Recipients Eligible For And Enrolled In Medicaid ......recipients enrolled in mainstream medicaid managed care by county, plan, and aid category nys, february 2013 tanf & ma-adc, sna

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

NYS, FEBRUARY 2013 TANF & MA-ADC, SNA

TANF ADC & MA-ADC SNA HR & MA-HR & MA-HR SSI & MA-SSI TOTAL ENROLLED

County Plan Name Enrolled Enrolled Total Enrolled Enrolled Albany TOTALS: 22,051 5,075 27,126 3,787 30,913 Mandatory Capital District Physicians Health Plan 15,173 3,132 18,305 2,728 21,033 Eff. Oct 1997 NYS Catholic Health Plan 5,757 1,634 7,391 793 8,184

Wellcare of New York 1,121 309 1,430 266 1,696 Allegany TOTALS: y 3,790 760 4,550 577 5,127 Mandatory Blue 2,053 438 2,491 376 2,867 Eff Feb 2007 NYS Catholic Health Plan 253 69 322 27 349

Univera Community Health 1,484 253 1,737 174 1,911 Broome TOTALS: 17,858 4,050 21,908 3,845 25,753 Mandatory Capital District Physicians Health Plan 186 23 209 72 281 Eff. May 1998 Excellus Health Plan 14,837 3,372 18,209 2,927 21,136

NYS Catholic Health Plan 2,672 566 3,238 767 4,005 United Healthcare Plan of NY 163 89 252 79 331

Cattaraugus TOTALS: y 6,828 1,158 7,986 1,332 9,318 Mandatory Blue 2,893 492 3,385 767 4,152 Eff. Sep 2001 NYS Catholic Health Plan 2,485 369 2,854 354 3,208

Univera Community Health 1,450 297 1,747 211 1,958 Cayuga TOTALS: 6,621 1,281 7,902 862 8,764 Mandatory Excellus Health Plan 2,205 456 2,661 256 2,917 Eff. Oct 2010 NYS Catholic Health Plan 3,644 662 4,306 454 4,760

United Healthcare Plan of NY 772 163 935 152 1,087 Chautauqua TOTALS: y 14,973 3,405 18,378 2,738 21,116 Mandatory Blue 2,804 649 3,453 688 4,141 Eff. Sep 2001 NYS Catholic Health Plan 11,591 2,437 14,028 1,861 15,889

Univera Community Health 578 319 897 189 1,086 Chemung TOTALS: 7,527 1,290 8,817 1,437 10,254 Mandatory Excellus Health Plan 3,859 519 4,378 663 5,041 Eff. Nov 2012 NYS Catholic Health Plan 3,668 771 4,439 774 5,213 Chenango TOTALS: 4,787 860 5,647 462 6,109 Mandatory NYS Catholic Health Plan 4,099 696 4,795 361 5,156 Eff. Dec 2011 United Healthcare Plan of NY 688 164 852 101 953 Clinton TOTALS: 6,743 1,515 8,258 950 9,208 Mandatory NYS Catholic Health Plan 6,134 1,284 7,418 831 8,249 Eff. Dec 2011 United Healthcare Plan of NY 609 231 840 119 959




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Columbia TOTALS: 4,351 941 5,292 749 6,041 Mandatory Capital District Physicians Health Plan 2,277 495 2,772 522 3,294 Eff. Oct 1997 NYS Catholic Health Plan 2,074 446 2,520 227 2,747 Cortland TOTALS: 4,868 844 5,712 618 6,330 Mandatory NYS Catholic Health Plan 3,657 642 4,299 454 4,753 Eff. May 2007 SCHC Total Care 1,211 202 1,413 164 1,577 Delaware TOTALS: 3,651 865 4,516 156 4,672 Mandatory Eff. May 2011 NYS Catholic Health Plan 3,651 865 4,516 156 4,672 Dutchess TOTALS: 15,502 3,362 18,864 2,614 21,478 Mandatory Hudson Health Plan 5,531 1,081 6,612 930 7,542 Eff. Apr 2007 MVP Health Plan 4,849 1,096 5,945 830 6,775

NYS Catholic Health Plan 3,554 981 4,535 589 5,124 Wellcare of New York 1,568 204 1,772 265 2,037

Erie TOTALS: y 84,674 20,002 104,676 15,890 120,566 Mandatory Blue 15,352 3,914 19,266 2,965 22,231 Eff. May 1998 Independent Health Association 25,420 5,887 31,307 5,588 36,895

