NY MEDICAID MARKET
New York
monitoring
No current verified market signal.
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Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 264
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Affinity | not reported | 226 (2017) | 2.8% calculated | not reported |
| not reported | Affinity | not reported | 0 (2018) | 0.0% calculated | not reported |
| not reported | Affinity Health Plan | not reported | 0 (2022) | 0.0% calculated | not reported |
| not reported | AgeWell New York | not reported | 69 (2022) | 0.2% calculated | not reported |
| not reported | AgeWell New York | not reported | 122 (2023) | 0.3% calculated | not reported |
show all 264
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Agewell New York | not reported | 19 (2020) | 0.1% calculated | not reported |
| not reported | AlphaCare | not reported | 3 (2018) | 0.0% calculated | not reported |
| not reported | Amida Care Special Needs | not reported | 8,754 (2023) | 0.2% calculated | not reported |
| not reported | AmidaCare Special Needs | not reported | 8,870 (2024) | 0.2% calculated | 8 sanctions, 2,935 appeals resolved |
| not reported | Amidacare Special Needs | not reported | 7,419 (2020) | 0.2% calculated | not reported |
| not reported | ArchCare Community Life | not reported | 3,863 (2018) | 1.8% calculated | not reported |
| not reported | ArchCare Community Life | not reported | 4,933 (2022) | 2.0% calculated | not reported |
| not reported | Archcare Community Life | not reported | 4,630 (2020) | 1.9% calculated | not reported |
| not reported | ArchCare Senior Life | not reported | 656 (2022) | 9.2% calculated | not reported |
| not reported | Archcare Senior Life | not reported | 726 (2020) | 13.2% calculated | not reported |
| not reported | Excellus | not reported | 168,086 (2017) | 3.8% calculated | not reported |
| not reported | Excellus Health Plan | not reported | 5,886 (2017) | 6.7% calculated | not reported |
| CVS/Aetna | Aetna Better Health | not reported | 5,396 (2022) | 2.2% calculated | not reported |
| CVS/Aetna | Aetna Better Health | not reported | 6,240 (2018) | 3.0% calculated | not reported |
| CVS/Aetna | Aetna Better Health | not reported | 6,380 (2024) | 2.2% calculated | 1 sanctions, 614 appeals resolved |
| not reported | Capital District Physician's Health Plan | not reported | 4,196 (2024) | 2.7% calculated | 12 sanctions, 1,133 appeals resolved |
| not reported | Catholic Health - Life | not reported | 240 (2022) | 3.4% calculated | not reported |
| not reported | Catholic Health Life | not reported | 266 (2020) | 4.8% calculated | not reported |
| not reported | Catholic Health - Life | not reported | 238 (2024) | 2.5% calculated | not reported |
| not reported | Catholic Health Life | not reported | 233 (2023) | 2.5% calculated | not reported |
| not reported | ArchCare Community Life | not reported | 5,772 (2023) | 2.2% calculated | 1 sanctions |
| not reported | ArchCare Senior Life | not reported | 816 (2024) | 8.6% calculated | not reported |
| Centene | Fidelis Care | not reported | 52,195 (2024) | 33.9% calculated | 2 sanctions, 4,148 appeals resolved |
| Centene | Fidelis Care | not reported | 17,871 (2022) | 7.2% calculated | not reported |
| Centene | Fidelis Care at Home | not reported | 19,021 (2017) | 10.3% calculated | not reported |
| Centene | Fidelis Care at Home | not reported | 18,892 (2024) | 6.4% calculated | not reported |
| Centene | Fidelis Legacy Plan | not reported | 0 (2022) | not reported | not reported |
| Centene | NYS Catholic Health Plan/Fidelis | not reported | 1,485 (2017) | 18.3% calculated | 14 sanctions, 88,397 appeals resolved |
| Centene | WellCare | not reported | 0 (2022) | not reported | not reported |
| Centene | WellCare Advocate | not reported | 5,821 (2019) | 2.4% calculated | not reported |
| Centene | WellCare Advocate | not reported | 5,519 (2018) | 2.6% calculated | not reported |
| Centene | Wellcare | not reported | 106,606 (2019) | 2.5% calculated | not reported |
| Centene | Wellcare Fidelis Dual Plus | not reported | 1,602 (2024) | 3.2% calculated | not reported |
| not reported | CenterLight (CCM) | not reported | 4,261 (2022) | 60.1% calculated | not reported |
| not reported | Centerlight (CCM) | not reported | 2,453 (2020) | 44.5% calculated | not reported |
| not reported | CenterLight (CCM) | not reported | 6,281 (2024) | 66.2% calculated | not reported |
| not reported | CenterLight Select | not reported | 35 (2017) | 0.0% calculated | not reported |
| not reported | Centerlight | not reported | 2,699 (2019) | 46.9% calculated | not reported |
| not reported | Centers Plan | not reported | 1,220 (2022) | 3.6% calculated | not reported |
| not reported | Centers Plan for Healthy Living | not reported | 47,729 (2022) | 19.2% calculated | not reported |
| not reported | Centers Plan for Healthy Living | not reported | 53,291 (2024) | 18.0% calculated | 1 sanctions, 15,515 appeals resolved |
| not reported | Centers Plan for Medicaid Advantage Plus | not reported | 1,870 (2024) | 3.8% calculated | not reported |
| not reported | Complete Senior Care | not reported | 121 (2022) | 1.7% calculated | not reported |
| not reported | Complete Senior Care | not reported | 136 (2024) | 1.4% calculated | not reported |
| not reported | Crystal Run Health Plan | not reported | 1,648 (2019) | 0.0% calculated | not reported |
| not reported | Eddy Senior Care | not reported | 311 (2022) | 4.4% calculated | not reported |
| not reported | ElderPlan | not reported | 3,044 (2022) | 8.9% calculated | not reported |
| not reported | ElderPlan | not reported | 4,421 (2024) | 8.9% calculated | 2 sanctions, 1,270 appeals resolved |
| not reported | ElderPlan, Inc. (Homefirst) | not reported | 25,346 (2024) | 8.6% calculated | 4 sanctions, 4,085 appeals resolved |
| not reported | Elderplan | not reported | 2,042 (2020) | 9.6% calculated | not reported |
| not reported | ElderServe | not reported | 118 (2022) | 0.3% calculated | 2 sanctions, 2,761 appeals resolved |
| not reported | Elderserve | not reported | 17 (2020) | 0.1% calculated | not reported |
| not reported | Riverspring MAP | not reported | 334 (2024) | 0.7% calculated | not reported |
| not reported | Riverspring at Home | not reported | 19,046 (2024) | 6.4% calculated | 1 sanctions, 29 appeals resolved |
| not reported | ElderWood | not reported | 135 (2017) | 0.1% calculated | not reported |
| not reported | ElderWood | not reported | 1,035 (2022) | 0.4% calculated | not reported |
| not reported | Elderwood | not reported | 982 (2020) | 0.4% calculated | not reported |
| Elevance | Anthem Blue Cross and Blue Shield HP | not reported | 59,090 (2024) | 20.0% calculated | 18 sanctions, 27,804 appeals resolved |
| Elevance | Anthem HealthPlus Full Dual Advantage LTSS | not reported | 202 (2024) | 0.4% calculated | 4 sanctions, 1,499 appeals resolved |
| Elevance | Empire MediBlue HealthPlus Dual Plus | not reported | 160 (2023) | 0.4% calculated | not reported |
| Elevance | HealthPlus | not reported | 7,791 (2024) | 5.1% calculated | not reported |
| Elevance | HealthPlus | not reported | 5,935 (2018) | 5.6% calculated | not reported |
| Elevance | HealthPlus | not reported | 52,965 (2023) | 19.9% calculated | not reported |
| not reported | Evercare Choice, Inc. | not reported | 777 (2023) | 0.3% calculated | 3 sanctions, 69 appeals resolved |
| not reported | Excellus | not reported | 187,909 (2024) | 4.1% calculated | not reported |
| not reported | Excellus Health Plan | not reported | 10,717 (2024) | 7.0% calculated | 14 sanctions, 2,700 appeals resolved |
| not reported | Extended MLTC | not reported | 5,476 (2022) | 2.2% calculated | not reported |
| not reported | Extended MLTC | not reported | 5,561 (2023) | 2.1% calculated | 1 sanctions |
| Fallon Health | Fallon Health Weinberg | not reported | 726 (2018) | 0.3% calculated | not reported |
| Fallon Health | Fallon Health Weinberg | not reported | 830 (2022) | 0.3% calculated | not reported |
| Fallon Health | Fallon Health Weinberg | not reported | 165 (2024) | 1.7% calculated | 2 sanctions |
| not reported | GuildNet | not reported | 455 (2018) | 4.1% calculated | not reported |
| not reported | Guildnet | not reported | 0 (2019) | 0.0% calculated | not reported |
| not reported | HIP Combined | not reported | 139,834 (2024) | 3.1% calculated | not reported |
| not reported | HIP GNY | not reported | 5,159 (2024) | 3.4% calculated | not reported |
| not reported | Hamaspik Choice | not reported | 2,191 (2018) | 1.0% calculated | 3 sanctions, 2,165 appeals resolved |
| not reported | Hamaspik Choice MLTC | not reported | 8,195 (2024) | 2.8% calculated | not reported |
| not reported | Hamaspik Choice MLTC | not reported | 1,961 (2022) | 0.8% calculated | not reported |
| not reported | Hamaspik , Inc | not reported | 36 (2021) | 0.1% calculated | not reported |
| not reported | Hamaspik MAP, Inc. | not reported | 963 (2024) | 1.9% calculated | not reported |
| not reported | Hamaspik, Inc. | not reported | 356 (2022) | 1.0% calculated | 3 sanctions, 267 appeals resolved |
| not reported | Health Advantage/Elant Choice | not reported | 912 (2022) | 0.4% calculated | not reported |
| not reported | Health First | not reported | 1,248,474 (2022) | 23.0% calculated | not reported |
| not reported | Health Now | not reported | 49,561 (2021) | 1.0% calculated | not reported |
| Healthfirst | HealthFirst | not reported | 33,038 (2023) | 19.9% calculated | not reported |
| Healthfirst | Healthfirst | not reported | 32,296 (2024) | 21.0% calculated | 17 sanctions, 58,225 appeals resolved |
| Healthfirst | HealthFirst Health Plan | not reported | 22,878 (2022) | 66.8% calculated | not reported |
| not reported | HealthNow | not reported | 31,719 (2018) | 0.7% calculated | not reported |
| not reported | HealthPlus | not reported | 4,717 (2022) | 1.9% calculated | not reported |
| not reported | HealthPlus Advantage Plus | not reported | 191 (2022) | 0.6% calculated | not reported |
| not reported | HealthFirst Health Plan | not reported | 31,693 (2024) | 63.9% calculated | not reported |
| not reported | Healthfirst Health Plan | not reported | 25,681 (2023) | 65.0% calculated | not reported |
| not reported | Senior Health Partners | not reported | 9,532 (2024) | 3.2% calculated | 2 sanctions, 20,863 appeals resolved |
| Highmark | Highmark Western & Northeastern NY | not reported | 906 (2024) | 0.6% calculated | 12 sanctions, 1,723 appeals resolved |
| not reported | Icircle Care | not reported | 1,919 (2017) | 1.0% calculated | not reported |
| not reported | iCircle Care | not reported | 2,642 (2018) | 1.3% calculated | not reported |
| not reported | Icircle Care MLTC | not reported | 3,557 (2022) | 1.4% calculated | not reported |
| not reported | Independent Care Systems | not reported | 0 (2019) | 0.0% calculated | not reported |
| Independent Health | Independent Health Association | not reported | 1,925 (2018) | 1.8% calculated | not reported |
| Independent Health | Independent Health/Hudson Valley & WNY | not reported | 57,271 (2018) | 1.3% calculated | not reported |
| Independent Health | Independent Health Association | not reported | 2,685 (2024) | 1.7% calculated | 12 sanctions, 1,078 appeals resolved |
| Independent Health | Independent Health/Hudson Valley & WNY | not reported | 60,375 (2024) | 1.3% calculated | not reported |
| Independent Health | Independent Health/Hudson Valley&WNY | not reported | 66,226 (2021) | 1.3% calculated | not reported |
| not reported | ElderOne (Independent Living for Seniors) | not reported | 738 (2024) | 7.8% calculated | not reported |
| not reported | Independent Living for Seniors | not reported | 732 (2022) | 10.3% calculated | not reported |
| not reported | Integra | not reported | 11,747 (2018) | 5.6% calculated | not reported |
| not reported | Integra MLTC | not reported | 43,218 (2022) | 17.4% calculated | not reported |
| not reported | Kalos Health Plan | not reported | 555 (2022) | 0.2% calculated | not reported |
| not reported | Kalos Health Plan | not reported | 1,030 (2024) | 0.3% calculated | 2 sanctions, 16 appeals resolved |
| not reported | Liberty Health Advantage | not reported | 96 (2018) | 1.5% calculated | not reported |
| not reported | PACE CNY (Loretto HMO) | not reported | 570 (2024) | 6.0% calculated | not reported |
| MVP Health Care | MVP Health Plan | not reported | 7,049 (2024) | 4.6% calculated | 16 sanctions, 2,184 appeals resolved |
| MetroPlus | MetroPlus | not reported | 12,652 (2024) | 8.2% calculated | 22 sanctions, 12,910 appeals resolved |
| MetroPlus | Metroplus | not reported | 12,763 (2019) | 9.5% calculated | not reported |
| MetroPlus | Metroplus Helath Plan MAP | not reported | 20 (2022) | 0.1% calculated | not reported |
| MetroPlus | MetroPlus | not reported | 10,901 (2018) | 10.3% calculated | not reported |
| MetroPlus | MetroPlus Health Plan | not reported | 380,013 (2017) | 8.6% calculated | not reported |
| MetroPlus | MetroPlus Health Plan | not reported | 478,976 (2022) | 8.8% calculated | not reported |
| MetroPlus | MetroPlus Health Plan Special Needs | not reported | 4,095 (2018) | 0.1% calculated | not reported |
| MetroPlus | MertoPlus Health Plan Special Needs | not reported | 4,000 (2019) | 0.1% calculated | not reported |
| MetroPlus | MetroPlus Health Plan Special Needs | not reported | 4,628 (2022) | 0.1% calculated | not reported |
| MetroPlus | MetroPlusHealth Plan Special Needs | not reported | 4,378 (2024) | 0.1% calculated | not reported |
| MetroPlus | MetroPlus | not reported | 2,274 (2024) | 0.8% calculated | not reported |
| MetroPlus | MetroPlusHealth Plan | not reported | 407,507 (2024) | 9.0% calculated | not reported |
