RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED … · recipients enrolled in mainstream medicaid managed care by county, plan, and aid category nys, august 2013 county plan name

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

NYS, AUGUST 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: 22,336 5,240 27,576 3,715 31,291 Mandatory Capital District Physicians Health Plan 15,340 3,279 18,619 2,710 21,329 Eff. Oct 1997 NYS Catholic Health Plan 5,850 1,620 7,470 747 8,217

Wellcare of New York 1,146 341 1,487 258 1,745 Allegany TOTALS: 3,939 835 4,774 590 5,364 Mandatory HealthNow 2,162 484 2,646 377 3,023 Eff Feb 2007 NYS Catholic Health Plan 297 82 379 34 413

Univera Community Health 1,480 269 1,749 179 1,928 Broome TOTALS: 18,462 4,273 22,735 3,946 26,681 Mandatory Capital District Physicians Health Plan 178 21 199 71 270 Eff. May 1998 Excellus Health Plan 15,360 3,612 18,972 3,028 22,000

NYS Catholic Health Plan 2,710 553 3,263 762 4,025 United Healthcare Plan of NY 214 87 301 85 386

Cattaraugus TOTALS: 6,820 1,301 8,121 1,304 9,425 Mandatory HealthNow 3,031 570 3,601 757 4,358 Eff. Sep 2001 NYS Catholic Health Plan 2,397 409 2,806 332 3,138

Univera Community Health 1,392 322 1,714 215 1,929 Cayuga TOTALS: 6,812 1,397 8,209 885 9,094 Mandatory Excellus Health Plan 2,414 517 2,931 273 3,204 Eff. Oct 2010 NYS Catholic Health Plan 3,651 704 4,355 473 4,828

United Healthcare Plan of NY 747 176 923 139 1,062 Chautauqua TOTALS: 14,781 3,401 18,182 2,764 20,946 Mandatory HealthNow 2,690 657 3,347 682 4,029 Eff. Sep 2001 NYS Catholic Health Plan 11,552 2,434 13,986 1,895 15,881

Univera Community Health 539 310 849 187 1,036 Chemung Mandatory Eff. Nov 2012

TOTALS: Excellus Health Plan NYS Catholic Health Plan

9,361 5,236 4,125

1,705 859 846

11,066 6,095 4,971

1,774 911 863

12,840 7,006 5,834

Chenango Mandatory Eff. Dec 2011

TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY

4,809 4,157

652

873 709 164

5,682 4,866

816

597 466 131

6,279 5,332

947 Clinton Mandatory Eff. Dec 2011


6,998 6,438

560

1,581 1,348

233

8,579 7,786

793

1,099 954 145

9,678 8,740

938


NYS, AUGUST 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

Columbia Mandatory Eff. Oct 1997

TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan

4,531 2,396 2,135

1,068 579 489

5,599 2,975 2,624

756 505 251

6,355 3,480 2,875

Cortland Mandatory Eff. May 2007

TOTALS: NYS Catholic Health Plan SCHC Total Care

4,809 3,619 1,190

907 673 234

5,716 4,292 1,424

630 462 168

6,346 4,754 1,592

Delaware Mandatory Eff. May 2011

TOTALS: NYS Catholic Health Plan

3,726 3,726

910 910

4,636 4,636

178 178

4,814 4,814

Dutchess TOTALS: 16,381 3,701 20,082 2,729 22,811 Mandatory Hudson Health Plan 5,801 1,153 6,954 970 7,924 Eff. Apr 2007 MVP Health Plan 4,883 1,142 6,025 842 6,867

NYS Catholic Health Plan 3,984 1,113 5,097 637 5,734 Wellcare of New York 1,713 293 2,006 280 2,286

Erie TOTALS: 86,005 21,094 107,099 15,950 123,049 Mandatory HealthNow 15,681 4,240 19,921 3,026 22,947 Eff. May 1998 Independent Health Association 25,421 5,991 31,412 5,513 36,925

NYS Catholic Health Plan 20,843 4,800 25,643 3,601 29,244 Univera Community Health 24,060 6,063 30,123 3,810 33,933

