recipients enrolled in mainstream …...recipients enrolled in mainstream medicaid managed care by...

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

NYS, JANUARY 2013 TANF & MA-ADC, SNA

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

County Plan Name Enrolled Enrolled Total Enrolled Enrolled Albany TOTALS: p y 21,862 4,997 26,859 3,757 30,616 Mandatory Plan 15,065 3,093 18,158 2,713 20,871 Eff. Oct 1997 NYS Catholic Health Plan 5,689 1,607 7,296 777 8,073

Wellcare of New York 1,108 297 1,405 267 1,672 Allegany TOTALS: y 3,735 751 4,486 575 5,061 Mandatory Blue 2,020 441 2,461 377 2,838 Eff Feb 2007 NYS Catholic Health Plan 255 65 320 26 346

Univera Community Health 1,460 245 1,705 172 1,877 Broome TOTALS: p y 17,862 4,047 21,909 3,834 25,743 Mandatory Plan 189 25 214 72 286 Eff. May 1998 Excellus Health Plan 14,851 3,383 18,234 2,921 21,155

NYS Catholic Health Plan 2,670 559 3,229 776 4,005 United Healthcare Plan of NY 152 80 232 65 297

Cattaraugus TOTALS: y 6,840 1,134 7,974 1,315 9,289 Mandatory Blue 2,901 474 3,375 765 4,140 Eff. Sep 2001 NYS Catholic Health Plan 2,471 368 2,839 349 3,188

Univera Community Health 1,468 292 1,760 201 1,961 Cayuga TOTALS: 6,646 1,272 7,918 858 8,776 Mandatory Excellus Health Plan 2,190 440 2,630 252 2,882 Eff. Oct 2010 NYS Catholic Health Plan 3,685 668 4,353 459 4,812

United Healthcare Plan of NY 771 164 935 147 1,082 Chautauqua TOTALS: y 14,836 3,375 18,211 2,731 20,942 Mandatory Blue 2,801 646 3,447 694 4,141 Eff. Sep 2001 NYS Catholic Health Plan 11,467 2,418 13,885 1,856 15,741

Univera Community Health 568 311 879 181 1,060 Chemung TOTALS: 6,489 1,094 7,583 1,357 8,940 Mandatory Excellus Health Plan 3,104 370 3,474 600 4,074 Eff. Nov 2012 NYS Catholic Health Plan 3,385 724 4,109 757 4,866 Chenango TOTALS: 4,788 847 5,635 441 6,076 Mandatory NYS Catholic Health Plan 4,120 680 4,800 345 5,145 Eff. Dec 2011 United Healthcare Plan of NY 668 167 835 96 931 Clinton TOTALS: 6,714 1,494 8,208 936 9,144 Mandatory NYS Catholic Health Plan 6,101 1,265 7,366 815 8,181 Eff. Dec 2011 United Healthcare Plan of NY 613 229 842 121 963




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Columbia TOTALS: p y 4,358 926 5,284 742 6,026 Mandatory Plan 2,276 484 2,760 520 3,280 Eff. Oct 1997 NYS Catholic Health Plan 2,082 442 2,524 222 2,746 Cortland TOTALS: 4,840 830 5,670 622 6,292 Mandatory NYS Catholic Health Plan 3,626 627 4,253 456 4,709 Eff. May 2007 SCHC Total Care 1,214 203 1,417 166 1,583 Delaware TOTALS: 3,583 833 4,416 155 4,571 Mandatory Eff. May 2011 NYS Catholic Health Plan 3,583 833 4,416 155 4,571 Dutchess TOTALS: 15,260 3,356 18,616 2,591 21,207 Mandatory Hudson Health Plan 5,454 1,060 6,514 916 7,430 Eff. Apr 2007 MVP Health Plan 4,788 1,128 5,916 828 6,744

NYS Catholic Health Plan 3,453 967 4,420 581 5,001 Wellcare of New York 1,565 201 1,766 266 2,032

Erie TOTALS: y 83,551 19,735 103,286 15,799 119,085 Mandatory Blue 15,016 3,808 18,824 2,956 21,780 Eff. May 1998 Independent Health Association 25,182 5,822 31,004 5,562 36,566

NYS Catholic Health Plan 19,270 3,922 23,192 3,536 26,728 Univera Community Health 24,083 6,183 30,266 3,745 34,011

