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RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED CARE BY COUNTY, PLAN, AID CATEGORY, AND NYSoH NYS, SEPTEMBER 2019 TANF ADC & MA-ADC SNA HR & MA-HR SSI & MA-SSI NYSoH TOTAL ENROLLED County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment Albany TOTALS: 3,562 682 3,406 36,720 44,370 Mandatory Capital District Physicians Health Plan 2,264 383 2,200 20,378 25,225 Eff. Oct 1997 Fidelis Care 913 213 863 12,176 14,165 MVP Health Plan 192 40 115 2,273 2,620 United Healthcare Plan of NY 73 15 61 725 874 Wellcare of New York 120 31 167 1,168 1,486 Allegany TOTALS: 642 192 588 6,759 8,181 Mandatory Fidelis Care 310 92 206 3,492 4,100 Eff. Feb 2007 HealthNow 119 48 208 1,265 1,640 YourCare Health Plan 213 52 174 2,002 2,441 Broome TOTALS: 4,434 1,649 3,339 25,730 35,152 Mandatory Capital District Physicians Health Plan 109 48 99 939 1,195 Eff. May 1998 Excellus Health Plan 2,899 941 2,217 14,982 21,039 Fidelis Care 1,107 452 810 7,331 9,700 United Healthcare Plan of NY 304 198 207 2,386 3,095 Wellcare of New York 15 10 6 92 123 Cattaraugus TOTALS: 1,057 342 969 12,078 14,446 Mandatory Fidelis Care 661 203 423 7,157 8,444 Eff. Sep 2001 HealthNow 170 71 353 1,895 2,489 YourCare Health Plan 226 68 193 3,026 3,513 Cayuga TOTALS: 1,325 318 701 10,022 12,366 Mandatory Fidelis Care 1,092 255 578 8,543 10,468 Eff. Oct 2010 United Healthcare Plan of NY 233 63 123 1,479 1,898 Chautauqua TOTALS: 3,520 926 1,891 19,915 26,252 Mandatory Fidelis Care 3,112 728 1,391 16,211 21,442 Eff. Sep 2001 HealthNow 281 117 371 1,862 2,631 United Healthcare Plan of NY 30 24 25 540 619 YourCare Health Plan 97 57 104 1,302 1,560 Chemung TOTALS: 1,174 286 1,211 12,534 15,205 Mandatory Fidelis Care 1,049 254 1,039 10,950 13,292 Eff. Nov 2012 United Healthcare Plan of NY 125 32 172 1,584 1,913 Chenango TOTALS: 545 119 608 7,900 9,172 Mandatory Fidelis Care 484 104 514 7,208 8,310 Eff. Dec 2011 United Healthcare Plan of NY 61 15 94 692 862 Clinton TOTALS: 1,032 233 1,060 9,604 11,929 Mandatory Capital District Physicians Health Plan 7 3 5 182 197 Eff. Dec 2011 Fidelis Care 963 218 967 8,715 10,863 United Healthcare Plan of NY 62 12 88 707 869

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Page 1: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

