recipients enrolled in mainstream … enrolled in mainstream medicaid managed care by county, plan,...

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

NYS, APRIL 2018

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

County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentAlbany TOTALS: 5,723 893 3,348 34,888 44,852Mandatory Capital District Physicians Health Plan 3,595 486 2,208 19,609 25,898Eff. Oct 1997 MVP Health Plan 333 60 98 1,963 2,454

NYS Catholic Health Plan 1,497 270 788 11,173 13,728United Healthcare Plan of NY 119 27 67 714 927Wellcare of New York 179 50 187 1,429 1,845

Allegany TOTALS: 734 233 628 6,558 8,153Mandatory HealthNow 184 61 241 1,204 1,690Eff. Feb 2007 NYS Catholic Health Plan 285 108 200 3,453 4,046

YourCare Health Plan 265 64 187 1,901 2,417Broome TOTALS: 10,412 6,649 3,319 16,388 36,768Mandatory Capital District Physicians Health Plan 152 113 67 776 1,108Eff. May 1998 Excellus Health Plan 7,898 4,964 2,343 9,134 24,339

NYS Catholic Health Plan 2,061 1,337 743 4,916 9,057United Healthcare Plan of NY 301 235 166 1,562 2,264

Cattaraugus TOTALS: 1,050 427 1,026 12,033 14,536Mandatory HealthNow 236 88 431 2,122 2,877Eff. Sep 2001 NYS Catholic Health Plan 543 249 415 7,152 8,359

YourCare Health Plan 271 90 180 2,759 3,300Cayuga TOTALS: 3,166 1,836 731 7,223 12,956Mandatory NYS Catholic Health Plan 2,591 1,485 595 5,983 10,654Eff. Oct 2010 United Healthcare Plan of NY 575 351 136 1,240 2,302Chautauqua TOTALS: 8,404 4,414 2,006 12,644 27,468Mandatory HealthNow 817 659 430 794 2,700Eff. Sep 2001 NYS Catholic Health Plan 7,369 3,464 1,456 10,338 22,627

United Healthcare Plan of NY 43 27 17 589 676YourCare Health Plan 175 264 103 923 1,465

Chemung TOTALS: 3,343 1,976 1,266 9,608 16,193Mandatory NYS Catholic Health Plan 3,030 1,768 1,085 8,095 13,978Eff. Nov 2012 United Healthcare Plan of NY 313 208 181 1,513 2,215Chenango TOTALS: 622 162 611 7,837 9,232Mandatory NYS Catholic Health Plan 559 136 519 7,000 8,214Eff. Dec 2011 United Healthcare Plan of NY 63 26 92 837 1,018Clinton TOTALS: 3,166 1,968 1,095 6,337 12,566Mandatory NYS Catholic Health Plan 2,952 1,825 977 5,561 11,315Eff. Dec 2011 United Healthcare Plan of NY 214 143 118 776 1,251


NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentColumbia TOTALS: 745 249 599 7,999 9,592Mandatory Capital District Physicians Health Plan 348 98 365 3,189 4,000Eff. Oct 1997 MVP Health Plan 13 7 8 316 344

NYS Catholic Health Plan 356 133 220 4,177 4,886United Healthcare Plan of NY 28 11 6 317 362

Cortland TOTALS: 1,078 312 501 6,051 7,942Mandatory Molina Healthcare 232 65 107 615 1,019Eff. May 2007 NYS Catholic Health Plan 846 247 394 5,436 6,923Delaware TOTALS: 1,413 852 268 5,055 7,588Mandatory Eff. May 2011

NYS Catholic Health Plan 1,413 852 268 5,055 7,588

Dutchess TOTALS: 1,989 504 2,051 32,634 37,178Mandatory MVP Health Plan 1,054 210 1,033 13,464 15,761Eff. Apr 2007 NYS Catholic Health Plan 702 235 724 15,491 17,152

United Healthcare Plan of NY 34 18 49 1,053 1,154Wellcare of New York 199 41 245 2,626 3,111

Erie TOTALS: 52,026 24,694 13,397 85,403 175,520Mandatory Excellus Health Plan 22 14 9 186 231Eff. May 1998 HealthNow 6,215 3,514 2,295 8,126 20,150

Independent Health Association 17,885 7,829 4,475 28,907 59,096NYS Catholic Health Plan 14,809 6,191 3,464 30,344 54,808United Healthcare Plan of NY 708 242 174 3,504 4,628Wellcare of New York 699 278 217 4,476 5,670YourCare Health Plan 11,688 6,626 2,763 9,860 30,937

Essex TOTALS: 1,032 661 336 3,338 5,367Mandatory NYS Catholic Health Plan 998 636 308 3,107 5,049Eff. Oct 2010 United Healthcare Plan of NY 34 25 28 231 318Franklin TOTALS: 1,899 1,151 571 4,761 8,382Mandatory NYS Catholic Health Plan 1,884 1,137 533 4,612 8,166Eff. May 2011 United Healthcare Plan of NY 15 14 38 149 216Fulton TOTALS: 206 56 776 9,977 11,015Mandatory Capital District Physicians Health Plan 23 7 116 1,102 1,248Eff. Mar 2007 NYS Catholic Health Plan 177 49 654 8,716 9,596