NYS Catholic Health Plan 19,538 3,994 23,532 3,563 27,095 Univera Community Health 24,364 6,207 30,571 3,774 34,345

Essex TOTALS: 2,446 482 2,928 228 3,156 Mandatory Eff. Oct 2010 NYS Catholic Health Plan 2,446 482 2,928 228 3,156

Franklin TOTALS: 3,790 845 4,635 157 4,792 Mandatory Eff, May 2011 NYS Catholic Health Plan 3,790 845 4,635 157 4,792 Fulton TOTALS: 5,949 1,196 7,145 996 8,141 Mandatory Capital District Physicians Health Plan 879 189 1,068 215 1,283 Eff. Mar 2007 NYS Catholic Health Plan 5,070 1,007 6,077 781 6,858 Genesee TOTALS: y 3,911 675 4,586 568 5,154 Mandatory Blue 1,918 293 2,211 215 2,426 Eff. Jan 2004 MVP Health Plan 1,412 243 1,655 290 1,945

NYS Catholic Health Plan 581 139 720 63 783




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Greene TOTALS: 3,850 942 4,792 745 5,537 Mandatory Capital District Physicians Health Plan 1,897 399 2,296 440 2,736 Eff. Oct 1997 NYS Catholic Health Plan 1,953 543 2,496 305 2,801 Hamilton TOTALS: 277 56 333 5 338 Mandatory Eff. Oct 2010 NYS Catholic Health Plan 277 56 333 5 338

Herkimer TOTALS: 6,162 1,260 7,422 810 8,232 Mandatory Excellus Health Plan 1,074 253 1,327 199 1,526 Eff. May 2003 NYS Catholic Health Plan 5,042 1,000 6,042 601 6,643

United Healthcare Plan of NY 46 7 53 10 63 Jefferson TOTALS: 6,782 1,237 8,019 436 8,455 Mandatory Excellus Health Plan 5,401 890 6,291 315 6,606 Eff. Oct 2012 United Healthcare Plan of NY 1,381 347 1,728 121 1,849 Lewis TOTALS: 1,526 225 1,751 120 1,871 Mandatory Excellus Health Plan 1,037 142 1,179 71 1,250 Eff. Oct 2012 NYS Catholic Health Plan 489 83 572 49 621 Livingston TOTALS: 4,211 874 5,085 647 5,732 Mandatory Excellus Health Plan 2,936 536 3,472 431 3,903 Eff. Apr 2002 MVP Health Plan 781 158 939 189 1,128

NYS Catholic Health Plan 494 180 674 27 701 Madison TOTALS: 5,210 992 6,202 622 6,824 Mandatory Excellus Health Plan 2,820 507 3,327 339 3,666 Eff. Oct 2010 NYS Catholic Health Plan 1,835 349 2,184 209 2,393

United Healthcare Plan of NY 555 136 691 74 765 Monroe TOTALS: 70,368 15,851 86,219 14,104 100,323 Mandatory Excellus Health Plan 50,382 9,563 59,945 9,290 69,235 Eff. Mar 1998 MVP Health Plan 9,854 1,396 11,250 2,382 13,632

NYS Catholic Health Plan 10,132 4,892 15,024 2,432 17,456 Montgomery TOTALS: 6,530 1,082 7,612 945 8,557 Mandatory Capital District Physicians Health Plan 2,512 353 2,865 396 3,261 Eff. Apr 2007 NYS Catholic Health Plan 4,018 729 4,747 549 5,296


NYS, FEBRUARY 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: 73,650 20,493 94,143 10,102 104,245 Mandatory Affinity Health Plan 10,292 2,273 12,565 1,217 13,782 Eff. June 2001 Amerigroup 6,161 2,261 8,422 921 9,343

HealthFirst PHSP 14,777 3,674 18,451 1,532 19,983 HIP of Greater New York 10,598 4,022 14,620 2,594 17,214 NYS Catholic Health Plan 15,767 3,649 19,416 1,743 21,159 United Healthcare Plan of NY 16,055 4,614 20,669 2,095 22,764

Niagara TOTALS: y 18,198 4,481 22,679 3,293 25,972 Mandatory Blue 6,265 1,602 7,867 992 8,859 Eff Sep 1998 Independent Health Association 4,871 1,235 6,106 1,422 7,528