Essex Mandatory Eff. Oct 2010


2,553 2,553

546 546

3,099 3,099

295 295

3,394 3,394

Franklin Mandatory Eff. May 2011


3,939 3,939

934 934

4,873 4,873

192 192

5,065 5,065

Fulton TOTALS: 5,811 1,232 7,043 1,022 8,065 Mandatory Capital District Physicians Health Plan 855 194 1,049 215 1,264 Eff. Mar 2007 NYS Catholic Health Plan 4,948 1,033 5,981 804 6,785

United Healthcare Plan of NY 8 5 13 3 16 Genesee Mandatory Eff. Jan 2004

TOTALS: MVP Health Plan NYS Catholic Health Plan

4,053 2,511 1,542

723 401 322

4,776 2,912 1,864

567 417 150

5,343 3,329 2,014


NYS, AUGUST 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

Greene Mandatory Eff. Oct 1997


4,067 2,094 1,973

986 440 546

5,053 2,534 2,519

749 444 305

5,802 2,978 2,824

Hamilton Mandatory Eff. Oct 2010


287 287

67 67

354 354

7 7

361 361

Herkimer TOTALS: 6,251 1,300 7,551 836 8,387 Mandatory Excellus Health Plan 1,115 245 1,360 206 1,566 Eff. May 2003 NYS Catholic Health Plan 5,098 1,049 6,147 619 6,766

United Healthcare Plan of NY 38 6 44 11 55 Jefferson Mandatory Eff. Oct 2012

TOTALS: Excellus Health Plan United Healthcare Plan of NY

9,735 7,876 1,859

1,797 1,360

437

11,532 9,236 2,296

775 581 194

12,307 9,817 2,490

Lewis Mandatory Eff. Oct 2012


2,336 1,718

618

371 246 125

2,707 1,964

743

316 227 89

3,023 2,191

832 Livingston TOTALS: 4,426 972 5,398 666 6,064 Mandatory Excellus Health Plan 3,115 625 3,740 450 4,190 Eff. Apr 2002 MVP Health Plan 765 155 920 179 1,099

NYS Catholic Health Plan 546 192 738 37 775 Madison TOTALS: 5,412 1,095 6,507 639 7,146 Mandatory Excellus Health Plan 2,952 575 3,527 348 3,875 Eff. Oct 2010 NYS Catholic Health Plan 1,926 378 2,304 222 2,526

United Healthcare Plan of NY 534 142 676 69 745 Monroe TOTALS: 72,233 16,618 88,851 14,421 103,272 Mandatory Excellus Health Plan 52,360 10,410 62,770 9,715 72,485 Eff. Mar 1998 MVP Health Plan 9,455 1,439 10,894 2,350 13,244

NYS Catholic Health Plan 10,401 4,753 15,154 2,353 17,507 United Healthcare Plan of NY 17 16 33 3 36

Montgomery Mandatory Eff. Apr 2007


6,490 2,429 4,061

1,137 376 761

7,627 2,805 4,822

951 393 558

8,578 3,198 5,380


NYS, AUGUST 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

Nassau TOTALS: 80,984 23,189 104,173 10,428 114,601 Mandatory Affinity Health Plan 11,234 2,696 13,930 1,242 15,172 Eff. June 2001 Amerigroup 7,046 2,567 9,613 939 10,552

HealthFirst PHSP 15,924 4,086 20,010 1,622 21,632 HIP of Greater New York 11,271 4,376 15,647 2,592 18,239 NYS Catholic Health Plan 17,518 4,182 21,700 1,854 23,554 United Healthcare Plan of NY 17,991 5,282 23,273 2,179 25,452

Niagara TOTALS: 18,569 4,784 23,353 3,288 26,641 Mandatory HealthNow 1 1 2 0 2 Eff Sep 1998 Independent Health Association 8,385 2,410 10,795 1,878 12,673

NYS Catholic Health Plan 10,183 2,373 12,556 1,410 13,966 Oneida TOTALS: 26,792 5,115 31,907 4,741 36,648 Mandatory Excellus Health Plan 5,101 1,196 6,297 939 7,236 Eff Sep 2001 NYS Catholic Health Plan 18,865 3,235 22,100 3,257 25,357

United Healthcare Plan of NY 2,826 684 3,510 545 4,055 Onondaga TOTALS: 43,467 8,222 51,689 8,134 59,823 Mandatory Excellus Health Plan 8,310 1,531 9,841 1,225 11,066 Eff. Nov 1998 NYS Catholic Health Plan 12,579 2,259 14,838 1,924 16,762