Albany TOTALS: 3,562 682 3,406 36,720 44,370

Mandatory Capital District Physicians Health Plan 2,264 383 2,200 20,378 25,225

Eff. Oct 1997 Fidelis Care 913 213 863 12,176 14,165

MVP Health Plan 192 40 115 2,273 2,620

United Healthcare Plan of NY 73 15 61 725 874

Wellcare of New York 120 31 167 1,168 1,486

Allegany TOTALS: 642 192 588 6,759 8,181

Mandatory Fidelis Care 310 92 206 3,492 4,100

Eff. Feb 2007 HealthNow 119 48 208 1,265 1,640

YourCare Health Plan 213 52 174 2,002 2,441

Broome TOTALS: 4,434 1,649 3,339 25,730 35,152

Mandatory Capital District Physicians Health Plan 109 48 99 939 1,195

Eff. May 1998 Excellus Health Plan 2,899 941 2,217 14,982 21,039

Fidelis Care 1,107 452 810 7,331 9,700

United Healthcare Plan of NY 304 198 207 2,386 3,095

Wellcare of New York 15 10 6 92 123

Cattaraugus TOTALS: 1,057 342 969 12,078 14,446

Mandatory Fidelis Care 661 203 423 7,157 8,444

Eff. Sep 2001 HealthNow 170 71 353 1,895 2,489

YourCare Health Plan 226 68 193 3,026 3,513

Cayuga TOTALS: 1,325 318 701 10,022 12,366

Mandatory Fidelis Care 1,092 255 578 8,543 10,468

Eff. Oct 2010 United Healthcare Plan of NY 233 63 123 1,479 1,898

Chautauqua TOTALS: 3,520 926 1,891 19,915 26,252

Mandatory Fidelis Care 3,112 728 1,391 16,211 21,442

Eff. Sep 2001 HealthNow 281 117 371 1,862 2,631

United Healthcare Plan of NY 30 24 25 540 619

YourCare Health Plan 97 57 104 1,302 1,560

Chemung TOTALS: 1,174 286 1,211 12,534 15,205

Mandatory Fidelis Care 1,049 254 1,039 10,950 13,292

Eff. Nov 2012 United Healthcare Plan of NY 125 32 172 1,584 1,913

Chenango TOTALS: 545 119 608 7,900 9,172

Mandatory Fidelis Care 484 104 514 7,208 8,310

Eff. Dec 2011 United Healthcare Plan of NY 61 15 94 692 862

Clinton TOTALS: 1,032 233 1,060 9,604 11,929

Mandatory Capital District Physicians Health Plan 7 3 5 182 197

Eff. Dec 2011 Fidelis Care 963 218 967 8,715 10,863

United Healthcare Plan of NY 62 12 88 707 869

Page 2: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

Columbia TOTALS: 765 174 571 8,056 9,566

Mandatory Capital District Physicians Health Plan 334 65 322 2,873 3,594

Eff. Oct 1997 Fidelis Care 383 88 229 4,402 5,102

MVP Health Plan 32 10 11 453 506

United Healthcare Plan of NY 16 11 9 328 364

Cortland TOTALS: 883 254 472 6,404 8,013

Mandatory Fidelis Care 723 215 385 5,789 7,112

Eff. May 2007 Molina Healthcare 160 39 87 615 901

Delaware TOTALS: 451 95 292 6,508 7,346

Mandatory

Eff. May 2011

Fidelis Care 451 95 292 6,508 7,346

Dutchess TOTALS: 2,105 412 1,976 33,007 37,500

Mandatory Fidelis Care 723 194 753 16,416 18,086

Eff. Apr 2007 MVP Health Plan 1,146 158 960 13,419 15,683

United Healthcare Plan of NY 54 32 61 930 1,077

Wellcare of New York 182 28 202 2,242 2,654

Erie TOTALS: 24,492 4,233 12,799 128,652 170,176

Mandatory Excellus Health Plan 215 76 97 2,016 2,404

Eff. May 1998 Fidelis Care 7,891 1,302 3,463 40,229 52,885

HealthNow 2,456 611 2,165 15,760 20,992

Independent Health Association 8,286 1,202 4,092 42,036 55,616

United Healthcare Plan of NY 560 138 196 3,093 3,987

Wellcare of New York 659 171 276 6,354 7,460

YourCare Health Plan 4,425 733 2,510 19,164 26,832

Essex TOTALS: 227 47 332 4,531 5,137

Mandatory Capital District Physicians Health Plan 0 1 2 85 88

Eff. Oct 2010 Fidelis Care 215 43 310 4,213 4,781

United Healthcare Plan of NY 12 3 20 233 268

Franklin TOTALS: 861 213 528 6,539 8,141

Mandatory Capital District Physicians Health Plan 13 4 2 82 101

Eff. May 2011 Fidelis Care 830 191 493 6,258 7,772

United Healthcare Plan of NY 18 18 33 199 268

Fulton TOTALS: 157 37 755 10,050 10,999

Mandatory Capital District Physicians Health Plan 7 8 118 1,062 1,195

Eff. Mar 2007 Fidelis Care 149 29 625 8,827 9,630

United Healthcare Plan of NY 1 0 12 161 174

Page 3: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

Genesee TOTALS: 534 132 395 7,658 8,719

Mandatory Fidelis Care 232 69 147 3,350 3,798

Eff. Jan 2004 HealthNow 16 16 15 726 773

MVP Health Plan 266 41 216 3,058 3,581

United Healthcare Plan of NY 20 6 17 524 567

Greene TOTALS: 479 133 545 6,837 7,994

Mandatory Capital District Physicians Health Plan 207 56 264 2,476 3,003

Eff. Oct 1997 Fidelis Care 238 62 257 3,668 4,225

MVP Health Plan 20 7 13 414 454

United Healthcare Plan of NY 14 8 11 279 312

Hamilton TOTALS: 9 11 27 559 606

Mandatory

Eff. Oct 2010

Fidelis Care 9 11 27 559 606

Herkimer TOTALS: 759 216 665 9,897 11,537

Mandatory Excellus Health Plan 111 34 120 2,210 2,475

Eff. May 2003 Fidelis Care 646 182 541 7,687 9,056

United Healthcare Plan of NY 2 0 4 0 6

Jefferson TOTALS: 1,764 573 1,046 15,247 18,630

Mandatory Fidelis Care 195 108 138 3,083 3,524

Eff. Oct 2012 MVP Health Plan 80 41 50 1,333 1,504

United Healthcare Plan of NY 1,489 424 858 10,831 13,602

Lewis TOTALS: 195 51 195 3,992 4,433

Mandatory Fidelis Care 133 31 124 2,379 2,667

Eff. Oct 2012 MVP Health Plan 7 3 6 363 379

United Healthcare Plan of NY 55 17 65 1,250 1,387