NYS Catholic Health Plan 7,062 1,644 8,706 879 9,585 Oneida TOTALS: 26,293 4,753 31,046 4,720 35,766 Mandatory Excellus Health Plan 4,750 1,105 5,855 919 6,774 Eff Sep 2001 NYS Catholic Health Plan 18,758 2,987 21,745 3,226 24,971

United Healthcare Plan of NY 2,785 661 3,446 575 4,021 Onondaga TOTALS: 41,949 7,782 49,731 8,113 57,844 Mandatory Excellus Health Plan 7,584 1,317 8,901 1,196 10,097 Eff. Nov 1998 NYS Catholic Health Plan 12,416 2,156 14,572 1,944 16,516

SCHC Total Care 16,786 3,266 20,052 4,004 24,056 United Healthcare Plan of NY 5,163 1,043 6,206 969 7,175

Ontario TOTALS: 6,796 1,089 7,885 1,025 8,910 Mandatory Excellus Health Plan 6,195 963 7,158 894 8,052 Eff. Mar 1998 MVP Health Plan 450 64 514 111 625

NYS Catholic Health Plan 151 62 213 20 233 Orange TOTALS: 38,908 4,776 43,684 3,820 47,504 Mandatory Affinity Health Plan 11,487 1,813 13,300 1,467 14,767 Eff. Mar 2007 Hudson Health Plan 9,574 1,783 11,357 1,411 12,768

NYS Catholic Health Plan 16,561 857 17,418 681 18,099 United Healthcare Plan of NY 135 67 202 22 224 Wellcare of New York 1,151 256 1,407 239 1,646




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Orleans TOTALS: 3,861 889 4,750 490 5,240 Mandatory Excellus Health Plan y 1,482 266 1,748 204 1,952 Eff. June 2003 Blue 777 206 983 133 1,116

NYS Catholic Health Plan 1,602 417 2,019 153 2,172 Oswego TOTALS: 14,173 2,554 16,727 2,053 18,780 Mandatory Excellus Health Plan 2,632 534 3,166 464 3,630 Eff. Apr 1999 NYS Catholic Health Plan 7,761 1,336 9,097 1,014 10,111

United Healthcare Plan of NY 3,780 684 4,464 575 5,039 Otsego TOTALS: 4,184 853 5,037 621 5,658 Mandatory Excellus Health Plan 2,437 420 2,857 372 3,229 Eff. May 2007 NYS Catholic Health Plan 1,747 433 2,180 249 2,429 Putnam TOTALS: 2,093 430 2,523 366 2,889 Mandatory Amerigroup 49 22 71 45 116 Eff. Mar 2007 NYS Catholic Health Plan 2,044 408 2,452 321 2,773 Rensselaer TOTALS: 12,914 2,903 15,817 2,401 18,218 Mandatory Capital District Physicians Health Plan 9,199 2,014 11,213 1,775 12,988 Eff. Oct 1997 NYS Catholic Health Plan 3,152 759 3,911 509 4,420

Wellcare of New York 563 130 693 117 810 Rockland TOTALS: 48,113 4,688 52,801 2,365 55,166 Mandatory Affinity Health Plan 3,456 1,018 4,474 568 5,042 Eff. Mar 2001 Hudson Health Plan 7,788 1,080 8,868 574 9,442

NYS Catholic Health Plan 34,292 2,268 36,560 1,062 37,622 United Healthcare Plan of NY 236 133 369 31 400 Wellcare of New York 2,341 189 2,530 130 2,660

St Lawrence TOTALS: 6,041 1,096 7,137 525 7,662 Mandatory Excellus Health Plan 4,837 839 5,676 410 6,086 Eff. Oct 2012 NYS Catholic Health Plan 1,204 257 1,461 115 1,576 Saratoga TOTALS: 10,351 2,139 12,490 1,407 13,897 Mandatory Capital District Physicians Health Plan 6,535 1,383 7,918 1,073 8,991 Eff. Oct 1997 NYS Catholic Health Plan 3,816 756 4,572 334 4,906