Essex TOTALS: 2,436 488 2,924 213 3,137 Mandatory Eff. Oct 2010 NYS Catholic Health Plan 2,436 488 2,924 213 3,137

Franklin TOTALS: 3,742 830 4,572 149 4,721 Mandatory Eff, May 2011 NYS Catholic Health Plan 3,742 830 4,572 149 4,721 Fulton TOTALS: p y 5,970 1,177 7,147 985 8,132 Mandatory Plan 901 189 1,090 214 1,304 Eff. Mar 2007 NYS Catholic Health Plan 5,069 988 6,057 771 6,828 Genesee TOTALS: y 3,911 674 4,585 567 5,152 Mandatory Blue 1,923 295 2,218 218 2,436 Eff. Jan 2004 MVP Health Plan 1,420 243 1,663 286 1,949

NYS Catholic Health Plan 568 136 704 63 767




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Greene TOTALS: p y 3,807 910 4,717 754 5,471 Mandatory Plan 1,867 368 2,235 448 2,683 Eff. Oct 1997 NYS Catholic Health Plan 1,940 542 2,482 306 2,788 Hamilton TOTALS: 287 57 344 6 350 Mandatory Eff. Oct 2010 NYS Catholic Health Plan 287 57 344 6 350

Herkimer TOTALS: 6,152 1,262 7,414 819 8,233 Mandatory Excellus Health Plan 1,054 253 1,307 199 1,506 Eff. May 2003 NYS Catholic Health Plan 5,052 1,003 6,055 611 6,666

United Healthcare Plan of NY 46 6 52 9 61 Jefferson TOTALS: 4,795 942 5,737 283 6,020 Mandatory Excellus Health Plan 3,910 670 4,580 204 4,784 Eff. Oct 2012 United Healthcare Plan of NY 885 272 1,157 79 1,236 Lewis TOTALS: 1,257 177 1,434 105 1,539 Mandatory Excellus Health Plan 841 105 946 63 1,009 Eff. Oct 2012 NYS Catholic Health Plan 416 72 488 42 530 Livingston TOTALS: 4,119 844 4,963 640 5,603 Mandatory Excellus Health Plan 2,876 524 3,400 428 3,828 Eff. Apr 2002 MVP Health Plan 779 158 937 186 1,123

NYS Catholic Health Plan 464 162 626 26 652 Madison TOTALS: 5,163 979 6,142 616 6,758 Mandatory Excellus Health Plan 2,777 499 3,276 340 3,616 Eff. Oct 2010 NYS Catholic Health Plan 1,839 336 2,175 203 2,378

United Healthcare Plan of NY 547 144 691 73 764 Monroe TOTALS: 70,002 15,668 85,670 13,996 99,666 Mandatory Excellus Health Plan 49,994 9,360 59,354 9,201 68,555 Eff. Mar 1998 MVP Health Plan 9,855 1,396 11,251 2,377 13,628

NYS Catholic Health Plan 10,153 4,912 15,065 2,418 17,483 Montgomery TOTALS: p y 6,424 1,077 7,501 941 8,442 Mandatory Plan 2,482 349 2,831 398 3,229 Eff. Apr 2007 NYS Catholic Health Plan 3,942 728 4,670 543 5,213


NYS, JANUARY 2013

County Plan Name

TANF ADC & MA-ADC

Enrolled

SNA HR & MA-HR

Enrolled

TANF & MA-ADC, SNA & MA-HR

Total Enrolled

SSI & MA-SSI

Enrolled

TOTAL ENROLLED

Nassau TOTALS: 72,237 20,112 92,349 10,053 102,402 Mandatory Affinity Health Plan 10,216 2,218 12,434 1,223 13,657 Eff. June 2001 Amerigroup 6,039 2,235 8,274 921 9,195

HealthFirst PHSP 14,500 3,648 18,148 1,523 19,671 HIP of Greater New York 10,435 3,947 14,382 2,596 16,978 NYS Catholic Health Plan 15,358 3,578 18,936 1,716 20,652 United Healthcare Plan of NY 15,689 4,486 20,175 2,074 22,249

Niagara TOTALS: y 17,989 4,463 22,452 3,276 25,728 Mandatory Blue 6,174 1,582 7,756 983 8,739 Eff Sep 1998 Independent Health Association 4,873 1,248 6,121 1,419 7,540

