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RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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: 16,981 15,457 2,488 2,151 19,469 17,608 90% 4,290 1,790 23,759 19,398 82%
Capital District Physicians Mandatory Health Plan 10,794 1,454 12,248 63% 1,367 13,615 57% Eff. Oct 1997 GHI HMO Select 215 47 262 1% 5 267 1%
NYS Catholic Health Plan 2,835 451 3,286 17% 227 3,513 15% Wellcare Of New York 1,613 199 1,812 9% 191 2,003 8%
Allegany TOTALS: 3,452 2,801 467 387 3,919 3,188 81% 933 363 4,852 3,551 73% HealthNow/BCBS-
Mandatory WNY/Community Blue 1,671 214 1,885 48% 252 2,137 44% Eff. Feb 2007 Univera Community Health 1,130 173 1,303 33% 111 1,414 29% Broome TOTALS: 14,686 12,939 1,829 1,621 16,515 14,560 88% 4,082 1,715 20,597 16,275 79% Mandatory
Eff. May 1998
Broome MAX Capital District Physicians Health Plan
2,891
507
194
31
3,085
538
19%
3%
737
97
3,822
635
19%
3% Excellus Health Plan 7,657 1,084 8,741 53% 675 9,416 46% GHI HMO Select 508 79 587 4% 57 644 3% NYS Catholic Health Plan 1,376 233 1,609 10% 149 1,758 9%
Cattaraugus TOTALS: 5,699 4,976 645 611 6,344 5,587 88% 1,233 973 7,577 6,560 87% HealthNow/BCBS-
Mandatory WNY/Community Blue 2,259 239 2,498 39% 678 3,176 42% Eff. Sep 2001 NYS Catholic Health Plan 1,801 223 2,024 32% 219 2,243 30%
Univera Community Health 916 149 1,065 17% 76 1,141 15% Cayuga TOTALS: 6,052 71 691 9 6,743 80 1% 1,182 3 7,925 83 1% Voluntary NYS Catholic Health Plan 71 9 80 1% 3 83 1% Chautauqua TOTALS: 11,706 10,579 2,013 1,851 13,719 12,430 91% 2,593 1,854 16,312 14,284 88%
HealthNow/BCBS-Mandatory WNY/Community Blue 2,896 453 3,349 24% 628 3,977 24% Eff. Sep 2001 NYS Catholic Health Plan 7,497 1,308 8,805 64% 1,179 9,984 61%
Univera Community Health 186 90 276 2% 47 323 2% Chemung TOTALS: 7,910 4,277 767 331 8,677 4,608 53% 2,190 924 10,867 5,532 51% Voluntary (Partial) 3,164 0 3,164 36% 257 3,421 31%
Southern Tier Priority (Partial) 1,113 331 1,444 17% 667 2,111 19% Chenango Voluntary TOTALS: 4,840 0 511 0 5,351 0 0% 1,124 0 6,475 0 0% Clinton Voluntary TOTALS: 6,315 404 904 180 7,219 584 8% 1,704 16 8,923 600 7%
NYS Catholic Health Plan 404 180 584 8% 16 600 7%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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 Columbia TOTALS: 3,175 2,485 352 234 3,527 2,719 77% 912 339 4,439 3,058 69%
Capital District Physicians Mandatory Health Plan 1,565 118 1,683 48% 249 1,932 44% Eff. Oct 1997 GHI HMO Select 88 12 100 3% 8 108 2%
NYS Catholic Health Plan 606 79 685 19% 43 728 16% Wellcare Of New York 226 25 251 7% 39 290 7%
Cortland TOTALS: 3,874 3,337 443 414 4,317 3,751 87% 740 292 5,057 4,043 80%
Mandatory NYS Catholic Health Plan 2,501 314 2,815 65% 227 3,042 60% Eff. May 2007 SCHC Total Care 836 100 936 22% 65 1,001 20% Delaware Voluntary TOTALS: 3,044 0 448 0 3,492 0 0% 716 0 4,208 0 0% Dutchess TOTALS: 10,286 8,562 1,383 1,060 11,669 9,622 82% 2,921 893 14,590 10,515 72% Mandatory Eff. Apr 2007
GHI HMO Select Hudson Health Plan MVP Health Plan
774 2,749 2,799
128 320 400
902 3,069 3,199
8% 26% 27%
75 303 282
977 3,372 3,481
7% 23% 24%
NYS Catholic Health Plan 402 93 495 4% 18 513 4% Wellcare Of New York 1,838 119 1,957 17% 215 2,172 15%
Erie
Mandatory
Eff. May 1998
TOTALS: HealthNow/BCBS-WNY/Community Blue Independent Health Association
68,602 60,355
11,022
15,742
10,828 9,534
1,333
1,735
79,430 69,889
12,355
17,477
88%
16%
22%
17,083 11,598
1,581
3,187
96,513 81,487
13,936
20,664
84%
14%
