recipients enrolled in mainstream medicaid managed … · recipients enrolled in mainstream...
TRANSCRIPT
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
TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY
6,998 6,438
560
1,581 1,348
233
8,579 7,786
793
1,099 954 145
9,678 8,740
938
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
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
TOTALS: NYS Catholic Health Plan
2,553 2,553
546 546
3,099 3,099
295 295
3,394 3,394
Franklin Mandatory Eff. May 2011
TOTALS: NYS Catholic Health Plan
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
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
Greene Mandatory Eff. Oct 1997
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
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
TOTALS: NYS Catholic Health Plan
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
TOTALS: Excellus Health Plan NYS Catholic Health Plan
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
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
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
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
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
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
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
TOTALS: Excellus Health Plan NYS Catholic Health Plan
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
TOTALS: Excellus Health Plan NYS Catholic Health Plan
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
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
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
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
Schenectady Mandatory Eff. Apr 2007
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
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
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
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
TOTALS: Excellus Health Plan NYS Catholic Health Plan
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
TOTALS: Excellus Health Plan NYS Catholic Health Plan
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
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
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
TOTALS: NYS Catholic Health Plan United Healthcare Plan of NY
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
TOTALS: Capital District Physicians Health Plan NYS Catholic Health Plan
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
TOTALS: Excellus Health Plan NYS Catholic Health Plan
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
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
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
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
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
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 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
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 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
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 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:
Capital District Physicians Health Plan NYS Catholic Health Plan
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:
Capital District Physicians Health Plan NYS Catholic Health Plan
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
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 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:
Capital District Physicians Health Plan NYS Catholic Health Plan
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
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 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
MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM
NYS, AUGUST 2013
PLAN NAME COUNTY TOTAL
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
MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM
NYS, AUGUST 2013
PLAN NAME COUNTY TOTAL
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
MANAGED LONG TERM CARE ENROLLMENT BY PLAN, COUNTY, AND PROGRAM
NYS, AUGUST 2013
PLAN NAME COUNTY TOTAL
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
County Plan Name Total
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
County Plan Name Total
Enrolled Albany Total
NYS Catholic Health Plan 54 54
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
NYS Catholic Health Plan 33 33
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