NYS Catholic Health Plan 6,942 1,633 8,575 874 9,449 Oneida TOTALS: 26,060 4,728 30,788 4,660 35,448 Mandatory Excellus Health Plan 4,652 1,098 5,750 899 6,649 Eff Sep 2001 NYS Catholic Health Plan 18,609 2,987 21,596 3,206 24,802

United Healthcare Plan of NY 2,799 643 3,442 555 3,997 Onondaga TOTALS: 41,662 7,697 49,359 8,053 57,412 Mandatory Excellus Health Plan 7,497 1,296 8,793 1,179 9,972 Eff. Nov 1998 NYS Catholic Health Plan 12,347 2,139 14,486 1,930 16,416

SCHC Total Care 16,659 3,223 19,882 3,970 23,852 United Healthcare Plan of NY 5,159 1,039 6,198 974 7,172

Ontario TOTALS: 6,756 1,081 7,837 1,031 8,868 Mandatory Excellus Health Plan 6,161 954 7,115 891 8,006 Eff. Mar 1998 MVP Health Plan 437 60 497 115 612

NYS Catholic Health Plan 158 67 225 25 250 Orange TOTALS: 38,718 4,775 43,493 3,816 47,309 Mandatory Affinity Health Plan 11,516 1,817 13,333 1,466 14,799 Eff. Mar 2007 Hudson Health Plan 9,466 1,802 11,268 1,414 12,682

NYS Catholic Health Plan 16,500 841 17,341 672 18,013 United Healthcare Plan of NY 107 58 165 18 183 Wellcare of New York 1,129 257 1,386 246 1,632




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Orleans TOTALS: 3,828 872 4,700 487 5,187 Mandatory Excellus Health Plan y 1,469 254 1,723 201 1,924 Eff. June 2003 Blue 758 204 962 133 1,095

NYS Catholic Health Plan 1,601 414 2,015 153 2,168 Oswego TOTALS: 14,136 2,551 16,687 2,050 18,737 Mandatory Excellus Health Plan 2,584 519 3,103 469 3,572 Eff. Apr 1999 NYS Catholic Health Plan 7,701 1,343 9,044 1,002 10,046

United Healthcare Plan of NY 3,851 689 4,540 579 5,119 Otsego TOTALS: 4,155 854 5,009 635 5,644 Mandatory Excellus Health Plan 2,438 426 2,864 377 3,241 Eff. May 2007 NYS Catholic Health Plan 1,717 428 2,145 258 2,403 Putnam TOTALS: 2,106 435 2,541 373 2,914 Mandatory Amerigroup 52 22 74 50 124 Eff. Mar 2007 NYS Catholic Health Plan 2,054 413 2,467 323 2,790 Rensselaer TOTALS: p y 12,882 2,932 15,814 2,370 18,184 Mandatory Plan 9,135 2,024 11,159 1,750 12,909 Eff. Oct 1997 NYS Catholic Health Plan 3,185 776 3,961 502 4,463

Wellcare of New York 562 132 694 118 812 Rockland TOTALS: 47,768 4,638 52,406 2,378 54,784 Mandatory Affinity Health Plan 3,432 1,004 4,436 587 5,023 Eff. Mar 2001 Hudson Health Plan 7,755 1,074 8,829 577 9,406

NYS Catholic Health Plan 34,047 2,243 36,290 1,058 37,348 United Healthcare Plan of NY 210 122 332 23 355 Wellcare of New York 2,324 195 2,519 133 2,652

St Lawrence TOTALS: 4,319 775 5,094 359 5,453 Mandatory Excellus Health Plan 3,539 586 4,125 291 4,416 Eff. Oct 2012 NYS Catholic Health Plan 780 189 969 68 1,037 Saratoga TOTALS: p y 10,270 2,116 12,386 1,380 13,766 Mandatory Plan 6,500 1,362 7,862 1,045 8,907 Eff. Oct 1997 NYS Catholic Health Plan 3,770 754 4,524 335 4,859