21% NYS Catholic Health Plan 15,678 1,458 17,136 22% 2,225 19,361 20% Univera Community Health 17,439 3,574 21,013 26% 1,641 22,654 23% Total Full Risk 59,881 8,100 67,981 86% 8,634 76,615 79% PCMP II-A Special Care (Partial) 474 1,434 1,908 2% 2,964 4,872 5% Total Partial Risk 474 1,434 1,908 2% 2,964 4,872 5%
Essex TOTALS: 2,121 403 276 103 2,397 506 21% 599 7 2,996 513 17% Voluntary NYS Catholic Health Plan 403 103 506 1% 7 513 1% Franklin Voluntary TOTALS: 3,811 0 484 0 4,295 0 0% 1,114 0 5,409 0 0% Fulton TOTALS: 5,404 4,711 638 536 6,042 5,247 87% 1,157 256 7,199 5,503 76%
Eff. Mar 2007 Capital District Physicians Health Plan 1,318 155 1,473 24% 83 1,556 22% NYS Catholic Health Plan 3,393 381 3,774 62% 173 3,947 55%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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 Genesee TOTALS: 3,316 3,021 416 389 3,732 3,410 91% 577 319 4,309 3,729 87%
HealthNow/BCBS-Mandatory WNY/Community Blue 1,752 248 2,000 54% 124 2,124 49%
Eff. Jan 2004 Rochester Area HMO/Preferred Care 1,269 141 1,410 38% 195 1,605 37%
Greene
Mandatory
TOTALS: Capital District Physicians Health Plan
2,886 2,519
1,179
468 411
116
3,354 2,930
1,295
87%
39%
822 416
263
4,176 3,346
1,558
80%
37% Eff. Oct 1997 GHI HMO Select 537 108 645 19% 52 697 17%
NYS Catholic Health Plan 510 144 654 19% 49 703 17% Wellcare Of New York 293 43 336 10% 52 388 9%
Hamilton TOTALS: 192 27 34 7 226 34 15% 41 2 267 36 13% Voluntary NYS Catholic Health Plan 27 7 34 2 36 13% Herkimer TOTALS: 5,024 4,365 660 620 5,684 4,985 88% 1,023 380 6,707 5,365 80% Mandatory Excellus Health Plan 712 63 775 14% 86 861 13% Eff. May 2003 NYS Catholic Health Plan 3,616 548 4,164 73% 286 4,450 66%
United Healthcare Plan Of NY 37 9 46 1% 8 54 1% Jefferson Voluntary TOTALS: 7,801 0 763 0 8,564 0 0% 1,860 0 10,424 0 0% Lewis Voluntary TOTALS: 1,899 0 220 0 2,119 0 0% 436 0 2,555 0 0% Livingston TOTALS: 2,940 2,440 443 338 3,383 2,778 82% 713 392 4,096 3,170 77% Mandatory Excellus Health Plan 1,707 232 1,939 57% 251 2,190 53%
Eff. Apr 2002 Rochester Area HMO/Preferred Care 733 106 839 25% 141 980 24%
Madison Voluntary TOTALS: 4,459 0 445 0 4,904 0 0% 853 0 5,757 0 0% Monroe TOTALS: 58,615 51,431 9,349 6,934 67,964 58,365 86% 14,285 7,085 82,249 65,450 80% Mandatory Excellus Health Plan 35,963 3,978 39,941 59% 4,898 44,839 55% Eff. Mar 1998 NYS Catholic Health Plan 2,172 1,210 3,382 5% 395 3,777 5%
Rochester Area HMO/Preferred Care 13,296 1,746 15,042 22% 1,792 16,834 20%
Montgomery TOTALS: 5,203 4,521 597 505 5,800 5,026 87% 935 308 6,735 5,334 79% Capital District Physicians
Mandatory Health Plan 2,580 259 2,839 49% 224 3,063 45% Eff. Apr 2007 NYS Catholic Health Plan 1,941 246 2,187 38% 84 2,271 34%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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 Nassau TOTALS: 39,032 32,345 4,021 3,405 43,053 35,750 83% 11,739 7,067 54,792 42,817 78% Mandatory Affinity Health Plan 5,805 430 6,235 14% 963 7,198 13% Eff. June 2001 HealthFirst PHSP 6,946 508 7,454 17% 912 8,366 15%
HealthPlus Health Insurance Plan of
2,200 379 2,579 6% 699 3,278 6%
Greater New York 6,550 1,167 7,717 18% 2,327 10,044 18% NYS Catholic Health Plan 5,521 365 5,886 14% 950 6,836 12% United Healthcare Plan Of NY 5,323 556 5,879 14% 1,216 7,095 13%
Niagara
Mandatory
Eff Sep 1998
TOTALS: HealthNow/BCBS-WNY/Community Blue Independent Health Association
14,853 13,527
4,212
4,261
2,590 2,299
733
634
17,443 15,826
4,945
4,895
91%
28%
28%
3,376 2,315
644
1,058
20,819 18,141
5,589
5,953
87%
27%
29% NYS Catholic Health Plan 4,014 739 4,753 27% 539 5,292 25% Univera Community Health 1,040 193 1,233 7% 74 1,307 6%