Livingston TOTALS: 1,055 210 504 6,512 8,281

Mandatory Excellus Health Plan 573 96 325 3,479 4,473

Eff. Apr 2002 Fidelis Care 228 54 63 1,621 1,966

MVP Health Plan 211 48 110 1,136 1,505

United Healthcare Plan of NY 43 12 6 276 337

Madison TOTALS: 630 125 479 8,422 9,656

Mandatory Fidelis Care 527 98 379 7,168 8,172

Eff. Oct 2010 United Healthcare Plan of NY 103 27 100 1,254 1,484

Monroe TOTALS: 18,808 3,307 11,067 103,907 137,089

Mandatory Excellus Health Plan 13,928 2,281 7,658 71,142 95,009

Eff. Mar 1998 Fidelis Care 1,666 416 1,261 12,335 15,678

MVP Health Plan 2,625 380 1,654 12,702 17,361

United Healthcare Plan of NY 454 157 362 5,908 6,881

YourCare Health Plan 135 73 132 1,820 2,160

Page 4: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

Montgomery TOTALS: 1,034 111 814 9,418 11,377

Mandatory Capital District Physicians Health Plan 128 27 206 1,776 2,137

Eff. Apr 2007 Fidelis Care 906 84 608 7,642 9,240

Nassau TOTALS: 6,503 2,058 7,364 152,061 167,986

Mandatory Affinity Health Plan 690 147 523 10,495 11,855

Eff. June 2001 Fidelis Care 1,808 466 1,844 40,332 44,450

HealthFirst PHSP 1,269 441 1,617 34,025 37,352

HealthPlus 597 279 837 17,188 18,901

HIP of Greater New York 723 222 938 10,351 12,234

United Healthcare Plan of NY 1,340 455 1,494 36,514 39,803

Wellcare of New York 76 48 111 3,156 3,391

Niagara TOTALS: 3,675 860 2,484 30,730 37,749

Mandatory Fidelis Care 3,186 655 2,006 24,274 30,121

Eff. Sep 1998 HealthNow 159 91 143 2,957 3,350

United Healthcare Plan of NY 187 73 213 2,436 2,909

Wellcare of New York 143 41 122 1,063 1,369

Oneida TOTALS: 6,981 1,064 3,425 37,425 48,895

Mandatory Excellus Health Plan 868 187 605 7,130 8,790

Eff. Sep 2001 Fidelis Care 5,636 755 2,492 27,454 36,337

MVP Health Plan 103 44 37 876 1,060

United Healthcare Plan of NY 374 78 291 1,965 2,708

Onondaga TOTALS: 11,675 2,591 6,595 63,792 84,653

Mandatory Excellus Health Plan 74 29 26 931 1,060

Eff. Nov 1998 Fidelis Care 4,874 1,199 2,832 37,316 46,221

Molina Healthcare 4,347 755 2,474 14,527 22,103

United Healthcare Plan of NY 2,380 608 1,263 11,018 15,269

Ontario TOTALS: 1,179 318 854 11,848 14,199

Mandatory Excellus Health Plan 1,013 247 710 8,859 10,829

Eff. Mar 1998 Fidelis Care 71 38 57 1,558 1,724

MVP Health Plan 55 15 72 850 992

United Healthcare Plan of NY 27 15 13 434 489

YourCare Health Plan 13 3 2 147 165

Orange TOTALS: 3,406 672 3,191 71,043 78,312

Mandatory Affinity Health Plan 919 156 791 12,389 14,255

Eff. Mar 2007 Fidelis Care 785 197 968 36,122 38,072

HealthFirst PHSP 33 26 25 929 1,013

MVP Health Plan 1,404 204 1,114 16,377 19,099

United Healthcare Plan of NY 116 48 130 2,780 3,074

Wellcare of New York 149 41 163 2,446 2,799

Page 5: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

Orleans TOTALS: 942 258 423 5,776 7,399

Mandatory Excellus Health Plan 336 85 148 1,702 2,271

Eff. June 2003 Fidelis Care 455 123 167 3,052 3,797

HealthNow 120 43 97 694 954

United Healthcare Plan of NY 31 7 11 328 377

Oswego TOTALS: 2,860 575 1,658 18,975 24,068

Mandatory Fidelis Care 2,201 458 1,217 14,695 18,571

Eff. Apr 1999 United Healthcare Plan of NY 659 117 441 4,280 5,497

Otsego TOTALS: 371 140 448 7,699 8,658

Mandatory Excellus Health Plan 156 51 218 2,981 3,406

Eff. May 2007 Fidelis Care 215 89 230 4,718 5,252

Putnam TOTALS: 147 32 281 8,362 8,822

Mandatory Fidelis Care 123 23 218 6,483 6,847

Eff. Mar 2007 HealthPlus 13 4 45 1,124 1,186

MVP Health Plan 11 5 18 755 789

Rensselaer TOTALS: 3,647 290 1,878 18,394 24,209

Mandatory Capital District Physicians Health Plan 2,272 148 1,280 10,671 14,371

Eff. Oct 1997 Fidelis Care 1,085 101 449 5,675 7,310

MVP Health Plan 116 21 42 1,180 1,359

United Healthcare Plan of NY 90 12 33 364 499

Wellcare of New York 84 8 74 504 670

Rockland TOTALS: 1,820 450 1,826 84,343 88,439

Mandatory Affinity Health Plan 155 40 193 3,297 3,685

Eff. Mar 2001 Fidelis Care 1,117 259 1,066 66,455 68,897

MVP Health Plan 417 70 401 10,088 10,976

United Healthcare Plan of NY 91 51 83 3,044 3,269

Wellcare of New York 40 30 83 1,459 1,612

St Lawrence TOTALS: 1,773 418 1,419 14,055 17,665

Mandatory Fidelis Care 1,312 293 1,020 10,745 13,370

Eff. Oct 2012 United Healthcare Plan of NY 461 125 399 3,310 4,295

Saratoga TOTALS: 621 233 1,270 20,293 22,417

Mandatory Capital District Physicians Health Plan 387 103 791 9,351 10,632

Eff. Oct 1997 Fidelis Care 200 107 436 9,126 9,869

MVP Health Plan 34 23 43 1,816 1,916

Page 6: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

Schenectady TOTALS: 3,366 504 2,316 25,146 31,332

Mandatory Capital District Physicians Health Plan 1,406 175 1,119 8,799 11,499

Eff. Apr 2007 Fidelis Care 1,724 257 1,038 13,306 16,325

MVP Health Plan 156 39 93 2,265 2,553

United Healthcare Plan of NY 40 15 34 331 420

Wellcare of New York 40 18 32 445 535

Schoharie TOTALS: 265 51 208 4,203 4,727

Mandatory Capital District Physicians Health Plan 162 28 104 2,377 2,671

