View
0
Download
0
Category
Preview:
Citation preview
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
Albany TOTALS: 22,379 5,280 27,659 3,719 31,378 Mandatory Capital District Physicians Health Plan 15,371 3,300 18,671 2,717 21,388 Eff. Oct 1997 NYS Catholic Health Plan 5,860 1,635 7,495 746 8,241
Wellcare of New York 1,148 345 1,493 256 1,749 Allegany TOTALS: 3,940 836 4,776 590 5,366 Mandatory HealthNow 2,174 479 2,653 377 3,030 Eff Feb 2007 NYS Catholic Health Plan 280 85 365 34 399
Univera Community Health 1,486 272 1,758 179 1,937 Broome TOTALS: 18,467 4,278 22,745 3,937 26,682 Mandatory Capital District Physicians Health Plan 187 21 208 70 278 Eff. May 1998 Excellus Health Plan 15,418 3,604 19,022 3,013 22,035
NYS Catholic Health Plan 2,654 556 3,210 765 3,975 United Healthcare Plan of NY 208 97 305 89 394
Cattaraugus TOTALS: 6,885 1,305 8,190 1,309 9,499 Mandatory HealthNow 3,050 580 3,630 760 4,390 Eff. Sep 2001 NYS Catholic Health Plan 2,418 407 2,825 338 3,163
Univera Community Health 1,417 318 1,735 211 1,946 Cayuga TOTALS: 6,820 1,394 8,214 867 9,081 Mandatory Excellus Health Plan 2,386 509 2,895 262 3,157 Eff. Oct 2010 NYS Catholic Health Plan 3,667 709 4,376 467 4,843
United Healthcare Plan of NY 767 176 943 138 1,081 Chautauqua TOTALS: 14,785 3,422 18,207 2,750 20,957 Mandatory HealthNow 2,701 658 3,359 681 4,040 Eff. Sep 2001 NYS Catholic Health Plan 11,549 2,440 13,989 1,882 15,871
Univera Community Health 535 324 859 187 1,046 Chemung Mandatory Eff. Nov 2012
TOTALS: Excellus Health Plan NYS Catholic Health Plan
9,409 5,236 4,173
1,679 843 836
11,088 6,079 5,009
1,744 893 851
12,832 6,972 5,860
Chenango Mandatory Eff. Dec 2011
TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY
4,839 4,180
659
883 713 170
5,722 4,893
829
563 441 122
6,285 5,334
951 Clinton Mandatory Eff. Dec 2011
TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY
7,046 6,488
558
1,587 1,356
231
8,633 7,844
789
1,087 947 140
9,720 8,791
929
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
Columbia Mandatory Eff. Oct 1997
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
4,523 2,407 2,116
1,057 577 480
5,580 2,984 2,596
750 506 244
6,330 3,490 2,840
Cortland Mandatory Eff. May 2007
TOTALS: NYS Catholic Health Plan SCHC Total Care
4,808 3,611 1,197
910 674 236
5,718 4,285 1,433
635 467 168
6,353 4,752 1,601
Delaware Mandatory Eff. May 2011
TOTALS: NYS Catholic Health Plan
3,809 3,809
920 920
4,729 4,729
175 175
4,904 4,904
Dutchess TOTALS: 16,359 3,675 20,034 2,712 22,746 Mandatory Hudson Health Plan 5,809 1,148 6,957 966 7,923 Eff. Apr 2007 MVP Health Plan 4,904 1,132 6,036 836 6,872
NYS Catholic Health Plan 3,937 1,124 5,061 634 5,695 Wellcare of New York 1,709 271 1,980 276 2,256
Erie TOTALS: 85,804 21,032 106,836 15,949 122,785 Mandatory HealthNow 15,675 4,251 19,926 3,029 22,955 Eff. May 1998 Independent Health Association 25,485 5,992 31,477 5,522 36,999
NYS Catholic Health Plan 20,554 4,676 25,230 3,582 28,812 Univera Community Health 24,090 6,113 30,203 3,816 34,019
Essex Mandatory Eff. Oct 2010
TOTALS: NYS Catholic Health Plan
2,613 2,613
541 541
3,154 3,154
287 287
3,441 3,441
Franklin Mandatory Eff. May 2011
TOTALS: NYS Catholic Health Plan
3,921 3,921
937 937
4,858 4,858
196 196
5,054 5,054
Fulton TOTALS: 5,849 1,251 7,100 1,019 8,119 Mandatory Capital District Physicians Health Plan 890 188 1,078 214 1,292 Eff. Mar 2007 NYS Catholic Health Plan 4,956 1,060 6,016 802 6,818