United Healthcare Plan of NY 6 0 6 159 171Genesee TOTALS: 688 157 417 7,443 8,705Mandatory HealthNow 9 5 3 103 120Eff. Jan 2004 MVP Health Plan 325 62 232 3,172 3,791



NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentGreene TOTALS: 616 164 590 6,568 7,938Mandatory Capital District Physicians Health Plan 293 65 290 2,659 3,307Eff. Oct 1997 MVP Health Plan 25 7 12 281 325


Hamilton TOTALS: 82 89 21 422 614Mandatory Eff. Oct 2010

NYS Catholic Health Plan 82 89 21 422 614

Herkimer TOTALS: 781 246 639 10,267 11,933Mandatory Excellus Health Plan 100 41 133 2,072 2,346Eff. May 2003 NYS Catholic Health Plan 676 205 497 8,195 9,573

United Healthcare Plan of NY 5 0 9 0 14Jefferson TOTALS: 1,894 635 1,027 15,117 18,673Mandatory MVP Health Plan 39 26 41 1,281 1,387Eff. Oct 2012 NYS Catholic Health Plan 159 89 118 2,572 2,938

United Healthcare Plan of NY 1,696 520 868 11,264 14,348Lewis TOTALS: 917 615 198 2,807 4,537Mandatory MVP Health Plan 9 1 6 230 246Eff. Oct 2012 NYS Catholic Health Plan 660 473 128 1,541 2,802

United Healthcare Plan of NY 248 141 64 1,036 1,489Livingston TOTALS: 1,313 317 545 6,477 8,652Mandatory Excellus Health Plan 722 147 358 3,491 4,718Eff. Apr 2002 MVP Health Plan 292 60 121 1,206 1,679


Madison TOTALS: 707 171 484 8,206 9,568Mandatory NYS Catholic Health Plan 592 135 384 6,712 7,823Eff. Oct 2010 United Healthcare Plan of NY 115 36 100 1,494 1,745Monroe TOTALS: 23,375 4,798 11,419 99,600 139,192Mandatory Excellus Health Plan 17,159 3,303 7,865 67,219 95,546Eff. Mar 1998 MVP Health Plan 3,324 555 1,767 13,194 18,840

NYS Catholic Health Plan 2,240 670 1,364 11,898 16,172United Healthcare Plan of NY 511 203 320 5,991 7,025YourCare Health Plan 141 67 103 1,298 1,609

Montgomery TOTALS: 1,206 182 844 9,257 11,489Mandatory Capital District Physicians Health Plan 183 42 235 1,951 2,411Eff. Apr 2007 NYS Catholic Health Plan 1,023 140 609 7,306 9,078


NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentNassau TOTALS: 29,595 17,257 8,387 113,805 169,044Mandatory Affinity Health Plan 3,750 1,890 805 9,610 16,055Eff. June 2001 HealthFirst PHSP 5,264 3,098 1,733 24,429 34,524

HealthPlus 2,672 1,597 839 13,570 18,678HIP of Greater New York 3,207 2,732 1,251 6,600 13,790NYS Catholic Health Plan 8,415 3,777 1,852 27,432 41,476United Healthcare Plan of NY 6,199 4,099 1,825 30,323 42,446Wellcare of New York 88 64 82 1,841 2,075

Niagara TOTALS: 4,596 1,145 2,491 29,503 37,735Mandatory HealthNow 37 15 32 832 916Eff. Sep 1998 NYS Catholic Health Plan 4,063 940 2,107 24,719 31,829


Oneida TOTALS: 8,568 1,428 3,610 35,793 49,399Mandatory Excellus Health Plan 978 261 644 7,045 8,928Eff. Sep 2001 MVP Health Plan 118 45 30 782 975

NYS Catholic Health Plan 6,981 989 2,624 25,660 36,254United Healthcare Plan of NY 491 133 312 2,306 3,242

Onondaga TOTALS: 13,325 3,301 6,813 62,528 85,967Mandatory Molina Healthcare 5,301 1,063 2,811 14,975 24,150Eff. Nov 1998 NYS Catholic Health Plan 5,129 1,466 2,691 35,710 44,996

United Healthcare Plan of NY 2,895 772 1,311 11,843 16,821Ontario TOTALS: 1,334 414 810 11,731 14,289Mandatory Excellus Health Plan 1,191 329 667 8,745 10,932Eff. Mar 1998 MVP Health Plan 67 20 74 992 1,153

NYS Catholic Health Plan 56 52 58 1,320 1,486United Healthcare Plan of NY 18 12 10 535 575YourCare Health Plan 2 1 1 139 143

Orange TOTALS: 4,491 958 3,205 67,467 76,121Mandatory Affinity Health Plan 1,315 212 908 13,381 15,816Eff. Mar 2007 Crystal Run Health Plan 57 22 20 871 970