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Schenectady TOTALS: p y 14,746 2,806 17,552 2,953 20,505 Mandatory Plan 7,644 1,294 8,938 1,806 10,744 Eff. Apr 2007 NYS Catholic Health Plan 7,102 1,512 8,614 1,147 9,761 Schoharie TOTALS: p y 2,257 493 2,750 282 3,032 Mandatory Plan 1,236 279 1,515 177 1,692 Eff. Oct 2010 NYS Catholic Health Plan 1,021 214 1,235 105 1,340 Schuyler TOTALS: 1,362 301 1,663 103 1,766 Mandatory Excellus Health Plan 835 156 991 62 1,053 Eff May 2012 NYS Catholic Health Plan 527 145 672 41 713 Seneca TOTALS: 2,591 385 2,976 400 3,376 Mandatory Eff. Jan 2007 Excellus Health Plan 2,591 385 2,976 400 3,376 Steuben TOTALS: 6,728 1,260 7,988 887 8,875 Mandatory Excellus Health Plan 3,354 676 4,030 396 4,426 Eff May 2012 NYS Catholic Health Plan 3,374 584 3,958 491 4,449 Suffolk TOTALS: 93,004 21,753 114,757 11,644 126,401 Mandatory Affinity Health Plan 13,563 2,468 16,031 1,387 17,418 Eff. June 2001 HealthFirst PHSP 14,136 2,613 16,749 1,543 18,292

HIP of Greater New York 10,986 4,203 15,189 2,204 17,393 Neighborhood Health Providers 17,641 2,489 20,130 1,993 22,123 NYS Catholic Health Plan 17,019 4,091 21,110 2,044 23,154 United Healthcare Plan of NY 19,659 5,889 25,548 2,473 28,021

Sullivan TOTALS: 8,900 1,363 10,263 1,274 11,537 Mandatory Hudson Health Plan 6,568 988 7,556 986 8,542 Eff. Apr 2007 NYS Catholic Health Plan 2,332 375 2,707 288 2,995 Tioga TOTALS: p y 3,400 500 3,900 233 4,133 Mandatory Plan 1,118 158 1,276 62 1,338 Eff. Jun 2012 NYS Catholic Health Plan 2,082 295 2,377 148 2,525

United Healthcare Plan of NY 200 47 247 23 270 Tompkins TOTALS: 5,399 1,213 6,612 839 7,451 Mandatory Excellus Health Plan 258 87 345 16 361 Eff. Oct 2010 NYS Catholic Health Plan 1,303 436 1,739 244 1,983

SCHC Total Care 3,838 690 4,528 579 5,107




County Plan Name Enrolled Enrolled Total Enrolled Enrolled Ulster TOTALS: 12,889 3,237 16,126 2,093 18,219 Mandatory Hudson Health Plan 3,842 973 4,815 568 5,383 Eff Mar 2007 MVP Health Plan 3,787 1,335 5,122 684 5,806

NYS Catholic Health Plan 3,478 645 4,123 416 4,539 Wellcare of New York 1,782 284 2,066 425 2,491

Warren TOTALS: 2,960 376 3,336 292 3,628 Mandatory NYS Catholic Health Plan 2,697 314 3,011 267 3,278 Eff. Oct 2012 United Healthcare Plan of NY 263 62 325 25 350 Washington TOTALS: p y 5,073 744 5,817 761 6,578 Mandatory Plan 1,865 299 2,164 347 2,511 Eff. Mar 2007 NYS Catholic Health Plan 3,208 445 3,653 414 4,067 Wayne TOTALS: 6,969 999 7,968 1,135 9,103 Mandatory Excellus Health Plan 5,946 836 6,782 977 7,759 Eff. Oct 2010 NYS Catholic Health Plan 1,023 163 1,186 158 1,344 Westchester TOTALS: 65,613 15,233 80,846 8,188 89,034 Mandatory Affinity Health Plan 10,012 2,756 12,768 1,497 14,265 Eff. Oct 1999 HIP of Greater New York 5,062 1,826 6,888 1,174 8,062

Hudson Health Plan 37,343 6,160 43,503 3,850 47,353 NYS Catholic Health Plan 12,577 4,158 16,735 1,544 18,279 United Healthcare Plan of NY 619 333 952 123 1,075

Wyoming TOTALS: y 1,533 267 1,800 115 1,915 Mandatory Blue 1,023 171 1,194 67 1,261 Eff. Jul 2012 NYS Catholic Health Plan 510 96 606 48 654 Yates TOTALS: 1,935 291 2,226 253 2,479 Mandatory Eff. Feb 2007 Excellus Health Plan 1,935 291 2,226 253 2,479 Upstate Total 857,674 179,026 1,036,700 128,160 1,164,860