United Healthcare Plan of NY 3 3 6 3 9 Genesee Mandatory Eff. Jan 2004
TOTALS: MVP Health Plan NYS Catholic Health Plan
4,046 2,482 1,564
721 398 323
4,767 2,880 1,887
565 406 159
5,332 3,286 2,046
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
Greene Mandatory Eff. Oct 1997
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
4,043 2,064 1,979
997 447 550
5,040 2,511 2,529
747 442 305
5,787 2,953 2,834
Hamilton Mandatory Eff. Oct 2010
TOTALS: NYS Catholic Health Plan
285 285
67 67
352 352
7 7
359 359
Herkimer TOTALS: 6,192 1,306 7,498 818 8,316 Mandatory Excellus Health Plan 1,095 249 1,344 203 1,547 Eff. May 2003 NYS Catholic Health Plan 5,057 1,051 6,108 605 6,713
United Healthcare Plan of NY 40 6 46 10 56 Jefferson Mandatory Eff. Oct 2012
TOTALS: Excellus Health Plan United Healthcare Plan of NY
9,702 7,866 1,836
1,791 1,352
439
11,493 9,218 2,275
740 555 185
12,233 9,773 2,460
Lewis Mandatory Eff. Oct 2012
TOTALS: Excellus Health Plan NYS Catholic Health Plan
2,400 1,760
640
388 257 131
2,788 2,017
771
317 228 89
3,105 2,245
860 Livingston TOTALS: 4,387 967 5,354 658 6,012 Mandatory Excellus Health Plan 3,090 617 3,707 444 4,151 Eff. Apr 2002 MVP Health Plan 754 157 911 179 1,090
NYS Catholic Health Plan 543 193 736 35 771 Madison TOTALS: 5,426 1,079 6,505 629 7,134 Mandatory Excellus Health Plan 2,944 564 3,508 348 3,856 Eff. Oct 2010 NYS Catholic Health Plan 1,945 374 2,319 210 2,529
United Healthcare Plan of NY 537 141 678 71 749 Monroe TOTALS: 72,357 16,659 89,016 14,400 103,416 Mandatory Excellus Health Plan 52,436 10,383 62,819 9,677 72,496 Eff. Mar 1998 MVP Health Plan 9,564 1,449 11,013 2,352 13,365
NYS Catholic Health Plan 10,346 4,814 15,160 2,369 17,529 United Healthcare Plan of NY 11 13 24 2 26
Montgomery Mandatory Eff. Apr 2007
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
6,524 2,422 4,102
1,163 384 779
7,687 2,806 4,881
948 394 554
8,635 3,200 5,435
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
Nassau TOTALS: 80,227 22,811 103,038 10,347 113,385 Mandatory Affinity Health Plan 11,155 2,653 13,808 1,245 15,053 Eff. June 2001 Amerigroup 6,958 2,542 9,500 941 10,441
HealthFirst PHSP 15,804 4,037 19,841 1,596 21,437 HIP of Greater New York 11,214 4,338 15,552 2,585 18,137 NYS Catholic Health Plan 17,255 4,094 21,349 1,828 23,177 United Healthcare Plan of NY 17,841 5,147 22,988 2,152 25,140
Niagara TOTALS: 18,508 4,765 23,273 3,296 26,569 Mandatory HealthNow 7 4 11 1 12 Eff Sep 1998 Independent Health Association 8,234 2,396 10,630 1,819 12,449
NYS Catholic Health Plan 10,267 2,365 12,632 1,476 14,108 Oneida TOTALS: 26,773 5,134 31,907 4,756 36,663 Mandatory Excellus Health Plan 5,068 1,221 6,289 937 7,226 Eff Sep 2001 NYS Catholic Health Plan 18,854 3,221 22,075 3,272 25,347
United Healthcare Plan of NY 2,851 692 3,543 547 4,090 Onondaga TOTALS: 43,384 8,168 51,552 8,121 59,673 Mandatory Excellus Health Plan 8,199 1,514 9,713 1,231 10,944 Eff. Nov 1998 NYS Catholic Health Plan 12,608 2,203 14,811 1,915 16,726
SCHC Total Care 17,217 3,334 20,551 3,977 24,528 United Healthcare Plan of NY 5,360 1,117 6,477 998 7,475
Ontario TOTALS: 7,043 1,173 8,216 1,033 9,249 Mandatory Excellus Health Plan 6,440 1,047 7,487 899 8,386 Eff. Mar 1998 MVP Health Plan 452 64 516 109 625
NYS Catholic Health Plan 151 62 213 25 238 Orange TOTALS: 41,097 5,205 46,302 3,945 50,247 Mandatory Affinity Health Plan 11,958 1,966 13,924 1,478 15,402 Eff. Mar 2007 Hudson Health Plan 10,130 1,901 12,031 1,482 13,513