| MetroPlus | MetroPlusHealth Plan MAP | not reported | 196 (2024) | 0.4% calculated | not reported |
| MetroPlus | MetroplusHealth Plan MAP | not reported | 128 (2023) | 0.3% calculated | not reported |
| Molina | Molina HealthCare of New York | not reported | 31,194 (2017) | 0.7% calculated | not reported |
| Molina | Molina HealthCare of New York | not reported | 1,484 (2018) | 1.4% calculated | not reported |
| Molina | Molina HealthCare of New York | not reported | 9,998 (2022) | 6.1% calculated | not reported |
| Molina | Molina HealthCare of New York, Inc. | not reported | 315,185 (2022) | 5.8% calculated | not reported |
| Molina | Molina HealthCare of New York, Inc. | not reported | 310,491 (2023) | 5.6% calculated | not reported |
| Molina | Molina Healthcare of NY, Inc. | not reported | 1,627 (2019) | 1.2% calculated | not reported |
| Molina | Molina Healthcare of New York | not reported | 28,592 (2018) | 0.6% calculated | not reported |
| Molina | Molina Healthcare of New York | not reported | 8,871 (2024) | 5.8% calculated | not reported |
| Molina | Molina Healthcare of New York, Inc | not reported | 3,863 (2020) | 2.7% calculated | not reported |
| Molina | Molina Healthcare of New York, Inc. | not reported | 65,466 (2020) | 1.4% calculated | not reported |
| Molina | Molina Healthcare of New York, Inc. | not reported | 240,068 (2024) | 5.3% calculated | 15 sanctions, 2,274 appeals resolved |
| not reported | Montefiore | not reported | 1,513 (2018) | 0.7% calculated | not reported |
| not reported | Montefiore HMO | not reported | 1,701 (2019) | 0.7% calculated | 1 sanctions |
| not reported | Montefiore HMO MLTC | not reported | 1,300 (2023) | 0.5% calculated | not reported |
| not reported | Montefiore HMO MLTC | not reported | 1,410 (2022) | 0.6% calculated | not reported |
| not reported | NYS Catholic Health Plan | not reported | 22,347 (2017) | 25.4% calculated | not reported |
| not reported | Elderwood | not reported | 1,127 (2023) | 0.4% calculated | 2 sanctions, 51 appeals resolved |
| not reported | North Shore - LIJ Health Plan | not reported | 15 (2018) | 0.0% calculated | not reported |
| not reported | PACE CNY | not reported | 498 (2022) | 7.0% calculated | not reported |
| not reported | Partners Health Plan FIDA-IDD | not reported | 1,666 (2024) | 100.0% calculated | not reported |
| not reported | Prime Health Choice | not reported | 541 (2022) | 0.2% calculated | not reported |
| not reported | Prime Health Choice | not reported | 577 (2023) | 0.2% calculated | 4 sanctions, 9 appeals resolved |
| not reported | Eddy Senior Care | not reported | 409 (2024) | 4.3% calculated | not reported |
| not reported | Senior Health Partners | not reported | 9,221 (2022) | 3.7% calculated | not reported |
| not reported | Senior Network Health | not reported | 342 (2022) | 0.1% calculated | not reported |
| not reported | Senior Network Health | not reported | 325 (2023) | 0.1% calculated | 1 sanctions, 13 appeals resolved |
| not reported | Senior Whole Health | not reported | 135 (2022) | 0.4% calculated | not reported |
| not reported | Senior Whole Health | not reported | 28,466 (2024) | 9.6% calculated | 2 sanctions, 4,795 appeals resolved |
| not reported | Total Senior Care | not reported | 138 (2022) | 1.9% calculated | not reported |
| not reported | Total Senior Care | not reported | 128 (2024) | 1.4% calculated | not reported |
| UnitedHealth | United HealthCare | not reported | 5,345 (2017) | 6.1% calculated | not reported |
| UnitedHealth | United HealthCare | not reported | 0 (2022) | not reported | not reported |
| UnitedHealth | United HealthCare | not reported | 474,234 (2017) | 10.7% calculated | not reported |
| UnitedHealth | United HealthCare | not reported | 6,813 (2018) | 6.4% calculated | not reported |
| UnitedHealth | United HealthCare | not reported | 379,366 (2022) | 7.0% calculated | not reported |
| UnitedHealth | United Healthcare | not reported | 9,766 (2019) | 7.3% calculated | not reported |
| UnitedHealth | United Healthcare | not reported | 441,821 (2019) | 10.3% calculated | not reported |
| UnitedHealth | United Healthcare | not reported | 9,897 (2020) | 6.9% calculated | not reported |
| UnitedHealth | UnitedHealthcare | not reported | 9,362 (2024) | 6.1% calculated | 16 sanctions, 4,427 appeals resolved |
| UnitedHealth | UnitedHealthcare Dual Complete | not reported | 0 (2024) | 0.0% calculated | not reported |
| not reported | Nascentia Health (VNA HomeCare Options) | not reported | 6,059 (2024) | 2.0% calculated | not reported |
| not reported | VNA HomeCare Options | not reported | 3,562 (2022) | 1.4% calculated | 3 sanctions, 261 appeals resolved |
| not reported | VNA Homecare Options | not reported | 6,870 (2020) | 2.8% calculated | not reported |
| VNS Health | VNS Choice | not reported | 25,409 (2024) | 8.6% calculated | 9 sanctions, 1,998 appeals resolved |
| VNS Health | VNS Choice Plus | not reported | 1,447 (2018) | 13.0% calculated | not reported |
| VNS Health | VNS Choice Special Needs | not reported | 3,313 (2018) | 0.1% calculated | not reported |
| VNS Health | VNS Choice Total | not reported | 3,672 (2023) | 9.3% calculated | not reported |
| VNS Health | VNS Health Total | not reported | 4,700 (2024) | 9.5% calculated | not reported |
| VNS Health | VNS Choice Plus | not reported | 3,069 (2022) | 9.0% calculated | not reported |
| VNS Health | VNS Choice Special Needs | not reported | 3,483 (2024) | 0.1% calculated | not reported |
| not reported | Village Care | not reported | 2,774 (2022) | 8.1% calculated | 5 sanctions, 7,160 appeals resolved |
| not reported | VillageCareMAX | not reported | 18,241 (2023) | 6.8% calculated | not reported |
| not reported | VillageCareMAX | not reported | 28,504 (2024) | 9.6% calculated | not reported |
| not reported | VillageCareMAX Total Advantage | not reported | 3,294 (2024) | 6.6% calculated | not reported |
| not reported | YourCare Health Plan | not reported | 1,785 (2018) | 1.7% calculated | not reported |
| not reported | Yourcare Health Plan | not reported | 2,094 (2019) | 1.6% calculated | not reported |
| not reported | Independent Care Systems | not reported | 6,274 (2018) | 3.0% calculated | not reported |
| not reported | iCircle Care MLTC | not reported | 4,147 (2024) | 1.4% calculated | not reported |
| not reported | Aetna Better Health | not reported | 3,774 (2016) | 2.4% calculated | not reported |
| not reported | Affinity | not reported | 302 (2016) | 3.5% calculated | not reported |
| not reported | Affinity Health Plan | not reported | 144 (2016) | 0.3% calculated | not reported |
| not reported | Agewell New York | not reported | 6,958 (2016) | 4.4% calculated | not reported |
| not reported | Alphacare | not reported | 2,915 (2016) | 1.9% calculated | not reported |
| not reported | Amidacare Special Needs | not reported | 6,128 (2016) | 0.1% calculated | not reported |
| not reported | ArchCare Senior Life | not reported | 515 (2016) | 9.3% calculated | not reported |
| not reported | ArchCare Senior Life | not reported | 725 (2018) | 12.7% calculated | not reported |
| not reported | Archcare Community Life | not reported | 2,133 (2016) | 1.4% calculated | not reported |
| not reported | Capital District Physician's Health Plan | not reported | 276 (2016) | 0.6% calculated | not reported |
| not reported | Catholic Health - Life | not reported | 222 (2016) | 4.0% calculated | not reported |
| not reported | Catholic Health - Life | not reported | 246 (2018) | 4.3% calculated | not reported |
| not reported | CenterLight (CCM) | not reported | 2,822 (2018) | 49.6% calculated | not reported |
| not reported | Centerlight (CCM) | not reported | 3,185 (2016) | 57.3% calculated | not reported |
| not reported | Centerlight Select | not reported | 5,479 (2016) | 3.5% calculated | not reported |
| not reported | Centers Plan for Healthy Living | not reported | 6,595 (2016) | 4.2% calculated | not reported |
| not reported | Complete Senior Care | not reported | 122 (2016) | 2.2% calculated | not reported |
| not reported | Complete Senior Care | not reported | 118 (2018) | 2.1% calculated | not reported |
| not reported | Crystal Run Health Plan | not reported | 314 (2016) | 0.0% calculated | not reported |
| not reported | Eddy Senior Care | not reported | 188 (2016) | 3.4% calculated | not reported |
| not reported | Eddy Senior Care | not reported | 216 (2018) | 3.8% calculated | not reported |
| not reported | Elderplan | not reported | 1,088 (2016) | 18.3% calculated | not reported |
| not reported | Elderserve | not reported | 10,915 (2016) | 6.9% calculated | not reported |
| not reported | Elderwood | not reported | 23 (2016) | 0.0% calculated | not reported |
| not reported | Excellus Health Plan | not reported | 177,816 (2016) | 4.0% calculated | not reported |
| not reported | Extended MLTC | not reported | 1,298 (2016) | 0.8% calculated | not reported |
| not reported | Fallon Health Weinberg | not reported | 44 (2016) | 0.8% calculated | not reported |
| not reported | Fallon Health Weinberg | not reported | 120 (2018) | 2.1% calculated | not reported |
| not reported | Fidelis Care at Home | not reported | 14,542 (2016) | 9.2% calculated | not reported |
| not reported | Guildnet | not reported | 659 (2016) | 11.1% calculated | not reported |
| not reported | HIP Combined | not reported | 184,491 (2016) | 4.2% calculated | not reported |
| not reported | HIP of Greater New York | not reported | 3,229 (2016) | 6.8% calculated | not reported |
| not reported | Hamaspik Choice | not reported | 1,767 (2016) | 1.1% calculated | not reported |
| not reported | Health Advantage/Elant Choice | not reported | 865 (2016) | 0.6% calculated | not reported |
| not reported | Healthfirst | not reported | 911,690 (2016) | 20.5% calculated | not reported |
| not reported | Healthnow | not reported | 24,122 (2016) | 0.5% calculated | not reported |
| not reported | Healthplus | not reported | 4,673 (2016) | 9.9% calculated | not reported |
| not reported | Healthplus Advantage Plus | not reported | 2 (2016) | 0.0% calculated | not reported |
| not reported | Hudson Health Plan | not reported | 0 (2016) | 0.0% calculated | not reported |
| not reported | Icircle Care | not reported | 1,361 (2016) | 0.9% calculated | not reported |
| not reported | Independent Care Systems | not reported | 6,160 (2016) | 3.9% calculated | not reported |
| not reported | Independent Health Association | not reported | 233 (2016) | 0.5% calculated | not reported |
| not reported | Independent Health/Hudson Valley & WNY | not reported | 62,385 (2016) | 1.4% calculated | not reported |
| not reported | Independent Living for Seniors | not reported | 676 (2016) | 12.2% calculated | not reported |
| not reported | Independent Living for Seniors | not reported | 772 (2018) | 13.6% calculated | not reported |
| not reported | Integra | not reported | 3,736 (2016) | 2.4% calculated | not reported |
| not reported | Kalos Health Plan | not reported | 772 (2016) | 0.5% calculated | not reported |
| not reported | Liberty Health Advantage | not reported | 214 (2016) | 2.5% calculated | not reported |
| not reported | MVP Health Plan | not reported | 464 (2016) | 1.0% calculated | not reported |
| not reported | Metroplus | not reported | 1,205 (2016) | 0.8% calculated | not reported |
| not reported | Metroplus Health Plan | not reported | 389,954 (2016) | 8.8% calculated | not reported |
| not reported | Metroplus Health Plan Special Needs | not reported | 4,470 (2016) | 0.1% calculated | not reported |
| not reported | Montefiore HMO | not reported | 1,153 (2016) | 0.7% calculated | not reported |
| not reported | NYS Catholic Health Plan | not reported | 9,974 (2016) | 21.1% calculated | not reported |
| not reported | NYS Catholic Health Plan/Fidelis | not reported | 1,170,307 (2016) | 26.3% calculated | not reported |
| not reported | North Shore - LIJ Health Plan | not reported | 3,589 (2016) | 2.3% calculated | not reported |
| not reported | PACE CNY | not reported | 489 (2016) | 8.8% calculated | not reported |
| not reported | PACE CNY | not reported | 563 (2018) | 9.9% calculated | not reported |
| not reported | Prime Health Choice | not reported | 194 (2016) | 0.1% calculated | not reported |
| not reported | Senior Health Partners | not reported | 12,550 (2016) | 8.0% calculated | not reported |
| not reported | Senior Network Health | not reported | 514 (2016) | 0.3% calculated | not reported |
| not reported | Senior Whole Health | not reported | 124 (2016) | 2.1% calculated | not reported |
| not reported | Today's Options | not reported | 36,293 (2016) | 0.8% calculated | not reported |
| not reported | Total Senior Care | not reported | 113 (2016) | 2.0% calculated | not reported |
| not reported | Total Senior Care | not reported | 112 (2018) | 2.0% calculated | not reported |
| not reported | Touchstone/Prestige | not reported | 117 (2016) | 1.3% calculated | not reported |
| not reported | United Healthcare | not reported | 3,150 (2016) | 36.2% calculated | not reported |
| not reported | VNA Homecare Options | not reported | 2,509 (2016) | 1.6% calculated | not reported |
| not reported | VNS Choice | not reported | 14,011 (2016) | 8.9% calculated | not reported |
| not reported | VNS Choice Plus | not reported | 108 (2016) | 1.8% calculated | not reported |
| not reported | VNS Choice Special Needs | not reported | 3,668 (2016) | 0.1% calculated | not reported |
| not reported | Village Care | not reported | 6,425 (2016) | 4.1% calculated | not reported |
| not reported | Wellcare | not reported | 95,350 (2016) | 2.1% calculated | not reported |
| not reported | Wellcare Advocate | not reported | 6,255 (2016) | 4.0% calculated | not reported |
| not reported | Yourcare Health Plan | not reported | 232 (2016) | 0.5% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