MVP Health Plan 1,883 350 1,164 15,906 19,303NYS Catholic Health Plan 938 263 820 32,835 34,856United Healthcare Plan of NY 160 59 128 2,912 3,259Wellcare of New York 138 52 165 1,562 1,917


NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentOrleans TOTALS: 2,165 1,288 430 3,937 7,820Mandatory Excellus Health Plan 851 470 156 1,182 2,659Eff. June 2003 HealthNow 322 220 107 306 955


Oswego TOTALS: 3,257 671 1,672 19,200 24,800Mandatory NYS Catholic Health Plan 2,471 491 1,203 14,611 18,776Eff. Apr 1999 United Healthcare Plan of NY 786 180 469 4,589 6,024Otsego TOTALS: 1,638 1,244 486 5,867 9,235Mandatory Excellus Health Plan 840 628 242 2,053 3,763Eff. May 2007 NYS Catholic Health Plan 798 616 244 3,814 5,472Putnam TOTALS: 174 46 288 8,316 8,824Mandatory HealthPlus 21 5 47 1,179 1,252Eff. Mar 2007 MVP Health Plan 7 3 17 600 627

NYS Catholic Health Plan 146 38 224 6,537 6,945Rensselaer TOTALS: 4,277 381 1,942 17,690 24,290Mandatory Capital District Physicians Health Plan 2,811 219 1,335 10,217 14,582Eff. Oct 1997 MVP Health Plan 119 14 37 1,033 1,203

NYS Catholic Health Plan 1,179 125 478 5,466 7,248United Healthcare Plan of NY 74 8 23 367 472Wellcare of New York 94 15 69 607 785

Rockland TOTALS: 2,100 536 1,848 78,931 83,415Mandatory Affinity Health Plan 232 56 228 3,394 3,910Eff. Mar 2001 MVP Health Plan 574 112 405 10,183 11,274

NYS Catholic Health Plan 1,161 284 1,060 60,851 63,356United Healthcare Plan of NY 103 64 69 3,287 3,523Wellcare of New York 30 20 86 1,216 1,352

St Lawrence TOTALS: 2,815 1,221 1,416 12,436 17,888Mandatory NYS Catholic Health Plan 2,114 918 1,018 9,190 13,240Eff. Oct 2012 United Healthcare Plan of NY 701 303 398 3,246 4,648Saratoga TOTALS: 3,463 2,775 1,247 15,088 22,573Mandatory Capital District Physicians Health Plan 2,134 1,623 799 6,709 11,265Eff. Oct 1997 MVP Health Plan 25 26 40 1,557 1,648

NYS Catholic Health Plan 1,304 1,126 408 6,822 9,660


NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentSchenectady TOTALS: 3,786 624 2,425 24,281 31,116Mandatory Capital District Physicians Health Plan 1,756 261 1,216 8,515 11,748Eff. Apr 2007 MVP Health Plan 138 42 59 1,959 2,198

NYS Catholic Health Plan 1,805 283 1,102 13,151 16,341United Healthcare Plan of NY 22 13 11 239 285Wellcare of New York 65 25 37 417 544

Schoharie TOTALS: 298 66 218 4,369 4,951Mandatory Capital District Physicians Health Plan 175 36 120 2,466 2,797Eff. Oct 2010 NYS Catholic Health Plan 123 30 98 1,903 2,154Schuyler TOTALS: 296 137 154 2,554 3,141Mandatory NYS Catholic Health Plan 294 134 149 2,504 3,081Eff. May 2012 Wellcare of New York 2 3 5 50 60Seneca TOTALS: 349 99 326 4,498 5,272Mandatory Excellus Health Plan 270 61 280 2,993 3,604Eff. Jan 2007 NYS Catholic Health Plan 45 14 29 968 1,056

United Healthcare Plan of NY 34 24 17 537 612Steuben TOTALS: 1,288 430 1,261 14,149 17,128Mandatory NYS Catholic Health Plan 1,274 418 1,209 13,749 16,650Eff. May 2012 Wellcare of New York 14 12 52 400 478Suffolk TOTALS: 40,075 20,894 10,294 147,693 218,956Mandatory Affinity Health Plan 4,757 2,164 1,142 16,920 24,983Eff. June 2001 HealthFirst PHSP 14,068 4,679 2,731 38,636 60,114

HIP of Greater New York 3,695 3,151 1,366 8,953 17,165NYS Catholic Health Plan 8,659 4,485 2,431 36,202 51,777United Healthcare Plan of NY 8,896 6,415 2,624 46,982 64,917

Sullivan TOTALS: 1,201 247 1,056 16,017 18,521Mandatory Crystal Run Health Plan 18 4 15 366 403Eff. Apr 2007 MVP Health Plan 795 156 730 8,937 10,618

NYS Catholic Health Plan 388 87 311 6,714 7,500Tioga TOTALS: 591 137 484 6,411 7,623Mandatory Capital District Physicians Health Plan 91 21 97 1,187 1,396Eff. Jun 2012 NYS Catholic Health Plan 473 112 352 4,644 5,581