SCHC Total Care 17,188 3,295 20,483 3,968 24,451 United Healthcare Plan of NY 5,390 1,137 6,527 1,017 7,544

Ontario TOTALS: 7,055 1,168 8,223 1,035 9,258 Mandatory Excellus Health Plan 6,465 1,049 7,514 900 8,414 Eff. Mar 1998 MVP Health Plan 441 63 504 110 614

NYS Catholic Health Plan 149 56 205 25 230 Orange TOTALS: 41,305 5,330 46,635 3,955 50,590 Mandatory Affinity Health Plan 12,015 2,000 14,015 1,476 15,491 Eff. Mar 2007 Hudson Health Plan 10,219 1,934 12,153 1,490 13,643

NYS Catholic Health Plan 17,609 969 18,578 724 19,302 United Healthcare Plan of NY 256 139 395 30 425 Wellcare of New York 1,206 288 1,494 235 1,729


NYS, AUGUST 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

Orleans TOTALS: 4,049 941 4,990 505 5,495 Mandatory Excellus Health Plan 1,566 306 1,872 212 2,084 Eff. June 2003 HealthNow 813 212 1,025 135 1,160

NYS Catholic Health Plan 1,670 423 2,093 158 2,251 Oswego TOTALS: 14,504 2,815 17,319 2,110 19,429 Mandatory Excellus Health Plan 2,896 687 3,583 517 4,100 Eff. Apr 1999 NYS Catholic Health Plan 7,966 1,416 9,382 1,042 10,424

United Healthcare Plan of NY 3,642 712 4,354 551 4,905 Otsego Mandatory Eff. May 2007


4,273 2,440 1,833

914 461 453

5,187 2,901 2,286

612 358 254

5,799 3,259 2,540

Putnam Mandatory Eff. Mar 2007

TOTALS: Amerigroup NYS Catholic Health Plan

2,450 46

2,404

550 26

524

3,000 72

2,928

383 45

338

3,383 117

3,266 Rensselaer TOTALS: 13,077 3,027 16,104 2,428 18,532 Mandatory Capital District Physicians Health Plan 9,397 2,122 11,519 1,806 13,325 Eff. Oct 1997 NYS Catholic Health Plan 3,167 778 3,945 501 4,446

United Healthcare Plan of NY 14 8 22 4 26 Wellcare of New York 499 119 618 117 735

Rockland TOTALS: 50,129 4,908 55,037 2,329 57,366 Mandatory Affinity Health Plan 3,576 1,077 4,653 545 5,198 Eff. Mar 2001 Hudson Health Plan 8,330 1,093 9,423 564 9,987

NYS Catholic Health Plan 35,794 2,327 38,121 1,072 39,193 United Healthcare Plan of NY 321 204 525 33 558 Wellcare of New York 2,108 207 2,315 115 2,430

St Lawrence Mandatory Eff. Oct 2012


9,620 8,017 1,603

1,902 1,488

414

11,522 9,505 2,017

921 720 201

12,443 10,225 2,218

Saratoga Mandatory Eff. Oct 1997


10,439 6,695 3,744

2,275 1,518

757

12,714 8,213 4,501

1,448 1,109

339

14,162 9,322 4,840


NYS, AUGUST 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

Schenectady Mandatory Eff. Apr 2007


15,768 7,994 7,774

3,005 1,360 1,645

18,773 9,354 9,419

3,054 1,852 1,202

21,827 11,206 10,621

Schoharie Mandatory Eff. Oct 2010


2,387 1,395

992

553 342 211

2,940 1,737 1,203

281 177 104

3,221 1,914 1,307

Schuyler Mandatory Eff May 2012


1,664 1,109

555

418 246 172

2,082 1,355

727

129 68 61

2,211 1,423

788 Seneca Mandatory Eff. Jan 2007

TOTALS: Excellus Health Plan

2,795 2,795

486 486

3,281 3,281

435 435

3,716 3,716

Steuben Mandatory Eff May 2012


8,259 4,461 3,798

1,602 900 702

9,861 5,361 4,500

1,136 587 549

10,997 5,948 5,049

Suffolk TOTALS: 100,668 23,618 124,286 11,887 136,173 Mandatory Affinity Health Plan 15,329 2,931 18,260 1,425 19,685 Eff. June 2001 HealthFirst PHSP 32,060 4,967 37,027 3,434 40,461

