Recipients Eligible For And Enrolled In Medicaid Mainstream Managed … · 2012-01-24 ·...

RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY

NYS JANUARY, 2012

TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Total Percent Total Total Percent

County Plan Name Eligibles Enrolled Eligibles Enrolled Eligibles Enrolled Enrolled Eligibles Enrolled Eligibles Enrolled Enrolled

Albany TOTALS: 21,864 19,575 4,993 4,353 26,857 23,928 89% 4,973 3,583 31,830 27,511 86% Capital District Physicians Health

Mandatory Plan 13,626 2,844 16,470 61% 2,571 19,041 60% Eff. Oct 1997 NYS Catholic Health Plan 4,732 1,288 6,020 22% 712 6,732 21%

Wellcare Of New York 1,217 221 1,438 5% 300 1,738 5% Allegany Mandatory

Eff Feb 2007

TOTALS: NYS Catholic Health Plan HealthNow/BCBS-WNY/Community Blue

Univera Community Health

4,652 3,495 144

2,034 1,317

808 628 32

388 208

5,460 4,123 176

2,422 1,525

76% 1%

9% 6%

1,029 506 17

338 151

6,489 4,629 193

2,760 1,676

71% 3%

43% 26%

Broome TOTALS: 19,356 16,027 4,369 3,730 23,725 19,757 83% 4,762 3,382 28,487 23,139 81% Capital District Physicians Health

Mandatory Plan 222 29 251 1% 82 333 1% Eff. May 1998 Excellus Health Plan 13,447 3,129 16,576 70% 2,697 19,273 68%

NYS Catholic Health Plan 2,358 572 2,930 12% 603 3,533 12% Cattaraugus TOTALS: 7,816 6,449 1,165 1,067 8,981 7,516 84% 1,679 1,254 10,660 8,770 82%

HealthNow/BCBS-WNY/Community Mandatory Blue 2,618 367 2,985 33% 745 3,730 35% Eff. Sep 2001 NYS Catholic Health Plan 2,341 390 2,731 30% 328 3,059 29%

Univera Community Health 1,490 310 1,800 20% 181 1,981 19% Cayuga TOTALS: 7,097 6,112 1,320 1,153 8,417 7,265 86% 1,286 708 9,703 7,973 82% Mandatory Excellus Health Plan 1,754 345 2,099 25% 215 2,314 24% Eff. Oct 2010 NYS Catholic Health Plan 3,547 641 4,188 50% 347 4,535 47%

United Healthcare Plan Of NY 811 167 978 12% 146 1,124 12% Chautauqua TOTALS: 15,726 13,591 3,518 3,206 19,244 16,797 87% 3,277 2,692 22,521 19,489 87%

HealthNow/BCBS-WNY/Community Mandatory Blue 2,751 642 3,393 18% 729 4,122 18% Eff. Sep 2001 NYS Catholic Health Plan 10,413 2,266 12,679 66% 1,810 14,489 64%

Univera Community Health 427 298 725 4% 153 878 4% Chemung TOTALS: 10,032 5,667 1,588 842 11,620 6,509 56% 2,253 1,260 13,873 7,769 56% Voluntary Southern Tier Pediatrics (Partial) 3,563 0 3,563 31% 306 3,869 28%

Southern Tier Priority (Partial) 2,104 842 2,946 25% 954 3,900 28% Chenango Mandatory TOTALS: 5,578 687 989 113 6,567 800 12% 1,226 42 7,793 842 11%

Eff. Dec 2011 NYS Catholic Health Plan 687 113 800 42 842 11% Clinton Mandatory TOTALS: 7,061 2,276 1,506 540 8,567 2,816 33% 1,841 314 10,408 3,130 30%

Eff. Dec 2011 NYS Catholic Health Plan 2,276 540 2,816 33% 314 3,130 30%


NYS JANUARY, 2012



Columbia TOTALS: 4,490 3,765 1,026 861 5,516 4,626 84% 986 688 6,502 5,314 82% Capital District Physicians Health

Mandatory Plan 1,993 425 2,418 44% 499 2,917 45% Eff. Oct 1997 NYS Catholic Health Plan 1,772 436 2,208 40% 189 2,397 37% Cortland TOTALS: 4,962 4,300 899 765 5,861 5,065 86% 808 615 6,669 5,680 85%

Mandatory NYS Catholic Health Plan 3,190 596 3,786 65% 446 4,232 63% Eff. May 2007 SCHC Total Care 1,110 169 1,279 22% 169 1,448 22% Delaware Mandatory TOTALS: 4,003 2,271 879 563 4,882 2,834 58% 764 74 5,646 2,908 52% Eff. May 2011 NYS Catholic Health Plan 2,271 563 2,834 74 2,908 52% Dutchess TOTALS: 14,765 13,104 3,413 2,986 18,178 16,090 89% 3,423 2,311 21,601 18,401 85% Mandatory Hudson Health Plan 4,701 932 5,633 31% 792 6,425 30% Eff. Apr 2007 MVP Health Plan 4,458 1,209 5,667 31% 779 6,446 30%

NYS Catholic Health Plan 2,391 666 3,057 17% 442 3,499 16% Wellcare Of New York 1,554 179 1,733 10% 298 2,031 9%