United Healthcare Plan of NY 27 4 35 580 646Tompkins TOTALS: 2,700 1,528 559 6,057 10,844Mandatory Molina Healthcare 1,563 813 323 1,491 4,190Eff. Oct 2010 NYS Catholic Health Plan 1,137 715 236 4,566 6,654


NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentUlster TOTALS: 2,182 543 1,801 24,603 29,129Mandatory MVP Health Plan 956 246 860 10,712 12,774Eff. Mar 2007 NYS Catholic Health Plan 941 205 598 10,948 12,692


Warren TOTALS: 1,804 1,200 637 6,382 10,023Mandatory MVP Health Plan 41 29 52 814 936Eff. Oct 2012 NYS Catholic Health Plan 1,666 1,092 540 5,204 8,502

United Healthcare Plan of NY 97 79 45 364 585Washington TOTALS: 659 178 689 9,241 10,767Mandatory Capital District Physicians Health Plan 151 41 267 2,740 3,199Eff. Mar 2007 MVP Health Plan 23 11 13 353 400

NYS Catholic Health Plan 485 126 409 6,148 7,168Wayne TOTALS: 2,997 1,678 962 9,519 15,156Mandatory Excellus Health Plan 2,601 1,433 809 7,039 11,882Eff. Oct 2010 NYS Catholic Health Plan 342 218 134 1,797 2,491

United Healthcare Plan of NY 54 27 19 683 783Westchester TOTALS: 9,954 2,272 7,357 120,589 140,172Mandatory Affinity Health Plan 1,886 375 1,178 15,424 18,863Eff. Oct 1999 HIP of Greater New York 500 151 736 6,822 8,209

MVP Health Plan 4,646 875 2,927 50,517 58,965NYS Catholic Health Plan 2,575 690 2,046 38,939 44,250United Healthcare Plan of NY 347 181 470 8,887 9,885

Wyoming TOTALS: 268 99 163 4,652 5,182Mandatory HealthNow 114 34 74 1,137 1,359Eff. Jul 2012 NYS Catholic Health Plan 133 56 80 3,126 3,395

United Healthcare Plan of NY 4 6 4 238 252YourCare Health Plan 17 3 5 151 176

Yates TOTALS: 179 44 198 3,408 3,829Mandatory Excellus Health Plan 145 32 173 2,504 2,854Eff. Feb 2007 NYS Catholic Health Plan 34 12 23 845 914

United Healthcare Plan of NY 0 0 2 59 61Upstate Total 279,012 117,252 111,942 1,321,613 1,829,819


NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentNYC Affinity Health Plan 29,631 22,762 9,993 73,884 136,270Mandatory Amida Care SN 318 3,303 2,481 305 6,407

HealthFirst PHSP 191,694 117,350 59,164 471,587 839,795Fully HealthPlus 82,236 52,407 17,746 169,070 321,459Implemented: HIP of Greater New York 26,639 21,790 9,401 39,827 97,657Sept 2002 MetroPlus Health Plan SN 536 1,743 1,619 347 4,245

MetroPlus Health Plan 97,473 48,734 21,872 208,960 377,039NYS Catholic Health Plan 75,044 73,979 27,273 280,088 456,384United Healthcare Plan of NY 65,207 38,750 10,510 158,857 273,324VNS Choice SN 235 1,445 1,618 55 3,353Wellcare of New York 7,853 9,572 3,749 61,098 82,272NYC Total 576,866 391,835 165,426 1,464,078 2,598,205

UPSTATE TOTALS: 279,012 117,252 111,942 1,321,613 1,829,819NEW YORK CITY TOTALS: 576,866 391,835 165,426 1,464,078 2,598,205STATE TOTALS: 855,878 509,087 277,368 2,785,691 4,428,024


NYS, APRIL 2018


County Plan Name Roster Enrollment Roster Enrollment Roster Enrollment EnrollmentNYC Boroughs Bronx 161,413 79,224 49,592 326,252 616,481

Brooklyn 217,090 143,756 49,170 483,303 893,319Manhattan 56,093 52,845 23,479 163,426 295,843Queens 118,800 101,595 36,064 434,484 690,943Staten Island 23,470 14,415 7,121 56,613 101,619Borough Total 576,866 391,835 165,426 1,464,078 2,598,205

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.

Medicaid Managed Care EnrollmentIncluding New York State of Health Medicaid Enrollment*

NYS, APRIL 2018Enrollee NYS of Total

Plan Name Rosters Health* Enrollment

Affinity 83,284 132,613 215,897Amida Care SN 6,102 305 6,407CDPHP 21,839 61,120 82,959Crystal Run Health Plan 136 1,237 1,373Excellus 58,139 113,663 171,802HealthFirst 399,781 534,652 934,433HealthNow 16,143 14,624 30,767HealthPlus 157,570 183,819 341,389HIP of Greater New York 74,619 62,202 136,821Independent Health Assn. 30,189 28,907 59,096MetroPlus 168,079 208,960 377,039MetroPlus SN 3,898 347 4,245Molina Healthcare 12,278 17,081 29,359MVP Health Plan 27,449 139,452 166,901NYS Catholic Health Plan 364,989 876,292 1,241,281United HealthCare 166,229 314,968 481,197VNS Choice SN 3,298 55 3,353WellCare 25,295 78,363 103,658YourCare Health Plan 23,016 17,031 40,047