NYS Catholic Health Plan 17,561 937 18,498 721 19,219 United Healthcare Plan of NY 247 133 380 31 411 Wellcare of New York 1,201 268 1,469 233 1,702
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
Orleans TOTALS: 4,040 924 4,964 502 5,466 Mandatory Excellus Health Plan 1,557 301 1,858 211 2,069 Eff. June 2003 HealthNow 813 213 1,026 136 1,162
NYS Catholic Health Plan 1,670 410 2,080 155 2,235 Oswego TOTALS: 14,638 2,804 17,442 2,100 19,542 Mandatory Excellus Health Plan 2,904 668 3,572 508 4,080 Eff. Apr 1999 NYS Catholic Health Plan 8,022 1,419 9,441 1,041 10,482
United Healthcare Plan of NY 3,712 717 4,429 551 4,980 Otsego Mandatory Eff. May 2007
TOTALS: Excellus Health Plan NYS Catholic Health Plan
4,327 2,458 1,869
928 465 463
5,255 2,923 2,332
614 356 258
5,869 3,279 2,590
Putnam Mandatory Eff. Mar 2007
TOTALS: Amerigroup NYS Catholic Health Plan
2,453 48
2,405
553 29
524
3,006 77
2,929
386 47
339
3,392 124
3,268 Rensselaer TOTALS: 13,122 3,060 16,182 2,430 18,612 Mandatory Capital District Physicians Health Plan 9,399 2,143 11,542 1,809 13,351 Eff. Oct 1997 NYS Catholic Health Plan 3,206 787 3,993 501 4,494
United Healthcare Plan of NY 12 7 19 4 23 Wellcare of New York 505 123 628 116 744
Rockland TOTALS: 49,867 4,875 54,742 2,323 57,065 Mandatory Affinity Health Plan 3,564 1,056 4,620 548 5,168 Eff. Mar 2001 Hudson Health Plan 8,299 1,088 9,387 559 9,946
NYS Catholic Health Plan 35,491 2,333 37,824 1,068 38,892 United Healthcare Plan of NY 315 192 507 31 538 Wellcare of New York 2,198 206 2,404 117 2,521
St Lawrence Mandatory Eff. Oct 2012
TOTALS: Excellus Health Plan NYS Catholic Health Plan
9,415 7,774 1,641
1,847 1,445
402
11,262 9,219 2,043
877 691 186
12,139 9,910 2,229
Saratoga Mandatory Eff. Oct 1997
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
10,506 6,715 3,791
2,297 1,533
764
12,803 8,248 4,555
1,453 1,113
340
14,256 9,361 4,895
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
Schenectady Mandatory Eff. Apr 2007
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
15,696 8,001 7,695
3,003 1,370 1,633
18,699 9,371 9,328
3,057 1,849 1,208
21,756 11,220 10,536
Schoharie Mandatory Eff. Oct 2010
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
2,409 1,397 1,012
545 331 214
2,954 1,728 1,226
282 174 108
3,236 1,902 1,334
Schuyler Mandatory Eff May 2012
TOTALS: Excellus Health Plan NYS Catholic Health Plan
1,657 1,088
569
420 247 173
2,077 1,335
742
125 68 57
2,202 1,403
799 Seneca Mandatory Eff. Jan 2007
TOTALS: Excellus Health Plan
2,818 2,818
487 487
3,305 3,305
431 431
3,736 3,736
Steuben Mandatory Eff May 2012
TOTALS: Excellus Health Plan NYS Catholic Health Plan
8,266 4,433 3,833
1,604 903 701
9,870 5,336 4,534
1,109 575 534
10,979 5,911 5,068
Suffolk TOTALS: 99,804 23,418 123,222 11,834 135,056 Mandatory Affinity Health Plan 15,178 2,886 18,064 1,430 19,494 Eff. June 2001 HealthFirst PHSP 31,720 4,913 36,633 3,440 40,073
HIP of Greater New York 11,669 4,467 16,136 2,233 18,369 Neighborhood Health Providers 8 0 8 1 9 NYS Catholic Health Plan 19,516 4,571 24,087 2,140 26,227 United Healthcare Plan of NY 21,713 6,581 28,294 2,590 30,884
Sullivan Mandatory Eff. Apr 2007
TOTALS: Hudson Health Plan NYS Catholic Health Plan
9,426 6,867 2,559
1,564 1,109
455
10,990 7,976 3,014
1,291 1,000
291
12,281 8,976 3,305
Tioga TOTALS: 4,263 640 4,903 374 5,277 Mandatory Capital District Physicians Health Plan 1,354 205 1,559 124 1,683 Eff. Jun 2012 NYS Catholic Health Plan 2,670 374 3,044 213 3,257
