143 16 1,275 225 1,192 200 83 25 2,077 266 840 143 1,237 123 1,926 341 678 123 1,248 218 545 77 196 37 349 40 301 67 224 46 77 21 422 51 422 51 159 1,152 23 161 136 991 Total Enrolled 816 264 143 409 2,300 448 1,230 622 871 344 527 439 439 1,727 897 715 115 5,696 680 1,198 3,527 132 159 1,500 1,392 108 2,343 983 1,360 2,267 801 1,466 622 233 389 368 270 98 473 473 1,311 184 1,127 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 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 19,918 2,566 3,181 344 2,680 282 2,443 340 2,428 342 4,114 668 5,072 590 1,367 179 108 1,007 360 71 498 79 28 200 45 242 6 56 687 120 31 13 197 34 459 73 2,117 459 652 130 770 200 432 82 263 47 796 84 740 66 56 18 821 94 180 25 641 69 1,052 128 932 114 120 14 10,066 1,876 1,529 310 797 148 5,159 676 2,177 636 404 106 63 506 30 304 33 202 428 53 428 53 135,283 21,027 Total Enrolled 22,484 3,525 2,962 2,783 2,770 4,782 5,662 1,546 1,115 431 577 228 287 62 807 44 231 532 2,576 782 970 514 310 880 806 74 915 205 710 1,180 1,046 134 11,942 1,839 945 5,835 2,813 510 569 334 235 481 481 156,310 FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY NYS, OCTOBER 2012 County NYC Plan Name Affinity Health Plan Amerigroup HealthFirst PHSP HIP of Greater New York HIP of Greater New York UFT MetroPlus Health Plan Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York NYC Total UPSTATE TOTALS: NEW YORK CITY TOTALS: GRAND TOTALS ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN Enrolled Enrolled 13,211 5,619 39,181 13,316 33,827 11,763 15,292 4,604 0 1 28,179 8,048 13,886 4,293 31,378 14,252 22,989 7,279 6,070 3,532 204,013 72,707 135,283 204,013 339,296 21,027 72,707 93,734 ADULTS ADULTS WITH WITHOUT CHILDREN CHILDREN County NYC Borough NOTES: Plan Name Bronx Brooklyn Manhattan Queens Staten Island Borough Total Enrolled 34,253 71,199 18,281 71,839 8,441 204,013 Enrolled 10,643 24,707 9,507 25,608 2,242 72,707 Total Enrolled 18,830 52,497 45,590 19,896 1 36,227 18,179 45,630 30,268 9,602 276,720 156,310 276,720 433,030 Total Enrolled 44,896 95,906 27,788 97,447 10,683 276,720 (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, OCTOBER 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 229 229 106 106 55 55 25 2,910 75 165 3,175 4 122 126 366 366 421 1 422 6 80 86 4,565 NEW YORK Total NEW YORK ROCKLAND WESTCHESTER Total DUTCHESS ORANGE ROCKLAND Total NASSAU NEW YORK WESTCHESTER Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total CAYUGA COLUMBIA HERKIMER MONTGOMERY NEW YORK ONEIDA ONONDAGA ORANGE RENSSELAER ROCKLAND SCHENECTADY SUFFOLK SULLIVAN WESTCHESTER Total 1,793 1,793 5,340 50 38 5,428 18 125 100 243 3 6,295 3 6,301 35 6,170 17 84 6,306 1 1 1 2 485 1 1 241 5 223 4 2 1 3 971 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, OCTOBER 2012 PLAN NAME GUILDNET HHH CHOICES HIP OF GREATER NEW YORK INDEPENDENCE CARE SYSTEMS SENIOR HEALTH PARTNERS INC SENIOR NETWORK HEALTH SENIOR WHOLE HEALTH TOTAL AGING IN PLACE PROGRAM VILLAGE CARE 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 NASSAU NEW YORK Total HERKIMER ONEIDA Total NEW YORK Total ERIE Total NEW YORK Total NASSAU NEW YORK SUFFOLK WESTCHESTER Total ERIE NEW YORK ROCKLAND ULSTER Total TOTAL ENROLLED 569 7,972 546 14 9,101 1,514 4 1,518 200 200 2,978 2,978 1 4,959 4,960 55 332 387 13 13 124 124 507 507 129 13,553 14 130 13,826 5 3,168 1 2 3,176 57,832 62,397 (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 - Cayuga, Columbia, Herkimer, Oneida, & Suffolk Counties; Senior Health Partners - Nassau County; WellCare - Rockland & Ulster Counties; Senior Whole Health - New York City. MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, OCTOBER 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 WellCare 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 300 64 156 80 17 3 14 54 26 22 6 252 252 10 7 3 5 5 145 145 38 24 14 287 17 132 43 12 83 80 80 44 44 130 35 95 56 35 11 10 22 22 92 20 62 10 51 38 13 38 38 MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN NYS, OCTOBER 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 WellCare NYC Total 148 53 60 35 76 7 69 111 18 1 84 8 17 17 6 6 5 5 126 28 15 5 77 1 2,110 329 8 1,785 560 1 1,248 449 234 237 1,440 451 45 6,787 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 2,110 6,787 8,897 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 - Dutchess County. MEDICAID ADVANTAGE PLUS ENROLLMENT REPORT BY COUNTY AND PLAN NYS, OCTOBER 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 113 14 99 6 6 11 11 4 2 2 29 29 11 11 59 14 45 15 15 43 12 31 12 1 11 57 57 6 6 7 7 5 5 378 10 738 379 529 339 75 40 90 44 2,244 UPSTATE TOTAL NEW YORK CITY TOTAL GRAND TOTAL 378 2,244 2,622 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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