Oneida TOTALS: 19,104 16,887 1,870 1,677 20,974 18,564 89% 5,268 2,773 26,242 21,337 81% Mandatory Excellus Health Plan 2,609 303 2,912 14% 369 3,281 13% Eff Sep 2001 NYS Catholic Health Plan 11,861 1,069 12,930 62% 2,025 14,955 57%
United Healthcare Plan Of NY 2,417 305 2,722 13% 379 3,101 12% Onondaga TOTALS: 31,091 26,366 3,022 2,645 34,113 29,011 85% 8,423 5,879 42,536 34,890 82% Mandatory Excellus Health Plan 3,070 325 3,395 10% 582 3,977 9% Eff. Nov 1998 NYS Catholic Health Plan 7,022 645 7,667 22% 1,384 9,051 21%
SCHC Total Care 10,483 1,250 11,733 34% 2,771 14,504 34% United Healthcare Plan Of NY 5,791 425 6,216 18% 1,142 7,358 22%
Ontario TOTALS: 4,788 4,309 499 408 5,287 4,717 89% 1,211 679 6,498 5,396 83% Mandatory Excellus Health Plan 3,777 364 4,141 78% 569 4,710 72%
Eff. Mar 1998 Rochester Area HMO/Preferred Care 532 44 576 11% 110 686 11%
Orange Mandatory
Eff. Mar 2007
TOTALS: Affinity Health Plan GHI HMO Select
30,434 26,947 8,461 2,910
2,485 1,993 884 305
32,919 28,940 9,345 3,215
88% 28% 10%
4,077 1,946 971 177
36,996 30,886 10,316
3,392
83% 28%
9% Hudson Health Plan 4,638 518 5,156 16% 504 5,660 15% NYS Catholic Health Plan 9,487 181 9,668 29% 104 9,772 26% Wellcare Of New York 1,451 105 1,556 5% 190 1,746 5%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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 Orleans TOTALS: 3,176 2,932 510 487 3,686 3,419 93% 596 300 4,282 3,719 87% Mandatory Excellus Health Plan 1,122 163 1,285 35% 128 1,413 33%
Eff. June 2003 HealthNow/BCBS-WNY/Community Blue 746 160 906 25% 90 996 23% NYS Catholic Health Plan 1,064 164 1,228 33% 82 1,310 31%
Oswego TOTALS: 10,627 9,666 1,231 1,182 11,858 10,848 91% 2,185 1,514 14,043 12,362 88% Mandatory Excellus Health Plan 158 10 168 1% 32 200 1% Eff. Apr 1999 NYS Catholic Health Plan 2,525 249 2,774 23% 345 3,119 22%
SCHC Total Care 4,662 708 5,370 45% 799 6,169 44% United Healthcare Plan Of NY 2,321 215 2,536 21% 338 2,874 20%
Otsego TOTALS: 3,551 2,768 437 333 3,988 3,101 78% 917 89 4,905 3,190 65% Mandatory Excellus Health Plan 2,568 288 2,856 72% 81 2,937 60% Eff. May 2007 NYS Catholic Health Plan 200 45 245 2% 8 253 2% Putnam TOTALS: 1,672 1,354 228 199 1,900 1,553 82% 639 111 2,539 1,664 66% Mandatory Amerigroup 131 15 146 8% 16 162 6% Eff. Mar 2007 GHI HMO Select 1,223 184 1,407 74% 95 1,502 59% Rensselaer
Mandatory
TOTALS: Capital District Physicians Health Plan
10,945 9,738
7,216
1,528 1,424
961
12,473 11,162
8,177
89%
66%
2,408 1,091
922
14,881 12,253
9,099
82%
61% Eff. Oct 1997 GHI HMO Select 167 51 218 2% 12 230 2%
NYS Catholic Health Plan 1,778 320 2,098 17% 110 2,208 15% Wellcare Of New York 577 92 669 5% 47 716 5%
Rockland TOTALS: 31,301 30,438 2,253 2,153 33,554 32,591 97% 2,673 1,555 36,227 34,146 94% Mandatory Eff. Mar 2001
Affinity Health Plan GHI HMO Select
2,140 1,791
510 183
2,650 1,974
8% 6%
416 115
3,066 2,089
8% 6%
Hudson Health Plan 4,167 503 4,670 14% 331 5,001 14% NYS Catholic Health Plan 20,690 791 21,481 64% 552 22,033 61% Wellcare Of New York 1,650 166 1,816 5% 141 1,957 5%
St Lawrence Voluntary TOTALS: 8,961 0 1,063 0 10,024 0 0% 2,607 0 12,631 0 0%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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 Saratoga TOTALS: 6,956 5,985 744 694 7,700 6,679 87% 1,937 715 9,637 7,394 77%
Mandatory Capital District Physicians Health Plan 4,329 524 4,853 63% 577 5,430 56%
Eff. Oct 1997 NYS Catholic Health Plan 1,656 170 1,826 24% 138 1,964 20% Schenectady TOTALS: 9,371 7,754 883 729 10,254 8,483 83% 3,242 1,192 13,496 9,675 72%