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Schenectady TOTALS: 14,974 2,851 17,825 3,012 20,837 Mandatory Capital District Physicians Health Plan 7,723 1,300 9,023 1,841 10,864 Eff. Apr 2007 NYS Catholic Health Plan 7,251 1,551 8,802 1,171 9,973 Schoharie TOTALS: 2,256 493 2,749 285 3,034 Mandatory Capital District Physicians Health Plan 1,242 284 1,526 179 1,705 Eff. Oct 2010 NYS Catholic Health Plan 1,014 209 1,223 106 1,329 Schuyler TOTALS: 1,471 355 1,826 104 1,930 Mandatory Excellus Health Plan 903 194 1,097 62 1,159 Eff May 2012 NYS Catholic Health Plan 568 161 729 42 771 Seneca TOTALS: 2,634 404 3,038 406 3,444 Mandatory Eff. Jan 2007 Excellus Health Plan 2,634 404 3,038 406 3,444 Steuben TOTALS: 7,162 1,354 8,516 955 9,471 Mandatory Excellus Health Plan 3,635 737 4,372 444 4,816 Eff May 2012 NYS Catholic Health Plan 3,527 617 4,144 511 4,655 Suffolk TOTALS: 93,751 21,999 115,750 11,675 127,425 Mandatory Affinity Health Plan 13,607 2,535 16,142 1,395 17,537 Eff. June 2001 HealthFirst PHSP 14,258 2,658 16,916 1,546 18,462

HIP of Greater New York 11,063 4,201 15,264 2,210 17,474 Neighborhood Health Providers 17,669 2,518 20,187 2,003 22,190 NYS Catholic Health Plan 17,261 4,111 21,372 2,059 23,431 United Healthcare Plan of NY 19,893 5,976 25,869 2,462 28,331

Sullivan TOTALS: 9,119 1,384 10,503 1,285 11,788 Mandatory Hudson Health Plan 6,701 999 7,700 991 8,691 Eff. Apr 2007 NYS Catholic Health Plan 2,418 385 2,803 294 3,097 Tioga TOTALS: 3,817 561 4,378 269 4,647 Mandatory Capital District Physicians Health Plan 1,282 170 1,452 75 1,527 Eff. Jun 2012 NYS Catholic Health Plan 2,311 337 2,648 168 2,816

United Healthcare Plan of NY 224 54 278 26 304 Tompkins TOTALS: 5,412 1,230 6,642 842 7,484 Mandatory Excellus Health Plan 283 89 372 20 392 Eff. Oct 2010 NYS Catholic Health Plan 1,322 444 1,766 243 2,009

SCHC Total Care 3,807 697 4,504 579 5,083




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Ulster TOTALS: 13,014 3,292 16,306 2,086 18,392 Mandatory Hudson Health Plan 3,857 999 4,856 569 5,425 Eff Mar 2007 MVP Health Plan 3,818 1,361 5,179 681 5,860

NYS Catholic Health Plan 3,543 653 4,196 418 4,614 Wellcare of New York 1,796 279 2,075 418 2,493

Warren TOTALS: 3,242 448 3,690 346 4,036 Mandatory NYS Catholic Health Plan 2,926 366 3,292 311 3,603 Eff. Oct 2012 United Healthcare Plan of NY 316 82 398 35 433 Washington TOTALS: 5,087 727 5,814 765 6,579 Mandatory Capital District Physicians Health Plan 1,866 290 2,156 350 2,506 Eff. Mar 2007 NYS Catholic Health Plan 3,221 437 3,658 415 4,073 Wayne TOTALS: 7,019 1,004 8,023 1,156 9,179 Mandatory Excellus Health Plan 6,013 840 6,853 999 7,852 Eff. Oct 2010 NYS Catholic Health Plan 1,006 164 1,170 157 1,327 Westchester TOTALS: 65,789 15,221 81,010 8,136 89,146 Mandatory Affinity Health Plan 10,047 2,737 12,784 1,492 14,276 Eff. Oct 1999 HIP of Greater New York 5,086 1,805 6,891 1,151 8,042

Hudson Health Plan 37,391 6,111 43,502 3,828 47,330 NYS Catholic Health Plan 12,614 4,215 16,829 1,542 18,371 United Healthcare Plan of NY 651 353 1,004 123 1,127

Wyoming TOTALS: y 1,717 300 2,017 121 2,138 Mandatory Blue 1,139 196 1,335 71 1,406 Eff. Jul 2012 NYS Catholic Health Plan 578 104 682 50 732 Yates TOTALS: 1,969 293 2,262 251 2,513 Mandatory Eff. Feb 2007 Excellus Health Plan 1,969 293 2,262 251 2,513 Upstate Total 871,193 181,967 1,053,160 129,395 1,182,555


NYS, FEBRUARY 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

NYC Affinity Health Plan 88,842 48,914 137,756 16,716 154,472 Mandatory Amerigroup 222,062 98,276 320,338 25,392 345,730