NYS, JANUARY 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 88,641 49,142 137,783 16,595 154,378 Mandatory Amerigroup 221,098 98,765 319,863 25,145 345,008

Amida Care SN 378 2,809 3,187 2,499 5,686 Fully HealthFirst PHSP 293,326 125,891 419,217 50,358 469,575 Implemented: HIP of Greater New York 94,365 45,264 139,629 19,956 159,585 Sept 2002 HIP of Greater New York UFT 31 23 54 4 58

MetroPlus Health Plan SN 976 2,321 3,297 2,396 5,693 MetroPlus Health Plan 253,161 93,402 346,563 36,506 383,069 Neighborhood Health Providers 113,213 38,713 151,926 17,964 169,890 NYS Catholic Health Plan 156,553 107,132 263,685 27,430 291,115 United Healthcare Plan of NY 122,943 65,489 188,432 14,766 203,198 VNS Choice SN 448 2,530 2,978 2,720 5,698 Wellcare of New York 26,165 24,811 50,976 3,317 54,293 NYC Total 1,371,298 656,292 2,027,590 219,656 2,247,246

UPSTATE TOTALS: 857,674 179,026 1,036,700 128,160 1,164,860 NEW YORK CITY TOTALS: 1,371,298 656,292 2,027,590 219,656 2,247,246 GRAND TOTALS: 2,228,972 835,318 3,064,290 347,816 3,412,106


NYS, JANUARY 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

344,630 493,084 148,552 338,894 46,138

1,371,298

125,548 234,041 91,162

183,722 21,819

656,292

470,178 727,125 239,714 522,616 67,957

2,027,590

66,428 68,218 34,934 41,533 8,543

219,656

536,606 795,343 274,648 564,149 76,500

2,247,246

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, JANUARY 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

2,822 1,455 1,224

143

556 272 241 43

3,378 1,727 1,465

186 Allegany TOTALS:

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

637 249 64

324

122 50 17 55

759 299 81

379 Broome TOTALS:

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

2,727 29

2,268 397 33

449 6

367 64 12

3,176 35

2,635 461 45

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

883 240 370 273

189 55 55 79

1,072 295 425 352

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

911 272 455 184

156 51 78 27

1,067 323 533 211

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

1,738 328

1,298 112

318 51

245 22

2,056 379

1,543 134

Chemung TOTALS: Excellus Health Plan NYS Catholic Health Plan

930 652 278

169 100 69

1,099 752 347

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

773 704 69

124 108 16

897 812 85

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

971 3

874 94

189 0

162 27

1,160 3

1,036 121

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

726 242 484

119 45 74

845 287 558

Cortland TOTALS: NYS Catholic Health Plan SCHC Total Care

682 534 148

91 75 16

773 609 164

Delaware TOTALS: NYS Catholic Health Plan

651 651

88 88

739 739


NYS, JANUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Dutchess TOTALS:

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

2,442 716 772 744 210

350 112 106 106 26

2,792 828 878 850 236

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

11,888 2,215 3,059 2,397 4,217

1,962 404 528 380 650

13,850 2,619 3,587 2,777 4,867

Essex TOTALS: Excellus Health Plan NYS Catholic Health Plan

530 0

530

84 1

83

614 1

613 Franklin TOTALS:

Excellus Health Plan NYS Catholic Health Plan

529 0

529

120 1

119

649 1

648 Fulton TOTALS:

Capital District Physicians Health Plan NYS Catholic Health Plan

933 107 826

163 17

146

1,096 124 972

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

653 339 173 141

109 57 30 22

762 396 203 163

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

571 210 361

79 30 49

650 240 410

Hamilton TOTALS: NYS Catholic Health Plan

68 68

15 15

83 83

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

1,187 202 981

4

129 27

102 0

1,316 229

1,083 4

Jefferson TOTALS: Excellus Health Plan United Healthcare Plan of NY

1,311 1,167

144

213 177 36

1,524 1,344

180 Lewis TOTALS:

Excellus Health Plan NYS Catholic Health Plan

318 195 123

48 25 23

366 220 146

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

543 411 46 86

118 84 14 20

661 495 60

106


NYS, JANUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Madison TOTALS: 962 123 1,085