United Healthcare Plan of NY 239 61 300 37 337 Tompkins TOTALS: 5,480 1,291 6,771 833 7,604 Mandatory Excellus Health Plan 417 114 531 31 562 Eff. Oct 2010 NYS Catholic Health Plan 1,332 472 1,804 238 2,042
SCHC Total Care 3,731 705 4,436 564 5,000
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
Ulster TOTALS: 13,575 3,450 17,025 2,176 19,201 Mandatory Hudson Health Plan 4,034 1,038 5,072 594 5,666 Eff Mar 2007 MVP Health Plan 3,951 1,349 5,300 706 6,006
NYS Catholic Health Plan 3,782 718 4,500 451 4,951 United Healthcare Plan of NY 39 30 69 8 77 Wellcare of New York 1,769 315 2,084 417 2,501
Warren Mandatory Eff. Oct 2012
TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY
4,156 3,729
427
665 532 133
4,821 4,261
560
420 374 46
5,241 4,635
606 Washington Mandatory Eff. Mar 2007
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
5,118 1,954 3,164
770 327 443
5,888 2,281 3,607
777 355 422
6,665 2,636 4,029
Wayne Mandatory Eff. Oct 2010
TOTALS: Excellus Health Plan NYS Catholic Health Plan
7,245 6,271
974
1,110 920 190
8,355 7,191 1,164
1,212 1,049
163
9,567 8,240 1,327
Westchester TOTALS: 70,179 16,327 86,506 8,244 94,750 Mandatory Affinity Health Plan 10,798 3,034 13,832 1,488 15,320 Eff. Oct 1999 HIP of Greater New York 5,316 1,853 7,169 1,128 8,297
Hudson Health Plan 39,523 6,340 45,863 3,830 49,693 NYS Catholic Health Plan 13,756 4,608 18,364 1,628 19,992 United Healthcare Plan of NY 786 492 1,278 170 1,448
Wyoming Mandatory Eff. Jul 2012
TOTALS: HealthNow NYS Catholic Health Plan
2,250 1,535
715
436 285 151
2,686 1,820
866
124 81 43
2,810 1,901
909 Yates Mandatory Eff. Feb 2007
TOTALS: Excellus Health Plan
1,987 1,987
310 310
2,297 2,297
253 253
2,550 2,550
Upstate Total 917,347 196,709 1,114,056 132,843 1,246,899
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
NYC Affinity Health Plan 88,460 48,062 136,522 16,378 152,900 Mandatory Amerigroup 220,118 95,258 315,376 25,018 340,394
Amida Care SN 380 2,919 3,299 2,561 5,860 Fully HealthFirst PHSP 404,014 161,681 565,695 68,422 634,117 Implemented: HIP of Greater New York 91,042 43,894 134,936 19,264 154,200 Sept 2002 HIP of Greater New York UFT 32 23 55 5 60
MetroPlus Health Plan SN 904 2,263 3,167 2,291 5,458 MetroPlus Health Plan 245,943 89,283 335,226 35,787 371,013 Neighborhood Health Providers 101 32 133 7 140 NYS Catholic Health Plan 162,828 108,698 271,526 28,142 299,668 United Healthcare Plan of NY 127,466 66,683 194,149 14,608 208,757 VNS Choice SN 418 2,367 2,785 2,578 5,363 Wellcare of New York 27,418 26,139 53,557 3,304 56,861 NYC Total 1,369,124 647,302 2,016,426 218,365 2,234,791
UPSTATE TOTALS: 917,347 196,709 1,114,056 132,843 1,246,899 NEW YORK CITY TOTALS: 1,369,124 647,302 2,016,426 218,365 2,234,791 GRAND TOTALS: 2,286,471 844,011 3,130,482 351,208 3,481,690
RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
TANF ADC & MA-ADC
Enrolled
SNA HR & MA-HR
Enrolled
TANF & MA-ADC, SNA & MA-HR
Total Enrolled
SSI & MA-SSI
Enrolled
TOTAL ENROLLED
NYC Boroughs Bronx Brooklyn Manhattan Queens Staten Island Borough Total
345,502 492,647 145,180 339,107 46,688
1,369,124
123,828 231,379 89,666
180,827 21,602
647,302
469,330 724,026 234,846 519,934 68,290
2,016,426
66,516 67,686 34,620 41,017 8,526
218,365
535,846 791,712 269,466 560,951 76,816
2,234,791
NOTES: (1) 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 of the month. (2) New plans added this month : None
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