HIP of Greater New York 11,664 4,422 16,086 2,245 18,331 NYS Catholic Health Plan 19,661 4,671 24,332 2,178 26,510 United Healthcare Plan of NY 21,954 6,627 28,581 2,605 31,186

Sullivan Mandatory Eff. Apr 2007

TOTALS: Hudson Health Plan NYS Catholic Health Plan

9,444 6,902 2,542

1,566 1,122

444

11,010 8,024 2,986

1,282 985 297

12,292 9,009 3,283

Tioga TOTALS: 4,238 625 4,863 380 5,243 Mandatory Capital District Physicians Health Plan 1,321 204 1,525 128 1,653 Eff. Jun 2012 NYS Catholic Health Plan 2,698 363 3,061 213 3,274

United Healthcare Plan of NY 219 58 277 39 316 Tompkins TOTALS: 5,466 1,293 6,759 828 7,587 Mandatory Excellus Health Plan 415 120 535 34 569 Eff. Oct 2010 NYS Catholic Health Plan 1,335 465 1,800 241 2,041

SCHC Total Care 3,716 708 4,424 553 4,977


NYS, AUGUST 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled


Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

Ulster TOTALS: 13,509 3,465 16,974 2,159 19,133 Mandatory Hudson Health Plan 4,026 1,036 5,062 582 5,644 Eff Mar 2007 MVP Health Plan 3,919 1,347 5,266 703 5,969

NYS Catholic Health Plan 3,755 725 4,480 459 4,939 United Healthcare Plan of NY 55 33 88 7 95 Wellcare of New York 1,754 324 2,078 408 2,486

Warren Mandatory Eff. Oct 2012


4,224 3,801

423

652 524 128

4,876 4,325

551

442 391 51

5,318 4,716

602 Washington Mandatory Eff. Mar 2007


5,160 1,975 3,185

772 326 446

5,932 2,301 3,631

778 361 417

6,710 2,662 4,048

Wayne Mandatory Eff. Oct 2010


7,212 6,255

957

1,100 911 189

8,312 7,166 1,146

1,214 1,054

160

9,526 8,220 1,306

Westchester TOTALS: 70,415 16,426 86,841 8,232 95,073 Mandatory Affinity Health Plan 10,817 3,082 13,899 1,494 15,393 Eff. Oct 1999 HIP of Greater New York 5,346 1,816 7,162 1,119 8,281

Hudson Health Plan 39,586 6,377 45,963 3,838 49,801 NYS Catholic Health Plan 13,846 4,648 18,494 1,617 20,111 United Healthcare Plan of NY 820 503 1,323 164 1,487

Wyoming Mandatory Eff. Jul 2012

TOTALS: HealthNow NYS Catholic Health Plan

2,296 1,555

741

442 287 155

2,738 1,842

896

130 86 44

2,868 1,928

940 Yates Mandatory Eff. Feb 2007

TOTALS: Excellus Health Plan

1,977 1,977

300 300

2,277 2,277

254 254

2,531 2,531

Upstate Total 919,558 197,527 1,117,085 133,291 1,250,376


NYS, AUGUST 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 88,547 48,169 136,716 16,377 153,093 Mandatory Amerigroup 219,660 94,587 314,247 25,052 339,299

Amida Care SN 380 2,949 3,329 2,575 5,904 Fully HealthFirst PHSP 405,465 162,399 567,864 68,632 636,496 Implemented: HIP of Greater New York 90,480 43,472 133,952 19,236 153,188 Sept 2002 HIP of Greater New York UFT 31 23 54 5 59

MetroPlus Health Plan SN 893 2,274 3,167 2,286 5,453 MetroPlus Health Plan 244,992 88,596 333,588 35,768 369,356 NYS Catholic Health Plan 163,599 108,871 272,470 28,293 300,763 United Healthcare Plan of NY 128,207 67,048 195,255 14,585 209,840 VNS Choice SN 414 2,347 2,761 2,535 5,296 Wellcare of New York 27,932 26,830 54,762 3,359 58,121 NYC Total 1,370,600 647,565 2,018,165 218,703 2,236,868