State Total 1,642,333 2,785,691 4,428,024* Data Source: Medicaid Data Warehouse

NYS, APRIL 2018TOTAL

PLAN NAME COUNTY ENROLLED

MLTC PACE PLANSARCHCARE SENIOR LIFE NEW YORK 678

Total 678CHS BUFFALO LIFE ERIE 232

Total 232COMPLETE SENIOR CARE NIAGARA 124

Total 124COMPREHENSIVE CARE MGMT NASSAU 73

NEW YORK 2,498SUFFOLK 107WESTCHESTER 209Total 2,887

EDDY SENIOR CARE ALBANY 9SCHENECTADY 201Total 210

FALLON HEALTH WEINBERG ERIE 120Total 120

INDEPENDENT LIVING FOR SENIORS MONROE 699ONTARIO 21WAYNE 27Total 747

PACE CNY ONONDAGA 553Total 553

TOTAL SENIOR CARE ALLEGANY 24CATTARAUGUS 79Total 103

Total MLTC PACE Enrollment 5,654

MLTC PARTIAL CAPITATION PLANSAETNA BETTER HEALTH NASSAU 727

NEW YORK 4,158SUFFOLK 858Total 5,743

AGEWELL NEW YORK NASSAU 1,182NEW YORK 6,246SUFFOLK 1,369WESTCHESTER 628Total 9,425

ALPHACARE NEW YORK 5Total 5

MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM




ARCHCARE COMMUNITY LIFE NEW YORK 2,608PUTNAM 68WESTCHESTER 995Total 3,671

CENTERS PLAN FOR HEALTHY LIVING ERIE 315NASSAU 1,662NEW YORK 23,544NIAGARA 35ROCKLAND 69SUFFOLK 1,108WESTCHESTER 263Total 26,996

ELANT DUTCHESS 186ORANGE 367ROCKLAND 389Total 942

ELDERPLAN DUTCHESS 99NASSAU 657NEW YORK 10,654ORANGE 167PUTNAM 29ROCKLAND 112SUFFOLK 97SULLIVAN 32ULSTER 24WESTCHESTER 820Total 12,691

ELDERSERVE NASSAU 296NEW YORK 11,037SUFFOLK 351WESTCHESTER 348Total 12,032

ELDERWOOD ERIE 164GENESEE 4MONROE 67NIAGARA 16ORLEANS 1WYOMING 3Total 255




EXTENDED MLTC NASSAU 203NEW YORK 3,721SUFFOLK 161Total 4,085

FALLON HEALTH WEINBERG ERIE 637NIAGARA 69Total 706

FIDELIS CARE AT HOME ALBANY 491ALLEGANY 41BROOME 277CATTARAUGUS 69CAYUGA 146CHAUTAUQUA 145CHEMUNG 142CHENANGO 92CLINTON 101COLUMBIA 112CORTLAND 89DELAWARE 119DUTCHESS 196ERIE 769ESSEX 48FRANKLIN 78FULTON 136GENESEE 82GREENE 72HAMILTON 9HERKIMER 134JEFFERSON 118LEWIS 75LIVINGSTON 63MADISON 66MONROE 1,014MONTGOMERY 146NASSAU 935NEW YORK 7,948NIAGARA 134ONEIDA 575ONONDAGA 375ONTARIO 111ORANGE 598




ORLEANS 44OSWEGO 150OTSEGO 72PUTNAM 84RENSSELAER 277ROCKLAND 651ST LAWRENCE 251SARATOGA 194SCHENECTADY 335SCHOHARIE 79SCHUYLER 33SENECA 26STEUBEN 113SUFFOLK 1,270SULLIVAN 191TIOGA 53TOMPKINS 120ULSTER 374WARREN 89WASHINGTON 71WAYNE 79WESTCHESTER 829WYOMING 54YATES 44Total 20,989

GUILDNET NEW YORK 7,669SUFFOLK 1Total 7,670

HAMASPIK CHOICE DUTCHESS 272ORANGE 370PUTNAM 37ROCKLAND 656SULLIVAN 384ULSTER 460Total 2,179

HEALTHPLUS NEW YORK 4,931Total 4,931

ICIRCLE CARE BROOME 108CAYUGA 28CHEMUMG 144CHENANGO 53




CORTLAND 58GENESEE 65LIVINGSTON 30MADISON 11MONROE 1,119ONONDAGA 80ONTARIO 189ORLEANS 55OSWEGO 12OTSEGO 54SCHUYLER 33SENECA 43STEUBEN 67TIOGA 10TOMPKINS 92WAYNE 166WYOMING 20YATES 48Total 2,485