Amida Care SN 369 2,797 3,166 2,493 5,659 Fully HealthFirst PHSP 295,884 126,176 422,060 51,057 473,117 Implemented: HIP of Greater New York 94,222 45,049 139,271 20,003 159,274 Sept 2002 HIP of Greater New York UFT 31 31 62 5 67

MetroPlus Health Plan SN 951 2,293 3,244 2,384 5,628 MetroPlus Health Plan 253,169 93,094 346,263 36,664 382,927 Neighborhood Health Providers 113,160 38,600 151,760 18,031 169,791 NYS Catholic Health Plan 157,937 107,343 265,280 27,889 293,169 United Healthcare Plan of NY 124,240 65,683 189,923 14,898 204,821 VNS Choice SN 445 2,519 2,964 2,712 5,676 Wellcare of New York 26,297 24,867 51,164 3,325 54,489 NYC Total 1,377,609 655,642 2,033,251 221,569 2,254,820

UPSTATE TOTALS: 871,193 181,967 1,053,160 129,395 1,182,555 NEW YORK CITY TOTALS: 1,377,609 655,642 2,033,251 221,569 2,254,820 GRAND TOTALS: 2,248,802 837,609 3,086,411 350,964 3,437,375


NYS, FEBRUARY 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

NYC Boroughs Bronx Brooklyn Manhattan Queens Staten Island Borough Total

346,811 494,870 148,967 340,532 46,429

1,377,609

125,450 233,574 91,251

183,589 21,778

655,642

472,261 728,444 240,218 524,121 68,207

2,033,251

67,023 68,698 35,338 41,887 8,623

221,569

539,284 797,142 275,556 566,008 76,830

2,254,820

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, FEBRUARY 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

2,793 1,468 1,185

140

550 277 232 41

3,343 1,745 1,417

181 Allegany TOTALS:

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

625 254 65

306

124 52 17 55

749 306 82

361 Broome TOTALS:

Capital District Physicians Health Plan Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY

2,694 28

2,231 399 36

442 7

360 60 15

3,136 35

2,591 459 51

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

870 252 352 266

181 55 56 70

1,051 307 408 336

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

916 281 450 185

150 47 76 27

1,066 328 526 212

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

1,742 333

1,291 118

321 52

239 30

2,063 385

1,530 148

Chemung TOTALS: Excellus Health Plan NYS Catholic Health Plan

941 654 287

183 100 83

1,124 754 370

Chenango TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY

769 707 62

105 92 13

874 799 75

Clinton TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY

1,012 3

919 90

189 0

162 27

1,201 3

1,081 117

Columbia TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan

716 247 469

119 45 74

835 292 543

Cortland TOTALS: NYS Catholic Health Plan SCHC Total Care

695 542 153

90 73 17

785 615 170

Delaware TOTALS: NYS Catholic Health Plan

661 661

92 92

753 753


NYS, FEBRUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Dutchess TOTALS:

Hudson Health Plan MVP Health Plan NYS Catholic Health Plan Wellcare of New York

2,400 687 764 742 207

356 115 100 114 27

2,756 802 864 856 234

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

11,963 2,221 3,076 2,442 4,224

2,013 416 550 386 661

13,976 2,637 3,626 2,828 4,885

Essex TOTALS: Excellus Health Plan NYS Catholic Health Plan

536 0

536

82 1

81

618 1

617 Franklin TOTALS:

Excellus Health Plan NYS Catholic Health Plan

540 0

540

119 1

118

659 1

658 Fulton TOTALS:

Capital District Physicians Health Plan NYS Catholic Health Plan

915 110 805

159 21

138

1,074 131 943

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

646 341 168 137

113 56 32 25

759 397 200 162

Greene TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan

551 215 336

78 30 48

629 245 384

Hamilton TOTALS: NYS Catholic Health Plan

67 67

15 15

82 82

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

1,193 213 974

6

128 25

103 0

1,321 238

1,077 6

Jefferson TOTALS: Excellus Health Plan United Healthcare Plan of NY

1,319 1,166

153

213 177 36

1,532 1,343

189 Lewis TOTALS:

Excellus Health Plan NYS Catholic Health Plan

328 203 125

47 26 21

375 229 146

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

559 423 49 87

121 85 12 24

680 508 61

111


NYS, FEBRUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Madison TOTALS: 976 114 1,090

Excellus Health Plan 468 60 528 NYS Catholic Health Plan 319 38 357 United Healthcare Plan of NY 189 16 205