Capital District Physicians Mandatory Health Plan 4,139 378 4,517 44% 866 5,383 40% Eff. Apr 2007 GHI HMO Select 932 112 1,044 10% 39 1,083 8%
NYS Catholic Health Plan 2,683 239 2,922 28% 287 3,209 24% Schoharie TOTALS: 1,956 196 221 39 2,177 235 11% 396 15 2,573 250 10%
Capital District Physicians Voluntary Health Plan 196 39 235 11% 15 250 10% Schuyler TOTALS: 1,299 92 207 22 1,506 114 8% 284 20 1,790 134 7% Voluntary Southern Tier Priority (Partial) 92 22 114 8% 20 134 7% Seneca TOTALS: 1,902 1,649 196 165 2,098 1,814 86% 481 262 2,579 2,076 80% Mandatory Eff. Jan 2007 Excellus Health Plan 1,649 165 1,814 86% 262 2,076 80% Steuben TOTALS: 6,979 1,374 795 163 7,774 1,537 20% 2,230 516 10,004 2,053 21%
Southern Tier Pediatrics Voluntary (Partial) 253 0 253 3% 28 281 3%
Southern Tier Priority (Partial) 1,121 163 1,284 17% 488 1,772 18% Suffolk TOTALS: 56,402 49,172 8,636 7,260 65,038 56,432 87% 13,496 8,437 78,534 64,869 83% Mandatory Affinity Health Plan 6,862 787 7,649 12% 1,051 8,700 11% Eff. June 2001 HealthFirst PHSP
Health Insurance Plan of 8,547 1,038 9,585 15% 1,062 10,647 14%
Greater New York 10,142 2,592 12,734 20% 2,324 15,058 19%
Neighborhood Health Providers 9,864 989 10,853 17% 1,572 12,425 16% NYS Catholic Health Plan 5,661 726 6,387 10% 990 7,377 9% United Healthcare Plan Of NY 8,096 1,128 9,224 14% 1,438 10,662 14%
Sullivan TOTALS: 6,214 5,389 546 422 6,760 5,811 86% 1,516 632 8,276 6,443 78% Mandatory GHI HMO Select 482 47 529 8% 48 577 7% Eff. Apr 2007 Hudson Health Plan 4,656 351 5,007 74% 574 5,581 67%
NYS Catholic Health Plan 251 24 275 4% 10 285 3%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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 Tioga TOTALS: 3,569 300 377 57 3,946 357 9% 776 9 4,722 366 8%
Capital District Physicians Voluntary Health Plan 300 57 357 9% 9 366 8% Tompkins TOTALS: 5,024 1,880 732 228 5,756 2,108 37% 1,073 348 6,829 2,456 36% Voluntary NYS Catholic Health Plan 27 3 30 0% 7 37 0%
SCHC Total Care 1,853 225 2,078 36% 341 2,419 35% Ulster TOTALS: 9,630 8,004 1,382 1,089 11,012 9,093 83% 2,493 877 13,505 9,970 74% Mandatory Eff Mar 2007
GHI HMO Select Hudson Health Plan
901 1,954
180 257
1,081 2,211
10% 20%
74 199
1,155 2,410
9% 18%
MVP Health Plan 2,395 428 2,823 26% 225 3,048 23% NYS Catholic Health Plan 345 77 422 4% 19 441 3% Wellcare Of New York 2,409 147 2,556 23% 360 2,916 22%
Warren TOTALS: 3,272 830 307 60 3,579 890 25% 971 77 4,550 967 21% Voluntary NYS Catholic Health Plan 830 60 890 25% 77 967 21% Washington TOTALS: 3,833 3,156 311 245 4,144 3,401 82% 1,048 276 5,192 3,677 71%
Capital District Physicians Mandatory Health Plan 1,224 99 1,323 32% 132 1,455 28% Eff. Mar 2007 NYS Catholic Health Plan 1,932 146 2,078 50% 144 2,222 43% Wayne TOTALS: 5,028 2,212 424 136 5,452 2,348 43% 1,428 312 6,880 2,660 39% Voluntary Excellus Health Plan 2,212 136 2,348 43% 312 2,660 39% Westchester TOTALS: 47,458 40,606 7,219 6,078 54,677 46,684 85% 9,963 5,994 64,640 52,678 81% Mandatory Affinity Health Plan 6,954 1,269 8,223 15% 1,149 9,372 14% Eff. Oct 1999 GHI HMO Select
Health Insurance Plan of 784 287 1,071 2% 209 1,280 2%
Greater New York 3,438 1,037 4,475 8% 1,030 5,505 9% Hudson Health Plan 23,679 2,561 26,240 48% 2,750 28,990 45% NYS Catholic Health Plan 5,748 924 6,672 12% 856 7,528 12% NYS Catholic Health Plan 1199 3 0 3 0% 0 3 0%
Wyoming Voluntary TOTALS: 1,946 0 203 0 2,149 0 0% 456 0 2,605 0 0% Yates TOTALS: 1,555 1,467 161 144 1,716 1,611 94% 301 181 2,017 1,792 89%
Mandatory Eff. Feb 2007 Excellus Health Plan 1,467 144 1,611 94% 181 1,792 89%