ADULTS WITH
CHILDREN Enrolled
ADULTS WITHOUT CHILDREN
EnrolledTotal
Enrolled Albany TOTALS:
Capital District Physicians Health Plan NYS Catholic Health Plan Wellcare of New York
2,859 1,608 1,113
138
579 316 228
35
3,438 1,924 1,341
173 Allegany TOTALS:
HealthNow NYS Catholic Health Plan Univera Community Health Inc
599 261
59 279
130 61 19 50
729 322
78 329
Broome TOTALS: Capital District Physicians Health Plan Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY
2,760 38
2,289 393
40
415 5
342 48 20
3,175 43
2,631 441
60 Cattaraugus TOTALS:
HealthNow NYS Catholic Health Plan Univera Community Health Inc
913 320 343 250
205 80 61 64
1,118 400 404 314
Cayuga TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY
946 320 454 172
162 50 89 23
1,108 370 543 195
Chautauqua TOTALS: HealthNow NYS Catholic Health Plan Univera Community Health Inc
1,608 320
1,176 112
336 74
227 35
1,944 394
1,403 147
Chemung TOTALS: Excellus Health Plan NYS Catholic Health Plan
979 636 343
218 107 111
1,197 743 454
Chenango TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY
732 669
63
93 81 12
825 750
75 Clinton TOTALS:
Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY
1,058 3
938 117
196 0
162 34
1,254 3
1,100 151
Columbia TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
701 266 435
120 55 65
821 321 500
Cortland TOTALS: NYS Catholic Health Plan SCHC Total Care
679 531 148
91 72 19
770 603 167
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
ADULTS WITH
CHILDREN Enrolled
ADULTS WITHOUT CHILDREN
EnrolledTotal
Enrolled Delaware TOTALS:
NYS Catholic Health Plan 668 668
100 100
768 768
Dutchess TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare of New York
2,421 723 729 766 203
371 116 102 120
33
2,792 839 831 886 236
Erie TOTALS: HealthNow Independent Health NYS Catholic Health Plan Univera Community Health Inc
12,183 2,236 3,177 2,548 4,222
2,076 456 519 428 673
14,259 2,692 3,696 2,976 4,895
Essex TOTALS: Excellus Health Plan NYS Catholic Health Plan
544 0
544
91 1
90
635 1
634 Franklin TOTALS:
Excellus Health Plan NYS Catholic Health Plan
520 0
520
106 1
105
626 1
625 Fulton TOTALS:
Capital District Physicians Health Plan NYS Catholic Health Plan
890 126 764
156 23
133
1,046 149 897
Genesee TOTALS: MVP Health Plan NYS Catholic Health Plan
659 362 297
114 71 43
773 433 340
Greene TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
504 211 293
73 30 43
577 241 336
Hamilton TOTALS: NYS Catholic Health Plan
64 64
12 12
76 76
Herkimer TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY
1,185 236 943
6
144 31
112 1
1,329 267
1,055 7
Jefferson TOTALS: Excellus Health Plan United Healthcare Plan of NY
1,347 1,158
189
258 188
70
1,605 1,346
259 Lewis TOTALS:
Excellus Health Plan NYS Catholic Health Plan
378 250 128
44 30 14
422 280 142
Livingston TOTALS: Excellus Health Plan MVP Health Plan NYS Catholic Health Plan
582 427
64 91
132 91
9 32
714 518
73 123
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
ADULTS WITH
CHILDREN Enrolled
ADULTS WITHOUT CHILDREN
EnrolledTotal
Enrolled Madison TOTALS: 1,003 119 1,122
Excellus Health Plan 508 60 568 NYS Catholic Health Plan 328 44 372 United Healthcare Plan of NY 167 15 182
Monroe TOTALS: 8,306 1,300 9,606 Excellus Health Plan 6,308 910 7,218 MVP Health Plan 537 90 627 NYS Catholic Health Plan 1,390 281 1,671 United Healthcare Plan of NY 71 19 90
Montgomery TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
1,061 339 722
133 45 88
1,194 384 810