Erie

Mandatory

TOTALS: HealthNow/BCBS-WNY/Community Blue

84,163 76,418

12,479

19,757 18,092

2,727

103,920 94,510

15,206

91%

15%

19,393 15,948

2,327

123,313 110,458

17,533

90%

14% Eff. May 1998 Independent Health Association 23,380 5,245 28,625 28% 4,954 33,579 27%

NYS Catholic Health Plan 18,194 2,977 21,171 20% 3,035 24,206 20% Univera Community Health 22,030 5,551 27,581 27% 3,003 30,584 25% Total Full Risk 76,083 16,500 92,583 89% 13,319 105,902 86% PCMP II-A Special Care (Partial) 335 1,592 1,927 2% 2,629 4,556 4% Total Partial Risk 335 1,592 1,927 2% 2,629 4,556 4%

Essex TOTALS: 2,600 2,165 541 471 3,141 2,636 84% 637 69 3,778 2,705 72% Mandatory Eff. Oct 2010 NYS Catholic Health Plan 2,165 471 2,636 84% 69 2,705 72% Franklin Mandatory TOTALS: 4,280 2,822 977 674 5,257 3,496 67% 1,132 60 6,389 3,556 56% Eff, May 2011 NYS Catholic Health Plan 2,822 674 3,496 67% 60 3,556 56% Fulton TOTALS: 6,312 5,602 1,275 1,106 7,587 6,708 88% 1,333 900 8,920 7,608 85%

Mandatory Capital District Physicians Health Plan 905 191 1,096 14% 197 1,293 14%

Eff. Mar 2007 NYS Catholic Health Plan 4,697 915 5,612 74% 703 6,315 71%


NYS JANUARY, 2012



Genesee TOTALS: 3,994 3,551 677 605 4,671 4,156 89% 766 526 5,437 4,682 86% HealthNow/BCBS-WNY/Community

Mandatory Blue 1,756 292 2,048 44% 210 2,258 42% Eff. Jan 2004 MVP Health Plan 1,397 216 1,613 35% 272 1,885 35%

NYS Catholic Health Plan 398 97 495 11% 44 539 10% Greene TOTALS: 4,019 3,531 1,005 886 5,024 4,417 88% 891 685 5,915 5,102 86%

Mandatory Capital District Physicians Health Plan 1,807 298 2,105 42% 428 2,533 43%

Eff. Oct 1997 NYS Catholic Health Plan 1,724 588 2,312 46% 257 2,569 43% Hamilton TOTALS: 244 240 50 46 294 286 97% 34 9 328 295 90% Mandatory Eff. Oct 2010 NYS Catholic Health Plan 240 46 286 9 295 90% Herkimer TOTALS: 6,139 5,374 1,294 1,131 7,433 6,505 88% 1,160 731 8,593 7,236 84% Mandatory Excellus Health Plan 855 184 1,039 14% 179 1,218 14% Eff. May 2003 NYS Catholic Health Plan 4,482 941 5,423 73% 542 5,965 69%

United Healthcare Plan Of NY 37 6 43 1% 10 53 1% Jefferson TOTALS: 9,676 53 1,702 7 11,378 60 1% 1,948 3 13,326 63 0% Voluntary Excellus Health Plan 53 7 60 1% 3 63 1%

Lewis TOTALS: 2,240 338 324 48 2,564 386 15% 467 25 3,031 411 14%

Voluntary Excellus Health Plan 136 23 159 6% 9 168 6%

NYS Catholic Health Plan 202 25 227 9% 16 243 8% Livingston TOTALS: 4,264 3,611 927 769 5,191 4,380 84% 867 591 6,058 4,971 82% Mandatory Excellus Health Plan 2,633 569 3,202 62% 404 3,606 60% Eff. Apr 2002 NYS Catholic Health Plan 183 48 231 4% 3 234 4%

MVP Health Plan 795 152 947 18% 184 1,131 19% Madison TOTALS: 5,276 4,521 1,010 913 6,286 5,434 86% 926 527 7,212 5,961 83% Mandatory Excellus Health Plan 2,489 474 2,963 47% 294 3,257 45% Eff. Oct 2010 NYS Catholic Health Plan 1,513 323 1,836 29% 174 2,010 28%

United Healthcare Plan Of NY 519 116 635 10% 59 694 10% Monroe TOTALS: 70,925 64,603 15,481 14,213 86,406 78,816 91% 17,701 12,380 104,107 91,196 88% Mandatory Excellus Health Plan 45,317 8,155 53,472 62% 8,533 62,005 60% Eff. Mar 1998 NYS Catholic Health Plan 8,613 4,589 13,202 15% 1,423 14,625 14%

MVP Health Plan 10,673 1,469 12,142 14% 2,424 14,566 14% Montgomery TOTALS: 6,650 6,053 1,050 1,002 7,700 7,055 92% 1,150 877 8,850 7,932 90%

Capital District Physicians Health Mandatory Plan 2,494 338 2,832 37% 412 3,244 37% Eff. Apr 2007 NYS Catholic Health Plan 3,559 664 4,223 55% 465 4,688 53%