FIDA-IDD (Comprehensive MCO + MLTSS)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Partners Health Plan FIDA-IDD | Partners Health Plan, Inc. | Partners Health Plan, Inc. | New York City, Nassau, Rockland, Suffolk, and Westchester Counties | CMS reported 1,666 (2024) | 100.0% | -65 (-3.8%) | 0.0 pts | 2023: 1,731; 2024: 1,666 |
Health and Recovery Plans (Comprehensive MCO)
Health and Recovery Plans (Comprehensive MCO) 88
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | Nassau, Orange, Rockland, Suffolk and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 4,355 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City & Nassau, Orange, Rockland, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 3,874 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City; Nassau, Orange, Rockland, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 5,022 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City; Nassau, Orange, Rockland, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 6,179 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City; Nassau, Orange, Rockland, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 0 |
show all 88
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City; Nassau, Orange, Rockland, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 5,497 |
| Affinity Health Plan | not reported | unmatched | New York City & Nassau, Orange, Rockland, Suffolk, Weschester counties. | not reported | not reported | not reported | not reported | 2016: 144 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, & Washington counties | not reported | not reported | not reported | not reported | 2021: 4,549 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, and Washington Counties | CMS reported 4,196 (2024) | 2.7% | -751 (-15.2%) | -0.3 pts | 2022: 4,868; 2023: 4,947; 2024: 4,196 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, and Washington counties | not reported | not reported | not reported | not reported | 2020: 4,186 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Tioga, Warren, & Washington Counties | not reported | not reported | not reported | not reported | 2019: 3,740 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren and Washington Counties | not reported | not reported | not reported | not reported | 2018: 2,782 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Washington counties | not reported | not reported | not reported | not reported | 2017: 2,399 |
| Capital District Physician's Health Plan | not reported | unmatched | Albany, Broome, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, & Washington counties. | not reported | not reported | not reported | not reported | 2016: 276 |
| Excellus Health Plan | Blue Cross Blue Shield | Blue Cross Blue Shield | Broome, Herkimer, Livingston, Monroe, Oneida, Ontario, Orleans, Otsego, Seneca, Wayne, Yates counties | not reported | not reported | not reported | not reported | 2017: 5,886 |
| Excellus Health Plan | Excellus Health Plan | Excellus Health Plan | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Orleans, Otsego, Seneca, Wayne, & Yates counties | not reported | not reported | not reported | not reported | 2021: 11,350 |
| Excellus Health Plan | Excellus Health Plan | Excellus Health Plan | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Orleans, Otsego, Seneca, Wayne, and Yates Counties | CMS reported 10,717 (2024) | 7.0% | -1,461 (-12.0%) | -0.4 pts | 2022: 11,922; 2023: 12,178; 2024: 10,717 |
| Excellus Health Plan | Excellus Health Plan | Excellus Health Plan | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Ontario, Orleans, Otsego, Seneca, Wayne, and Yates Counties | not reported | not reported | not reported | not reported | 2018: 7,293 |
| Excellus Health Plan | not reported | unmatched | Broome, Herkimer, Livingston, Monroe, Oneida, Ontario, Orleans, Otsego, Seneca, Wayne, & Yates counties. | not reported | not reported | not reported | not reported | 2016: 805 |
| Excellus | Excellus | Excellus | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Orleans, Otsego, Seneca, Wayne, & Yates counties | not reported | not reported | not reported | not reported | 2019: 9,321; 2020: 10,212 |
| Fidelis Care | Centene Corporation | Centene | New York City & 57 Counties | not reported | not reported | not reported | not reported | 2019: 41,118 |
| Fidelis Care | Centene Corporation | Centene | New York City & 57 Rest of State counties | not reported | not reported | not reported | not reported | 2021: 52,097 |
| Fidelis Care | Centene Corporation | Centene | New York City & 57 counties | not reported | not reported | not reported | not reported | 2020: 45,463 |
| Fidelis Care | Centene Corporation | Centene | New York City and 57 Counties | not reported | not reported | not reported | not reported | 2023: 57,014 |
| Fidelis Care | Centene Corporation | Centene | New York City and 57 counties | not reported | not reported | not reported | not reported | 2018: 29,706; 2022: 55,281 |
| Fidelis Care | Centene Corporation | Centene | New York City, 57 Counties | CMS reported 52,195 (2024) | 33.9% | not reported | not reported | 2024: 52,195 |
| HIP GNY | HIP GNY | HIP GNY | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 4,635 |
| HIP GNY | HIP GNY | HIP GNY | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 4,624 |
| HIP GNY | HIP GNY | HIP GNY | New York City, Nassau, Suffolk, and Westchester Counties | CMS reported 5,159 (2024) | 3.4% | -491 (-8.7%) | -0.1 pts | 2023: 5,650; 2024: 5,159 |
| HIP GNY | HIP GNY | HIP GNY | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 5,060 |
| HIP GNY | HIP GNY | HIP GNY | New York City; Nassau, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 5,511 |
| HIP GNY | HIP GNY | HIP GNY | New York City; Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 5,743 |
| HIP GNY | HIP GNY | HIP GNY | New York City; Nassau, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 5,126 |
| HIP of Greater New York | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 3,229 |
| HealthFirst | HealthFirst | HealthFirst | Nassau and Suffolk Counties, New York City | not reported | not reported | not reported | not reported | 2018: 23,526 |
| HealthFirst | HealthFirst | HealthFirst | New York City & Nassau, Suffolk counties | not reported | not reported | not reported | not reported | 2017: 20,193 |
| HealthFirst | HealthFirst | HealthFirst | New York City, Nassau, Orange, Rockland, Suffolk, Sullivan, and Westchester Counties | not reported | not reported | not reported | not reported | 2023: 33,038 |
| HealthFirst | HealthFirst | HealthFirst | New York City; Nassau, Orange, Rockland, Suffolk, Sullivan, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 31,977 |
| HealthFirst | HealthFirst | HealthFirst | New York City; Nassau, Orange, Rockland, Suffolk, Sullivan, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 32,649 |
| HealthFirst | HealthFirst | HealthFirst | New York City; Nassau, Orange, Suffolk, Sullivan, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 29,529 |
| HealthFirst | HealthFirst | HealthFirst | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 28,111 |
| HealthPlus | Anthem Insurance Companies, Inc. | Elevance | Nassau and Putnam Counties, New York City | not reported | not reported | not reported | not reported | 2018: 5,935 |
| HealthPlus | Anthem | Elevance | New York City & Nassau, Putnam counties | not reported | not reported | not reported | not reported | 2017: 5,478 |
| HealthPlus | Anthem | Elevance | New York City, Nassau and Putnam Counties | not reported | not reported | not reported | not reported | 2023: 8,056 |
| HealthPlus | Anthem | Elevance | New York City, Nassau, and Putnam Counties | CMS reported 7,791 (2024) | 5.1% | not reported | not reported | 2024: 7,791 |
| HealthPlus | Anthem | Elevance | New York City; Nassau & Putnam Counties | not reported | not reported | not reported | not reported | 2019: 6,947 |
| HealthPlus | Anthem | Elevance | New York City; Nassau & Putnam counties | not reported | not reported | not reported | not reported | 2021: 7,729 |
| HealthPlus | Anthem | Elevance | New York City; Nassau and Putnam Counties | not reported | not reported | not reported | not reported | 2022: 7,892 |
| HealthPlus | Anthem | Elevance | New York City; Nassau and Putnam counties | not reported | not reported | not reported | not reported | 2020: 7,216 |
| Healthfirst | Healthfirst | HealthFirst | New York City, Nassau, Orange, Rockland, Suffolk, Sullivan, and Westchester Counties | CMS reported 32,296 (2024) | 21.0% | not reported | not reported | 2024: 32,296 |
| Healthfirst | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 15,929 |
| Healthplus | not reported | unmatched | New York City & Nassau, Putnam counties. | not reported | not reported | not reported | not reported | 2016: 4,673 |
| Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming Counties | CMS reported 906 (2024) | 0.6% | not reported | not reported | 2024: 906 |
| Independent Health Association | Independent Health Association | Independent Health Association | Erie County | CMS reported 2,685 (2024) | 1.7% | -235 (-8.0%) | -0.0 pts | 2017: 1,506; 2018: 1,925; 2019: 2,419; 2020: 2,605; 2022: 2,868; 2023: 2,920; 2024: 2,685 |
| Independent Health Association | Independent Health Association | Independent Health Association | Erie county | not reported | not reported | not reported | not reported | 2021: 2,804 |
| Independent Health Association | not reported | unmatched | Erie County. | not reported | not reported | not reported | not reported | 2016: 233 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, & Westchester Counties. Also, Clinton, Essex, Franklin, Fulton, Hamilton, Herkimer, Montgomery, and St. Lawrence Counties | CMS reported 7,049 (2024) | 4.6% | not reported | not reported | 2024: 7,049 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 6,581 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 7,672 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, and Westchester Counties; also, as of 7/01/2023, the following counties were added: Clinton, Essex, Franklin, Fulton, Hamilton, Herkimer, Montgomery, and St. Lawrence Counties | not reported | not reported | not reported | not reported | 2023: 8,044 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, and Westchester Counties | not reported | not reported | not reported | not reported | 2018: 4,673; 2022: 7,950 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 7,066 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, & Westchester counties | not reported | not reported | not reported | not reported | 2017: 3,814 |
| MVP Health Plan | not reported | unmatched | Albany, Dutchess, Genesee, Jefferson, Livingston, Monroe, Oneida, Ontario, Orange, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, & Westchester counties. | not reported | not reported | not reported | not reported | 2016: 464 |
| MetroPlus | MetroPlus | MetroPlus | New York City | CMS reported 12,652 (2024) | 8.2% | -772 (-5.8%) | +0.1 pts | 2017: 9,724; 2018: 10,901; 2020: 13,030; 2021: 13,663; 2022: 13,659; 2023: 13,424; 2024: 12,652 |
| Metroplus | Metroplus | MetroPlus | New York City | not reported | not reported | not reported | not reported | 2019: 12,763 |
| Metroplus | not reported | unmatched | New York City. | not reported | not reported | not reported | not reported | 2016: 8,361 |
| Molina HealthCare of New York | Molina HealthCare, Inc. | Molina | Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Onondaga, Ontario, Seneca, Tioga, Tompkins, Wayne, & Wyoming counties. Nassau, Orange, Orleans, Rockland, Suffolk, and Westchester Counties; New York City | not reported | not reported | not reported | not reported | 2022: 9,998 |
| Molina HealthCare of New York | Molina HealthCare, Inc. | Molina | Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Onondaga, Ontario, Seneca, Tioga, Tompkins, Wayne, & Wyoming counties | not reported | not reported | not reported | not reported | 2021: 4,003 |
| Molina HealthCare of New York | Molina HealthCare | Molina | Cortland, Onondaga, Tompkins counties | not reported | not reported | not reported | not reported | 2017: 1,364 |
| Molina HealthCare of New York | Molina Healthcare | Molina | Cortland, Onondaga and Tompkins Counties | not reported | not reported | not reported | not reported | 2018: 1,484 |
| Molina Healthcare of NY, Inc. | Molina Healthcare | Molina | Cortland, Onondaga, & Tompkins Counties | not reported | not reported | not reported | not reported | 2019: 1,627 |
| Molina Healthcare of New York, Inc | Molina Healthcare | Molina | Allegany, Broome, Cattaraugus, Chautauqua, Cortland, Erie, Genesee, Livingston, Monroe, Onondaga, Ontario, Seneca, Tioga, Tompkins, Wayne, and Wyoming counties | not reported | not reported | not reported | not reported | 2020: 3,863 |
| Molina Healthcare of New York | Molina Healthcare, Inc. | Molina | New York City, Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Nassau, Onondaga, Ontario, Orange, Orleans, Rockland, Seneca, Suffolk, Tioga, Tompkins, Wayne, Westchester, and Wyoming Counties | CMS reported 8,871 (2024) | 5.8% | -1,013 (-10.2%) | -0.2 pts | 2023: 9,884; 2024: 8,871 |
| NYS Catholic Health Plan | NYS Catholic Health Plan | NYS Catholic Health Plan | New York City & 57 counties | not reported | not reported | not reported | not reported | 2017: 22,347 |
| NYS Catholic Health Plan | not reported | unmatched | New York City & 57 counties. | not reported | not reported | not reported | not reported | 2016: 9,974 |
| Today's Options | not reported | unmatched | Cortland, Onondaga, & Tompkins counties. | not reported | not reported | not reported | not reported | 2016: 188 |