UPSTATE TOTALS: 919,558 197,527 1,117,085 133,291 1,250,376 NEW YORK CITY TOTALS: 1,370,600 647,565 2,018,165 218,703 2,236,868 GRAND TOTALS: 2,290,158 845,092 3,135,250 351,994 3,487,244


NYS, AUGUST 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

345,882 492,969 145,378 339,657 46,714

1,370,600

123,822 231,385 89,582

181,329 21,447

647,565

469,704 724,354 234,960 520,986 68,161

2,018,165

66,633 67,678 34,641 41,206 8,545

218,703

536,337 792,032 269,601 562,192 76,706

2,236,868

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, AUGUST 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

2,814 1,589 1,089

136

570 310 222

38

3,384 1,899 1,311

174 Allegany TOTALS:

HealthNow NYS Catholic Health Plan Univera Community Health Inc

597 260

64 273

128 61 19 48

725 321

83 321

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

2,721 40

2,261 381

39

415 4

344 46 21

3,136 44

2,605 427

60 Cattaraugus TOTALS:

HealthNow NYS Catholic Health Plan Univera Community Health Inc

911 327 353 231

213 89 62 62

1,124 416 415 293

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

947 328 457 162

160 49 87 24

1,107 377 544 186

Chautauqua TOTALS: HealthNow NYS Catholic Health Plan Univera Community Health Inc

1,603 313

1,173 117

329 72

228 29

1,932 385

1,401 146

Chemung TOTALS: Excellus Health Plan NYS Catholic Health Plan

963 608 355

225 116 109

1,188 724 464

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

726 669

57

87 73 14

813 742

71 Clinton TOTALS:

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

1,049 3

929 117

197 0

167 30

1,246 3

1,096 147

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

702 270 432

121 53 68

823 323 500

Cortland TOTALS: NYS Catholic Health Plan SCHC Total Care

663 520 143

95 74 21

758 594 164


NYS, AUGUST 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Delaware TOTALS:

NYS Catholic Health Plan 665 665

101 101

766 766

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

2,425 727 726 763 209

370 109

97 129

35

2,795 836 823 892 244

Erie TOTALS: HealthNow Independent Health NYS Catholic Health Plan Univera Community Health Inc

12,146 2,253 3,139 2,562 4,192

2,073 445 528 439 661

14,219 2,698 3,667 3,001 4,853

Essex TOTALS: Excellus Health Plan NYS Catholic Health Plan

548 0

548

92 1

91

640 1

639 Franklin TOTALS:

Excellus Health Plan NYS Catholic Health Plan

531 0

531

108 1

107

639 1

638 Fulton TOTALS:

Capital District Physicians Health Plan NYS Catholic Health Plan

890 126 764

153 22

131

1,043 148 895

Genesee TOTALS: MVP Health Plan NYS Catholic Health Plan

675 372 303

112 68 44

787 440 347

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

502 209 293

81 32 49

583 241 342

Hamilton TOTALS: NYS Catholic Health Plan

69 69

13 13

82 82

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

1,182 228 948

6

155 33

121 1

1,337 261

1,069 7

Jefferson TOTALS: Excellus Health Plan United Healthcare Plan of NY

1,307 1,115

192

254 188

66

1,561 1,303

258 Lewis TOTALS:

Excellus Health Plan NYS Catholic Health Plan

367 247 120

50 34 16

417 281 136

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

567 413

67 87

133 96

8 29

700 509

75 116


NYS, AUGUST 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Madison TOTALS: 983 125 1,108

Excellus Health Plan 496 59 555 NYS Catholic Health Plan 327 50 377 United Healthcare Plan of NY 160 16 176

Monroe TOTALS: 8,319 1,297 9,616 Excellus Health Plan 6,303 897 7,200 MVP Health Plan 552 93 645 NYS Catholic Health Plan 1,374 284 1,658 United Healthcare Plan of NY 90 23 113

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

1,037 340 697

131 41 90

1,168 381 787

Nassau TOTALS: 19,204 3,293 22,497 Affinity Health Plan 2,567 446 3,013 Amerigroup 1,964 416 2,380 HealthFirst PHSP 3,664 580 4,244 HIP of Greater New York 2,259 339 2,598 NYS Catholic Health Plan 3,929 837 4,766 United Healthcare Plan of NY 4,821 675 5,496