NYS JANUARY, 2012

County Plan Name

TANF ADC & MA-ADC

Eligibles Enrolled

SNA HR & MA-HR

Eligibles Enrolled

TANF & MA-ADC, SNA & MA-HR Total

Eligibles Total

Enrolled Percent Enrolled

SSI & MA-SSI

Eligibles Enrolled Total

Eligibles Total


Nassau TOTALS: 65,036 59,143 18,713 17,107 83,749 76,250 91% 13,329 9,338 97,078 85,588 88% Mandatory Affinity Health Plan 8,811 2,049 10,860 13% 1,116 11,976 12% Eff. June 2001 HealthFirst PHSP 12,139 3,017 15,156 18% 1,414 16,570 17%

HealthPlus 4,996 1,905 6,901 8% 858 7,759 8% Health Insurance Plan of Greater New York 9,047 3,647 12,694 15% 2,527 15,221 16% NYS Catholic Health Plan 12,051 2,878 14,929 18% 1,558 16,487 17% NYS Catholic Health Plan 1199 1 1 2 0% 0 2 0% United Healthcare Plan Of NY 12,098 3,610 15,708 19% 1,865 17,573 18%

Niagara TOTALS: HealthNow/BCBS-WNY/Community

18,006 16,146 4,677 4,131 22,683 20,277 89% 3,960 3,059 26,643 23,336 88%

Mandatory Blue 5,308 1,350 6,658 29% 878 7,536 28% Eff Sep 1998 Independent Health Association 4,775 1,142 5,917 26% 1,350 7,267 27%

NYS Catholic Health Plan 6,063 1,639 7,702 34% 831 8,533 32% Oneida TOTALS: 26,378 23,676 4,622 4,209 31,000 27,885 90% 5,966 4,378 36,966 32,263 87% Mandatory Excellus Health Plan 4,120 1,024 5,144 17% 830 5,974 16% Eff Sep 2001 NYS Catholic Health Plan 16,920 2,669 19,589 63% 3,038 22,627 61%

United Healthcare Plan Of NY 2,636 516 3,152 10% 510 3,662 10% Onondaga TOTALS: 43,796 38,315 8,152 7,043 51,948 45,358 87% 10,009 7,659 61,957 53,017 86% Mandatory Excellus Health Plan 6,382 1,122 7,504 14% 1,071 8,575 14% Eff. Nov 1998 NYS Catholic Health Plan 11,631 2,068 13,699 26% 1,915 15,614 25%

SCHC Total Care 15,373 2,889 18,262 35% 3,700 21,962 35% United Healthcare Plan Of NY 4,929 964 5,893 11% 973 6,866 11%

Ontario TOTALS: 6,933 5,763 1,208 916 8,141 6,679 82% 1,448 975 9,589 7,654 80% Mandatory Excellus Health Plan 5,129 778 5,907 73% 826 6,733 70% Eff. Mar 1998 MVP Health Plan 562 83 645 8% 133 778 8%

NYS Catholic Health Plan 72 55 127 2% 16 143 1% Orange TOTALS: 40,341 35,237 5,227 4,543 45,568 39,780 87% 5,137 3,596 50,705 43,376 86% Mandatory Affinity Health Plan 11,129 1,936 13,065 29% 1,509 14,574 29% Eff. Mar 2007 Hudson Health Plan 8,101 1,641 9,742 21% 1,252 10,994 22%



NYS JANUARY, 2012



Orleans TOTALS: 4,190 3,542 987 861 5,177 4,403 85% 681 444 5,858 4,847 83% Mandatory Excellus Health Plan 1,341 253 1,594 31% 185 1,779 30%

Eff. June 2003 HealthNow/BCBS-WNY/Community Blue 740 198 938 18% 137 1,075 18% NYS Catholic Health Plan 1,461 410 1,871 36% 122 1,993 34%

Oswego TOTALS: 14,419 12,844 2,720 2,398 17,139 15,242 89% 2,453 1,977 19,592 17,219 88% Mandatory Excellus Health Plan 201 16 217 1% 38 255 1% Eff. Apr 1999 NYS Catholic Health Plan 4,174 809 4,983 29% 509 5,492 28%

SCHC Total Care 6,221 1,151 7,372 43% 1,109 8,481 43% United Healthcare Plan Of NY 2,248 422 2,670 16% 321 2,991 15%

Otsego TOTALS: 4,379 3,829 966 818 5,345 4,647 87% 1,033 558 6,378 5,205 82% Mandatory Excellus Health Plan 2,446 500 2,946 55% 372 3,318 52% Eff. May 2007 NYS Catholic Health Plan 1,383 318 1,701 10% 186 1,887 30% Putnam TOTALS: 1,911 1,690 470 388 2,381 2,078 87% 678 331 3,059 2,409 79% Mandatory Amerigroup 54 23 77 3% 42 119 4% Eff. Mar 2007 NYS Catholic Health Plan 1,636 365 2,001 84% 289 2,290 75% Rensselaer TOTALS: 13,053 12,023 3,042 2,872 16,095 14,895 93% 2,736 2,107 18,831 17,002 90%

Mandatory Capital District Physicians Health Plan 8,551 1,916 10,467 65% 1,552 12,019 64%