Eff. Oct 2010 Fidelis Care 103 23 104 1,826 2,056

Schuyler TOTALS: 226 87 152 2,602 3,067

Mandatory Fidelis Care 223 86 146 2,555 3,010

Eff. May 2012 Wellcare of New York 3 1 6 47 57

Seneca TOTALS: 379 84 308 4,404 5,175

Mandatory Excellus Health Plan 282 45 250 2,966 3,543

Eff. Jan 2007 Fidelis Care 59 19 40 1,040 1,158

United Healthcare Plan of NY 38 20 18 398 474

Steuben TOTALS: 1,181 348 1,243 13,936 16,708

Mandatory Fidelis Care 1,169 330 1,183 13,619 16,301

Eff. May 2012 Wellcare of New York 12 18 60 317 407

Suffolk TOTALS: 10,381 2,433 9,813 192,984 215,611

Mandatory Affinity Health Plan 1,046 211 1,042 20,509 22,808

Eff. June 2001 Fidelis Care 2,133 663 2,378 47,601 52,775

HealthFirst PHSP 3,848 630 2,706 54,881 62,065

HIP of Greater New York 1,000 268 1,214 13,554 16,036

United Healthcare Plan of NY 2,326 646 2,455 55,867 61,294

Wellcare of New York 28 15 18 572 633

Sullivan TOTALS: 1,063 216 1,065 16,157 18,501

Mandatory Fidelis Care 334 81 340 7,449 8,204

Eff. Apr 2007 HealthFirst PHSP 14 9 18 381 422

MVP Health Plan 715 126 707 8,327 9,875

Tioga TOTALS: 507 117 455 6,371 7,450

Mandatory Capital District Physicians Health Plan 81 18 84 996 1,179

Eff. Jun 2012 Fidelis Care 395 95 331 4,819 5,640

United Healthcare Plan of NY 31 4 40 556 631

Tompkins TOTALS: 1,173 332 487 8,636 10,628

Mandatory Fidelis Care 596 241 233 6,046 7,116

Eff. Oct 2010 Molina Healthcare 577 91 254 2,590 3,512

Page 7: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

Ulster TOTALS: 1,727 365 1,750 24,903 28,745

Mandatory Fidelis Care 844 137 623 11,614 13,218

Eff. Mar 2007 MVP Health Plan 725 151 835 10,601 12,312

United Healthcare Plan of NY 29 27 77 1,238 1,371

Wellcare of New York 129 50 215 1,450 1,844

Warren TOTALS: 492 150 590 8,579 9,811

Mandatory Capital District Physicians Health Plan 30 11 26 546 613

Eff. Oct 2012 Fidelis Care 419 118 492 6,946 7,975

MVP Health Plan 24 11 44 715 794

United Healthcare Plan of NY 19 10 28 372 429

Washington TOTALS: 573 128 690 9,369 10,760

Mandatory Capital District Physicians Health Plan 136 27 242 2,473 2,878

Eff. Mar 2007 Fidelis Care 417 94 432 6,443 7,386

MVP Health Plan 20 7 16 453 496

Wayne TOTALS: 882 244 923 12,799 14,848

Mandatory Excellus Health Plan 709 188 774 9,912 11,583

Eff. Oct 2010 Fidelis Care 148 41 125 2,306 2,620

United Healthcare Plan of NY 25 15 24 581 645

Westchester TOTALS: 8,479 1,768 6,734 120,866 137,847

Mandatory Affinity Health Plan 1,442 276 1,026 15,224 17,968

Eff. Oct 1999 Fidelis Care 2,314 591 2,048 40,979 45,932

HealthFirst PHSP 44 33 61 1,256 1,394

HIP of Greater New York 421 125 624 6,795 7,965

MVP Health Plan 3,904 598 2,543 48,592 55,637

United Healthcare Plan of NY 354 145 432 8,020 8,951

Wyoming TOTALS: 224 82 162 4,788 5,256

Mandatory Fidelis Care 131 52 86 3,104 3,373

Eff. Jul 2012 HealthNow 78 24 69 1,267 1,438

United Healthcare Plan of NY 6 5 5 227 243

YourCare Health Plan 9 1 2 190 202

Yates TOTALS: 184 38 188 3,358 3,768

Mandatory Excellus Health Plan 137 29 161 2,297 2,624

Eff. Feb 2007 Fidelis Care 47 8 25 997 1,077

United Healthcare Plan of NY 0 1 2 64 67

Upstate Total 149,201 31,987 107,435 1,521,355 1,809,978

Page 8: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

NYC Affinity Health Plan 22,692 15,485 7,865 77,410 123,452

Mandatory Amida Care SN 324 3,608 2,409 715 7,056

Fidelis Care 68,405 56,107 23,964 300,647 449,123

Fully HealthFirst PHSP 159,148 89,879 55,708 524,851 829,586

Implemented: HealthPlus 64,450 37,628 15,340 173,078 290,496

Sept 2002 HIP of Greater New York 20,074 16,139 7,744 44,345 88,302

MetroPlus Health Plan SN 481 1,670 1,466 368 3,985

MetroPlus Health Plan 78,096 36,144 17,895 230,945 363,080

United Healthcare Plan of NY 43,893 27,562 9,016 148,948 229,419

VNS Choice SN 170 1,324 1,474 50 3,018

Wellcare of New York 6,576 7,118 3,356 64,003 81,053

NYC Total 464,309 292,664 146,237 1,565,360 2,468,570

UPSTATE TOTALS: 149,201 31,987 107,435 1,521,355 1,809,978

NEW YORK CITY TOTALS: 464,309 292,664 146,237 1,565,360 2,468,570

STATE TOTALS: 613,510 324,651 253,672 3,086,715 4,278,548

Page 9: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

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

NYS, SEPTEMBER 2019

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment Enrollment

NYC Boroughs Bronx 136,292 64,256 45,081 341,506 587,135

Brooklyn 175,682 106,210 43,459 523,655 849,006

Manhattan 43,993 39,307 20,923 167,843 272,066

Queens 88,949 71,539 30,199 470,477 661,164

Staten Island 19,393 11,352 6,575 61,880 99,200

Borough Total 464,309 292,664 146,237 1,565,360 2,468,570

NOTES:

(2) New plans added this month : None

(1) The source of plan enrollment counts was revised in July, 2003 to be based on the primary and secondary roster reports. In September 2014 NYSoH Medicaid

enrollment was added to the report. The source of this data is Medicaid Data Warehouse. The report reflects enrollees as of the first of the month.