Upstate Total 652,222 507,024 83,643 63,962 735,865 570,986 78% 154,328 75,107 890,193 646,093 73%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
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 NYC Affinity Health Plan 78,912 26,494 105,406 6% 14,121 119,527 6% Mandatory Amerigroup 50,178 17,544 67,722 4% 4,722 72,444 4%
GHI HMO Select 6,703 3,139 9,842 1% 1,808 11,650 1% Fully HealthFirst PHSP 195,157 49,938 245,095 15% 33,282 278,377 15% Implemented:
Sept 2002
HealthPlus Health Insurance Plan of Greater New York
148,526
117,722
37,103
37,752
185,629
155,474
11%
9%
15,967
21,452
201,596
176,926
11%
9% MetroPlus Health Plan 209,549 43,945 253,494 15% 26,135 279,629 15% MetroPlus Health Plan SN 628 829 1,457 0% 918 2,375 0%
Neighborhood Health Providers 55,098 13,578 68,676 4% 8,116 76,792 4% NYPS Select Health SN 161 342 503 0% 351 854 0% NYS Catholic Health Plan 90,726 27,708 118,434 7% 15,429 133,863 7% NYS Catholic Health Plan 1199 The New York Presbyterian Community Health Plan
1,678
65,771
215
15,193
1,893
80,964
0%
5%
59
10,750
1,952
91,714
0%
5% United Healthcare Plan Of NY 88,433 30,234 118,667 7% 12,917 131,584 7% VidaCare Inc. SN 36 393 429 0% 294 723 0% Wellcare Of New York 35,904 19,185 55,089 3% 5,566 60,655 3% NYC Total 1,294,364 1,145,182 362,265 323,592 1,656,629 1,468,774 89% 238,993 171,887 1,895,622 1,640,661 87%
UPSTATE TOTALS: 652,222 507,024 83,643 63,962 735,865 570,986 78% 154,328 75,107 890,193 646,093 73%
NEW YORK CITY TOTALS: 1,294,364 1,145,182 362,265 323,592 1,656,629 1,468,774 89% 238,993 171,887 1,895,622 1,640,661 87% GRAND TOTALS: 1,946,586 1,652,206 445,908 387,554 2,392,494 2,039,760 85% 393,321 246,994 2,785,815 2,286,754 82%
RECIPIENTS ELIGIBLE FOR AND ENROLLED IN MEDICAID MAINSTREAM MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
TANF ADC & MA-ADC SNA HR & MA-HR TANF & MA-ADC, SNA & MA-HR SSI & MA-SSI Total Total Percent Total Total Percent
Eligibles Enrolled Enrolled Eligibles Enrolled EnrolledCounty Plan Name Eligibles Enrolled Eligibles Enrolled Eligibles Enrolled
NYC Boroughs Bronx 325,597 281,954 71,262 58,568 396,859 340,522 86% 66,085 48,238 462,944 388,760 84% Brooklyn 463,381 413,223 136,563 122,864 599,944 536,087 89% 77,587 55,539 677,531 591,626 87% Manhattan 171,006 139,099 56,589 46,929 227,595 186,028 82% 44,401 29,889 271,996 215,917 79% Queens 295,185 274,988 87,052 84,973 382,237 359,961 94% 42,297 31,905 424,534 391,866 92% Staten Island 39,195 35,918 10,800 10,258 49,995 46,176 92% 8,623 6,316 58,618 52,491 90% Borough Total 1,294,364 1,145,182 362,266 323,592 1,656,630 1,468,774 89% 238,993 171,887 1,895,623 1,640,661 87%
NOTES: (1) The Managed Care eligible counts are based upon October, 2008 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 DECEMBER, 2008
County Plan Name
ADULTS WITH CHILDREN
Enrolled
ADULTS WITHOUT CHILDREN
Enrolled Total Enrolled Albany TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan Wellcare Of New York
2,180
993 168 770 249
681
278 50
269 84
2,861
1,271 218
1,039 333
Allegany TOTALS: HealthNow/BCBS-WNY/Community Blue Univera Community Health Inc
594
273 321
161
96 65
755
369 386
Broome TOTALS:
Capital District Physicians Health Plan
Excellus Health Plan GHI HMO Select NYS Catholic Health Plan
2,218
130 1,614
157 317
577
41 417
39 80
2,795
171 2,031
196 397
Cattaraugus TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc
971
238 454 279
244
60 107
77
1,215
298 561 356
Cayuga TOTALS: NYS Catholic Health Plan United Healthcare Plan Of NY
621 25
596
146 4
142
767 29
738 Chautauqua TOTALS:
HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc
1,567
336 1,186
45
506
77 399
30