Eff. Oct 1997 NYS Catholic Health Plan 2,900 780 3,680 23% 422 4,102 22% Wellcare Of New York 572 176 748 5% 133 881 5%

Rockland TOTALS: 43,404 42,133 4,654 4,133 48,058 46,266 96% 3,520 2,312 51,578 48,578 94% Mandatory Affinity Health Plan 3,125 1,034 4,159 9% 589 4,748 9% Eff. Mar 2001 Hudson Health Plan 6,667 941 7,608 16% 576 8,184 16%

NYS Catholic Health Plan 30,071 1,928 31,999 67% 1,001 33,000 64% Wellcare Of New York 2,270 230 2,500 5% 146 2,646 5%

St Lawrence TOTALS: 10,696 144 2,142 55 12,838 199 2% 2,814 12 15,652 211 1% Voluntary Excellus Health Plan 77 16 93 1% 7 100 1%

NYS Catholic Health Plan 67 39 106 1% 5 111 1%


NYS JANUARY, 2012



Saratoga TOTALS: 9,885 8,766 2,009 1,794 11,894 10,560 89% 2,309 1,374 14,203 11,934 84%

Mandatory Capital District Physicians Health Plan 5,609 1,162 6,771 57% 1,046 7,817 55%

Eff. Oct 1997 NYS Catholic Health Plan 3,157 632 3,789 32% 328 4,117 29% Schenectady TOTALS: 15,224 12,991 2,846 2,562 18,070 15,553 86% 3,633 2,568 21,703 18,121 83%

Capital District Physicians Health Mandatory Plan 6,802 1,243 8,045 45% 1,643 9,688 45%

Eff. Apr 2007 NYS Catholic Health Plan 6,189 1,319 7,508 42% 925 8,433 39% Schoharie TOTALS: 2,393 1,905 503 452 2,896 2,357 81% 407 240 3,303 2,597 79%

Mandatory Capital District Physicians Health Plan 1,046 285 1,331 46% 165 1,496 45%

Eff. Oct 2010 NYS Catholic Health Plan 859 167 1,026 35% 75 1,101 33% Schuyler TOTALS: 1,801 98 326 55 2,127 153 7% 289 17 2,416 170 7% Voluntary NYS Catholic Health Plan 39 15 54 3% 2 56 2%

Southern Tier Priority (Partial) 59 40 99 5% 15 114 5% Seneca TOTALS: 2,659 2,414 396 338 3,055 2,752 90% 541 393 3,596 3,145 87% Mandatory Eff. Jan 2007 Excellus Health Plan 2,414 338 2,752 90% 393 3,145 87% Steuben TOTALS: 8,694 603 1,506 116 10,200 719 7% 2,323 251 12,523 970 8% Voluntary NYS Catholic Health Plan 176 42 218 2% 62 280 2%

Southern Tier Pediatrics (Partial) 222 0 222 2% 22 244 2% Southern Tier Priority (Partial) 205 74 279 3% 167 446 4%

Suffolk TOTALS: 85,089 76,692 21,551 19,054 106,640 95,746 90% 15,494 10,916 122,134 106,662 87% Mandatory Affinity Health Plan 11,429 2,264 13,693 13% 1,328 15,021 12% Eff. June 2001 HealthFirst PHSP

Health Insurance Plan of Greater 11,819 2,104 13,923 13% 1,403 15,326 13%

New York 10,058 4,049 14,107 13% 2,177 16,284 13% Neighborhood Health Providers 15,290 2,311 17,601 17% 1,908 19,509 16% NYS Catholic Health Plan 12,413 3,234 15,647 15% 1,793 17,440 14% NYS Catholic Health Plan 1199 1 1 2 0% 1 3 0% United Healthcare Plan Of NY 15,682 5,091 20,773 19% 2,306 23,079 19%

Sullivan TOTALS: 8,235 7,492 1,345 1,151 9,580 8,643 90% 1,623 1,165 11,203 9,808 88% Mandatory Hudson Health Plan 5,895 884 6,779 71% 926 7,705 69%

Eff. Apr 2007 NYS Catholic Health Plan 1,597 267 1,864 19% 239 2,103 19%


NYS JANUARY, 2012



Tioga TOTALS: 4,595 518 673 111 5,268 629 12% 891 16 6,159 645 10% Capital District Physicians Health

Voluntary Plan 313 71 384 7% 7 391 6% NYS Catholic Health Plan 205 40 245 0% 9 254 4%

Tompkins TOTALS: 5,930 4,815 1,261 1,062 7,191 5,877 82% 1,186 823 8,377 6,700 80% Mandatory NYS Catholic Health Plan 933 347 1,280 8% 220 1,500 18% Eff. Oct 2010 SCHC Total Care 3,882 715 4,597 64% 603 5,200 62% Ulster TOTALS: 12,763 11,408 3,150 2,849 15,913 14,257 90% 2,674 1,970 18,587 16,227 87% Mandatory Hudson Health Plan 3,366 810 4,176 26% 533 4,709 25% Eff Mar 2007 MVP Health Plan 3,571 1,266 4,837 30% 672 5,509 30%