| United HealthCare | United Health Group, Inc. | UnitedHealth | New York City & 42 Rest of State counties | not reported | not reported | not reported | not reported | 2021: 10,893 |
| United HealthCare | United Health Group, Inc. | UnitedHealth | New York City and 42 counties | not reported | not reported | not reported | not reported | 2018: 6,813; 2022: 10,943 |
| United HealthCare | United Health Group | UnitedHealth | New York City & 41 counties | not reported | not reported | not reported | not reported | 2017: 5,345 |
| United Healthcare | United Health Group, Inc | UnitedHealth | New York City & 42 Counties | not reported | not reported | not reported | not reported | 2019: 9,766; 2020: 9,897 |
| United Healthcare | not reported | unmatched | New York City & 38 counties. | not reported | not reported | not reported | not reported | 2016: 2,810 |
| UnitedHealthcare | UnitedHealth Group, Inc. | UnitedHealth | New York City and 42 Counties | not reported | not reported | not reported | not reported | 2023: 10,758 |
| UnitedHealthcare | UnitedHealth Group, Inc. | UnitedHealth | New York City, 42 Counties | CMS reported 9,362 (2024) | 6.1% | not reported | not reported | 2024: 9,362 |
| YourCare Health Plan | YourCare Health Plan | YourCare Health Plan | Allegany, Cattaraugus, Chautauqua, Erie, Monroe, Ontario and Wyoming Counties | not reported | not reported | not reported | not reported | 2018: 1,785 |
| YourCare Health Plan | YourCare Health Plan | YourCare Health Plan | Allegany, Cattaraugus, Chautauqua, Erie, Monroe, Ontario, Wyoming counties | not reported | not reported | not reported | not reported | 2017: 1,427 |
| Yourcare Health Plan | Yourcare Health Plan | YourCare Health Plan | Allegany, Cattaraugus, Chautauqua, Erie, Monroe, Ontario, & Wyoming Counties | not reported | not reported | not reported | not reported | 2019: 2,094 |
| Yourcare Health Plan | not reported | unmatched | Allegany, Cattaraugus, Chautauqua, Erie, Monroe, & Wyoming counties. | not reported | not reported | not reported | not reported | 2016: 232 |
Managed Long Term Care (MLTSS only (PIHP and/or PAHP))
Managed Long Term Care (MLTSS only (PIHP and/or PAHP)) 189
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health | Aetna Better Health, Inc. | CVS/Aetna | New York City, Nassau, and Suffolk Counties | CMS reported 6,380 (2024) | 2.2% | +618 (+10.7%) | -0.0 pts | 2023: 5,762; 2024: 6,380 |
| Aetna Better Health | Aetna Better Health | CVS/Aetna | New York City & Nassau, Suffolk counties | not reported | not reported | not reported | not reported | 2017: 4,312 |
| Aetna Better Health | Aetna Better Health | CVS/Aetna | New York City; Nassau & Suffolk Counties | not reported | not reported | not reported | not reported | 2019: 7,749 |
| Aetna Better Health | Aetna Better Health | CVS/Aetna | New York City; Nassau & Suffolk counties | not reported | not reported | not reported | not reported | 2021: 5,985 |
| Aetna Better Health | Aetna Better Health | CVS/Aetna | New York City; Nassau and Suffolk Counties | not reported | not reported | not reported | not reported | 2022: 5,396 |
show all 189
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health | Aetna Better Health | CVS/Aetna | New York City; Nassau and Suffolk counties | not reported | not reported | not reported | not reported | 2020: 7,526 |
| Aetna Better Health | Aetna | CVS/Aetna | Nassau and Suffolk Counties, New York City | not reported | not reported | not reported | not reported | 2018: 6,240 |
| Aetna Better Health | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 3,774 |
| AgeWell New York | AgeWell New York | AgeWell New York | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 9,617 |
| AgeWell New York | AgeWell New York | AgeWell New York | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 8,534 |
| AgeWell New York | AgeWell New York | AgeWell New York | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 11,818 |
| AgeWell New York | AgeWell New York | AgeWell New York | New York City; Nassau, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 12,812 |
| AgeWell New York | AgeWell New York | AgeWell New York | New York City; Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 13,200 |
| Agewell New York | Agewell New York | AgeWell New York | New York City; Nassau, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 12,361 |
| Agewell New York | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 6,958 |
| AlphaCare | AlphaCare | AlphaCare | New York City & Westchester County | not reported | not reported | not reported | not reported | 2017: 4,124 |
| AlphaCare | AlphaCare | AlphaCare | Westchester County and New York City | not reported | not reported | not reported | not reported | 2018: 3 |
| Alphacare | not reported | unmatched | New York City & Westchester County. | not reported | not reported | not reported | not reported | 2016: 2,915 |
| Anthem Blue Cross and Blue Shield HP | Elevance Health, Inc. | Elevance | New York City, Nassau, Suffolk, and Westchester Counties | CMS reported 59,090 (2024) | 20.0% | not reported | not reported | 2024: 59,090 |
| ArchCare Community Life | ArchCare Community Life | ArchCare Community Life | New York City & Putnam, Westchester counties | not reported | not reported | not reported | not reported | 2017: 2,678 |
| ArchCare Community Life | ArchCare Community Life | ArchCare Community Life | New York City; Putnam & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 4,928 |
| ArchCare Community Life | ArchCare Community Life | ArchCare Community Life | New York City; Putnam & Westchester counties | not reported | not reported | not reported | not reported | 2021: 4,562 |
| ArchCare Community Life | ArchCare Community Life | ArchCare Community Life | New York City; Putnam and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 4,933 |
| ArchCare Community Life | ArchCare | ArchCare | Putnam and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 3,863 |
| ArchCare Community Life | Catholic Managed Long Term Care, Inc. | Catholic Managed Long Term Care, Inc. | New York City, Putnam, and Westchester Counties | not reported | not reported | not reported | not reported | 2023: 5,772 |
| Archcare Community Life | Archcare Community Life | ArchCare Community Life | New York City; Putnam and Westchester counties | not reported | not reported | not reported | not reported | 2020: 4,630 |
| Archcare Community Life | not reported | unmatched | New York City & Putnam, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 2,133 |
| CenterLight Select | CenterLight Select | CenterLight Select | New York City & Nassau, Rockland, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 35 |
| Centerlight Select | not reported | unmatched | New York City & Nassau, Rockland, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 5,479 |
| Centers Plan for Healthy Living | Centers Plan for Healthy Living, LLC | Centers Plan for Healthy Living | New York City, Erie, Nassau, Niagara, Rockland, Suffolk, and Westchester Counties | CMS reported 53,291 (2024) | 18.0% | +2,656 (+5.2%) | -1.0 pts | 2023: 50,635; 2024: 53,291 |
| Centers Plan for Healthy Living | Centers Plan for Healthy Living | Centers Plan for Healthy Living | Erie, Nassau, Niagara, Rockland, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 28,946 |
| Centers Plan for Healthy Living | Centers Plan for Healthy Living | Centers Plan for Healthy Living | New York City & Erie, Nassau, Niagara, Rockland, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 17,519 |
| Centers Plan for Healthy Living | Centers Plan for Healthy Living | Centers Plan for Healthy Living | New York City; Erie, Nassau, Niagara, Rockland, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 35,386 |
| Centers Plan for Healthy Living | Centers Plan for Healthy Living | Centers Plan for Healthy Living | New York City; Erie, Nassau, Niagara, Rockland, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 44,690 |
| Centers Plan for Healthy Living | Centers Plan for Healthy Living | Centers Plan for Healthy Living | New York City; Erie, Nassau, Niagara, Rockland, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 47,729 |
| Centers Plan for Healthy Living | Centers Plan for Healthy Living | Centers Plan for Healthy Living | New York City; Erie, Nassau, Niagara, Rockland, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 41,539 |
| Centers Plan for Healthy Living | not reported | unmatched | New York City & Erie, Niagara, Rockland counties. | not reported | not reported | not reported | not reported | 2016: 6,595 |
| ElderPlan, Inc. (Homefirst) | ElderPlan, Inc. | ElderPlan | New York City, Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester Counties | CMS reported 25,346 (2024) | 8.6% | +5,961 (+30.8%) | +1.3 pts | 2023: 19,385; 2024: 25,346 |
| ElderPlan | ElderPlan | ElderPlan | Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Ulster, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 12,902 |
| ElderPlan | ElderPlan | ElderPlan | New York City & Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Ulster, Westchester counties | not reported | not reported | not reported | not reported | 2017: 12,471 |
| ElderPlan | ElderPlan | ElderPlan | New York City; Dutchess Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Ulster, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 14,444 |
| ElderPlan | ElderPlan | ElderPlan | New York City; Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 13,796 |
| ElderPlan | ElderPlan | ElderPlan | New York City; Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 14,766 |
| ElderServe | ElderServe | ElderServe | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 12,344 |
| ElderServe | ElderServe | ElderServe | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 11,223 |
| ElderServe | ElderServe | ElderServe | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 14,851 |
| ElderServe | ElderServe | ElderServe | New York City; Nassau, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 15,250 |
| ElderServe | ElderServe | ElderServe | New York City; Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 15,383 |
| ElderWood | ElderWood | ElderWood | Erie, Genesee, Monroe, Niagara, Orleans, & Wyoming counties. | not reported | not reported | not reported | not reported | 2019: 816 |
| ElderWood | ElderWood | ElderWood | Erie, Genesee, Monroe, Niagara, Orleans, & Wyoming counties | not reported | not reported | not reported | not reported | 2021: 1,007 |
| ElderWood | ElderWood | ElderWood | Erie, Genesee, Monroe, Niagara, Orleans, and Wyoming Counties, New York City | not reported | not reported | not reported | not reported | 2018: 310 |
| ElderWood | ElderWood | ElderWood | Erie, Genesee, Monroe, Niagara, Orleans, and Wyoming Counties | not reported | not reported | not reported | not reported | 2022: 1,035 |
| ElderWood | Elderwood | ElderWood | Erie, Genesee, Monroe, Niagara, Wyoming counties | not reported | not reported | not reported | not reported | 2017: 135 |
| Elderplan | Elderplan | ElderPlan | New York City; Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Ulster, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 15,048 |
| Elderplan | not reported | unmatched | New York City & Albany, Dutchess, Erie, Monroe, Nassau, Niagara, Orange, Putnam, Rockland, Schenectady, Suffolk, Sullivan, Ulster, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 11,143 |
| Elderserve | Elderserve | ElderServe | New York City; Nassau, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 15,275 |
| Elderserve | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 10,915 |
| Elderwood | Elderwood | ElderWood | Erie, Genesee, Monroe, Niagara, Orleans, and Wyoming counties | not reported | not reported | not reported | not reported | 2020: 982 |
| Elderwood | Niagara Advantage Health Plan, LLC | Niagara Advantage Health Plan, LLC | Erie, Genesee, Monroe, Niagara, Orleans, and Wyoming Counties | not reported | not reported | not reported | not reported | 2023: 1,127 |
| Elderwood | not reported | unmatched | Erie, Genesee, Monroe, & Niagara counties. | not reported | not reported | not reported | not reported | 2016: 23 |
| Evercare Choice, Inc. | Evercare Choice, Inc. | Evercare Choice, Inc. | Dutchess, Orange, and Rockland Counties | not reported | not reported | not reported | not reported | 2023: 777 |
| Extended MLTC | Extended MLTC, LLC | Extended MLTC | New York City; Nassau and Suffolk Counties | not reported | not reported | not reported | not reported | 2022: 5,476; 2023: 5,561 |
| Extended MLTC | Extended MLTC | Extended MLTC | Nassau and Suffolk Counties, New York City | not reported | not reported | not reported | not reported | 2018: 4,724 |
| Extended MLTC | Extended MLTC | Extended MLTC | New York City & Nassau, Suffolk counties | not reported | not reported | not reported | not reported | 2017: 2,671 |
| Extended MLTC | Extended MLTC | Extended MLTC | New York City; Nassau & Suffolk Counties | not reported | not reported | not reported | not reported | 2019: 7,018 |
| Extended MLTC | Extended MLTC | Extended MLTC | New York City; Nassau & Suffolk counties | not reported | not reported | not reported | not reported | 2021: 6,003 |
| Extended MLTC | Extended MLTC | Extended MLTC | New York City; Nassau and Suffolk counties | not reported | not reported | not reported | not reported | 2020: 6,721 |
| Extended MLTC | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 1,298 |
| Fallon Health Weinberg | Fallon Health Weinberg, Inc. | Fallon Health Weinberg | Erie and Niagara Counties | not reported | not reported | not reported | not reported | 2018: 726; 2022: 830; 2023: 802 |
| Fallon Health Weinberg | Fallon Health Weinberg | Fallon Health Weinberg | Erie & Niagara Counties | not reported | not reported | not reported | not reported | 2019: 940 |