2,073
413 1,585
75 Chemung TOTALS:
Excellus Health Plan GHI
941 632 309
270 186
84
1,211 818 393
Chenango TOTALS: GHI
623 623
124 124
747 747
Clinton TOTALS: Excellus Health Plan NYS Catholic Health Plan
854 31
823
236 9
227
1,090 40
1,050 Columbia TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan Wellcare Of New York
545
132 78
245 90
116
29 16 45 26
661
161 94
290 116
Cortland TOTALS: NYS Catholic Health Plan SCHC Total Care
679 580
99
122 106
16
801 686 115
Delaware TOTALS: GHI HMO Select
443 443
111 111
554 554
Dutchess TOTALS: GHI HMO Select Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare Of New York
1,548 167 418 587
77 299
346 40 96
137 19 54
1,894 207 514 724
96 353
Erie TOTALS: Univera Community Health Inc HealthNow/BCBS-WNY/Community Blue Independent Health NYS Catholic Health Plan
9,263 5,036
1,665 544
2,018
3,141 2,071
397 134 539
12,404 7,107
2,062 678
2,557
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
County Plan Name
ADULTS WITH CHILDREN
Enrolled
ADULTS WITHOUT CHILDREN
Enrolled Total Enrolled Essex TOTALS:
Excellus Health Plan NYS Catholic Health Plan
503 9
494
152 2
150
655 11
644 Franklin TOTALS:
Excellus Health Plan GHI
526 5
521
124 3
121
650 8
642 Fulton TOTALS:
Capital District Physicians Health Plan
NYS Catholic Health Plan
897
234 663
223
78 145
1,120
312 808
Genesee TOTALS: HealthNow/BCBS-WNY/Community Blue Rochester Area HMO/Preferred Care
671
639 32
121
115 6
792
754 38
Greene TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan Wellcare Of New York
493
158 128 154
53
81
25 25 20 11
574
183 153 174
64 Hamilton TOTALS:
NYS Catholic Health Plan 47 47
6 6
53 53
Herkimer TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY
1,053 136 895
22
214 23
189 2
1,267 159
1,084 24
Jefferson TOTALS: GHI
1,412 1,412
285 285
1,697 1,697
Lewis TOTALS: GHI
358 358
35 35
393 393
Livingston TOTALS: Excellus Health Plan Rochester Area HMO/Preferred Care
489 470
19
105 96
9
594 566
28 Madison TOTALS:
Excellus Health Plan United Healthcare Plan Of NY
713 216 497
138 41 97
851 257 594
Monroe TOTALS: Excellus Health Plan NYS Catholic Health Plan Rochester Area HMO/Preferred Care
6,805 5,825
757 223
1,586 1,257
292 37
8,391 7,082 1,049
260 Montgomery TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan
821
357 24
440
187
68 7
112
1,008
425 31
552 Nassau TOTALS:
Affinity Health Plan HealthFirst PHSP HealthPlus Health Insurance Plan of Greater New York NYS Catholic Health Plan NYS Catholic Health Plan 1199 United Healthcare Plan Of NY
7,471 1,426 1,779
360
1,616 1,016
1 1,273
3,256 557 630 241
986 287
0 555
10,727 1,983 2,409
601
2,602 1,303
1 1,828
Niagara TOTALS: HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan Univera Community Health Inc
2,172
685 960 527
535
171 231 133
2,707
856 1,191
660
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
County Plan Name
ADULTS WITH CHILDREN
Enrolled
ADULTS WITHOUT CHILDREN
Enrolled Total Enrolled Oneida TOTALS:
Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY
3,275 375
2,225 675
718 81
483 154
3,993 456
2,708 829
Onondaga TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care United Healthcare Plan Of NY
3,831 342
1,136 1,129 1,224
1,212 89
340 448 335
5,043 431
1,476 1,577 1,559
Ontario TOTALS: Excellus Health Plan Rochester Area HMO/Preferred Care
822 805
17
220 219
1
1,042 1,024
18 Orange TOTALS:
Affinity Health Plan GHI HMO Select Hudson Health Plan NYS Catholic Health Plan Wellcare Of New York
3,169 1,306
539 609 510 205
680 291 108 135 103
43
3,849 1,597
647 744 613 248
Orleans TOTALS: Excellus Health Plan HealthNow/BCBS-WNY/Community Blue NYS Catholic Health Plan