Page 10: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

Medicaid Managed Care Enrollment

Including New York State of Health Medicaid Enrollment*

NYS, SEPTEMBER 2019

Enrollee NYS of Total

Plan Name Rosters Health* Enrollment

Affinity 54,699 139,324 194,023

Amida Care SN 6,341 715 7,056

CDPHP 15,512 65,066 80,578

Excellus 38,899 130,607 169,506

Fidelis Care 263,338 983,219 1,246,557

HealthFirst 315,509 616,323 931,832

HealthNow 7,841 26,426 34,267

HealthPlus 119,193 191,390 310,583

HIP of Greater New York 49,492 75,045 124,537

Independent Health Assn. 13,580 42,036 55,616

MetroPlus 132,135 230,945 363,080

MetroPlus SN 3,617 368 3,985

Molina Healthcare 8,784 17,732 26,516

MVP Health Plan 23,405 138,046 161,451

United HealthCare 106,523 316,454 422,977

VNS Choice SN 2,968 50 3,018

WellCare 20,775 85,318 106,093

YourCare Health Plan 9,222 27,651 36,873

State Total 1,191,833 3,086,715 4,278,548

* Data Source: Medicaid Data Warehouse

Page 11: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MLTC PACE PLANS

ARCHCARE SENIOR LIFE NEW YORK 758

WESTCHESTER 79

Total 837

CHS BUFFALO LIFE ERIE 259

Total 259

COMPLETE SENIOR CARE NIAGARA 125

Total 125

COMPREHENSIVE CARE MGMT NASSAU 76

NEW YORK 2,308

SUFFOLK 106

WESTCHESTER 198

Total 2,688

EDDY SENIOR CARE ALBANY 8

SCHENECTADY 202

Total 210

FALLON HEALTH WEINBERG ERIE 138

Total 138

INDEPENDENT LIVING FOR SENIORS MONROE 682

ONTARIO 21

WAYNE 36

Total 739

PACE CNY ONONDAGA 632

Total 632

TOTAL SENIOR CARE ALLEGANY 30

CATTARAUGUS 92

CHAUTAUQUA 2

Total 124

Total MLTC PACE Enrollment 5,752

MLTC PARTIAL CAPITATION PLANS

AETNA BETTER HEALTH NASSAU 856

NEW YORK 6,129

SUFFOLK 1,152

Total 8,137

AGEWELL NEW YORK NASSAU 1,400

NEW YORK 8,281

SUFFOLK 1,702

WESTCHESTER 740

Total 12,123

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

Page 12: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

ARCHCARE COMMUNITY LIFE NEW YORK 3,754

PUTNAM 91

WESTCHESTER 1,278

Total 5,123

CENTERS PLAN FOR HEALTHY LIVING ERIE 751

NASSAU 1,899

NEW YORK 32,380

NIAGARA 86

ROCKLAND 87

SUFFOLK 1,179

WESTCHESTER 396

Total 36,778

ELANT DUTCHESS 231

ORANGE 360

ROCKLAND 377

Total 968

ELDERPLAN DUTCHESS 147

NASSAU 838

NEW YORK 12,348

ORANGE 220

PUTNAM 35

ROCKLAND 192

SUFFOLK 28

SULLIVAN 39

ULSTER 38

WESTCHESTER 957

Total 14,842

ELDERSERVE NASSAU 416

NEW YORK 13,871

SUFFOLK 459

WESTCHESTER 421

Total 15,167

ELDERWOOD ERIE 509

GENESEE 20

MONROE 253

NIAGARA 88

ORLEANS 8

WYOMING 4

Total 882

Page 13: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

EXTENDED MLTC NASSAU 311

NEW YORK 6,539

SUFFOLK 226

Total 7,076

FALLON HEALTH WEINBERG ERIE 857

NIAGARA 98

Total 955

FIDELIS CARE ALBANY 612

ALLEGANY 44

BROOME 553

CATTARAUGUS 95

CAYUGA 159

CHAUTAUQUA 147

CHEMUNG 220

CHENANGO 134

CLINTON 135

COLUMBIA 171

CORTLAND 109

DELAWARE 134

DUTCHESS 250

ERIE 1,055

ESSEX 47

FRANKLIN 86

FULTON 182

GENESEE 111

GREENE 77

HAMILTON 11

HERKIMER 115

JEFFERSON 167

LEWIS 66

LIVINGSTON 70

MADISON 72

MONROE 1,166

MONTGOMERY 190

NASSAU 1,015

NEW YORK 8,114

NIAGARA 241

ONEIDA 661

ONONDAGA 587

ONTARIO 109

ORANGE 577

Page 14: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

ORLEANS 51

OSWEGO 192

OTSEGO 115

PUTNAM 100

RENSSELAER 289

ROCKLAND 693

ST LAWRENCE 327

SARATOGA 262

SCHENECTADY 442

SCHOHARIE 87

SCHUYLER 41

SENECA 29

STEUBEN 162

SUFFOLK 1,371

SULLIVAN 226

TIOGA 80

TOMPKINS 135

ULSTER 367

WARREN 118

WASHINGTON 81

WAYNE 85

WESTCHESTER 823

WYOMING 55

YATES 51

Total 23,664

HAMASPIK CHOICE DUTCHESS 302

ORANGE 435

PUTNAM 36

ROCKLAND 703

SULLIVAN 361

ULSTER 565

Total 2,402

HEALTHPLUS NEW YORK 7,227

Total 7,227

ICIRCLE CARE BROOME 277

CAYUGA 59

CHEMUMG 176

CHENANGO 87

CORTLAND 84

GENESEE 82

LIVINGSTON 59

Page 15: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

MADISON 20

MONROE 2,035

ONONDAGA 256

ONTARIO 224

ORLEANS 86

OSWEGO 38

OTSEGO 69

SCHUYLER 34

SENECA 50

STEUBEN 110

TIOGA 26

TOMPKINS 108

WAYNE 232

WYOMING 28

YATES 49

Total 4,189

INTEGRA NASSAU 1,188

NEW YORK 19,888

SUFFOLK 703

WESTCHESTER 598

Total 22,377

KALOS HEALTH CHAUTAUQUA 225

ERIE 795

GENESEE 45

MONROE 45

NIAGARA 336

ORLEANS 38

Total 1,484

METROPLUS NEW YORK 2,058

Total 2,058

MONTEFIORE HMO NEW YORK 1,382

WESTCHESTER 375

Total 1,757

PRIME HEALTH CHOICE ALBANY 53

DUTCHESS 222

ORANGE 65

PUTNAM 9

ROCKLAND 143

WARREN 20

WASHINGTON 12

Total 524

Page 16: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

SENIOR HEALTH PARTNERS INC NASSAU 508

NEW YORK 14,499

WESTCHESTER 313

Total 15,320

SENIOR NETWORK HEALTH HERKIMER 81

ONEIDA 508

Total 589

SENIOR WHOLE HEALTH NEW YORK 14,841