Excellus Health Plan 469 63 532 NYS Catholic Health Plan 307 39 346 United Healthcare Plan of NY 186 21 207

Monroe TOTALS: 8,134 1,312 9,446 Excellus Health Plan 6,137 930 7,067 MVP Health Plan 535 71 606 NYS Catholic Health Plan 1,462 311 1,773

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

1,072 315 757

134 42 92

1,206 357 849

Nassau TOTALS: 17,300 2,723 20,023 Affinity Health Plan 2,372 364 2,736 Amerigroup 1,836 371 2,207 HealthFirst PHSP 3,314 464 3,778 HIP of Greater New York 2,148 311 2,459 NYS Catholic Health Plan 3,448 683 4,131 United Healthcare Plan of NY 4,182 530 4,712

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

2,594 1,142 1,452

492 219 273

3,086 1,361 1,725

Oneida TOTALS: 3,830 499 4,329 Excellus Health Plan 778 121 899 NYS Catholic Health Plan 2,611 322 2,933 United Healthcare Plan of NY 441 56 497

Onondaga TOTALS: 5,361 725 6,086 Excellus Health Plan 1,077 159 1,236 NYS Catholic Health Plan 1,904 230 2,134 SCHC Total Care 1,533 231 1,764 United Healthcare Plan of NY 847 105 952

Ontario TOTALS: 1,078 221 1,299 Excellus Health Plan 1,009 200 1,209 MVP Health Plan 44 11 55 NYS Catholic Health Plan 25 10 35

Orange TOTALS: 4,395 585 4,980 Affinity Health Plan 1,540 224 1,764 Hudson Health Plan 1,410 173 1,583 NYS Catholic Health Plan 1,202 151 1,353 United Healthcare Plan of NY 48 7 55 Wellcare of New York 195 30 225


NYS, JANUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Orleans TOTALS:

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

698 205 127 366

96 28 16 52

794 233 143 418

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

2,015 442

1,068 505

301 59

154 88

2,316 501

1,222 593

Otsego TOTALS: Excellus Health Plan NYS Catholic Health Plan

799 329 470

95 43 52

894 372 522

Putnam TOTALS: NYS Catholic Health Plan

385 385

64 64

449 449

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

1,551 827 633 91

230 127 85 18

1,781 954 718 109

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

5,087 532

1,077 3,221

111 146

708 126 128 400 33 21

5,795 658

1,205 3,621

144 167

St Lawrence TOTALS: Excellus Health Plan NYS Catholic Health Plan

1,241 1,157

84

230 200 30

1,471 1,357

114 Saratoga TOTALS:


1,995 836

1,159

273 153 120

2,268 989

1,279 Schenectady TOTALS:


1,833 668

1,165

358 139 219

2,191 807

1,384 Schoharie TOTALS:


497 200 297

74 32 42

571 232 339

Schuyler TOTALS: Excellus Health Plan NYS Catholic Health Plan

307 222 85

60 41 19

367 263 104

Seneca TOTALS: Excellus Health Plan

432 432

52 52

484 484

Steuben TOTALS: Excellus Health Plan NYS Catholic Health Plan

1,141 245 896

165 40

125

1,306 285

1,021


NYS, JANUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled Suffolk TOTALS:

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

20,385 3,168 2,753 2,487 2,472 4,394 5,111

2,658 329 305 363 363 710 588

23,043 3,497 3,058 2,850 2,835 5,104 5,699

Sullivan TOTALS: Hudson Health Plan NYS Catholic Health Plan

1,399 1,030

369

181 111 70

1,580 1,141

439 Tioga TOTALS:

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

516 198 266 52

90 32 50 8

606 230 316 60

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

716 51

212 453

120 14 35 71

836 65

247 524

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

2,186 659 795 458 274

455 121 196 85 53

2,641 780 991 543 327

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

812 746 66

76 67 9

888 813 75

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

815 214 601

92 26 66

907 240 667

Wayne TOTALS: Excellus Health Plan NYS Catholic Health Plan

1,019 904 115

139 122 17

1,158 1,026

132 Westchester TOTALS:

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

10,124 1,510

773 5,123 2,292

426

1,940 318 140 679 677 126

12,064 1,828

913 5,802 2,969

552 Wyoming TOTALS:

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

470 306 164

62 38 24

532 344 188

Yates TOTALS: Excellus Health Plan

423 423

54 54

477 477

Upstate Total 136,996 21,347 158,343


NYS, JANUARY 2013

County Plan Name

ADULTS WITH

CHILDREN Enrolled


EnrolledTotal

Enrolled NYC Affinity Health Plan 13,479 5,719 19,198

Amerigroup 36,964 12,548 49,512 HealthFirst PHSP 35,536 12,390 47,926 HIP of Greater New York 15,257 4,524 19,781 HIP of Greater New York UFT 4 6 10 MetroPlus Health Plan 28,367 8,141 36,508 Neighborhood Health Providers 14,064 4,393 18,457 NYS Catholic Health Plan 32,676 15,120 47,796 United Healthcare Plan of NY 23,924 7,685 31,609 Wellcare of New York 6,288 3,703 9,991 NYC Total 206,559 74,229 280,788

UPSTATE TOTALS: 136,996 21,347 158,343 NEW YORK CITY TOTALS: 206,559 74,229 280,788 GRAND TOTALS 343,555 95,576 439,131

County Plan Name

ADULTS WITH

CHILDREN

ADULTS WITHOUT CHILDREN Total

Enrolled Enrolled Enrolled NYC Borough Bronx

Brooklyn Manhattan Queens Staten Island Borough Total

35,103 71,832 18,497 72,898 8,229

206,559

11,164 25,080 9,574

26,150 2,261

74,229

46,267 96,912 28,071 99,048 10,490

280,788

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, JANUARY 2013

PLAN NAME COUNTY TOTAL

ENROLLED

MLTC PACE PLANS ARCHCARE SENIOR LIFE NEW YORK

Total 230 230

CHS BUFFALO LIFE ERIE Total

111 111

COMPLETE SENIOR CARE NIAGARA Total

64 64

COMPREHENSIVE CARE MGMT NASSAU NEW YORK SUFFOLK WESTCHESTER Total

25 2,964

73 163

3,225 EDDY SENIOR CARE ALBANY

SCHENECTADY Total

4 128 132

INDEPENDENT LIVING FOR SENIORS MONROE Total

383 383

PACE CNY ONONDAGA OSWEGO Total

428 1

429 TOTAL SENIOR CARE ALLEGANY

CATTARAUGUS Total

8 82 90

Total MLTC PACE Enrollment 4,664

MLTC PARTIAL CAPITATION PLANS AETNA BETTER HEALTH NASSAU

NEW YORK SUFFOLK Total

2 91

8 101

AGEWELL NEW YORK NASSAU NEW YORK SUFFOLK Total

27 115

1 143

AMERIGROUP NEW YORK Total

2,466 2,466

ARCHCARE COMMUNITY LIFE NEW YORK WESTCHESTER Total

19 110 129

CCM SELECT NEW YORK ROCKLAND WESTCHESTER Total

6,723 87 94

6,904 ELANT DUTCHESS

ORANGE ROCKLAND Total

23 137 111 271


NYS, JANUARY 2013


ENROLLED

ELDERPLAN MONROE 28 NASSAU 5 NEW YORK 7,020 WESTCHESTER 33 Total 7,086

ELDERSERVE NASSAU 40 NEW YORK 7,255 SUFFOLK 19 WESTCHESTER 101 Total 7,415

FIDELIS CARE AT HOME ALBANY 26 COLUMBIA 2 DUTCHESS 2 ERIE 2 HERKIMER 2 MONTGOMERY 2 NASSAU 4 NEW YORK 2,116 ONEIDA 8 ONONDAGA 5 ORANGE 246 OSWEGO 4 RENSSELAER 5 ROCKLAND 217 SCHENECTADY 10 SUFFOLK 4 SULLIVAN 1 WESTCHESTER 5 Total 2,661