INDEPENDENCE CARE SYSTEMS NEW YORK 6,509Total 6,509

INTEGRA NASSAU 582NEW YORK 8,987SUFFOLK 403WESTCHESTER 323Total 10,295

KALOS HEALTH CHAUTAUQUA 174ERIE 690GENESEE 37NIAGARA 310ORLEANS 41Total 1,252

METROPLUS NEW YORK 1,836Total 1,836

MONTEFIORE HMO NEW YORK 1,158WESTCHESTER 316Total 1,474

NORTH SHORE-LIJ HEALTH PLAN NEW YORK 1Total 1




PRIME HEALTH CHOICE ALBANY 35DUTCHESS 159ORANGE 34PUTNAM 6ROCKLAND 98WARREN 22WASHINGTON 6Total 360

SENIOR HEALTH PARTNERS INC NASSAU 456NEW YORK 13,568WESTCHESTER 364Total 14,388

SENIOR NETWORK HEALTH HERKIMER 80ONEIDA 470Total 550

SENIOR WHOLE HEALTH NEW YORK 13,399WESTCHESTER 235Total 13,634

UNITED HEALTHCARE ALBANY 108BROOME 245ERIE 145MONROE 478NEW YORK 2,748ONEIDA 88ONONDAGA 257ORANGE 1Total 4,070

VILLAGE CARE NEW YORK 10,068Total 10,068

VNA HOMECARE OPTIONS ALBANY 251ALLEGANY 90BROOME 166CATTARAUGUS 133CAYUGA 95CHAUTAUQUA 261CHEMUMG 59CHENANGO 69CLINTON 184COLUMBIA 23CORTLAND 83DELAWARE 56




ERIE 436ESSEX 38FRANKLIN 91FULTON 160GENESEE 43GREENE 10HAMILTON 6HERKIMER 70JEFFERSON 124LEWIS 33LIVINGSTON 40MADISON 123MONROE 587MONTGOMERY 103NIAGARA 136ONEIDA 290ONONDAGA 887ONTARIO 69ORLEANS 27OSWEGO 191OTSEGO 70RENSSELAER 202ST LAWRENCE 236SARATOGA 272SCHENECTADY 193SCHOHARIE 53SCHUYLER 10SENECA 30STEUBEN 129TIOGA 41TOMPKINS 48WARREN 73WASHINGTON 58WAYNE 66WYOMING 45YATES 19Total 6,479




VNS CHOICE ALBANY 225COLUMBIA 52DELAWARE 23DUTCHESS 46ERIE 157FULTON 6GREENE 54HERKIMER 2MADISON 4MONROE 95MONTGOMERY 10NASSAU 574NEW YORK 9,926ONONDAGA 6ORANGE 36OTSEGO 9PUTNAM 29RENSSELAER 146ROCKLAND 102SARATOGA 97SCHENECTADY 56SCHOHARIE 21SUFFOLK 619SULLIVAN 7ULSTER 53WARREN 25WASHINGTON 10WESTCHESTER 398Total 12,788

WELLCARE ALBANY 35ERIE 237NASSAU 203NEW YORK 4,119ORANGE 247ROCKLAND 166SUFFOLK 282ULSTER 129WESTCHESTER 98Total 5,516

Total MLTC Partial Capitation Enrollment 204,025




Total State Enrollment 209,679NOTES:

(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 : Elderwood Health Plan - Orleans County.

NYS, APRIL 2018Total

County Plan Name Enrolled

Albany TOTAL 212Fidelis 77WellCare 135

Broome TOTAL 233Fidelis 4WellCare 229

Cattaraugus TOTAL 2Fidelis 2

Cayuga TOTAL 6Fidelis 6

Chemung TOTAL 3Fidelis 3

Chenango TOTAL 4Fidelis 4

Clinton TOTAL 7Fidelis 7

Columbia TOTAL 7Fidelis 7

Cortland TOTAL 1Fidelis 1

Delaware TOTAL 4Fidelis 4

Dutchess TOTAL 22Fidelis 22

Erie TOTAL 726Fidelis 40WellCare 686

Essex TOTAL 1Fidelis 1

Franklin TOTAL 1Fidelis 1

Fulton TOTAL 2Fidelis 2

Greene TOTAL 10Fidelis 10

Herkimer TOTAL 17Fidelis 17

Lewis TOTAL 1Fidelis 1

Monroe TOTAL 281WellCare 281

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN




Montgomery TOTAL 12Fidelis 12

Nassau TOTAL 270Liberty Health Advantage 1United HealthCare 266VNS Choice 3

Niagara TOTAL 172Fidelis 11WellCare 161

Oneida TOTAL 151Fidelis 56WellCare 95

Onondaga TOTAL 55Fidelis 55

Orange TOTAL 21WellCare 21

Orleans TOTAL 1Fidelis 1

Oswego TOTAL 34Fidelis 34

Otsego TOTAL 2Fidelis 2

Putnam TOTAL 3Fidelis 3

Rensselaer TOTAL 87Fidelis 13WellCare 74

Rockland TOTAL 16WellCare 16

St. Lawrence TOTAL 3Fidelis 3

Saratoga TOTAL 27Fidelis 1WellCare 26

Schenectady TOTAL 145Fidelis 60WellCare 85

Suffolk TOTAL 5VNS Choice 5

Sullivan TOTAL 2Fidelis 2




Ulster TOTAL 96Fidelis 31WellCare 65

Warren TOTAL 2Fidelis 2

Washington TOTAL 5Fidelis 5

Wayne TOTAL 4WellCare 4

Westchester TOTAL 7VNS Choice 7

Upstate Total: 2,660NYC Affinity 2

Fidelis 844United HealthCare 2,820VNS Choice 399NYC Total 4,065

UPSTATE TOTAL 2,660NEW YORK CITY TOTAL 4,065STATE TOTAL 6,725

NOTES:(1) The source of plan enrollment counts is the primary and secondaryroster reports which reflect enrollees as of the first of the month.