| Fallon Health Weinberg | Fallon Health Weinberg | Fallon Health Weinberg | Erie & Niagara counties | not reported | not reported | not reported | not reported | 2020: 996; 2021: 860 |
| Fallon Health Weinberg | Fallon Health Weinberg | Fallon Health Weinberg | Erie, Niagara counties | not reported | not reported | not reported | not reported | 2017: 573 |
| Fallon Health Weinberg | not reported | unmatched | Erie & Niagara counties. | not reported | not reported | not reported | not reported | 2016: 326 |
| Fidelis Care at Home | Centene Corporation | Centene | New York City and 57 Counties | not reported | not reported | not reported | not reported | 2023: 16,623 |
| Fidelis Care at Home | Centene Corporation | Centene | New York City, 57 Counties | CMS reported 18,892 (2024) | 6.4% | not reported | not reported | 2024: 18,892 |
| Fidelis Care at Home | Fidelis Care at Home | Centene | Statewide | not reported | not reported | not reported | not reported | 2017: 19,021 |
| Fidelis Care at Home | not reported | unmatched | New York City & 58 counties. | not reported | not reported | not reported | not reported | 2016: 14,542 |
| Fidelis Care | Fidelis Care | Centene | New York City & 57 Counties | not reported | not reported | not reported | not reported | 2019: 23,475 |
| Fidelis Care | Fidelis Care | Centene | New York City & 57 counties | not reported | not reported | not reported | not reported | 2020: 25,212; 2021: 19,496 |
| Fidelis Care | Fidelis Care | Centene | New York City and 57 counties | not reported | not reported | not reported | not reported | 2018: 21,366; 2022: 17,871 |
| GuildNet | GuildNet | GuildNet | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 7,449 |
| GuildNet | GuildNet | GuildNet | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 10,630 |
| Guildnet | Guildnet | GuildNet | New York City | not reported | not reported | not reported | not reported | 2019: 0 |
| Guildnet | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 16,778 |
| HIP of Greater New York | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 0 |
| Hamaspik Choice MLTC | Hamaspik Choice MLTC | Hamaspik Choice MLTC | Dutchess, Orange, Putnam, Rockland, Sullivan, & Ulster Counties | not reported | not reported | not reported | not reported | 2019: 2,362 |
| Hamaspik Choice MLTC | Hamaspik Choice MLTC | Hamaspik Choice MLTC | Dutchess, Orange, Putnam, Rockland, Sullivan, & Ulster counties | not reported | not reported | not reported | not reported | 2021: 2,049 |
| Hamaspik Choice MLTC | Hamaspik Choice MLTC | Hamaspik Choice MLTC | Dutchess, Orange, Putnam, Rockland, Sullivan, and Ulster counties | not reported | not reported | not reported | not reported | 2020: 2,253 |
| Hamaspik Choice MLTC | Hamaspik Choice, Inc. | Hamaspik Choice | Dutchess, Orange, Putnam, Rockland, Sullivan, and Ulster Counties | not reported | not reported | not reported | not reported | 2022: 1,961; 2023: 1,978 |
| Hamaspik Choice MLTC | Hamaspik Choice, Inc. | Hamaspik Choice | New York City, Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Suffolk, and Nassau Counties | CMS reported 8,195 (2024) | 2.8% | not reported | not reported | 2024: 8,195 |
| Hamaspik Choice | Hamaspik Choice | Hamaspik Choice | Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster counties | not reported | not reported | not reported | not reported | 2017: 2,039 |
| Hamaspik Choice | Hamaspik Choice | Hamaspik Choice | Dutchess, Orange, Putnam, Rockland, Sullivan, and Ulster Counties | not reported | not reported | not reported | not reported | 2018: 2,191 |
| Hamaspik Choice | not reported | unmatched | Dutchess, Orange, Putnam, Rockland, Sullivan, & Ulster counties. | not reported | not reported | not reported | not reported | 2016: 1,767 |
| Health Advantage/Elant Choice | Health Advantage/Elant Choice | Health Advantage/Elant Choice | Dutchess, Orange, & Rockland Counties | not reported | not reported | not reported | not reported | 2019: 975 |
| Health Advantage/Elant Choice | Health Advantage/Elant Choice | Health Advantage/Elant Choice | Dutchess, Orange, & Rockland counties | not reported | not reported | not reported | not reported | 2021: 1,017 |
| Health Advantage/Elant Choice | Health Advantage/Elant Choice | Health Advantage/Elant Choice | Dutchess, Orange, Rockland counties | not reported | not reported | not reported | not reported | 2017: 858 |
| Health Advantage/Elant Choice | Health Advantage/Elant Choice | Health Advantage/Elant Choice | Dutchess, Orange, and Rockland Counties | not reported | not reported | not reported | not reported | 2018: 987; 2022: 912 |
| Health Advantage/Elant Choice | Health Advantage/Elant Choice | Health Advantage/Elant Choice | Dutchess, Orange, and Rockland counties | not reported | not reported | not reported | not reported | 2020: 1,122 |
| Health Advantage/Elant Choice | not reported | unmatched | Dutchess, Orange, & Rockland counties. | not reported | not reported | not reported | not reported | 2016: 865 |
| HealthPlus | Elevance Health, Inc. | Elevance | New York City, Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2023: 52,965 |
| HealthPlus | HealthPlus | HealthPlus | New York City | not reported | not reported | not reported | not reported | 2017: 4,534; 2018: 5,050; 2019: 6,501; 2020: 6,210; 2021: 5,239; 2022: 4,717 |
| Healthplus | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 3,528 |
| Icircle Care MLTC | Icircle Care MLTC | Icircle Care MLTC | 30 Counties | not reported | not reported | not reported | not reported | 2020: 4,858 |
| Icircle Care MLTC | Icircle Care MLTC | Icircle Care MLTC | 30 counties | not reported | not reported | not reported | not reported | 2022: 3,557 |
| Icircle Care MLTC | Icircle Care MLTC | Icircle Care MLTC | Broome, Cayuga, Chemung, Chenango, Cortland, Genesee, Livingston, Madison, Monroe, Onondaga, Ontario, Orleans, Oswego, Otsego, Schuyler, Seneca, Steuben, Tioga, Tompkins, Wayne, Wyoming, & Yates | not reported | not reported | not reported | not reported | 2019: 3,959 |
| Icircle Care MLTC | Icircle Care MLTC | Icircle Care MLTC | Thirty Rest of State counties | not reported | not reported | not reported | not reported | 2021: 3,717 |
| Icircle Care | Icircle Care | Icircle Care | Broome, Cayuga, Chemung, Chenango, Cortland, Genesee, Livingston, Madison, Monroe, Onondaga, Ontario, Orleans, Oswego, Otsego, Shuyler, Seneca, Steuben, Tioga, Tompkins, Wayne, Wyoming, Yates counties | not reported | not reported | not reported | not reported | 2017: 1,919 |
| Icircle Care | not reported | unmatched | Broome, Cayuga, Chemung, Chenango, Cortland, Genesee, Livingston, Madison, Monroe, Onondaga, Ontario, Orleans, Oswego, Otsego, Shuyler, Seneca, Steuben, Tioga, Tompkins, Wayne, Wyoming, & Yates counties. | not reported | not reported | not reported | not reported | 2016: 1,361 |
| Independent Care Systems | Independent Care Systems | Independent Care Systems | New York City | not reported | not reported | not reported | not reported | 2017: 6,556; 2018: 6,274; 2019: 0 |
| Independent Care Systems | not reported | unmatched | New York City. | not reported | not reported | not reported | not reported | 2016: 6,160 |
| Integra MLTC | Integra MLTC | Integra MLTC | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 20,590 |
| Integra MLTC | Integra MLTC | Integra MLTC | New York City; Nassau, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 39,421 |
| Integra MLTC | Integra MLTC | Integra MLTC | New York City; Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 43,218 |
| Integra MLTC | Integra MLTC | Integra MLTC | New York City; Nassau, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 30,432 |
| Integra | Integra | Integra | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 11,747 |
| Integra | Integra | Integra | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 6,530 |
| Integra | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 3,736 |
| Kalos Health Plan | Kalos Health Plan | Kalos Health Plan | Chautauqua, Erie, Genesee, Monroe, Niagara, & Orleans Counties | not reported | not reported | not reported | not reported | 2019: 1,445 |
| Kalos Health Plan | Kalos Health Plan | Kalos Health Plan | Chautauqua, Erie, Genesee, Monroe, Niagara, & Orleans, | not reported | not reported | not reported | not reported | 2021: 689 |
| Kalos Health Plan | Kalos Health Plan | Kalos Health Plan | Chautauqua, Erie, Genesee, Monroe, Niagara, and Orleans counties | not reported | not reported | not reported | not reported | 2020: 1,392 |
| Kalos Health Plan | Kalos Health Plan | Kalos Health Plan | Chautauqua, Erie, Genesee, Niagara, Orleans counties | not reported | not reported | not reported | not reported | 2017: 1,142 |
| Kalos Health Plan | Kalos Health, Inc. | Kalos Health, Inc. | Chautauqua, Erie, Genesee, Monroe, Niagara, and Orleans Counties | CMS reported 1,030 (2024) | 0.3% | +433 (+72.5%) | +0.1 pts | 2018: 1,290; 2022: 555; 2023: 597; 2024: 1,030 |
| Kalos Health Plan | not reported | unmatched | Chautauqua, Erie, Genesee, Niagara, & Orleans counties. | not reported | not reported | not reported | not reported | 2016: 772 |
| MetroPlus | MetroPlusHealth Plan, Inc. | MetroPlusHealth Plan, Inc. | New York City | CMS reported 2,274 (2024) | 0.8% | +899 (+65.4%) | +0.3 pts | 2017: 1,601; 2018: 1,852; 2019: 1,944; 2020: 1,921; 2021: 1,443; 2022: 1,301; 2023: 1,375; 2024: 2,274 |
| Metroplus | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 1,205 |
| Montefiore HMO MLTC | Montefiore HMO MLTC | Montefiore HMO MLTC | New York City & Westchester County | not reported | not reported | not reported | not reported | 2020: 1,700 |
| Montefiore HMO MLTC | Montefiore HMO MLTC | Montefiore HMO MLTC | New York City & Westchester county | not reported | not reported | not reported | not reported | 2021: 1,525 |
| Montefiore HMO MLTC | Montefiore HMO, LLC | Montefiore HMO | New York City and Westchester County | not reported | not reported | not reported | not reported | 2022: 1,410; 2023: 1,300 |
| Montefiore HMO | Montefiore HMO | Montefiore HMO | New York City & Westchester County | not reported | not reported | not reported | not reported | 2017: 1,362 |
| Montefiore HMO | Montefiore HMO | Montefiore HMO | New York City & Westchester County | not reported | not reported | not reported | not reported | 2019: 1,701 |
| Montefiore HMO | not reported | unmatched | New York City & Westchester County. | not reported | not reported | not reported | not reported | 2016: 1,153 |
| Montefiore | Montefiore | Montefiore | Westchester County and New York City | not reported | not reported | not reported | not reported | 2018: 1,513 |
| Nascentia Health (VNA HomeCare Options) | VNA HomeCare Options, LLC | VNA HomeCare Options | 48 Counties | CMS reported 6,059 (2024) | 2.0% | +1,780 (+41.6%) | +0.4 pts | 2023: 4,279; 2024: 6,059 |
| North Shore - LIJ Health Plan | North Shore - LIJ Health Plan | North Shore - LIJ Health Plan | Nassau and Suffolk Counties, New York City | not reported | not reported | not reported | not reported | 2018: 15 |
| North Shore - LIJ Health Plan | North Shore - LIJ Health Plan | North Shore - LIJ Health Plan | New York City & Nassau, Suffolk counties | not reported | not reported | not reported | not reported | 2017: 5,647 |
| North Shore - LIJ Health Plan | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 3,589 |
| Prime Health Choice | Prime Health Choice, LLC | Prime Health Choice | Albany, Dutchess, Orange, Putnam, Rockland, Warren, and Washington Counties | not reported | not reported | not reported | not reported | 2018: 380; 2022: 541; 2023: 577 |
| Prime Health Choice | Prime Health Choice | Prime Health Choice | Albany, Dutchess, Orange, Putnam, Rockland, Warren, & Washington Counties | not reported | not reported | not reported | not reported | 2019: 507 |
| Prime Health Choice | Prime Health Choice | Prime Health Choice | Albany, Dutchess, Orange, Putnam, Rockland, Warren, & Washington counties | not reported | not reported | not reported | not reported | 2021: 612 |
| Prime Health Choice | Prime Health Choice | Prime Health Choice | Albany, Dutchess, Orange, Putnam, Rockland, Warren, Washington counties | not reported | not reported | not reported | not reported | 2017: 282 |
| Prime Health Choice | Prime Health Choice | Prime Health Choice | Albany, Dutchess, Orange, Putnam, Rockland, Warren, and Washington counties | not reported | not reported | not reported | not reported | 2020: 582 |
| Prime Health Choice | not reported | unmatched | Albany, Dutchess, Orange, Putnam, Rockland, Warren, & Washington counties. | not reported | not reported | not reported | not reported | 2016: 194 |
| Riverspring at Home | ElderServe Health, Inc. | ElderServe Health, Inc. | New York City, Nassau, Suffolk, and Westchester Counties | CMS reported 19,046 (2024) | 6.4% | +2,687 (+16.4%) | +0.3 pts | 2023: 16,359; 2024: 19,046 |
| Senior Health Partners | Healthfirst Healthplan, Inc. | Healthfirst Healthplan, Inc. | New York City, Nassau, and Westchester Counties | CMS reported 9,532 (2024) | 3.2% | +505 (+5.6%) | -0.2 pts | 2023: 9,027; 2024: 9,532 |
| Senior Health Partners | Senior Health Partners | Senior Health Partners | Nassau and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 14,461 |
| Senior Health Partners | Senior Health Partners | Senior Health Partners | New York City & Nassau, Westchester counties | not reported | not reported | not reported | not reported | 2017: 13,840 |
| Senior Health Partners | Senior Health Partners | Senior Health Partners | New York City, Nassau & Westchester counties | not reported | not reported | not reported | not reported | 2021: 10,921 |
| Senior Health Partners | Senior Health Partners | Senior Health Partners | New York City, Nassau and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 9,221 |