Niagara TOTALS: NYS Catholic Health Plan

2,508 2,508

469 469

2,977 2,977

Oneida TOTALS: 3,725 477 4,202 Excellus Health Plan 794 118 912 NYS Catholic Health Plan 2,568 305 2,873 United Healthcare Plan of NY 363 54 417

Onondaga TOTALS: 5,307 852 6,159 Excellus Health Plan 1,136 191 1,327 NYS Catholic Health Plan 1,849 276 2,125 SCHC Total Care 1,507 261 1,768 United Healthcare Plan of NY 815 124 939

Ontario TOTALS: 1,132 227 1,359 Excellus Health Plan 1,053 208 1,261 MVP Health Plan 49 9 58 NYS Catholic Health Plan 30 10 40

Orange TOTALS: 4,454 645 5,099 Affinity Health Plan 1,538 250 1,788 Hudson Health Plan 1,432 178 1,610 NYS Catholic Health Plan 1,221 164 1,385 United Healthcare Plan of NY 79 23 102 Wellcare of New York 184 30 214

Orleans TOTALS: 677 92 769 Excellus Health Plan 218 29 247 HealthNow 108 13 121 NYS Catholic Health Plan 351 50 401


NYS, AUGUST 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Oswego TOTALS:

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

1,863 453 967 443

336 79

168 89

2,199 532

1,135 532

Otsego TOTALS: Excellus Health Plan NYS Catholic Health Plan

783 350 433

112 50 62

895 400 495

Putnam TOTALS: NYS Catholic Health Plan

446 446

72 72

518 518

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

1,523 899 533

4 87

248 142

83 1

22

1,771 1,041

616 5

109 Rockland TOTALS:

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

5,340 580

1,087 3,406

137 130

749 131 123 438

34 23

6,089 711

1,210 3,844

171 153

St Lawrence TOTALS: Excellus Health Plan NYS Catholic Health Plan

1,224 1,119

105

236 197

39

1,460 1,316

144 Saratoga TOTALS:


1,908 935 973

302 180 122

2,210 1,115 1,095

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

1,948 719

1,229

395 151 244

2,343 870

1,473 Schoharie TOTALS:


452 227 225

74 39 35

526 266 260

Schuyler TOTALS: Excellus Health Plan NYS Catholic Health Plan

341 254

87

63 38 25

404 292 112

Seneca TOTALS: Excellus Health Plan

380 380

55 55

435 435

Steuben TOTALS: Excellus Health Plan NYS Catholic Health Plan

1,165 426 739

180 82 98

1,345 508 837

Suffolk TOTALS: Affinity Health Plan HealthFirst PHSP HIP of Greater New York NYS Catholic Health Plan United Healthcare Plan of NY

21,450 3,277 5,295 2,538 4,916 5,424

3,039 406 698 399 839 697

24,489 3,683 5,993 2,937 5,755 6,121


NYS, AUGUST 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Sullivan TOTALS:

Hudson Health Plan NYS Catholic Health Plan

1,367 982 385

178 116

62

1,545 1,098

447 Tioga TOTALS:

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

552 201 316

35

86 26 53

7

638 227 369

42 Tompkins TOTALS:

Excellus Health Plan NYS Catholic Health Plan SCHC Total Care

727 69

210 448

122 13 36 73

849 82

246 521

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

2,212 647 819 467

18 261

434 115 178

92 4

45

2,646 762 997 559

22 306

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

897 810

87

86 74 12

983 884

99 Washington TOTALS:


817 250 567

92 36 56

909 286 623

Wayne TOTALS: Excellus Health Plan NYS Catholic Health Plan

968 863 105

122 99 23

1,090 962 128

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

10,603 1,647

788 5,214 2,560

394

2,130 345 141 749 795 100

12,733 1,992

929 5,963 3,355

494 Wyoming TOTALS:

HealthNow NYS Catholic Health Plan

506 339 167

70 49 21

576 388 188

Yates TOTALS: Excellus Health Plan

379 379

49 49

428 428

Upstate Total 140,767 23,073 163,840


NYS, AUGUST 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled NYC Affinity Health Plan