Warren TOTALS: 4,412 1,625 642 178 5,054 1,803 36% 1,055 167 6,109 1,970 32% Voluntary NYS Catholic Health Plan 1,625 178 1,803 36% 167 1,970 32% Washington TOTALS: 5,407 4,483 764 637 6,171 5,120 83% 1,066 744 7,237 5,864 81%

Capital District Physicians Health Mandatory Plan 1,710 252 1,962 32% 334 2,296 32% Eff. Mar 2007 NYS Catholic Health Plan 2,773 385 3,158 51% 410 3,568 49% Wayne TOTALS: 6,921 6,053 946 868 7,867 6,921 88% 1,548 995 9,415 7,916 84% Mandatory Excellus Health Plan 5,240 722 5,962 76% 901 6,863 73% Eff. Oct 2010 NYS Catholic Health Plan 813 146 959 12% 94 1,053 11% Westchester TOTALS: 62,085 55,993 15,172 13,945 77,257 69,938 91% 11,188 7,983 88,445 77,921 88% Mandatory Affinity Health Plan

Health Insurance Plan of Greater 9,098 2,739 11,837 15% 1,494 13,331 15%

Eff. Oct 1999 New York 4,449 1,736 6,185 8% 1,203 7,388 8% Hudson Health Plan 32,332 5,989 38,321 50% 3,809 42,130 48% NYS Catholic Health Plan 10,114 3,481 13,595 18% 1,477 15,072 17%

Wyoming TOTALS: 2,567 159 387 47 2,954 206 7% 512 21 3,466 227 7% Voluntary NYS Catholic Health Plan 159 47 206 7% 21 227 7% Yates TOTALS: 1,913 1,710 301 272 2,214 1,982 90% 324 258 2,538 2,240 88%

Mandatory Eff. Feb 2007

Excellus Health Plan 1,710 272 1,982 90% 258 2,240 88%

Upstate Total 871,299 728,411 183,901 155,735 1,055,200 884,146 84% 177,539 117,407 1,232,739 1,001,553 81%


NYS JANUARY, 2012

County Plan Name

TANF ADC & MA-ADC

Eligibles Enrolled

SNA HR & MA-HR

Eligibles Enrolled


Eligibles Total


SSI & MA-SSI


Eligibles Total


NYC Affinity Health Plan 87,356 46,882 134,238 7% 16,114 150,352 7% Mandatory Amerigroup 47,292 31,218 78,510 4% 5,421 83,931 4%

Amida Care SN 324 2,401 2,725 0% 2,097 4,822 0% Fully HealthFirst PHSP 254,041 101,705 355,746 18% 44,608 400,354 17% Implemented: HealthPlus 170,222 63,789 234,011 12% 18,673 252,684 11%

Sept 2002 Health Insurance Plan of Greater New York 98,485 44,991 143,476 7% 20,250 163,726 7% MetroPlus Health Plan 242,510 82,877 325,387 16% 34,160 359,547 16% MetroPlus Health Plan SN 1,069 2,276 3,345 0% 2,315 5,660 0% Neighborhood Health Providers 107,311 34,564 141,875 7% 17,265 159,140 7% NYPS Select Health SN 528 2,818 3,346 0% 2,901 6,247 0% NYS Catholic Health Plan 136,148 87,162 223,310 11% 24,218 247,528 11% NYS Catholic Health Plan 1199 306 86 392 0% 10 402 0% United Healthcare Plan Of NY 109,220 55,556 164,776 8% 14,285 179,061 8% Wellcare Of New York 24,379 19,830 44,209 2% 3,653 47,862 2% NYC Total 1,408,680 1,279,191 623,921 576,155 2,032,601 1,855,346 91% 256,788 205,970 2,289,389 2,061,316 90%

UPSTATE TOTALS: 871,299 728,411 183,901 155,735 1,055,200 884,146 84% 177,539 117,407 1,232,739 1,001,553 81%

NEW YORK CITY TOTALS: 1,408,680 1,279,191 623,921 576,155 2,032,601 1,855,346 91% 256,788 205,970 2,289,389 2,061,316 90% GRAND TOTALS: 2,279,979 2,007,602 807,822 731,890 3,087,801 2,739,492 89% 434,327 323,377 3,522,128 3,062,869 87%


NYS JANUARY, 2012

County Plan Name

TANF ADC & MA-ADC

Eligibles Enrolled

SNA HR & MA-HR

Eligibles Enrolled


Eligibles Total


SSI & MA-SSI


Eligibles Total


NYC Boroughs Bronx Brooklyn Manhattan Queens Staten Island

Borough Total

363,158 499,518 167,492 331,462

47,050 1,408,680

315,566 462,176 142,244 316,546

42,660 1,279,191

117,983 222,865

96,209 166,025

20,839 623,921

103,866 210,353

78,688 163,414

19,833 576,155

481,141 722,383 263,701 497,487

67,889 2,032,601

419,432 672,529 220,932 479,960

62,493 1,855,346

87% 93% 84% 96% 92% 91%

73,570 81,248 44,399 47,352 10,219

256,788

61,459 65,338 32,392 38,809

7,971 205,970

554,711 803,631 308,100 544,839

78,108 2,289,389

480,891 737,867 253,325 518,769

70,464 2,061,316

87% 92% 82% 95% 90% 90%

NOTES: (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. (See about statement for further details) (2) The source of plan enrollment counts was revised in July, 2003 to be based on the primary and secondary roster reports. The roster reports reflect

enrollees as of the first the month. (See about statement for further details)