| Senior Health Partners | Senior Health Partners | Senior Health Partners | New York City; Nassau & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 15,156 |
| Senior Health Partners | Senior Health Partners | Senior Health Partners | New York City; Nassau and Westchester counties | not reported | not reported | not reported | not reported | 2020: 13,993 |
| Senior Health Partners | not reported | unmatched | New York City & Nassau, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 12,550 |
| Senior Network Health | Senior Network Health, LLC | Senior Network Health | Herkimer and Oneida Counties | not reported | not reported | not reported | not reported | 2018: 549; 2022: 342; 2023: 325 |
| Senior Network Health | Senior Network Health | Senior Network Health | Herkimer & Oneida counties | not reported | not reported | not reported | not reported | 2019: 583; 2020: 570; 2021: 396 |
| Senior Network Health | Senior Network Health | Senior Network Health | Herkimer, Oneida counties | not reported | not reported | not reported | not reported | 2017: 524 |
| Senior Network Health | not reported | unmatched | Herkimer & Oneida counties. | not reported | not reported | not reported | not reported | 2016: 514 |
| Senior Whole Health | Senior Whole Health of New York, Inc. | Senior Whole Health of New York, Inc. | New York City, Suffolk, Nassau, and Westchester Counties | CMS reported 28,466 (2024) | 9.6% | +2,187 (+8.3%) | -0.2 pts | 2023: 26,279; 2024: 28,466 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 14,813 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City & Westchester County | not reported | not reported | not reported | not reported | 2020: 13,448 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City & Westchester county | not reported | not reported | not reported | not reported | 2021: 13,638 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City and Westchester County | not reported | not reported | not reported | not reported | 2022: 13,930 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City | not reported | not reported | not reported | not reported | 2016: 5,416; 2017: 8,529 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | Westchester County and New York City | not reported | not reported | not reported | not reported | 2018: 13,871 |
| United HealthCare | United HealthCare | UnitedHealth | New York City & Albany, Broome, Erie, Monroe, Oneida, Onondaga counties | not reported | not reported | not reported | not reported | 2017: 3,110 |
| United HealthCare | United HealthCare | UnitedHealth | New York City | not reported | not reported | not reported | not reported | 2019: 2,733 |
| United HealthCare | UnitedHealthcare | UnitedHealth | Albany, Broome, Erie, Monroe, Oneida, Onondaga, Orange, and Rockland Counties | not reported | not reported | not reported | not reported | 2018: 4,233 |
| United Healthcare | not reported | unmatched | New York City & Albany, Broome, Erie, Monroe, Oneida, Onondaga, Orange, Rockland counties. | not reported | not reported | not reported | not reported | 2016: 2,340 |
| VNA HomeCare Options | VNA HomeCare Options | VNA HomeCare Options | 48 counties | not reported | not reported | not reported | not reported | 2017: 4,947; 2018: 6,760; 2022: 3,562 |
| VNA HomeCare Options | VNA HomeCare Options | VNA HomeCare Options | Forty eight Counties | not reported | not reported | not reported | not reported | 2019: 7,805 |
| VNA HomeCare Options | VNA HomeCare Options | VNA HomeCare Options | Forty eight Rest of State counties | not reported | not reported | not reported | not reported | 2021: 3,357 |
| VNA Homecare Options | VNA Homecare Options | VNA HomeCare Options | 48 counties | not reported | not reported | not reported | not reported | 2020: 6,870 |
| VNA Homecare Options | not reported | unmatched | 48 counties. | not reported | not reported | not reported | not reported | 2016: 2,509 |
| VNS Choice | VNS Choice | VNS Choice | NYC & 27 counties | not reported | not reported | not reported | not reported | 2017: 12,829 |
| VNS Choice | VNS Choice | VNS Choice | New York City & 28 Counties | not reported | not reported | not reported | not reported | 2019: 18,720 |
| VNS Choice | VNS Choice | VNS Choice | New York City & 28 Rest of State counties | not reported | not reported | not reported | not reported | 2021: 21,723 |
| VNS Choice | VNS Choice | VNS Choice | New York City & 28 counties | not reported | not reported | not reported | not reported | 2020: 20,535 |
| VNS Choice | VNS Choice | VNS Choice | New York City and 28 Counties | not reported | not reported | not reported | not reported | 2023: 23,498 |
| VNS Choice | VNS Choice | VNS Choice | New York City and 28 counties | not reported | not reported | not reported | not reported | 2018: 12,761; 2022: 22,081 |
| VNS Choice | VNS Choice | VNS Choice | New York City, 32 Counties | CMS reported 25,409 (2024) | 8.6% | not reported | not reported | 2024: 25,409 |
| VNS Choice | not reported | unmatched | New York City & 27 counties. | not reported | not reported | not reported | not reported | 2016: 14,011 |
| Village Care | Village Care | Village Care | 48 counties | not reported | not reported | not reported | not reported | 2022: 14,652 |
| Village Care | Village Care | Village Care | New York City | not reported | not reported | not reported | not reported | 2016: 6,425; 2017: 8,378; 2018: 10,683; 2019: 11,644; 2020: 12,788; 2021: 13,124 |
| VillageCareMAX | Village Senior Services Corp. | Village Senior Services Corp. | New York City | not reported | not reported | not reported | not reported | 2023: 18,241 |
| VillageCareMAX | Village Senior Services, Corp. | Village Senior Services Corp. | New York City, Putnam, and Westchester Counties | CMS reported 28,504 (2024) | 9.6% | not reported | not reported | 2024: 28,504 |
| WellCare Advocate | WellCare Advocate | Centene | New York City & Albany, Erie, Nassau, Orange, Rockland, Suffolk, Ulster, Westchester counties | not reported | not reported | not reported | not reported | 2017: 5,745 |
| WellCare Advocate | WellCare Advocate | Centene | New York City; Albany, Erie, Nassau, Orange, Rockland, Suffolk, Ulster, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 5,821 |
| WellCare Advocate | WellCare | Centene | Albany, Erie, Nassau, Orange, Rockland, Suffolk, Ulster, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 5,519 |
| Wellcare Advocate | not reported | unmatched | New York City & Albany, Erie, Nassau, Orange, Rockland, Suffolk, Ulster, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 6,255 |
| iCircle Care MLTC | iCircle Services of the Finger Lakes, Inc. | iCircle Services of the Finger Lakes, Inc. | 30 Counties | CMS reported 4,147 (2024) | 1.4% | +619 (+17.5%) | +0.1 pts | 2023: 3,528; 2024: 4,147 |
| iCircle Care | iCircle Care | Icircle Care | Broome, Cayuga, Chemung, Chenango, Cortland, Genesee, Livingston, Madison, Monroe, Onondaga, Ontario, Orleans, Oswego, Otsego, Schuyler, Seneca, Steuben, Tioga, Tompkins, Wayne, Wyoming, and Yates Counties | not reported | not reported | not reported | not reported | 2018: 2,642 |
Medicaid Advantage (Comprehensive MCO)
Medicaid Advantage (Comprehensive MCO) 29
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Affinity | Affinity Health Plan | Affinity Health Plan | New York City | not reported | not reported | not reported | not reported | 2016: 302; 2017: 226; 2018: 0 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | NYC & 38 counties | not reported | not reported | not reported | not reported | 2021: 1,022 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | NYC and 38 Counties | not reported | not reported | not reported | not reported | 2022: 0 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | New York City & 34 counties | not reported | not reported | not reported | not reported | 2020: 1,169 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | New York City & 35 Counties | not reported | not reported | not reported | not reported | 2019: 1,259 |
show all 29
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | New York City and 35 counties | not reported | not reported | not reported | not reported | 2018: 1,358 |
| HIP of Greater New York | not reported | unmatched | New York City & Nassau, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 14 |
| Liberty Health Advantage | Liberty Health Advantage | Liberty Health Advantage | New York City & Nassau County | not reported | not reported | not reported | not reported | 2016: 214; 2017: 161 |
| Liberty Health Advantage | Liberty Health Advantage | Liberty Health Advantage | New York City and Nassau County | not reported | not reported | not reported | not reported | 2018: 96 |
| Metroplus | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 2 |
| NYS Catholic Health Plan/Fidelis | NYS Catholic Health Plan/Fidelis | Centene | New York City & 34 counties | not reported | not reported | not reported | not reported | 2017: 1,485 |
| NYS Catholic Health Plan/Fidelis | not reported | unmatched | New York City & 33 counties. | not reported | not reported | not reported | not reported | 2016: 1,607 |
| Touchstone/Prestige | not reported | unmatched | New York City & Orange, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 117 |
| United HealthCare | United HealthCare | UnitedHealth | New York City & Nassau County | not reported | not reported | not reported | not reported | 2017: 3,395; 2019: 2,385; 2020: 1,311 |
| United HealthCare | United HealthCare | UnitedHealth | New York City & Nassau county | not reported | not reported | not reported | not reported | 2021: 1,172 |
| United HealthCare | United HealthCare | UnitedHealth | New York City and Nassau County | not reported | not reported | not reported | not reported | 2022: 0 |
| United HealthCare | UnitedHealthcare | UnitedHealth | New York Cityand Nassau County | not reported | not reported | not reported | not reported | 2018: 2,941 |
| United Healthcare | not reported | unmatched | New York City & Nassau County. | not reported | not reported | not reported | not reported | 2016: 3,150 |
| VNS Choice | VNS Choice | VNS Choice | Nassau, Suffolk and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 313 |
| VNS Choice | VNS Choice | VNS Choice | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 665 |
| VNS Choice | VNS Choice | VNS Choice | Suffolk and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2019: 0 |
| VNS Choice | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 920 |
| WellCare | WellCare | Centene | Albany, Broome, Erie, Monroe, Niagara, Oneida, Onondaga, Orange, Rensselaer, Rockland, Saratoga, Schenectady, Ulster, Wayne counties | not reported | not reported | not reported | not reported | 2017: 2,182 |
| WellCare | WellCare | Centene | Albany, Broome, Erie, Monroe, Niagara, Oneida, Orange, Rensselaer, Rockland, Saratoga, Schenectady, & Ulster counties | not reported | not reported | not reported | not reported | 2021: 897 |
| WellCare | WellCare | Centene | Albany, Broome, Erie, Monroe, Niagara, Oneida, Orange, Rensselaer, Rockland, Saratoga, Schenectady, Ulster, & Wayne Counties | not reported | not reported | not reported | not reported | 2019: 1,350 |
| WellCare | WellCare | Centene | Albany, Broome, Erie, Monroe, Niagara, Oneida, Orange, Rensselaer, Rockland, Saratoga, Schenectady, Ulster, and Wayne Counties | not reported | not reported | not reported | not reported | 2018: 1,693 |
| WellCare | WellCare | Centene | Albany, Broome, Erie, Monroe, Niagara, Oneida, Orange, Rensselaer, Rockland, Saratoga, Schenectady, Ulster, and Wayne counties | not reported | not reported | not reported | not reported | 2020: 1,142 |
| WellCare | WellCare | Centene | Albany, Broome, Erie, Monroe, Niagara, Oneida, Orange, Rensselaer, Rockland, Saratoga, Schenectady, and Ulster Counties | not reported | not reported | not reported | not reported | 2022: 0 |
| Wellcare | not reported | unmatched | Albany, Broome, Erie, Monroe, Niagara, Oneida, Onondaga, Orange, Rensselaer, Rockland, Saratoga, Schenectady, Ulster, & Wayne counties. | not reported | not reported | not reported | not reported | 2016: 2,382 |
Medicaid Advantage Plus (Comprehensive MCO + MLTSS)
Medicaid Advantage Plus (Comprehensive MCO + MLTSS) 73
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| AgeWell New York | AgeWell New York, LLC | AgeWell New York | New York City, Nassau, and Westchester Counties | not reported | not reported | not reported | not reported | 2023: 122 |
| AgeWell New York | AgeWell New York | AgeWell New York | New York City; Nassau & Westchester counties | not reported | not reported | not reported | not reported | 2021: 53 |
| AgeWell New York | AgeWell New York | AgeWell New York | New York City; Nassau and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 69 |
| Agewell New York | Agewell New York | AgeWell New York | New York City; Nassau and Westchester counties | not reported | not reported | not reported | not reported | 2020: 19 |
| Anthem HealthPlus Full Dual Advantage LTSS | Elevance Health, Inc. | Elevance | New York City, Nassau, Suffolk, Orange, Rockland, and Westchester Counties | CMS reported 202 (2024) | 0.4% | not reported | not reported | 2024: 202 |
show all 73
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Centers Plan for Medicaid Advantage Plus | Centers Plan for Healthy Living, LLC | Centers Plan for Healthy Living | New York City, Nassau, and Rockland Counties | CMS reported 1,870 (2024) | 3.8% | +285 (+18.0%) | -0.2 pts | 2023: 1,585; 2024: 1,870 |
| Centers Plan | Centers Plan | Centers Plan | New York City & Nassau County | not reported | not reported | not reported | not reported | 2020: 22 |
| Centers Plan | Centers Plan | Centers Plan | New York City; Nassau & Rockland | not reported | not reported | not reported | not reported | 2021: 589 |