Nassau TOTALS: 18,961 3,187 22,148 Affinity Health Plan 2,554 433 2,987 Amerigroup 1,937 415 2,352 HealthFirst PHSP 3,605 546 4,151 HIP of Greater New York 2,224 338 2,562 NYS Catholic Health Plan 3,904 804 4,708 United Healthcare Plan of NY 4,737 651 5,388
Niagara TOTALS: HealthNow NYS Catholic Health Plan
2,501 3
2,498
462 0
462
2,963 3
2,960 Oneida TOTALS: 3,771 485 4,256
Excellus Health Plan 800 118 918 NYS Catholic Health Plan 2,587 318 2,905 United Healthcare Plan of NY 384 49 433
Onondaga TOTALS: 5,340 861 6,201 Excellus Health Plan 1,123 185 1,308 NYS Catholic Health Plan 1,872 285 2,157 SCHC Total Care 1,525 264 1,789 United Healthcare Plan of NY 820 127 947
Ontario TOTALS: 1,124 224 1,348 Excellus Health Plan 1,050 204 1,254 MVP Health Plan 50 9 59 NYS Catholic Health Plan 24 11 35
Orange TOTALS: 4,429 631 5,060 Affinity Health Plan 1,527 245 1,772 Hudson Health Plan 1,427 179 1,606 NYS Catholic Health Plan 1,216 160 1,376 United Healthcare Plan of NY 76 19 95 Wellcare of New York 183 28 211
Orleans TOTALS: 684 94 778 Excellus Health Plan 220 28 248 HealthNow 118 14 132 NYS Catholic Health Plan 346 52 398
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
ADULTS WITH
CHILDREN Enrolled
ADULTS WITHOUT CHILDREN
EnrolledTotal
Enrolled Oswego TOTALS:
Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY
1,890 463 976 451
334 81
168 85
2,224 544
1,144 536
Otsego TOTALS: Excellus Health Plan NYS Catholic Health Plan
795 352 443
109 50 59
904 402 502
Putnam TOTALS: NYS Catholic Health Plan
452 452
69 69
521 521
Rensselaer TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York
1,557 891 577
4 85
232 136
76 0
20
1,789 1,027
653 4
105 Rockland TOTALS:
Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY Wellcare of New York
5,307 575
1,104 3,365
131 132
741 132 127 429
31 22
6,048 707
1,231 3,794
162 154
St Lawrence TOTALS: Excellus Health Plan NYS Catholic Health Plan
1,224 1,126
98
236 197
39
1,460 1,323
137 Saratoga TOTALS:
Capital District Physicians Health Plan NYS Catholic Health Plan
1,927 922
1,005
293 172 121
2,220 1,094 1,126
Schenectady TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
1,907 703
1,204
394 156 238
2,301 859
1,442 Schoharie TOTALS:
Capital District Physicians Health Plan NYS Catholic Health Plan
465 231 234
70 37 33
535 268 267
Schuyler TOTALS: Excellus Health Plan NYS Catholic Health Plan
346 256
90
63 38 25
409 294 115
Seneca TOTALS: Excellus Health Plan
394 394
56 56
450 450
Steuben TOTALS: Excellus Health Plan NYS Catholic Health Plan
1,164 410 754
181 73
108
1,345 483 862
Suffolk TOTALS: Affinity Health Plan HealthFirst PHSP HIP of Greater New York Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan of NY
21,426 3,266 5,184 2,595
43 4,930 5,408
2,980 391 676 402
4 827 680
24,406 3,657 5,860 2,997
47 5,757 6,088
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
ADULTS WITH
CHILDREN Enrolled
ADULTS WITHOUT CHILDREN
EnrolledTotal
Enrolled Sullivan TOTALS:
Hudson Health Plan NYS Catholic Health Plan
1,394 996 398
179 115
64
1,573 1,111
462 Tioga TOTALS:
Capital District Physicians Health Plan NYS Catholic Health Plan United Healthcare Plan of NY
553 199 314
40
90 27 55
8
643 226 369
48 Tompkins TOTALS:
Excellus Health Plan NYS Catholic Health Plan SCHC Total Care
730 65
214 451
120 10 39 71
850 75
253 522
Ulster TOTALS: Hudson Health Plan MVP Health Plan NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York
2,210 639 818 472
16 265
443 112 186
96 1
48
2,653 751