(3) All percents are rounded to the nearest whole number. (4) New plans added this month : None

FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY

NYS JANUARY, 2012

County Plan Name

ADULTS WITH

CHILDREN Enrolled

ADULTS WITHOUT CHILDREN

Enrolled Total Enrolled Albany TOTALS:

Capital District Physicians Health Plan

NYS Catholic Health Plan Wellcare Of New York

2,625

1,248 1,221

156

579

292 241 46

3,204

1,540 1,462

202 Allegany TOTALS:

NYS Catholic Health Plan HealthNow/BCBS-WNY/Community Blue

Univera Community Health Inc

701 46

240 415

108 18

44 46

809 64

284 461

Broome TOTALS: Capital District Physicians Health Plan

Excellus Health Plan NYS Catholic Health Plan

2,593

38 2,148

407

503

9 428 66

3,096

47 2,576

473 Cattaraugus TOTALS:

HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc

953

176 403 374

210

35 70

105

1,163

211 473 479

Cayuga TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY

858 209 440 209

143 34 81 28

1,001 243 521 237

Chautauqua TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc

1,516

248 1,152

116

313

43 239 31

1,829

291 1,391

147 Chemung TOTALS:

Excellus Health Plan 930 930

146 146

1,076 1,076

Chenango TOTALS: NYS Catholic Health Plan

815 815

112 112

927 927

Clinton TOTALS: Excellus Health Plan NYS Catholic Health Plan

988 8

980

201 0

201

1,189 8

1,181 Columbia TOTALS:


NYS Catholic Health Plan

683

189 494

119

34 85

802

223 579

Cortland TOTALS: NYS Catholic Health Plan SCHC Total Care

670 545 125

99 82 17

769 627 142

Delaware TOTALS: NYS Catholic Health Plan

596 596

114 114

710 710

Dutchess TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare Of New York

2,566 790 902 631 243

362 99

121 109 33

2,928 889

1,023 740 276

Erie TOTALS: Univera Community Health Inc HealthNow/BCBS-WNY/Community Blue Independent Health NYS Catholic Health Plan

11,182 4,409

1,831 2,640 2,302

2,108 835

298 621 354

13,290 5,244

2,129 3,261 2,656


NYS JANUARY, 2012

County Plan Name

ADULTS WITH

CHILDREN Enrolled


Enrolled Total Enrolled Essex TOTALS:


513 0

513

82 1

81

595 1

594 Franklin TOTALS:


473 0

473

113 1

112

586 1

585 Fulton TOTALS:



871

134 737

178

26 152

1,049

160 889

Genesee TOTALS: HealthNow/BCBS-WNY/Community Blue

MVP Health Plan NYS Catholic Health Plan

668

358 168 142

113

56 35 22

781

414 203 164

Greene TOTALS: Capital District Physicians Health Plan


492

125 367

81

22 59

573

147 426

Hamilton TOTALS: NYS Catholic Health Plan

66 66

14 14

80 80

Herkimer TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY

1,236 203

1,014 19

152 26

123 3

1,388 229

1,137 22

Jefferson TOTALS: Excellus Health Plan

1,421 1,421

237 237

1,658 1,658

Lewis TOTALS: Excellus Health Plan NYS Catholic Health Plan

357 189 168

40 21 19

397 210 187

Livingston TOTALS: Excellus Health Plan NYS Catholic Health Plan MVP Health Plan

553 420 54 79

87 62 11 14

640 482 65 93

Madison TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY

909 369 311 229

114 53 36 25

1,023 422 347 254

Monroe TOTALS: Excellus Health Plan NYS Catholic Health Plan MVP Health Plan

7,629 5,665 1,478

486

1,474 974 397 103

9,103 6,639 1,875

589 Montgomery TOTALS:



1,050

272 778

132

31 101

1,182

303 879

Nassau TOTALS: Affinity Health Plan HealthFirst PHSP HealthPlus Health Insurance Plan of Greater New York

NYS Catholic Health Plan United Healthcare Plan Of NY

15,546 2,390 3,013 1,160

2,160 3,238 3,585

2,427 370 425 198

318 645 471

17,973 2,760 3,438 1,358

2,478 3,883 4,056

Niagara TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan

2,542

1,005 1,537

560

232 328

3,102

1,237 1,865


NYS JANUARY, 2012

County Plan Name

ADULTS WITH

CHILDREN Enrolled


Enrolled Total Enrolled Oneida TOTALS:

Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY

3,739 713

2,555 471

478 109 303 66

4,217 822

2,858 537

Onondaga TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care United Healthcare Plan Of NY

5,223 972

1,927 1,545

779

834 152 280 278 124

6,057 1,124 2,207 1,823

903 Ontario TOTALS:

Excellus Health Plan MVP Health Plan NYS Catholic Health Plan

938 886 40 12

212 191 15 6

1,150 1,077

55 18

Orange TOTALS: Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan Wellcare Of New York