Monroe TOTALS: 8,149 1,311 9,460 Excellus Health Plan 6,180 930 7,110 MVP Health Plan 534 75 609 NYS Catholic Health Plan 1,435 306 1,741

Montgomery TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan

1,073 315 758

135 40 95

1,208 355 853

Nassau TOTALS: 17,516 2,773 20,289 Affinity Health Plan 2,402 374 2,776 Amerigroup 1,873 373 2,246 HealthFirst PHSP 3,353 471 3,824 HIP of Greater New York 2,149 314 2,463 NYS Catholic Health Plan 3,495 697 4,192 United Healthcare Plan of NY 4,244 544 4,788

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

2,572 1,157 1,415

489 220 269

3,061 1,377 1,684

Oneida TOTALS: 3,829 500 4,329 Excellus Health Plan 788 127 915 NYS Catholic Health Plan 2,611 316 2,927 United Healthcare Plan of NY 430 57 487

Onondaga TOTALS: 5,348 731 6,079 Excellus Health Plan 1,079 157 1,236 NYS Catholic Health Plan 1,895 233 2,128 SCHC Total Care 1,526 231 1,757 United Healthcare Plan of NY 848 110 958

Ontario TOTALS: 1,089 223 1,312 Excellus Health Plan 1,019 201 1,220 MVP Health Plan 48 11 59 NYS Catholic Health Plan 22 11 33

Orange TOTALS: 4,363 578 4,941 Affinity Health Plan 1,522 221 1,743 Hudson Health Plan 1,403 174 1,577 NYS Catholic Health Plan 1,200 146 1,346 United Healthcare Plan of NY 53 10 63 Wellcare of New York 185 27 212


NYS, FEBRUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Orleans TOTALS:

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

682 200 119 363

97 29 18 50

779 229 137 413

Oswego TOTALS: Excellus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY

1,970 449

1,037 484

303 68

152 83

2,273 517

1,189 567

Otsego TOTALS: Excellus Health Plan NYS Catholic Health Plan

806 335 471

107 49 58

913 384 529

Putnam TOTALS: NYS Catholic Health Plan

362 362

63 63

425 425

Rensselaer TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan Wellcare of New York

1,558 824 644 90

226 132 77 17

1,784 956 721 107

Rockland TOTALS: Affinity Health Plan Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan Of NY Wellcare of New York

5,048 530

1,083 3,177

118 140

714 128 126 403 34 23

5,762 658

1,209 3,580

152 163

St Lawrence TOTALS: Excellus Health Plan NYS Catholic Health Plan

1,222 1,139

83

235 206 29

1,457 1,345

112 Saratoga TOTALS:


2,009 855

1,154

270 154 116

2,279 1,009 1,270

Schenectady TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan

1,871 674

1,197

358 141 217

2,229 815

1,414 Schoharie TOTALS:


492 215 277

75 33 42

567 248 319

Schuyler TOTALS: Excellus Health Plan NYS Catholic Health Plan

321 228 93

61 40 21

382 268 114

Seneca TOTALS: Excellus Health Plan

424 424

48 48

472 472

Steuben TOTALS: Excellus Health Plan NYS Catholic Health Plan

1,151 270 881

161 46

115

1,312 316 996


NYS, FEBRUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Suffolk TOTALS:

Affinity Health Plan HealthFirst PHSP HIP of Greater New York Neighborhood Health Providers NYS Catholic Health Plan United Healthcare Plan of NY

20,462 3,152 2,765 2,536 2,458 4,426 5,125

2,718 333 300 372 365 737 611

23,180 3,485 3,065 2,908 2,823 5,163 5,736

Sullivan TOTALS: Hudson Health Plan NYS Catholic Health Plan

1,421 1,042

379

179 108 71

1,600 1,150

450 Tioga TOTALS:

Capital District Physicians Health Plan NYS Catholic Health Plan United Healthcare Plan of NY

538 190 292 56

94 35 52 7

632 225 344 63

Tompkins TOTALS: Excellus Health Plan NYS Catholic Health Plan SCHC Total Care

728 54

216 458

111 13 35 63

839 67

251 521

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

2,198 659 791 471 277

447 119 190 88 50

2,645 778 981 559 327

Warren TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY

826 762 64

85 73 12

911 835 76

Washington TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan

785 212 573

94 27 67

879 239 640

Wayne TOTALS: Excellus Health Plan NYS Catholic Health Plan

995 884 111

143 123 20

1,138 1,007

131 Westchester TOTALS:

Affinity Health Plan HIP of Greater New York Hudson Health Plan NYS Catholic Health Plan United Healthcare Plan of NY