Albany Total 28NYS Catholic Health Plan 28

Montgomery Total 3NYS Catholic Health Plan 3

Nassau Total 114ElderPlan 30HealthFirst 73Senior Whole Health 5VNS Choice Plus 6

Rensselaer Total 11NYS Catholic Health Plan 11

Schenectady Total 14NYS Catholic Health Plan 14

Suffolk Total 9VNS Choice Plus 9

Westchester Total 53Elderplan 41Senior Whole Health 1VNS Choice Plus 11

Upstate Total: 232NYC Elderplan 1,311

Guildnet 442HealthFirst 6,219HealthPlus 2NYS Catholic Health Plan 45Senior Whole Health 107Village Care 368VNS Choice Plus 1,438NYC Total 9,932

UPSTATE TOTAL 232NEW YORK CITY TOTAL 9,932STATE TOTAL 10,164

NOTES:

MEDICAID ADVANTAGE PLUS ENROLLMENT BY COUNTY AND PLAN

(1) The source of plan enrollment counts is the primary and secondaryroster reports which reflect enrollees as of the first of the month.




Albany Total 1,151Capital District Physician's Health Plan 797MVP Health Plan 23NYS Catholic Health Plan 317United HealthCare 14

Allegany Total 193NYS Catholic Health Plan 110YourCare Health Plan 83

Broome Total 1,374Capital District Physician's Health Plan 34Excellus 926NYS Catholic Health Plan 361United HealthCare 53

Cattaraugus Total 336NYS Catholic Health Plan 219YourCare Health Plan 117

Cayuga Total 455NYS Catholic Health Plan 375United HealthCare 80

Chautauqua Total 1,015NYS Catholic Health Plan 913United HealthCare 10YourCare Health Plan 92

Chemung Total 665NYS Catholic Health Plan 587United HealthCare 78

Chenango Total 224NYS Catholic Health Plan 194United HealthCare 30

Clinton Total 593NYS Catholic Health Plan 540United HealthCare 53

HEALTH & RECOVERY PLAN ENROLLMENT BY COUNTY AND PLAN




Columbia Total 227Capital District Physician's Health Plan 106MVP Health Plan 3NYS Catholic Health Plan 112United HealthCare 6

Cortland Total 269Molina Healthcare 59NYS Catholic Health Plan 210

Delaware Total 135NYS Catholic Health Plan 135

Dutchess Total 941MVP Health Plan 570NYS Catholic Health Plan 354United HealthCare 17

Erie Total 5,111Excellus 1Indepentdent Health Association 1,927NYS Catholic Health Plan 1,696United HealthCare 60YourCare Health Plan 1,427

Essex Total 150NYS Catholic Health Plan 143United HealthCare 7

Franklin Total 379NYS Catholic Health Plan 371United HealthCare 8

Fulton Total 326Capital District Physician's Health Plan 45NYS Catholic Health Plan 278United HealthCare 3

Genesee Total 236MVP Health Plan 139NYS Catholic Health Plan 92United HealthCare 5




Greene Total 265Capital District Physician's Health Plan 130MVP Health Plan 6NYS Catholic Health Plan 124United HealthCare 5

Hamilton Total 3NYS Catholic Health Plan 3

Herkimer Total 295Excellus 50NYS Catholic Health Plan 242United HealthCare 3

Jefferson Total 691MVP Health Plan 15NYS Catholic Health Plan 121United HealthCare 555

Lewis Total 137MVP Health Plan 1NYS Catholic Health Plan 71United HealthCare 65

Livingston Total 309Excellus 202MVP Health Plan 59NYS Catholic Health Plan 45United HealthCare 3

Madison Total 236NYS Catholic Health Plan 192United HealthCare 44

Monroe Total 6,808Excellus 4,718MVP Health Plan 921NYS Catholic Health Plan 974United HealthCare 142YourCare Health Plan 53

Montgomery Total 353Capital District Physician's Health Plan 98NYS Catholic Health Plan 255




Nassau Total 2,322Affinity Health Plan 222HealthFirst 430Health Plus 208HIP of Greater New York 498NYS Catholic Health Plan 509United HealthCare 455

Niagara Total 1,283NYS Catholic Health Plan 1,205United HealthCare 78

Oneida Total 1,650Excellus 326MVP Health Plan 10NYS Catholic Health Plan 1,197United HealthCare 117