4,369 1,715 1,345 1,080

229

581 245 148 157 31

4,950 1,960 1,493 1,237

260 Orleans TOTALS:

Excellus Health Plan HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan

722 255

100 367

87 35

13 39

809 290

113 406

Oswego TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care United Healthcare Plan Of NY

2,135 15

682 1,055

383

321 6

86 174 55

2,456 21

768 1,229

438 Otsego TOTALS:


813 300 513

118 45 73

931 345 586

Putnam TOTALS: NYS Catholic Health Plan

453 453

61 61

514 514

Rensselaer TOTALS: Capital District Physicians Health Plan

NYS Catholic Health Plan Wellcare Of New York

1,426

607 686 133

257

115 115 27

1,683

722 801 160

Rockland TOTALS: Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan Wellcare Of New York

4,938 636

1,083 3,045

174

679 167 122 365 25

5,617 803

1,205 3,410

199 St Lawrence TOTALS:


1,308 1,263

45

228 222

6

1,536 1,485

51


NYS JANUARY, 2012

County Plan Name

ADULTS WITH

CHILDREN Enrolled


Enrolled Total Enrolled Saratoga TOTALS:



1,935

684 1,251

289

137 152

2,224

821 1,403

Schenectady TOTALS: Capital District Physicians Health Plan


1,876

599 1,277

301

91 210

2,177

690 1,487

Schoharie TOTALS: Capital District Physicians Health Plan


463

163 300

67

31 36

530

194 336

Schuyler TOTALS: Excellus Health Plan NYS Catholic Health Plan

283 252 31

50 42 8

333 294 39

Seneca TOTALS: Excellus Health Plan

361 361

56 56

417 417

Steuben TOTALS: NYS Catholic Health Plan

1,040 1,040

163 163

1,203 1,203

Suffolk TOTALS: Affinity Health Plan HealthFirst PHSP Health Insurance Plan of Greater New York

Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan Of NY

18,042 3,037 2,520

2,150 1,649 3,831 4,855

2,306 352 248

283 215 577 631

20,348 3,389 2,768

2,433 1,864 4,408 5,486

Sullivan TOTALS: Hudson Health Plan NYS Catholic Health Plan

1,341 1,009

332

180 118 62

1,521 1,127

394 Tioga TOTALS:



510

275 235

92

41 51

602

316 286

Tompkins TOTALS: SCHC Total Care NYS Catholic Health Plan

721 525 196

151 101 50

872 626 246

Ulster TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare Of New York

2,139 634 855 362 288

434 114 183 77 60

2,573 748

1,038 439 348

Warren TOTALS: NYS Catholic Health Plan

802 802

88 88

890 890

Washington TOTALS: Capital District Physicians Health Plan


832

149 683

83

22 61

915

171 744


NYS JANUARY, 2012

County Plan Name

ADULTS WITH

CHILDREN Enrolled


Enrolled Total Enrolled Wayne TOTALS:


1,027 888 139

126 106 20

1,153 994 159

Westchester TOTALS: 10,071 1,925 11,996 Affinity Health Plan Health Insurance Plan of

1,804 412 2,216

Greater New York 829 163 992 Hudson Health Plan 5,193 744 5,937 NYS Catholic Health Plan 2,244 606 2,850 NYS Catholic Health Plan 1199 1 0 1

Wyoming TOTALS: HealthNow/BCBS-

456 59 515

WNY/Community Blue 327 33 360 NYS Catholic Health Plan 129 26 155

Yates TOTALS: Excellus Health Plan

421 421

51 51

472 472

Upstate Total 130,386 21,198 151,584 NYC Affinity Health Plan 13,954 6,389 20,343

Amerigroup 11,803 5,796 17,599 HealthFirst PHSP Health Insurance Plan of

31,041 11,561 42,602

Greater New York 16,681 5,097 21,778 HealthPlus 26,251 7,771 34,022 MetroPlus Health Plan 27,906 8,269 36,175 Neighborhood Health Providers 13,827 4,197 18,024 NYS Catholic Health Plan 28,867 13,759 42,626 NYS Catholic Health Plan 1199 68 16 84 United Healthcare Plan Of NY 21,630 7,230 28,860 Wellcare Of New York 5,684 3,332 9,016 NYC Total 197,712 73,417 271,129