| Centers Plan | Centers Plan | Centers Plan | New York City; Nassau and Rockland Counties | not reported | not reported | not reported | not reported | 2022: 1,220 |
| Centers Plan | Centers Plan | Centers Plan | New York City | not reported | not reported | not reported | not reported | 2019: 8 |
| ElderPlan | ElderPlan, Inc. | ElderPlan | New York City, Dutchess, Nassau, Orange, Putnam, Westchester, and Rockland Counties | CMS reported 4,421 (2024) | 8.9% | +1,061 (+31.6%) | +0.4 pts | 2023: 3,360; 2024: 4,421 |
| ElderPlan | ElderPlan | ElderPlan | Nassau and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 1,403 |
| ElderPlan | ElderPlan | ElderPlan | New York City & Nassau, Westchester counties | not reported | not reported | not reported | not reported | 2017: 1,175 |
| ElderPlan | ElderPlan | ElderPlan | New York City; Dutchess, Nassau, Orange, Putnam, Westchester counties | not reported | not reported | not reported | not reported | 2021: 2,767 |
| ElderPlan | ElderPlan | ElderPlan | New York City; Dutchess, Nassau, Orange, Putnam, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 3,044 |
| ElderPlan | ElderPlan | ElderPlan | New York City; Nassau & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 1,448 |
| ElderServe | ElderServe | ElderServe | New York City; Nassau & Westchester counties | not reported | not reported | not reported | not reported | 2021: 69 |
| ElderServe | ElderServe | ElderServe | New York City; Nassau and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 118 |
| Elderplan | Elderplan | ElderPlan | New York City; Nassau and Westchester counties | not reported | not reported | not reported | not reported | 2020: 2,042 |
| Elderplan | not reported | unmatched | New York City & Nassau, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 1,088 |
| Elderserve | Elderserve | ElderServe | New York City & Westchester County | not reported | not reported | not reported | not reported | 2020: 17 |
| Empire MediBlue HealthPlus Dual Plus | Elevance Health, Inc. | Elevance | New York City, Nassau, Suffolk, Orange, Rockland, and Westchester Counties | not reported | not reported | not reported | not reported | 2023: 160 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | Albany, Montgomery, Rensselaer, and Schenectady Counties, New York City | not reported | not reported | not reported | not reported | 2018: 96 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | New York City; Albany, Montgomery, Rensselaer, & Schenectady Counties | not reported | not reported | not reported | not reported | 2019: 78 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | New York City; Albany, Montgomery, Rensselaer, & Schenectady counties | not reported | not reported | not reported | not reported | 2021: 105 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | New York City; Albany, Montgomery, Rensselaer, and Schenectady Counties | not reported | not reported | not reported | not reported | 2022: 383 |
| Fidelis Legacy Plan | Fidelis Legacy Plan | Centene | New York City; Albany, Montgomery, Rensselaer, and Schenectady counties | not reported | not reported | not reported | not reported | 2020: 63 |
| GuildNet | GuildNet | GuildNet | New York City & Nassau, Suffolk counties | not reported | not reported | not reported | not reported | 2017: 629 |
| GuildNet | GuildNet | GuildNet | New York City | not reported | not reported | not reported | not reported | 2018: 455 |
| Guildnet | Guildnet | GuildNet | New York City | not reported | not reported | not reported | not reported | 2019: 0 |
| Guildnet | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 659 |
| HIP of Greater New York | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 0 |
| Hamaspik , Inc | Hamaspik, Inc | Hamaspik, Inc. | New York City; Dutchess, Nassau, Orange, Rockland, Sullivan, Ulster, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 36 |
| Hamaspik MAP, Inc. | Hamaspik, Inc. | Hamaspik, Inc. | New York City, Dutchess, Nassau, Putnam, Orange, Rockland, Sullivan, Ulster, and Westchester Counties | CMS reported 963 (2024) | 1.9% | +134 (+16.2%) | -0.2 pts | 2023: 829; 2024: 963 |
| Hamaspik, Inc. | Hamaspik, Inc. | Hamaspik, Inc. | New York City; Dutchess, Nassau, Orange, Rockland, Sullivan, Ulster, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 356 |
| HealthFirst Health Plan | HealthFirst Health Plan | HealthFirst Health Plan | New York City; Nassau, Orange, Rockland, Sullivan, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 19,010 |
| HealthFirst Health Plan | HealthFirst Health Plan | HealthFirst Health Plan | New York City; Nassau, Orange, Rockland, Sullivan, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 22,878 |
| HealthFirst Health Plan | HealthFirst Healthplan, Inc. | Healthfirst Healthplan, Inc. | New York City, Nassau, Orange, Rockland, Sullivan, and Westchester Counties | CMS reported 31,693 (2024) | 63.9% | not reported | not reported | 2024: 31,693 |
| HealthFirst | HealthFirst | HealthFirst | Nassau County and New York City | not reported | not reported | not reported | not reported | 2018: 7,060 |
| HealthFirst | HealthFirst | HealthFirst | New York City & Nassau County | not reported | not reported | not reported | not reported | 2017: 4,574; 2019: 10,906; 2020: 13,828 |
| HealthPlus Advantage Plus | HealthPlus Advantage Plus | HealthPlus Advantage Plus | New York City; Nassau County; Suffolk added 1/1/21 | not reported | not reported | not reported | not reported | 2022: 191 |
| HealthPlus Advantage Plus | HealthPlus Advantage Plus | HealthPlus Advantage Plus | New York City; Nassau county | not reported | not reported | not reported | not reported | 2021: 89 |
| HealthPlus Advantage Plus | HealthPlus Advantage Plus | HealthPlus Advantage Plus | New York City | not reported | not reported | not reported | not reported | 2018: 2; 2019: 10; 2020: 12 |
| HealthPlus | HealthPlus | HealthPlus | New York City | not reported | not reported | not reported | not reported | 2017: 2 |
| Healthfirst Health Plan | Healthfirst Healthplan, Inc. | Healthfirst Healthplan, Inc. | New York City, Nassau, Orange, Rockland, Sullivan, and Westchester Counties | not reported | not reported | not reported | not reported | 2023: 25,681 |
| Healthfirst | not reported | unmatched | New York City & Nassau County. | not reported | not reported | not reported | not reported | 2016: 3,838 |
| Healthplus Advantage Plus | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 2 |
| MetroPlusHealth Plan MAP | MetroPlusHealth Plan, Inc. | MetroPlusHealth Plan, Inc. | New York City | CMS reported 196 (2024) | 0.4% | not reported | not reported | 2024: 196 |
| Metroplus Helath Plan MAP | Metroplus | MetroPlus | New York City | not reported | not reported | not reported | not reported | 2022: 20 |
| MetroplusHealth Plan MAP | MetroPlusHealth Plan, Inc. | MetroPlusHealth Plan, Inc. | New York City | not reported | not reported | not reported | not reported | 2023: 128 |
| NYS Catholic Health Plan/Fidelis | NYS Catholic Health Plan/Fidelis | Centene | New York City & Albany, Montgomery, Rensselaer, Schenectady counties | not reported | not reported | not reported | not reported | 2017: 111 |
| NYS Catholic Health Plan/Fidelis | not reported | unmatched | New York City & Albany, Montgomery, Rensselaer, Schenectady counties. | not reported | not reported | not reported | not reported | 2016: 131 |
| Riverspring MAP | ElderServe Health, Inc. | ElderServe Health, Inc. | New York City, Nassau, and Westchester Counties | CMS reported 334 (2024) | 0.7% | +140 (+72.2%) | +0.2 pts | 2023: 194; 2024: 334 |
| Senior Whole Health | Senior Whole Health of New York, Inc. | Senior Whole Health of New York, Inc. | New York City, Nassau, Orange, Rockland, and Westchester Counties | CMS reported 290 (2024) | 0.6% | +113 (+63.8%) | +0.1 pts | 2023: 177; 2024: 290 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | Nassau and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 91 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City & Nassau County | not reported | not reported | not reported | not reported | 2019: 84; 2020: 131 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City & Nassau, Westchester counties | not reported | not reported | not reported | not reported | 2017: 111 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City; Nassau and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 135 |
| Senior Whole Health | Senior Whole Health | Senior Whole Health | New York City | not reported | not reported | not reported | not reported | 2016: 124; 2021: 117 |
| UnitedHealthcare Dual Complete | UnitedHealthcare of New York, Inc. | UnitedHealth | Erie, Genesee, Monroe, Niagara, Orlean, and Wyoming Counties | CMS reported 0 (2024) | 0.0% | not reported | not reported | 2024: 0 |
| VNS Choice Plus | VNS Choice Plus | VNS Choice Plus | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 1,477 |
| VNS Choice Plus | VNS Choice Plus | VNS Choice Plus | New York City; Nassau, Suffolk and Westchester counties | not reported | not reported | not reported | not reported | 2020: 3,086 |
| VNS Choice Plus | VNS Choice Plus | VNS Choice Plus | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 2,337 |
| VNS Choice Plus | VNS Choice Plus | VNS Choice Plus | New York City; Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2021: 3,109 |
| VNS Choice Plus | VNS Choice Plus | VNS Choice Plus | New York City; Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 3,069 |
| VNS Choice Plus | VNS Choice | VNS Choice | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 1,447 |
| VNS Choice Plus | not reported | unmatched | New York City & Nassau County. | not reported | not reported | not reported | not reported | 2016: 108 |
| VNS Choice Total | VNS Choice | VNS Choice | New York City, Nassau, Suffolk, Westchester, Albany, Rensselaer, and Schenectady Counties | not reported | not reported | not reported | not reported | 2023: 3,672 |
| VNS Health Total | VNS Choice | VNS Choice | New York City, Nassau, Suffolk, Westchester, Albany, Rensselaer, and Schenectady Counties | CMS reported 4,700 (2024) | 9.5% | not reported | not reported | 2024: 4,700 |
| Village Care | Village Care | Village Care | New York City | not reported | not reported | not reported | not reported | 2017: 0; 2018: 590; 2019: 1,501; 2020: 2,143; 2021: 3,022; 2022: 2,774 |
| VillageCareMAX Total Advantage | Village Senior Services Corp. | Village Senior Services Corp. | New York City | CMS reported 3,294 (2024) | 6.6% | +711 (+27.5%) | +0.1 pts | 2023: 2,583; 2024: 3,294 |
| Wellcare Fidelis Dual Plus | Centene Corporation | Centene | New York City and 47 Counties | not reported | not reported | not reported | not reported | 2023: 1,030 |
| Wellcare Fidelis Dual Plus | Centene Corporation | Centene | New York City, 47 Counties | CMS reported 1,602 (2024) | 3.2% | not reported | not reported | 2024: 1,602 |
Medicaid Managed Care (Comprehensive MCO + MLTSS)
Medicaid Managed Care (Comprehensive MCO + MLTSS) 70
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | Nassau, Orange, Rockland, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 213,679 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City & Nassau, Orange, Rockland, Suffolk, Westcheser counties | not reported | not reported | not reported | not reported | 2017: 225,818 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City and Nassau, Orange, Rockland, Suffolk, Westchester Counties | not reported | not reported | not reported | not reported | 2019: 195,375 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City and Nassau, Orange, Rockland, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 215,845 |
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City; Nassau, Orange, Rockland, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 243,082 |
show all 70
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amida Care Special Needs | Amida Care Special Needs | Amida Care Special Needs | New York City | not reported | not reported | not reported | not reported | 2017: 6,146; 2018: 6,488 |
| AmidaCare Special Needs | AmidaCare Special Needs | AmidaCare Special Needs | New York City | not reported | not reported | not reported | not reported | 2021: 7,977 |
| Amidacare Special Needs | Amidacare Special Needs | AmidaCare Special Needs | New York City | not reported | not reported | not reported | not reported | 2019: 6,913; 2020: 7,419 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, & Washington Counties | not reported | not reported | not reported | not reported | 2019: 81,543 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, & Washington counties | not reported | not reported | not reported | not reported | 2021: 104,068 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, and Washington Counties | not reported | not reported | not reported | not reported | 2018: 82,622 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, and Washington counties | not reported | not reported | not reported | not reported | 2020: 89,752 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Washington counties | not reported | not reported | not reported | not reported | 2017: 84,041 |
| Crystal Run Health Plan | Crystal Run Health Plan | Crystal Run Health Plan | Orange and Sullivan Counties | not reported | not reported | not reported | not reported | 2018: 1,427; 2019: 1,648 |
| Crystal Run Health Plan | Crystal Run Health Plan | Crystal Run Health Plan | Orange, Sullivan counties | not reported | not reported | not reported | not reported | 2017: 1,253 |
| Excellus Health Plan | Excellus Health Plan | Excellus Health Plan | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Ontario, Orleans, Otsego, Seneca, Wayne, and Yates Counties | not reported | not reported | not reported | not reported | 2018: 171,752 |