WESTCHESTER 264

Total 15,105

UNITED HEALTHCARE NEW YORK 12

Total 12

VILLAGE CARE NEW YORK 12,051

Total 12,051

VNA HOMECARE OPTIONS ALBANY 313

ALLEGANY 132

BROOME 248

CATTARAUGUS 209

CAYUGA 125

CHAUTAUQUA 277

CHEMUMG 85

CHENANGO 94

CLINTON 212

COLUMBIA 38

CORTLAND 87

DELAWARE 46

ERIE 487

ESSEX 49

FRANKLIN 114

FULTON 179

GENESEE 48

GREENE 44

HAMILTON 8

HERKIMER 50

JEFFERSON 177

LEWIS 39

LIVINGSTON 49

MADISON 142

MONROE 788

MONTGOMERY 124

NIAGARA 175

Page 17: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

ONEIDA 369

ONONDAGA 1,067

ONTARIO 79

ORLEANS 24

OSWEGO 227

OTSEGO 92

RENSSELAER 246

ST LAWRENCE 258

SARATOGA 317

SCHENECTADY 192

SCHOHARIE 85

SCHUYLER 9

SENECA 36

STEUBEN 161

TIOGA 52

TOMPKINS 50

WARREN 92

WASHINGTON 76

WAYNE 92

WYOMING 71

YATES 19

Total 7,953

VNS CHOICE ALBANY 245

COLUMBIA 47

DELAWARE 14

DUTCHESS 76

ERIE 195

FULTON 13

GREENE 67

HERKIMER 6

MADISON 9

MONROE 251

MONTGOMERY 14

NASSAU 654

NEW YORK 15,850

ONEIDA 43

ONONDAGA 63

ORANGE 42

OTSEGO 13

PUTNAM 49

RENSSELAER 155

Page 18: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

TOTAL

PLAN NAME COUNTY ENROLLED

MANAGED LONG TERM CARE

ENROLLMENT BY PLAN, COUNTY, AND PROGRAM

ROCKLAND 126

SARATOGA 147

SCHENECTADY 97

SCHOHARIE 39

SUFFOLK 642

SULLIVAN 10

ULSTER 78

WARREN 28

WASHINGTON 13

WESTCHESTER 516

Total 19,502

WELLCARE ALBANY 46

ERIE 389

NASSAU 284

NEW YORK 3,874

ORANGE 291

ROCKLAND 198

SUFFOLK 488

ULSTER 166

WESTCHESTER 157

Total 5,893

Total MLTC Partial Capitation Enrollment 244,158

Total State Enrollment 249,910

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

Page 19: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Total

County Plan Name Enrolled

Albany TOTAL 182

Fidelis Legacy Plan 83

WellCare 99

Allegany TOTAL 1

Fidelis Legacy Plan 1

Broome TOTAL 106

Fidelis Legacy Plan 3

WellCare 103

Cayuga TOTAL 4

Fidelis Legacy Plan 4

Chemung TOTAL 4

Fidelis Legacy Plan 4

Chenango TOTAL 2

Fidelis Legacy Plan 2

Clinton TOTAL 7

Fidelis Legacy Plan 7

Columbia TOTAL 7

Fidelis Legacy Plan 7

Cortland TOTAL 3

Fidelis Legacy Plan 3

Delaware TOTAL 3

Fidelis Legacy Plan 3

Dutchess TOTAL 21

Fidelis Legacy Plan 21

Erie TOTAL 638

Fidelis Legacy Plan 40

WellCare 598

Franklin TOTAL 3

Fidelis Legacy Plan 3

Fulton TOTAL 5

Fidelis Legacy Plan 5

Greene TOTAL 12

Fidelis Legacy Plan 12

Herkimer TOTAL 19

Fidelis Legacy Plan 19

Monroe TOTAL 198

WellCare 198

Montgomery TOTAL 12

Fidelis Legacy Plan 12

Nassau TOTAL 195

United HealthCare 195

MEDICAID ADVANTAGE

ENROLLMENT BY COUNTY AND PLAN

Page 20: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Total

County Plan Name Enrolled

MEDICAID ADVANTAGE

ENROLLMENT BY COUNTY AND PLAN

Niagara TOTAL 123

Fidelis Legacy Plan 7

WellCare 116

Oneida TOTAL 109

Fidelis Legacy Plan 53

WellCare 56

Onondaga TOTAL 81

Fidelis Legacy Plan 81

Orange TOTAL 26

WellCare 26

Oswego TOTAL 40

Fidelis Legacy Plan 40

Otsego TOTAL 3

Fidelis Legacy Plan 3

Putnam TOTAL 3

Fidelis Legacy Plan 3

Rensselaer TOTAL 83

Fidelis Legacy Plan 22

WellCare 61

Rockland TOTAL 22

WellCare 22

St. Lawrence TOTAL 6

Fidelis Legacy Plan 6

Saratoga TOTAL 28

Fidelis Legacy Plan 8

WellCare 20

Schenectady TOTAL 103

Fidelis Legacy Plan 54

WellCare 49

Steuben TOTAL 1

Fidelis Legacy Plan 1

Sullivan TOTAL 6

Fidelis Legacy Plan 6

Ulster TOTAL 93

Fidelis Legacy Plan 32

WellCare 61

Warren TOTAL 3

Fidelis Legacy Plan 3

Washington TOTAL 5

Fidelis Legacy Plan 5

Page 21: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Total

County Plan Name Enrolled

MEDICAID ADVANTAGE

ENROLLMENT BY COUNTY AND PLAN

Wayne TOTAL 1

WellCare 1

Upstate Total: 2,158

NYC Fidelis Legacy Plan 681

United HealthCare 2,113

NYC Total 2,794

UPSTATE TOTAL 2,158

NEW YORK CITY TOTAL 2,794

STATE TOTAL 4,952

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

Page 22: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Total

County Plan Name Enrolled

Albany Total 20

Fidelis Legacy Plan 20

Montgomery Total 2

Fidelis Legacy Plan 2

Nassau Total 189

Centers Plan for Healthy Living 1

ElderPlan 41

HealthFirst 128

Senior Whole Health 4

VNS Choice Plus 15

Rensselaer Total 8

Fidelis Legacy Plan 8

Schenectady Total 11

Fidelis Legacy Plan 11

Suffolk Total 26

VNS Choice Plus 26

Westchester Total 134

Elderplan 37

HealthFirst 78

VNS Choice Plus 19

Upstate Total: 390

NYC Centers Plan for Healthy Living 13

Elderplan 1,495

Fidelis Legacy Plan 39

HealthFirst 11,454

HealthPlus 12

Senior Whole Health 81

Village Care 1,599

VNS Choice Plus 2,308

NYC Total 17,001

UPSTATE TOTAL 390

NEW YORK CITY TOTAL 17,001

STATE TOTAL 17,391

NOTES:

MEDICAID ADVANTAGE PLUS

ENROLLMENT BY COUNTY AND PLAN

(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

Page 23: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

Albany Total 1,257 565 1,822

Capital District Physician's Health Plan 832 339 1,171

Fidelis Care 377 192 569

MVP Health Plan 37 23 60

United HealthCare 11 11 22

Allegany Total 221 57 278

Fidelis Care 138 37 175

YourCare Health Plan 83 20 103

Broome Total 1,499 284 1,783

Capital District Physician's Health Plan 43 6 49

Excellus 920 164 1,084

Fidelis Care 457 93 550

United HealthCare 79 21 100

Cattaraugus Total 417 128 545

Fidelis Care 289 93 382

YourCare Health Plan 128 35 163

Cayuga Total 487 130 617

Fidelis Care 410 110 520

United HealthCare 77 20 97

Chautauqua Total 1,108 241 1,349

Fidelis Care 984 211 1,195

United HealthCare 16 7 23

YourCare Health Plan 108 23 131

Chemung Total 725 173 898

Fidelis Care 642 153 795

United HealthCare 83 20 103

Chenango Total 226 78 304

Fidelis Care 198 66 264

United HealthCare 28 12 40

Clinton Total 604 116 720

Capital District Physician's Health Plan 1 0 1

Fidelis Care 561 105 666

United HealthCare 42 11 53

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

Page 24: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

Columbia Total 288 87 375

Capital District Physician's Health Plan 133 29 162

Fidelis Care 144 48 192

MVP Health Plan 9 9 18

United HealthCare 2 1 3

Cortland Total 295 98 393

Fidelis Care 241 89 330

Molina Healthcare 54 9 63

Delaware Total 128 71 199

Fidelis Care 128 71 199

Dutchess Total 1,080 488 1,568

Fidelis Care 437 268 705

MVP Health Plan 617 202 819

United HealthCare 26 18 44

Erie Total 5,409 1,443 6,852

Excellus 46 41 87

Fidelis Care 1,866 734 2,600

Indepentdent Health Association 2,007 441 2,448

United HealthCare 90 24 114

YourCare Health Plan 1,400 203 1,603

Essex Total 151 64 215

Capital District Physician's Health Plan 2 1 3

Fidelis Care 142 62 204

United HealthCare 7 1 8

Franklin Total 429 89 518

Capital District Physician's Health Plan 1 0 1

Fidelis Care 411 86 497

United HealthCare 17 3 20

Fulton Total 365 115 480

Capital District Physician's Health Plan 45 8 53

Fidelis Care 317 105 422

United HealthCare 3 2 5

Genesee Total 254 138 392

Fidelis Care 115 86 201

MVP Health Plan 135 45 180

United HealthCare 4 7 11

Page 25: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

Greene Total 256 86 342

Capital District Physician's Health Plan 116 32 148

Fidelis Care 122 44 166

MVP Health Plan 16 7 23

United HealthCare 2 3 5

Hamilton Total 7 5 12

Fidelis Care 7 5 12

Herkimer Total 341 109 450

Excellus 62 27 89

Fidelis Care 278 81 359

United HealthCare 1 1 2

Jefferson Total 715 151 866

Fidelis Care 129 41 170

MVP Health Plan 21 9 30

United HealthCare 565 101 666

Lewis Total 122 79 201

Fidelis Care 69 46 115

MVP Health Plan 2 4 6

United HealthCare 51 29 80

Livingston Total 338 78 416

Excellus 196 28 224

Fidelis Care 68 25 93

MVP Health Plan 67 19 86

United HealthCare 7 6 13

Madison Total 275 107 382

Fidelis Care 238 98 336

United HealthCare 37 9 46

Monroe Total 7,467 1,198 8,665

Excellus 5,229 830 6,059

Fidelis Care 1,003 173 1,176

MVP Health Plan 1,001 119 1,120

United HealthCare 166 52 218

YourCare Health Plan 68 24 92

Montgomery Total 383 91 474

Capital District Physician's Health Plan 77 15 92

Fidelis Care 306 76 382

Page 26: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

Nassau Total 2,081 985 3,066

Affinity Health Plan 169 60 229

Fidelis Care 487 213 700

HealthFirst 386 197 583

Health Plus 221 112 333

HIP of Greater New York 411 136 547

United HealthCare 407 267 674

Niagara Total 1,405 463 1,868

Fidelis Care 1,334 443 1,777

United HealthCare 71 20 91

Oneida Total 1,766 426 2,192

Excellus 327 89 416

Fidelis Care 1,306 304 1,610

MVP Health Plan 21 23 44

United HealthCare 112 10 122

Onondaga Total 3,242 883 4,125

Excellus 10 1 11

Fidelis Care 1,554 572 2,126

Molina Healthcare 1,213 172 1,385

United HealthCare 465 138 603

Ontario Total 444 173 617

Excellus 350 126 476

Fidelis Care 59 27 86

MVP Health Plan 28 9 37

United HealthCare 6 10 16

YourCare Health Plan 1 1 2

Orange Total 1,154 589 1,743

Affinty Health Plan 278 83 361

Fidelis Care 259 175 434

MVP Health Plan 577 310 887

United HealthCare 40 21 61

Orleans Total 165 53 218

Excellus 75 26 101

Fidelis Care 85 25 110

United HealthCare 5 2 7

Page 27: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

Oswego Total 772 214 986

Fidelis Care 597 178 775

United HealthCare 175 36 211

Otsego Total 228 75 303

Excellus 85 19 104

Fidelis Care 143 56 199

Putnam Total 135 117 252

Fidelis Care 120 89 209