9,986 1,501

764 5,055 2,269

397

1,938 317 140 685 669 127

11,924 1,818

904 5,740 2,938

524 Wyoming TOTALS:

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

487 314 173

67 44 23

554 358 196

Yates TOTALS: Excellus Health Plan

419 419

55 55

474 474

Upstate Total 137,127 21,493 158,620


NYS, FEBRUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled NYC Affinity Health Plan 13,257 5,685 18,942

Amerigroup 36,471 12,321 48,792 HealthFirst PHSP 35,249 12,249 47,498 HIP of Greater New York 15,016 4,438 19,454 HIP of Greater New York UFT 5 6 11 MetroPlus Health Plan 28,038 8,041 36,079 Neighborhood Health Providers 13,804 4,335 18,139 NYS Catholic Health Plan 32,386 14,941 47,327 United Healthcare Plan of NY 23,624 7,591 31,215 Wellcare of New York 6,196 3,648 9,844 NYC Total 204,046 73,255 277,301

UPSTATE TOTALS: 137,127 21,493 158,620 NEW YORK CITY TOTALS: 204,046 73,255 277,301 GRAND TOTALS 341,173 94,748 435,921

County Plan Name

ADULTS WITH

CHILDREN

ADULTS WITHOUT CHILDREN Total

Enrolled Enrolled Enrolled NYC Borough Bronx

Brooklyn Manhattan Queens Staten Island Borough Total

34,746 71,042 18,176 71,963 8,119

204,046

11,051 24,670 9,394

25,933 2,207

73,255

45,797 95,712 27,570 97,896 10,326

277,301

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, FEBRUARY 2013

PLAN NAME COUNTY TOTAL

ENROLLED

MLTC PACE PLANS ARCHCARE SENIOR LIFE NEW YORK

Total 227 227

CHS BUFFALO LIFE ERIE Total

113 113

COMPLETE SENIOR CARE NIAGARA Total

64 64

COMPREHENSIVE CARE MGMT NASSAU NEW YORK SUFFOLK WESTCHESTER Total

27 2,943

67 165

3,202 EDDY SENIOR CARE ALBANY

SCHENECTADY Total

4 124 128

INDEPENDENT LIVING FOR SENIORS MONROE Total

384 384

PACE CNY ONONDAGA OSWEGO Total

422 1

423 TOTAL SENIOR CARE ALLEGANY

CATTARAUGUS Total

9 81 90

Total MLTC PACE Enrollment 4,631

MLTC PARTIAL CAPITATION PLANS AETNA BETTER HEALTH NASSAU

NEW YORK SUFFOLK Total

3 128

20 151

AGEWELL NEW YORK NASSAU NEW YORK SUFFOLK WESTCHESTER Total

37 226

3 1

267 AMERIGROUP NEW YORK

Total 2,637 2,637

ARCHCARE COMMUNITY LIFE NEW YORK WESTCHESTER Total

27 110 137

CCM SELECT NASSAU NEW YORK ROCKLAND SUFFOLK WESTCHESTER Total

1 7,046

129 2

130 7,308

CENTERS PLAN FOR HEALTHY LIVING NEW YORK Total

1 1


NYS, FEBRUARY 2013


ENROLLED

ELANT DUTCHESS 25 ORANGE 140 ROCKLAND 118 Total 283

ELDERPLAN MONROE 40 NASSAU 6 NEW YORK 7,127 WESTCHESTER 121 Total 7,294

ELDERSERVE NASSAU 40 NEW YORK 7,597 SUFFOLK 21 WESTCHESTER 104 Total 7,762

FIDELIS CARE AT HOME ALBANY 35 CHAUTAUQUA 1 COLUMBIA 3 DUTCHESS 4 ERIE 2 FULTON 1 HERKIMER 3 MONTGOMERY 2 NASSAU 7 NEW YORK 3,008 ONEIDA 8 ONONDAGA 5 ORANGE 252 OSWEGO 4 RENSSELAER 14 ROCKLAND 223 SCHENECTADY 12 SUFFOLK 5 SULLIVAN 1 ULSTER 6 WARREN 1 WASHINGTON 7 WESTCHESTER 5 Total 3,609