Onondaga Total 2,933Molina Healthcare 1,268NYS Catholic Health Plan 1,268United HealthCare 397

Ontario Total 372Excellus 297MVP Health Plan 25NYS Catholic Health Plan 43United HealthCare 5YourCare Health Plan 2

Orange Total 1,094Affinty Health Plan 289MVP Health Plan 537NYS Catholic Health Plan 233United HealthCare 35

Orleans Total 173Excellus 77NYS Catholic Health Plan 94United HealthCare 2




Oswego Total 711NYS Catholic Health Plan 529United HealthCare 182

Otsego Total 209Excellus 82NYS Catholic Health Plan 127

Putnam Total 130HealthPlus 7MVP Health Plan 3NYS Catholic Health Plan 120

Rensselaer Total 777Capital District Physician's Health Plan 546MVP Health Plan 12NYS Catholic Health Plan 206United HealthCare 13

Rockland Total 489Affinity Health Plan 88MVP Health Plan 142NYS Catholic Health Plan 236United HealthCare 23

St. Lawrence Total 773NYS Catholic Health Plan 566United HealthCare 207

Saratoga Total 444Capital District Physician's Health Plan 289MVP Health Plan 8NYS Catholic Health Plan 147

Schenectady Total 1,021Capital District Physician's Health Plan 544MVP Health Plan 24NYS Catholic Health Plan 449United HealthCare 4

Schoharie Total 126Capital District Physician's Health Plan 80NYS Catholic Health Plan 46




Schuyler Total 75NYS Catholic Health Plan 75

Seneca Total 168Excellus 148NYS Catholic Health Plan 10United HealthCare 10

Steuben Total 487NYS Catholic Health Plan 487

Suffolk Total 4,197Affinity Health Plan 359HealthFirst 1,158HIP of Greater New York 641NYS Catholic Health Plan 985United HealthCare 1,054

Sullivan Total 347MVP Health Plan 249NYS Catholic Health Plan 98

Tioga Total 149Capital District Physician's Health Plan 35NYS Catholic Health Plan 107United HealthCare 7

Tompkins Total 367Molina Healthcare 194NYS Catholic Health Plan 173

Ulster Total 608MVP Health Plan 381NYS Catholic Health Plan 211United HealthCare 16

Warren Total 229MVP Health Plan 10NYS Catholic Health Plan 198United HealthCare 21

Washington Total 218Capital District Physician's Health Plan 54MVP Health Plan 2NYS Catholic Health Plan 162




Wayne Total 431Excellus 351NYS Catholic Health Plan 72United HealthCare 8

Westchester Total 3,206Affinity Health Plan 470HIP of Greater New York 273MVP Health Plan 1,550NYS Catholic Health Plan 793United HealthCare 120

Wyoming Total 72NYS Catholic Health Plan 69United HealthCare 1YourCare Health Plan 2

Yates Total 50Excellus 46NYS Catholic Health Plan 4

Upstate Total 47,988NYC Affinity Health Plan 2,968

HealthFirst 21,354HealthPlus 5,663HIP of Greater New York 3,312MetroPlus 10,783NYS Catholic Health Plan 9,135United HealthCare 2,694Total 55,909

NYC TOTAL 55,909REST OF STATE TOTAL 47,988STATE TOTAL 103,897

NOTES:

(1) The source of plan enrollment counts is the primary and secondaryroster reports which reflect enrollees as of the first of the month.

(2) New plans added this month : MVP Health Plan - Lewis County;Excellus - Erie County;



Nassau Total 288Agewell New York 98ElderPlan FIDA Total Care 58HealthFirst Absolute Care 79River Spring 6VNSNY Choice FIDA Complete 47

Suffolk Total 112Agewell New York 112

Westchester Total 12Agewell New York 5HealthFirst Absolute Care 6River Spring 1

New York Total 3,557Agewell New York 30ElderPlan FIDA Total Care 416FIDA Care Complete 31GuildNet Gold Plus 435HealthFirst Absolute Care 930MetroPlus 199River Spring 14SWH Whole Health 142Village Care Max Full Advantage 21VNSNY Choice FIDA Complete 1,339

NYC TOTAL 3,557REST OF STATE TOTAL 412STATE TOTAL 3,969

Boroughs Bronx 856Brooklyn 1,079Manhattan 708Queens 802Staten Island 112Borough Totals 3,557

NOTES:

FULLY INTEGRATED DUALS ADVANTAGEENROLLMENT BY COUNTY AND PLAN

(1) The source of plan enrollment counts is the primary and secondary roster reports whichreflect enrollees as of the first of the month.(2) New plans added this month : None



Partners Health Plan Nassau 246Rockland 48Suffolk 95Westchester 55OMR/DD 123New York City 251

NYC TOTAL 251REST OF STATE TOTAL 567STATE TOTAL 818

NYC Boroughs Bronx 46Brooklyn 85Manhattan 29Queens 69Staten Island 22Borough Totals 251

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

recipients enrolled in mainstream … enrolled in mainstream medicaid managed care by county, plan,...

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