HealthPlus 9 17 26

MVP Health Plan 6 11 17

Rensselaer Total 838 244 1,082

Capital District Physician's Health Plan 577 121 698

Fidelis Care 230 107 337

MVP Health Plan 23 13 36

United HealthCare 8 3 11

Rockland Total 544 235 779

Affinity Health Plan 94 23 117

Fidelis Care 279 129 408

MVP Health Plan 152 66 218

United HealthCare 19 17 36

St. Lawrence Total 787 206 993

Fidelis Care 610 171 781

United HealthCare 177 35 212

Saratoga Total 476 284 760

Capital District Physician's Health Plan 287 131 418

Fidelis Care 181 132 313

MVP Health Plan 8 21 29

Schenectady Total 1,133 322 1,455

Capital District Physician's Health Plan 557 115 672

Fidelis Care 521 170 691

MVP Health Plan 42 37 79

United HealthCare 13 0 13

Schoharie Total 135 53 188

Capital District Physician's Health Plan 77 28 105

Fidelis Care 58 25 83

Page 28: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

Schuyler Total 74 28 102

Fidelis Care 74 28 102

Seneca Total 194 52 246

Excellus 152 34 186

Fidelis Care 26 9 35

United HealthCare 16 9 25

Steuben Total 576 179 755

Fidelis Care 576 179 755

Suffolk Total 4,251 2,094 6,345

Affinity Health Plan 316 137 453

Fidelis Care 1,080 525 1,605

HealthFirst 1,173 462 1,635

HIP of Greater New York 576 212 788

United HealthCare 1,106 758 1,864

Sullivan Total 373 209 582

Fidelis Care 106 54 160

MVP Health Plan 267 155 422

Tioga Total 190 49 239

Capital District Physician's Health Plan 41 6 47

Fidelis Care 140 39 179

United HealthCare 9 4 13

Tompkins Total 369 121 490

Fidelis Care 209 99 308

Molina Healthcare 160 22 182

Ulster Total 684 351 1,035

Fidelis Care 255 160 415

MVP Health Plan 404 172 576

United HealthCare 25 19 44

Warren Total 257 140 397

Capital District Physician's Health Plan 8 11 19

Fidelis Care 219 111 330

MVP Health Plan 17 16 33

United HealthCare 13 2 15

Page 29: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

Washington Total 245 123 368

Capital District Physician's Health Plan 57 19 76

Fidelis Care 186 97 283

MVP Health Plan 2 7 9

Wayne Total 486 144 630

Excellus 388 92 480

Fidelis Care 82 42 124

United HealthCare 16 10 26

Westchester Total 3,099 953 4,052

Affinity Health Plan 417 119 536

Fidelis Care 799 365 1,164

HealthFirst 4 5 9

HIP of Greater New York 243 64 307

MVP Health Plan 1,508 323 1,831

United HealthCare 128 77 205

Wyoming Total 83 36 119

Fidelis Care 73 33 106

United HealthCare 6 1 7

YourCare Health Plan 4 2 6

Yates Total 52 41 93

Excellus 36 28 64

Fidelis Care 14 12 26

United HealthCare 2 1 3

Upstate Total 51,085 16,111 67,196

NYC Affinity Health Plan 2,860 466 3,326

Fidelis Care 9,873 1,646 11,519

HealthFirst 22,907 3,124 26,031

HealthPlus 5,709 910 6,619

HIP of Greater New York 3,117 282 3,399

MetroPlus 10,805 1,888 12,693

United HealthCare 2,848 797 3,645

Total 58,119 9,113 67,232

Page 30: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Roster NYSoH Total

County Plan Name Enrollment Enrollment Enrollment

HEALTH & RECOVERY PLAN

ENROLLMENT BY COUNTY AND PLAN

NYC TOTAL 58,119 9,113 67,232

REST OF STATE TOTAL 51,083 16,110 67,196

STATE TOTAL 109,204 25,224 134,428

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. In July 2018 NYSoH Medicaid enrollment was added to the report.

The source of this data is Medicaid Data Warehouse.

(2) New plans added this month : None

Page 31: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Total

County Plan Name Enrolled

Nassau Total 175

ElderPlan FIDA Total Care 53

HealthFirst Absolute Care 81

River Spring 2

VNSNY Choice FIDA Complete 39

Westchester Total 12

HealthFirst Absolute Care 11

River Spring 1

New York Total 2,333

ElderPlan FIDA Total Care 256

FIDA Care Complete 13

HealthFirst Absolute Care 899

River Spring 13

SWH Whole Health 118

VNSNY Choice FIDA Complete 1,034

NYC TOTAL 2,333

REST OF STATE TOTAL 187

STATE TOTAL 2,520NYC

Boroughs Bronx 580

Brooklyn 706

Manhattan 440

Queens 525

Staten Island 82

Borough Totals 2,333

NOTES:

FULLY INTEGRATED DUALS ADVANTAGE

ENROLLMENT BY COUNTY AND PLAN

(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

Page 32: RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED …

NYS, SEPTEMBER 2019

Total

County Plan Name Enrolled

Partners Health Plan Nassau 345

Rockland 63

Suffolk 104

Westchester 73

OMR/DD 232

New York City 568

NYC TOTAL 568

REST OF STATE TOTAL 817

STATE TOTAL 1,385

NYC Boroughs Bronx 143

Brooklyn 164

Manhattan 94

Queens 110

Staten Island 57

Borough Totals 568

NOTES:

FULLY INTEGRATED DUALS ADVANTAGE

ENROLLMENT BY COUNTY AND PLAN

(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 counties added this month: None

INTELLECTUAL AND DEVELOPMENTAL DISABILITIES