UPSTATE TOTALS: 130,386 21,198 151,584 NEW YORK CITY TOTALS: 197,712 73,417 271,129 GRAND TOTALS 328,098 94,615 422,713

County Plan Name

ADULTS WITH

CHILDREN


Enrolled Enrolled Total Enrolled NYC Borough Bronx

Brooklyn Manhattan Queens Staten Island Borough Total

32,521 68,575 18,253 70,300 8,063

197,712

10,176 25,127 9,833

26,040 2,241

73,417

42,697 93,702 28,086 96,340 10,304

271,129

NOTES: (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 JANUARY, 2012

MLTC PACE PLAN NAME COUNTY TOTAL

ENROLLMENT ARCHCARE SENIOR LIFE NEW YORK

Total 196 196

CHS BUFFALO LIFE ERIE Total

75 75

COMPLETE SENIOR CARE NIAGARA Total

21 21

COMPREHENSIVE CARE MGMT NASSAU NEW YORK SUFFOLK WESTCHESTER Total

19 2,688

65 156

2,928 EDDY SENIOR CARE ALBANY

SCHENECTADY Total

3 113 116

INDEPENDENT LIVING FOR SENIORS MONROE Total

286 286

PACE CNY ONONDAGA OSWEGO Total

399 1

400 TOTAL SENIOR CARE ALLEGANY

CATTARAUGUS Total

5 70 75

Total MLTC PACE Enrollment 4,097

MLTC PARTIAL CAPITATION PLAN NAME AMERIGROUP NEW YORK

Total 1,429 1,429

CCM SELECT NEW YORK WESTCHESTER Total

3,567 39

3,606 ELANT ORANGE

ROCKLAND Total

126 53

179 ELDERPLAN NEW YORK

Total 4,878 4,878

ELDERSERVE NASSAU NEW YORK SUFFOLK WESTCHESTER Total

30 4,097

16 43

4,186 FIDELIS CARE AT HOME ORANGE

ROCKLAND Total

244 196 440

GUILDNET NASSAU NEW YORK SUFFOLK Total

490 6,588

445 7,523

HHH CHOICES NEW YORK Total

1,266 1,266

INDEPENDENCE CARE SYSTEMS NEW YORK Total

1,970 1,970

SENIOR HEALTH PARTNERS INC NEW YORK Total

3,426 3,426

SENIOR NETWORK HEALTH HERKIMER ONEIDA Total

50 342 392

TOTAL AGING IN PLACE PROGRAM ERIE Total

127 127

VNS CHOICE NEW YORK Total

10,060 10,060

WELLCARE NEW YORK Total

1,908 1,908

Total MLTC Partial Capitation Enrollment 41,390

Total Statewide Enrollment 45,487 NOTES: (1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : None

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS JANUARY, 2012

County Plan Name Total

Enrolled Albany TOTAL

Fidelis Senior Whole Health

219 38

181 Broome TOTAL

Touchstone/Prestige 0 0

Columbia TOTAL Fidelis Senior Whole Health

15 1

14 Dutchess TOTAL


46 18 28

Greene TOTAL Fidelis Senior Whole Health

7 4 3

Herkimer TOTAL Fidelis

4 4

Montgomery TOTAL Fidelis Senior Whole Health

31 17 14

Nassau TOTAL GHI Health Insurance Plan of Greater New York Liberty Health Advantage Managed Health United HealthCare

208 16

138 31 4

19 Oneida TOTAL

Fidelis 30 30

Onondaga TOTAL Fidelis Touchstone/Prestige

22 20 2

Orange TOTAL Senior Whole Health Touchstone/Prestige

41 31 10

Oswego TOTAL Fidelis

8 8

Rensselaer TOTAL Fidelis Senior Whole Health

75 11 64

Rockland TOTAL GHI

38 38

Saratoga TOTAL Senior Whole Health

37 37

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS JANUARY, 2012


Enrolled Schenectady TOTAL


92 32 60

Suffolk TOTAL GHI Health Insurance Plan of Greater New York

85 7

78 Ulster TOTAL

Fidelis GHI Senior Whole Health

106 10 2

94 Warren TOTAL

Senior Whole Health 23 23

Washington TOTAL Senior Whole Health

6 6

Westchester TOTAL GHI Health Insurance Plan of Greater New York Managed Health Touchstone/Prestige

104 29

8 1

66 Upstate Total: 1,197 NYC Affinity

ElderPlan Fidelis GHI Health Insurance Plan of Greater New York Liberty Health Advantage Managed Health MetroPlus Touchstone/Prestige United HealthCare NYC Total

260 12

1,271 591

1,395 426 164 195

1,530 181

6,025

UPSTATE TOTAL 1,197 NEW YORK CITY TOTAL GRAND TOTAL

6,025 7,222

NOTES: (1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : None

MEDICAID ADVANTAGE PLUS ENROLLMENT REPORT BY COUNTY AND PLAN

NYS JANUARY, 2012


Enrolled Albany Total

NYS Catholic Health Plan Senior Whole Health

104 9

95 Columbia Total

Senior Whole Health 4 4

Dutchess Total Senior Whole Health

6 6

Greene Total Senior Whole Health

1 1

Montgomery Total NYS Catholic Health Plan Senior Whole Health

3 1 2

Orange Total Senior Whole Health

12 12

Rensselaer Total NYS Catholic Health Plan Senior Whole Health

55 10 45

Saratoga Total Senior Whole Health

11 11

Schenectady Total NYS Catholic Health Plan Senior Whole Health

44 13 31

Ulster Total Senior Whole Health

61 61

Warren Total Senior Whole Health

5 5

Washington Total Senior Whole Health

9 9

Upstate Total: 315 NYC AmeriGroup

Elderplan Guildnet HIP of Greater New York NYS Catholic Health Plan VNS Choice Plus WellCare NYC Total

10 570 358 274 53 92 48

1,405

UPSTATE TOTAL 315 NEW YORK CITY TOTAL 1,405 GRAND TOTAL 1,720

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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