1,004 568
17 313
Warren TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY
897 817
80
87 77 10
984 894
90 Washington TOTALS:
Capital District Physicians Health Plan NYS Catholic Health Plan
812 240 572
92 36 56
904 276 628
Wayne TOTALS: Excellus Health Plan NYS Catholic Health Plan
993 891 102
133 110
23
1,126 1,001
125 Westchester TOTALS:
Affinity Health Plan HIP of Greater New York Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan of NY
10,579 1,633
782 5,203 2,550
411
2,123 348 134 753 778 110
12,702 1,981
916 5,956 3,328
521 Wyoming TOTALS:
HealthNow NYS Catholic Health Plan
510 342 168
71 51 20
581 393 188
Yates TOTALS: Excellus Health Plan
381 381
54 54
435 435
Upstate Total 140,872 22,868 163,740
FAMILY HEALTH PLUS ENROLLMENT BY COUNTY, PLAN, AND AID CATEGORY
NYS, JULY 2013
County Plan Name
ADULTS WITH
CHILDREN Enrolled
ADULTS WITHOUT CHILDREN
EnrolledTotal
Enrolled NYC Affinity Health Plan 12,643 5,521 18,164
Amerigroup 34,467 12,001 46,468 HealthFirst PHSP 47,396 16,107 63,503 HIP of Greater New York 13,721 4,127 17,848 HIP of Greater New York UFT 7 4 11 MetroPlus Health Plan 26,228 7,565 33,793 Neighborhood Health Providers 6 2 8 NYS Catholic Health Plan 32,190 15,007 47,197 United Healthcare Plan of NY 23,317 7,572 30,889 Wellcare of New York 6,059 3,646 9,705 NYC Total 196,034 71,552 267,586
UPSTATE TOTALS: 140,872 22,868 163,740 NEW YORK CITY TOTALS: 196,034 71,552 267,586 GRAND TOTALS 336,906 94,420 431,326
County Plan Name
ADULTS WITH
CHILDREN
ADULTS WITHOUT CHILDREN Total
Enrolled Enrolled Enrolled NYC Borough Bronx
Brooklyn Manhattan Queens Staten Island Borough Total
33,262 68,345 17,233 69,407
7,787 196,034
10,756 24,333
8,924 25,413
2,126 71,552
44,018 92,678 26,157 94,820
9,913 267,586
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, JULY 2013
PLAN NAME COUNTY TOTAL
ENROLLED
MLTC PACE PLANS ARCHCARE SENIOR LIFE NEW YORK
Total 266 266
CHS BUFFALO LIFE ERIE Total
132 132
COMPLETE SENIOR CARE NIAGARA Total
76 76
COMPREHENSIVE CARE MGMT NASSAU NEW YORK SUFFOLK WESTCHESTER Total
44 3,110
84 195
3,433 EDDY SENIOR CARE ALBANY
SCHENECTADY Total
3 139 142
INDEPENDENT LIVING FOR SENIORS MONROE Total
425 425
PACE CNY ONONDAGA Total
431 431
TOTAL SENIOR CARE ALLEGANY CATTARAUGUS Total
10 80 90
Total MLTC PACE Enrollment 4,995
MLTC PARTIAL CAPITATION PLANS AETNA BETTER HEALTH NASSAU
NEW YORK SUFFOLK Total
109 778 144
1,031 AGEWELL NEW YORK NASSAU
NEW YORK SUFFOLK WESTCHESTER Total
152 933
61 10
1,156 AMERIGROUP NEW YORK
Total 2,840 2,840
ARCHCARE COMMUNITY LIFE NEW YORK PUTNAM WESTCHESTER Total
507 28
211 746
CCM SELECT NASSAU NEW YORK ROCKLAND SUFFOLK WESTCHESTER Total
60 8,244
174 83
268 8,829
MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM
NYS, JULY 2013
PLAN NAME COUNTY TOTAL
ENROLLED
CENTERS PLAN FOR HEALTHY LIVING NEW YORK Total
613 613
ELANT DUTCHESS 43 ORANGE 148 ROCKLAND 136 Total 327
ELDERPLAN MONROE 86 NASSAU 63 NEW YORK 9,105 SUFFOLK 16 WESTCHESTER 254 Total 9,524
ELDERSERVE NASSAU 80 NEW YORK 9,116 SUFFOLK 73 WESTCHESTER 138 Total 9,407
FIDELIS CARE AT HOME ALBANY 38 BROOME 7 CHAUTAUQUA 2 COLUMBIA 3 CORTLAND 1 DELAWARE 1 DUTCHESS 9 ERIE 5 ESSEX 1 FULTON 5 HERKIMER 3 MONROE 3 MONTGOMERY 4 NASSAU 280 NEW YORK 5,072 ONEIDA 14 ONONDAGA 12 ORANGE 257 OSWEGO 3 PUTNAM 3 RENSSELAER 16 ROCKLAND 217 SCHENECTADY 17 SUFFOLK 235 SULLIVAN 3 TOMPKINS 2 ULSTER 10 WARREN 1 WASHINGTON 8 WESTCHESTER 104 Total 6,336
MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM
NYS, JULY 2013
PLAN NAME COUNTY TOTAL
ENROLLED
GUILDNET NASSAU NEW YORK SUFFOLK WESTCHESTER Total
1,003 10,991
1,009 55
13,058 HHH CHOICES NEW YORK
WESTCHESTER Total
2,284 33
2,317 HIP OF GREATER NEW YORK NASSAU
NEW YORK SUFFOLK WESTCHESTER Total
72 804
39 11
926 INDEPENDENCE CARE SYSTEMS NEW YORK
Total 4,740 4,740
METROPLUS MLTC NEW YORK Total
256 256
SENIOR HEALTH PARTNERS INC NASSAU NEW YORK WESTCHESTER Total
147 9,242
28 9,417
SENIOR NETWORK HEALTH HERKIMER ONEIDA Total
53 341 394
SENIOR WHOLE HEALTH NEW YORK Total
386 386
TOTAL AGING IN PLACE PROGRAM ERIE Total
120 120
UNITED HEALTHCARE NEW YORK Total
343 343
VILLAGE CARE NEW YORK Total
1,975 1,975
VNA HEALTHCARE OPTIONS ONONDAGA Total
95 95
VNS CHOICE COLUMBIA DUTCHESS GREENE NASSAU NEW YORK ORANGE RENSSELAER ROCKLAND SUFFOLK ULSTER WESTCHESTER Total
1 19
1 359
19,454 6 1
19 136
1 300
20,297
MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM
NYS, JULY 2013
PLAN NAME COUNTY TOTAL
ENROLLED
WELLCARE ALBANY ERIE NASSAU NEW YORK ORANGE ROCKLAND SUFFOLK ULSTER WESTCHESTER Total
6 63 17
4,584 22 19
5 25
3 4,744
Total MLTC Partial Capitation Enrollment 99,877
Total Statewide Enrollment 104,872 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, JULY 2013
County Plan Name Total
Enrolled Albany TOTAL
Fidelis WellCare
250 140 110
Broome TOTAL WellCare
214 214
Columbia TOTAL Fidelis
9 9
Dutchess TOTAL Fidelis WellCare
67 25 42
Erie TOTAL WellCare
816 816
Greene TOTAL Fidelis
11 11
Herkimer TOTAL Fidelis
13 13
Monroe TOTAL WellCare
282 282
Montgomery TOTAL Fidelis
28 28
Nassau TOTAL HIP of Greater New York Liberty Health Advantage Managed Health United HealthCare VNS Choice WellCare
334 121 61 13
137 1 1
Niagara TOTAL WellCare
171 171
Oneida TOTAL Fidelis WellCare
226 71
155 Onondaga TOTAL
Fidelis WellCare
385 68
317 Orange TOTAL
Touchstone/Prestige WellCare
59 24 35
Oswego TOTAL Fidelis
45 45
Rensselaer TOTAL Fidelis WellCare
69 24 45
Rockland TOTAL WellCare
34 34
Saratoga TOTAL WellCare
28 28
Schenectady TOTAL Fidelis WellCare
144 75 69
MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN
NYS, JULY 2013
County Plan Name Total
Enrolled Suffolk TOTAL
HIP of Greater New York 62 62
Ulster TOTAL Fidelis WellCare
52 19 33
Wayne TOTAL WellCare
20 20
Westchester TOTAL HIP of Greater New York Managed Health Touchstone/Prestige WellCare
149 14 4
130 1
Upstate Total: 3,468 NYC Affinity
ElderPlan Fidelis Guildnet HIP of Greater New York Liberty Health Advantage Managed Health MetroPlus Touchstone/Prestige United HealthCare VNS Choice WellCare NYC Total
369 6
1,883 1
1,109 376 276 188
1,608 745
1 33
6,595
UPSTATE TOTAL 3,468 NEW YORK CITY TOTAL 6,595 GRAND TOTAL 10,063
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, JULY 2013
County Plan Name Total
Enrolled Albany Total
NYS Catholic Health Plan 52 52
Montgomery Total NYS Catholic Health Plan
4 4
Nassau Total ElderPlan Guildnet HealthFirst HIP of Greater New York
66 2
16 2
46 Rensselaer Total
NYS Catholic Health Plan 32 32
Schenectady Total NYS Catholic Health Plan
28 28
Suffolk Total Guildnet HIP of Greater New York
40 27 13
Westchester Total HIP of Greater New York
4 4
Upstate Total: 226 NYC AmeriGroup
Elderplan Guildnet HealthFirst HHH Choices HIP of Greater New York NYS Catholic Health Plan Senior Whole Health VNS Choice Plus WellCare NYC Total
7 799 431
1,837 8
411 93 29
284 68
3,967
UPSTATE TOTAL 226 NEW YORK CITY TOTAL 3,967 GRAND TOTAL 4,193
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
Recommended