611 162
138 311
111 26
32 53
722 188
170 364
Oswego TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care United Healthcare Plan Of NY
1,962 24
523 972 443
524 6
97 315 106
2,486 30
620 1,287
549 Otsego TOTALS:
Excellus Health Plan GHI HMO Select NYS Catholic Health Plan
697 390 226
81
145 94 39 12
842 484 265
93 Putnam TOTALS:
GHI HMO Select 301 301
109 109
410 410
Rensselaer TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan Wellcare Of New York
1,144
496 104 452
92
338
137 41
129 31
1,482
633 145 581 123
Rockland TOTALS: Affinity Health Plan GHI HMO Select Hudson Health Plan NYS Catholic Health Plan Wellcare Of New York
3,698 446 209 830
2,034 179
739 136
71 172 321
39
4,437 582 280
1,002 2,355
218 St Lawrence TOTALS:
Excellus Health Plan GHI
1,118 39
1,079
239 9
230
1,357 48
1,309
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
County Plan Name
ADULTS WITH CHILDREN
Enrolled
ADULTS WITHOUT CHILDREN
Enrolled Total Enrolled Saratoga TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan
1,536
562 96
878
322
133 19
170
1,858
695 115
1,048 Schenectady TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan
1,217
441 133 643
274
74 39
161
1,491
515 172 804
Schoharie TOTALS:
Capital District Physicians Health Plan
325
325
83
83
408
408 Schuyler TOTALS:
Excellus Health Plan GHI
241 137 104
68 36 32
309 173 136
Seneca TOTALS: Excellus Health Plan
387 387
54 54
441 441
Steuben TOTALS: GHI
900 900
189 189
1,089 1,089
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
9,851 1,655 2,022
2,152 534
1,184 2,304
2,525 393 490
766 140 223 513
12,376 2,048 2,512
2,918 674
1,407 2,817
Sullivan TOTALS: GHI HMO Select Hudson Health Plan NYS Catholic Health Plan
1,066 91
936 39
193 29
160 4
1,259 120
1,096 43
Tioga TOTALS:
Capital District Physicians Health Plan
469
469
103
103
572
572 Tompkins TOTALS:
SCHC Total Care GHI NYS Catholic Health Plan
573 246 318
9
148 48
100 0
721 294 418
9 Ulster TOTALS:
GHI HMO Select Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare Of New York
1,685 198 388 566
73 460
585 62
129 219
47 128
2,270 260 517 785 120 588
Warren TOTALS: GHI HMO Select NYS Catholic Health Plan
600 79
521
114 18 96
714 97
617 Washington TOTALS:
Capital District Physicians Health Plan
GHI HMO Select NYS Catholic Health Plan
665
144 27
494
101
25 2
74
766
169 29
568
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS DECEMBER, 2008
County Plan Name
ADULTS WITH CHILDREN
Enrolled
ADULTS WITHOUT CHILDREN
Enrolled Total Enrolled Wayne TOTALS:
Excellus Health Plan 743 743
114 114
857 857
Westchester TOTALS: Affinity Health Plan GHI HMO Select Health Insurance Plan of Greater New York Hudson Health Plan NYS Catholic Health Plan NYS Catholic Health Plan 1199
6,071 1,085
159
594 3,443
786 4
2,117 439
55
325 978 320
0
8,188 1,524
214
919 4,421 1,106
4 Wyoming TOTALS:
HealthNow/BCBS-WNY/Community Blue
368
368
60
60
428
428 Yates TOTALS:
Excellus Health Plan 383 383
69 69
452 452
Upstate Total 95,186 25,983 121,169 NYC Affinity Health Plan
Amerigroup GHI HMO Select HealthFirst PHSP Health Insurance Plan of Greater New York HealthPlus MetroPlus Health Plan Neighborhood Health Providers NYS Catholic Health Plan NYS Catholic Health Plan 1199 The New York Presbyterian Community Health Plan United Healthcare Plan Of NY Wellcare Of New York NYC Total
15,554 14,168
1,236 29,545
23,714 28,307 28,769
9,447 16,538
2,435
9,930 18,764
9,978 208,385
13,676 10,450
1,140 22,106
15,260 15,469 16,361
4,291 10,915
174
6,355 10,833 10,102
137,132
29,230 24,618
2,376 51,651
38,974 43,776 45,130 13,738 27,453