Amerigroup HealthFirst PHSP HIP of Greater New York HIP of Greater New York UFT MetroPlus Health Plan NYS Catholic Health Plan United Healthcare Plan of NY Wellcare of New York NYC Total

12,746 34,313 47,661 13,584

7 26,236 32,354 23,389

6,122 196,412

5,541 12,083 16,250

4,130 2

7,578 15,224

7,687 3,762

72,257

18,287 46,396 63,911 17,714

9 33,814 47,578 31,076

9,884 268,669

UPSTATE TOTALS: 140,767 23,073 163,840 NEW YORK CITY TOTALS: 196,412 72,257 268,669 GRAND TOTALS 337,179 95,330 432,509

County Plan Name

ADULTS WITH

CHILDREN

ADULTS WITHOUT CHILDREN Total

Enrolled Enrolled Enrolled NYC Borough Bronx

Brooklyn Manhattan Queens Staten Island Borough Total

33,295 68,478 17,211 69,636

7,792 196,412

10,869 24,539

8,985 25,739

2,125 72,257

44,164 93,017 26,196 95,375

9,917 268,669

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, AUGUST 2013

PLAN NAME COUNTY TOTAL

ENROLLED

MLTC PACE PLANS ARCHCARE SENIOR LIFE NEW YORK

Total 273 273

CHS BUFFALO LIFE ERIE Total

137 137

COMPLETE SENIOR CARE NIAGARA Total

77 77

COMPREHENSIVE CARE MGMT NASSAU NEW YORK SUFFOLK WESTCHESTER Total

48 3,092

83 196

3,419 EDDY SENIOR CARE ALBANY

SCHENECTADY Total

4 141 145

INDEPENDENT LIVING FOR SENIORS MONROE Total

428 428

PACE CNY ONONDAGA Total

436 436

TOTAL SENIOR CARE ALLEGANY CATTARAUGUS Total

10 80 90

Total MLTC PACE Enrollment 5,005

MLTC PARTIAL CAPITATION PLANS AETNA BETTER HEALTH NASSAU

NEW YORK SUFFOLK Total

129 1,020

167 1,316

AGEWELL NEW YORK NASSAU NEW YORK SUFFOLK WESTCHESTER Total

177 1,113

60 15

1,365 ALPHACARE NEW YORK

Total 43 43

AMERIGROUP NEW YORK Total

2,850 2,850

ARCHCARE COMMUNITY LIFE NEW YORK PUTNAM WESTCHESTER Total

733 28

245 1,006

CCM SELECT NASSAU NEW YORK ROCKLAND SUFFOLK WESTCHESTER Total

71 8,630

187 86

289 9,263


NYS, AUGUST 2013


ENROLLED

CENTERS PLAN FOR HEALTHY LIVING NEW YORK Total

689 689

ELANT DUTCHESS 46 ORANGE 161 ROCKLAND 144 Total 351

ELDERPLAN MONROE 104 NASSAU 80 NEW YORK 9,612 SUFFOLK 18 WESTCHESTER 273 Total 10,087

ELDERSERVE NASSAU 88 NEW YORK 9,339 SUFFOLK 80 WESTCHESTER 142 Total 9,649

EXTENDED MLTC NEW YORK Total

10 10

FIDELIS CARE AT HOME ALBANY 38 BROOME 10 CATTARAUGUS 1 CAYUGA 1 CHAUTAUQUA 2 COLUMBIA 3 CORTLAND 2 DELAWARE 1 DUTCHESS 13 ERIE 9 ESSEX 1 FULTON 9 HERKIMER 3 MONROE 3 MONTGOMERY 6 NASSAU 331 NEW YORK 5,275 ONEIDA 15 ONONDAGA 18 ORANGE 255 OSWEGO 4 PUTNAM 4 RENSSELAER 17 ROCKLAND 216 SCHENECTADY 20 STEUBEN 1 SUFFOLK 273 SULLIVAN 3 TOMPKINS 2 ULSTER 11 WARREN 1 WASHINGTON 8 WESTCHESTER 131 Total 6,687