GUILDNET NASSAU 559 NEW YORK 9,417 SUFFOLK 576 WESTCHESTER 18 Total 10,570

HHH CHOICES NEW YORK WESTCHESTER Total

1,761 9

1,770 HIP OF GREATER NEW YORK NASSAU

NEW YORK Total

2 458 460

INDEPENDENCE CARE SYSTEMS NEW YORK Total

3,805 3,805

METROPLUS MLTC NEW YORK Total

5 5

SENIOR HEALTH PARTNERS INC NASSAU NEW YORK Total

13 6,409 6,422

SENIOR NETWORK HEALTH HERKIMER ONEIDA Total

54 331 385


NYS, JANUARY 2013


ENROLLED

SENIOR WHOLE HEALTH NEW YORK Total

103 103

TOTAL AGING IN PLACE PROGRAM ERIE Total

129 129

UNITED HEALTHCARE NEW YORK Total

33 33

VILLAGE CARE NEW YORK Total

1,112 1,112

VNS CHOICE DUTCHESS NASSAU NEW YORK SUFFOLK WESTCHESTER Total

11 213

17,256 95

217 17,792

WELLCARE ERIE NEW YORK ORANGE ROCKLAND ULSTER Total

19 3,772

2 1 2

3,796 Total MLTC Partial Capitation Enrollment 73,558

Total Statewide Enrollment 78,222 NOTES:

(1) The source of plan enrollment counts is the primary and secondary roster reports which reflect enrollees as of the first of the month. (2) New plans added this month : Fidelis Care at Home - Albany & Dutchess Counties; MetroPlus MLTC - New York

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS, JANUARY 2013

County Plan Name Total

Enrolled Albany TOTAL

Fidelis Senior Whole Health WellCare

295 124 77 94

Broome TOTAL WellCare

40 40

Columbia TOTAL Fidelis Senior Whole Health

18 7

11 Dutchess TOTAL


63 29 21 13

Erie TOTAL WellCare

433 433

Greene TOTAL Fidelis Senior Whole Health

13 10 3

Herkimer TOTAL Fidelis

5 5

Monroe TOTAL WellCare

209 209

Montgomery TOTAL Fidelis Senior Whole Health

40 26 14

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

330 16

129 56 11

118 Niagara TOTAL

WellCare 113 113

Oneida TOTAL Fidelis WellCare

137 50 87

Onondaga TOTAL Fidelis WellCare

215 48

167 Orange TOTAL

Touchstone/Prestige WellCare

35 12 23

Oswego TOTAL Fidelis

32 32

Rensselaer TOTAL Fidelis Senior Whole Health WellCare

106 21 57 28

Rockland TOTAL GHI WellCare

56 37 19

Saratoga TOTAL Senior Whole Health WellCare

49 37 12

MEDICAID ADVANTAGE ENROLLMENT BY COUNTY AND PLAN

NYS, JANUARY 2013


Enrolled Schenectady TOTAL


159 70 45 44

Suffolk TOTAL GHI HIP of Greater New York

74 7

67 Ulster TOTAL


98 15 54 29

Warren TOTAL Senior Whole Health

14 14

Washington TOTAL Senior Whole Health

6 6

Wayne TOTAL WellCare

10 10

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

137 26 16 6

88 1

Upstate Total: 2,687 NYC Affinity

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

338 7

1,940 560

2 1,224

459 217 219

1,547 557 45

7,115

UPSTATE TOTAL 2,687 NEW YORK CITY TOTAL 7,115 GRAND TOTAL 9,802

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 : WellCare - Broome, Oneida, & Saratoga Counties.

MEDICAID ADVANTAGE PLUS ENROLLMENT REPORT BY COUNTY AND PLAN

NYS, JANUARY 2013


Enrolled Albany Total

NYS Catholic Health Plan Senior Whole Health

45 42 3

Columbia Total Senior Whole Health

5 5

Dutchess Total Senior Whole Health

7 7

Montgomery Total NYS Catholic Health Plan Senior Whole Health

5 3 2

Nassau Total HIP of Greater New York

34 34

Rensselaer Total NYS Catholic Health Plan Senior Whole Health

55 30 25

Saratoga Total Senior Whole Health

13 13

Schenectady Total NYS Catholic Health Plan Senior Whole Health

28 21 7

Suffolk Total Guildnet HIP of Greater New York

12 2

10 Ulster Total

Senior Whole Health 40 40

Warren Total Senior Whole Health

6 6

Washington Total Senior Whole Health

6 6

Westchester Total HIP of Greater New York

4 4

Upstate Total: 260 NYC AmeriGroup

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

9 772 371

1,039 360 103 41 92 47

2,834

UPSTATE TOTAL 260 NEW YORK CITY TOTAL 2,834 GRAND TOTAL 3,094

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

recipients enrolled in mainstream …...recipients enrolled in mainstream medicaid managed care by...

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