2,609
16,285 29,597 20,080
345,517
UPSTATE TOTALS: 95,186 25,983 121,169 NEW YORK CITY TOTALS: 208,385 137,132 345,517 GRAND TOTALS 303,571 163,115 466,686
County Plan Name
ADULTS WITH CHILDREN
ADULTS WITHOUT CHILDREN
Enrolled Enrolled Total Enrolled NYC Borough Bronx
Brooklyn Manhattan Queens Staten Island Borough Total
33,286 72,481 22,338 72,605
7,675 208,385
17,782 46,530 22,579 45,774
4,467 137,132
51,068 119,011
44,917 118,379
12,142 345,517
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 DECEMBER, 2008
MLTC PACE PLAN NAME COUNTY TOTAL
ENROLLMENT COMPREHENSIVE CARE MGMT CORP NEW YORK
WESTCHESTER Total
2,177 169
2,346 EDDY SENIOR CARE ALBANY
RENSSELAER SCHENECTADY SCHOHARIE Total
1 0
105 1
107 INDEPENDENT LIVING FOR SENIORS MONROE
Total 234 234
PACE CNY ONONDAGA Total
319 319
Total MLTC PACE Enrollment 3,006
MLTC PARTIAL CAPITATION PLAN NAME AMERIGROUP NEW YORK
Total 428 428
CCM SELECT NEW YORK WESTCHESTER Total
1,026 16
1,042 ELANT ORANGE
ROCKLAND Total
104 33
137 GUILDNET NASSAU
NEW YORK SUFFOLK Total
522 5,846
217 6,585
HHH CHOICES NEW YORK Total
699 699
HOMEFIRST NEW YORK Total
2,954 2,954
INDEPENDENT CARE SYSTEMS NEW YORK Total
1,338 1,338
PARTNERS IN COMMUNITY CARE ORANGE ROCKLAND Total
154 89
243 SENIOR HEALTH PARTNERS INC NEW YORK
Total 1,348 1,348
SENIOR NETWORK HEALTH HERKIMER ONEIDA Total
38 321 359
TOTAL AGING IN PLACE PROGRAM ERIE Total
144 144
VNS CHOICE NEW YORK Total
6,750 6,750
WELLCARE NEW YORK Total
147 147
Total MLTC Partial Capitation Enrollment 22,174
Total Statewide Enrollment 25,180 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 DECEMBER, 2008
County Plan Name Total
Enrolled Albany TOTAL
Fidelis HealthNow Senior Whole Health
239 4 1
234 Cattaraugus TOTAL
HealthNow 2 2
Chautauqua TOTAL HealthNow
1 1
Dutchess TOTAL Fidelis Senior Whole Health
8 1 7
Erie TOTAL HealthNow
94 94
Fulton TOTAL HealthNow
1 1
Genesee TOTAL HealthNow
1 1
Greene TOTAL Fidelis HealthNow
4 1 3
Herkimer TOTAL Fidelis
3 3
Montgomery TOTAL Fidelis
2 2
Nassau TOTAL GHI Health Insurance Plan of Greater New York Liberty Health Advantage
115 11
75 29
Niagara TOTAL HealthNow
5 5
Oneida TOTAL Fidelis
19 19
Onondaga TOTAL Fidelis Touchstone/Prestige
9 3 6
Orange TOTAL GHI
2 2
Oswego TOTAL Fidelis
3 3
Rensselaer TOTAL Fidelis HealthNow Senior Whole Health
77 7 7
63 Rockland TOTAL
GHI 40 40
MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN
NYS DECEMBER, 2008
County Plan Name Total
Enrolled Saratoga TOTAL
HealthNow Senior Whole Health
8 4 4
Schenectady TOTAL Fidelis Senior Whole Health
101 19 82
Suffolk TOTAL Health Insurance Plan of Greater New York
13
13 Ulster TOTAL
Fidelis Senior Whole Health
130 2
128 Warren TOTAL
HealthNow 4 4
Westchester TOTAL GHI Health Insurance Plan of Greater New York
43 36
7 Wyoming TOTAL
HealthNow 1 1
Upstate Total: 925 NYC Affinity
Fidelis GHI Health Insurance Plan of Greater New York Liberty Health Advantage Managed Health MetroPlus Neighborhood Health Providers Touchstone/Prestige NYC Total
56 180 582
1,461 417 46 6
179 440
3,367
UPSTATE TOTAL 925 NEW YORK CITY TOTAL GRAND TOTAL
3,367 4,292
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 DECEMBER, 2008
County Plan Name Total
Enrolled Albany Total
Senior Whole Health 32 32
Rensselaer Total Senior Whole Health
28 28
Saratoga Total Senior Whole Health
4 4
Schenectady Total Senior Whole Health
6 6
Ulster Total Senior Whole Health
34 34
Upstate Total: 104 NYC Guildnet
VNS Choice Plus WellCare NYC Total
143 9
147 299
UPSTATE TOTAL 104 NEW YORK CITY TOTAL 299 GRAND TOTAL 403
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