NYS, AUGUST 2013


ENROLLED

GUILDNET NASSAU NEW YORK SUFFOLK WESTCHESTER Total

1,098 11,082

1,096 72

13,348 HHH CHOICES NEW YORK

WESTCHESTER Total

2,293 41

2,334 HIP OF GREATER NEW YORK NASSAU

NEW YORK SUFFOLK WESTCHESTER Total

96 835 45 15

991 INDEPENDENCE CARE SYSTEMS NEW YORK

Total 4,779 4,779

INTEGRA NEW YORK Total

40 40

METROPLUS NEW YORK Total

282 282

SENIOR HEALTH PARTNERS INC NASSAU NEW YORK WESTCHESTER Total

152 9,604

32 9,788

SENIOR NETWORK HEALTH HERKIMER ONEIDA Total

54 353 407

SENIOR WHOLE HEALTH NEW YORK Total

401 401

TOTAL AGING IN PLACE PROGRAM ERIE Total

124 124

UNITED HEALTHCARE NEW YORK Total

364 364

VILLAGE CARE NEW YORK Total

2,098 2,098

VNA HEALTHCARE OPTIONS ONONDAGA Total

114 114

VNS CHOICE COLUMBIA DUTCHESS GREENE NASSAU NEW YORK ORANGE RENSSELAER ROCKLAND SUFFOLK ULSTER WESTCHESTER Total

1 18

1 339

18,031 6 1

14 133

1 270

18,815


NYS, AUGUST 2013


ENROLLED

WELLCARE ALBANY ERIE NASSAU NEW YORK ORANGE ROCKLAND SUFFOLK ULSTER WESTCHESTER Total

7 66 25

4,705 26 20

6 25

3 4,883

Total MLTC Partial Capitation Enrollment 102,084

Total Statewide Enrollment 107,089 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 : AlphaCare - New York; Extended MLTC - New York; Fidelis Care at Home - Cattaraugus, Cayuga, & Steuben Counties; Integra - New York.

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS, AUGUST 2013

County Plan Name Total

Enrolled Albany TOTAL

Fidelis WellCare

255 143 112

Broome TOTAL WellCare

230 230

Columbia TOTAL Fidelis

10 10

Dutchess TOTAL Fidelis WellCare

70 25 45

Erie TOTAL WellCare

871 871

Greene TOTAL Fidelis

11 11

Herkimer TOTAL Fidelis

14 14

Monroe TOTAL WellCare

275 275

Montgomery TOTAL Fidelis

28 28

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

335 119 62 13

139 1 1

Niagara TOTAL WellCare

181 181

Oneida TOTAL Fidelis WellCare

255 77

178 Onondaga TOTAL

Fidelis WellCare

403 71

332 Orange TOTAL

Touchstone/Prestige WellCare

63 28 35

Oswego TOTAL Fidelis

47 47

Rensselaer TOTAL Fidelis WellCare

70 24 46

Rockland TOTAL WellCare

34 34

Saratoga TOTAL WellCare

31 31

Schenectady TOTAL Fidelis WellCare

149 78 71

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS, AUGUST 2013


Enrolled Suffolk TOTAL

HIP of Greater New York 62 62

Ulster TOTAL Fidelis WellCare

53 20 33

Wayne TOTAL WellCare

20 20

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

171 13 4

153 1

Upstate Total: 3,638 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

365 6

1,858 1

1,094 379 276 188

1,525 786

1 62

6,541

UPSTATE TOTAL 3,638 NEW YORK CITY TOTAL 6,541 GRAND TOTAL 10,179

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, AUGUST 2013


Enrolled Albany Total


Montgomery Total NYS Catholic Health Plan

4 4

Nassau Total ElderPlan Guildnet HealthFirst HIP of Greater New York

73 3

17 4

49 Rensselaer Total


Schenectady Total NYS Catholic Health Plan

26 26

Suffolk Total Guildnet HIP of Greater New York

45 31 14

Westchester Total ElderPlan HIP of Greater New York

5 1 4

Upstate Total: 240 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

6 806 431

1,923 8

430 91 26

284 54

4,059

UPSTATE TOTAL 240 NEW YORK CITY TOTAL 4,059 GRAND TOTAL 4,299

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 : ElderPlan - Westchester County

Documents

RECIPIENTS ENROLLED IN MAINSTREAM MEDICAID MANAGED … · recipients enrolled in mainstream medicaid managed care by county, plan, and aid category nys, august 2013 county plan name