GUILDNET NASSAU 574 NEW YORK 9,895 SUFFOLK 574 WESTCHESTER 20 Total 11,063

HHH CHOICES NEW YORK WESTCHESTER Total

1,806 8

1,814 HIP OF GREATER NEW YORK NASSAU

NEW YORK Total

2 495 497

INDEPENDENCE CARE SYSTEMS NEW YORK Total

3,970 3,970


NYS, FEBRUARY 2013


ENROLLED

METROPLUS MLTC NEW YORK Total

22 22

SENIOR HEALTH PARTNERS INC NASSAU NEW YORK Total

36 6,751 6,787

SENIOR NETWORK HEALTH HERKIMER ONEIDA Total

55 332 387

SENIOR WHOLE HEALTH NEW YORK Total

131 131

TOTAL AGING IN PLACE PROGRAM ERIE Total

125 125

UNITED HEALTHCARE NEW YORK Total

78 78

VILLAGE CARE NEW YORK Total

1,272 1,272

VNS CHOICE DUTCHESS NASSAU NEW YORK ROCKLAND SUFFOLK ULSTER WESTCHESTER Total

14 228

17,876 10

105 1

244 18,478

WELLCARE ERIE NEW YORK ORANGE ROCKLAND ULSTER Total

22 3,839

7 3 7

3,878 Total MLTC Partial Capitation Enrollment 77,951

Total Statewide Enrollment 82,582 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 : Fidelis Care at Home - Fulton, Ulster, Warren, & Washington Counties; Centers Plan for Healthy Living - New York; AgeWell New York - Westchester County; VNS Choice - Rockland & Ulster Counties; CMM Select - Nassau & Suffolk Counties.

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS, FEBRUARY 2013

County Plan Name Total

Enrolled Albany TOTAL

Fidelis WellCare

243 138 105

Broome TOTAL WellCare

78 78

Columbia TOTAL Fidelis

7 7

Dutchess TOTAL Fidelis WellCare

47 33 14

Erie TOTAL WellCare

522 522

Greene TOTAL Fidelis

9 9

Herkimer TOTAL Fidelis

8 8

Monroe TOTAL WellCare

233 233

Montgomery TOTAL Fidelis

25 25

Nassau TOTAL HIP of Greater New York Liberty Health Advantage Managed Health United HealthCare

315 127 53 11

124 Niagara TOTAL

WellCare 131 131

Oneida TOTAL Fidelis WellCare

148 53 95

Onondaga TOTAL Fidelis WellCare

235 53

182 Orange TOTAL

Touchstone/Prestige WellCare

36 12 24

Oswego TOTAL Fidelis

31 31

Rensselaer TOTAL Fidelis WellCare

57 22 35

Rockland TOTAL WellCare

22 22

Saratoga TOTAL WellCare

18 18

Schenectady TOTAL Fidelis WellCare

116 72 44

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS, FEBRUARY 2013


Enrolled Suffolk TOTAL

HIP of Greater New York 67 67

Ulster TOTAL Fidelis WellCare

55 18 37

Wayne TOTAL WellCare

9 9

Westchester TOTAL HIP of Greater New York Managed Health Touchstone/Prestige WellCare

109 14 6

88 1

Upstate Total: 2,521 NYC Affinity

ElderPlan Fidelis Guildnet HIP of Greater New York Liberty Health Advantage Managed Health MetroPlus Touchstone/Prestige United HealthCare WellCare NYC Total

341 7

1,962 2

1,212 418 207 211

1,520 605 41

6,526

UPSTATE TOTAL 2,521 NEW YORK CITY TOTAL 6,526 GRAND TOTAL 9,047

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, FEBRUARY 2013


Enrolled Albany Total

NYS Catholic Health Plan 47 47

Montgomery Total NYS Catholic Health Plan

4 4

Nassau Total HIP of Greater New York

34 34

Rensselaer Total NYS Catholic Health Plan

39 39

Schenectady Total NYS Catholic Health Plan

23 23

Suffolk Total Guildnet HIP of Greater New York

14 3

11 Westchester Total

HIP of Greater New York 4 4

Upstate Total: 165 NYC AmeriGroup

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

9 768 379

1,264 360 108

40 83 51

3,062

UPSTATE TOTAL 165 NEW YORK CITY TOTAL 3,062 GRAND TOTAL 3,227

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

Documents

Recipients Eligible For And Enrolled In Medicaid ......recipients enrolled in mainstream medicaid managed care by county, plan, and aid category nys, february 2013 tanf & ma-adc, sna