| Excellus | Blue Cross Blue Shield | Blue Cross Blue Shield | Broome, Herkimer, Livingston, Monroe, Oneida, Ontario, Orleans, Otsego, Seneca, Wayne, Yates counties | not reported | not reported | not reported | not reported | 2017: 168,086 |
| Excellus | Excellus | Excellus | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Orleans, Otsego, Seneca, Wayne, & Yates counties | not reported | not reported | not reported | not reported | 2020: 189,347; 2021: 217,146 |
| Excellus | Excellus | Excellus | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Orleans, Otsego, Seneca, Wayne, and Yates Counties | not reported | not reported | not reported | not reported | 2019: 169,917 |
| Fidelis Care | Centene Corporation | Centene | New York City & 57 counties | not reported | not reported | not reported | not reported | 2020: 1,475,814; 2021: 1,660,362 |
| Fidelis Care | Centene Corporation | Centene | New York City and 57 Counties | not reported | not reported | not reported | not reported | 2018: 1,244,926; 2019: 1,247,429 |
| HIP Combined | HIP Combined | HIP Combined | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 134,405 |
| HIP Combined | HIP Combined | HIP Combined | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 154,495 |
| HIP Combined | HIP Combined | HIP Combined | New York City and Nassau, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 136,577 |
| HIP Combined | HIP Combined | HIP Combined | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 125,162 |
| HIP Combined | HIP Combined | HIP Combined | New York City; Nassau, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 156,421 |
| Health First | Health First | Health First | New York City; Nassau, Orange, Rockland, Suffolk, Sullivan, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 1,172,385 |
| Health First | Health First | Health First | New York City; Nassau, Orange, Rockland, Suffolk, Sullivan, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 1,026,078 |
| Health Now | Health Now | Health Now | Albany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, & Wyoming Counties | not reported | not reported | not reported | not reported | 2019: 34,447 |
| Health Now | Health Now | Health Now | Albany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming counties | not reported | not reported | not reported | not reported | 2020: 38,921 |
| Health Now | Health Now | Health Now | New York City; Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Nassau, Orange, Rockland, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2021: 49,561 |
| HealthFirst | HealthFirst | HealthFirst | Nassau and Suffolk Counties, New York City | not reported | not reported | not reported | not reported | 2018: 939,799 |
| HealthFirst | HealthFirst | HealthFirst | New York City & Nassau, Suffolk counties | not reported | not reported | not reported | not reported | 2017: 918,790 |
| HealthFirst | HealthFirst | HealthFirst | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 928,468 |
| HealthNow | HealthNow | HealthNow | Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming Counties | not reported | not reported | not reported | not reported | 2018: 31,719 |
| HealthNow | HealthNow | HealthNow | Allegany, Cattaraugus, Chautauqua, Erie, Orleans, Wyoming counties | not reported | not reported | not reported | not reported | 2017: 26,754 |
| HealthPlus | Anthem Insurance Companies, Inc. | Elevance | Nassau and Putnam Counties, New York City | not reported | not reported | not reported | not reported | 2018: 336,121 |
| HealthPlus | Anthem | Elevance | New York City & Nassau, Putnam counties | not reported | not reported | not reported | not reported | 2017: 355,615 |
| HealthPlus | Anthem | Elevance | New York City; Nassau & Putnam counties | not reported | not reported | not reported | not reported | 2021: 371,417 |
| HealthPlus | Anthem | Elevance | New York City; Nassau & Putnam Counties | not reported | not reported | not reported | not reported | 2019: 311,998 |
| HealthPlus | Anthem | Elevance | New York City; Nassau and Putnam counties | not reported | not reported | not reported | not reported | 2020: 332,869 |
| Independent Health/Hudson Valley & WNY | Independent Health/Hudson Valley & WNY | Independent Health/Hudson Valley & WNY | Erie County | not reported | not reported | not reported | not reported | 2017: 61,122; 2018: 57,271; 2019: 56,072; 2020: 60,599 |
| Independent Health/Hudson Valley&WNY | Independent Health/Hudson Valley&WNY | Independent Health/Hudson Valley & WNY | Erie county | not reported | not reported | not reported | not reported | 2021: 66,226 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 198,712 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, Westchester counties | not reported | not reported | not reported | not reported | 2017: 164,015 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, and Westchester Counties | not reported | not reported | not reported | not reported | 2018: 167,637 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 174,597 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jeffferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 163,314 |
| MertoPlus Health Plan Special Needs | Metroplus Health Plan Special Needs | MetroPlus Health Plan Special Needs | New York City | not reported | not reported | not reported | not reported | 2019: 4,000 |
| MetroPlus Health Plan Special Needs | MetroPlus Health Plan Special Needs | MetroPlus Health Plan Special Needs | New York City | not reported | not reported | not reported | not reported | 2017: 4,248; 2018: 4,095; 2020: 4,083; 2021: 4,593 |
| MetroPlus Health Plan | MetroPlus Health Plan | MetroPlus Health Plan | New York City | not reported | not reported | not reported | not reported | 2017: 380,013; 2018: 374,574; 2019: 362,706; 2020: 390,471; 2021: 453,634 |
| Molina HealthCare of New York, Inc. | Molina HealthCare, Inc. | Molina | Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Onondaga, Ontario, Seneca, Tioga, Tompkins, Wayne, & Wyoming counties | not reported | not reported | not reported | not reported | 2021: 69,637 |
| Molina HealthCare of New York | Molina HealthCare | Molina | Cortland, Onondaga, Tompkins counties | not reported | not reported | not reported | not reported | 2017: 31,194 |
| Molina Healthcare of New York, Inc. | Molina Healthcare | Molina | Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Onondaga, Ontario, Orleans, Seneca, Tioga, Tompkins, Wayne, and Wyoming counties | not reported | not reported | not reported | not reported | 2020: 65,466 |
| Molina Healthcare of New York, Inc. | Molina Healthcare | Molina | Cortland, Onondage, & Tompkins Counties | not reported | not reported | not reported | not reported | 2019: 26,938 |
| Molina Healthcare of New York | Molina Healthcare | Molina | Cortland, Onondaga, and Tompkins Counties | not reported | not reported | not reported | not reported | 2018: 28,592 |
| NYS Catholic Health Plan/Fidelis | NYS Catholic Health Plan/Fidelis | Centene | Statewide | not reported | not reported | not reported | not reported | 2017: 1,212,917 |
| United HealthCare | United Health Group, Inc. | UnitedHealth | New York City & Rest of State 42 counties | not reported | not reported | not reported | not reported | 2021: 403,099 |
| United HealthCare | United Health Group, Inc | UnitedHealth | New York City & 42 counties | not reported | not reported | not reported | not reported | 2017: 474,234 |
| United HealthCare | UnitedHealthcare | UnitedHealth | New York City and 42 counties | not reported | not reported | not reported | not reported | 2018: 481,881 |
| United Healthcare | United Health Group Inc. | UnitedHealth | New York City & 42 Counties | not reported | not reported | not reported | not reported | 2019: 441,821 |
| United Healthcare | United Health Group, Inc | UnitedHealth | New York City & 42 counties | not reported | not reported | not reported | not reported | 2020: 380,606 |
| VNS Choice Special Needs | VNS Choice Special Needs | VNS Choice Special Needs | New York City; Nassau & Westchester counties | not reported | not reported | not reported | not reported | 2020: 2,930; 2021: 2,935 |
| VNS Choice Special Needs | VNS Choice Special Needs | VNS Choice Special Needs | New York City | not reported | not reported | not reported | not reported | 2017: 3,358; 2018: 3,313; 2019: 3,042 |
| WellCare | WellCare | Centene | Albany, Dutchess, Erie, Nassau, Niagara, Orange, Rensselaer, Rockland, Schenectady, Schuyler, Steuben, and Ulster Counties, New York City | not reported | not reported | not reported | not reported | 2018: 104,961 |
| WellCare | WellCare | Centene | New York City & Albany, Dutchess, Erie, Nassau, Niagara, Orange, Rennselaer, Rockland, Schenectady, Schuyler, Steuben, Ulster counties | not reported | not reported | not reported | not reported | 2017: 100,997 |
| Wellcare | Wellcare | Centene | New York City; Albany, Broome, Dutchess, Erie, Nassau, Niagara, Orange, Rensselaer, Rockland, Schenectady, Schuyler, Steuben, Suffolk, & Ulster Counties | not reported | not reported | not reported | not reported | 2019: 106,606 |
| YourCare Health Plan | YourCare Health Plan | YourCare Health Plan | Allegany, Cattaraugus, Chautauqua, Erie, Monroe, Ontario, Wyoming counties | not reported | not reported | not reported | not reported | 2017: 43,370 |
| YourCare Health Plan | YourCare Health Plan | YourCare Health Plan | Allegany, Cattaraugus, Chautauqua, Erie, Monroe, Ontario, and Wyoming Counties | not reported | not reported | not reported | not reported | 2018: 38,679 |
| Yourcare Health Plan | Yourcare Health Plan | YourCare Health Plan | Allegany, Cattaraugus, Chautauqua, Erie, Monroe, Ontario, and Wyoming Counties | not reported | not reported | not reported | not reported | 2019: 37,447 |
Medicaid Managed Care (Comprehensive MCO)
Medicaid Managed Care (Comprehensive MCO) 54
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Affinity Health Plan | Affinity Health Plan | Affinity Health Plan | New York City; Nassau, Orange, Rockland, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 0 |
| Affinity Health Plan | not reported | unmatched | New York City & Nassau, Orange, Rockland, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 233,950 |
| Amida Care Special Needs | Amida Care Special Needs | Amida Care Special Needs | New York City | not reported | not reported | not reported | not reported | 2023: 8,754 |
| AmidaCare Special Needs | AmidaCare Special Needs | AmidaCare Special Needs | New York City | CMS reported 8,870 (2024) | 0.2% | not reported | not reported | 2022: 8,258; 2024: 8,870 |
| Amidacare Special Needs | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 6,128 |
show all 54
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Broome, Clinton, Columbia, Essex, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Warren, and Washington Counties | not reported | not reported | not reported | not reported | 2022: 112,595 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Columbia, Franklin, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, and Washington Counties | CMS reported 84,360 (2024) | 1.9% | not reported | not reported | 2024: 84,360 |
| Capital District Physician's Health Plan | Capital District Physician's Health Plan | Capital District Physician's Health Plan | Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, and Washington Counties | not reported | not reported | not reported | not reported | 2023: 114,703 |
| Capital District Physician's Health Plan | not reported | unmatched | Albany, Broome, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, & Washington counties. | not reported | not reported | not reported | not reported | 2016: 93,193 |
| Crystal Run Health Plan | not reported | unmatched | Orange & Sullivan counties. | not reported | not reported | not reported | not reported | 2016: 314 |
| Excellus Health Plan | not reported | unmatched | Broome, Herkimer, Livingston, Monroe, Oneida, Ontario, Orleans, Otsego, Seneca, Wayne, & Yates counties. | not reported | not reported | not reported | not reported | 2016: 177,816 |
| Excellus | Excellus | Excellus | Broome, Erie, Herkimer, Livingston, Monroe, Oneida, Onondaga, Ontario, Orleans, Otsego, Seneca, Wayne, and Yates Counties | CMS reported 187,909 (2024) | 4.1% | -50,357 (-21.1%) | -0.2 pts | 2022: 230,868; 2023: 238,266; 2024: 187,909 |
| Fidelis Care | Centene Corporation | Centene | New York City & 57 counties | not reported | not reported | not reported | not reported | 2022: 1,756,606 |
| Fidelis Care | Centene Corporation | Centene | New York City and 57 Counties | not reported | not reported | not reported | not reported | 2023: 1,803,174 |
| Fidelis Care | Centene Corporation | Centene | New York City, 57 Counties | CMS reported 1,478,363 (2024) | 32.5% | not reported | not reported | 2024: 1,478,363 |
| HIP Combined | HIP Combined | HIP Combined | New York City, Nassau, Suffolk, and Westchester Counties | CMS reported 139,834 (2024) | 3.1% | -29,262 (-17.3%) | +0.0 pts | 2023: 169,096; 2024: 139,834 |
| HIP Combined | HIP Combined | HIP Combined | New York City; Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 166,252 |
| HIP Combined | not reported | unmatched | New York City & Nassau, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 184,491 |
| Health First | Health First | Health First | New York City; Nassau, Orange, Rockland, Suffolk, Sullivan, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 1,248,474 |
| HealthPlus | Anthem | Elevance | New York City, Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Ulster, and Westchester Counties | CMS reported 348,241 (2024) | 7.7% | -60,618 (-14.8%) | +0.3 pts | 2023: 408,859; 2024: 348,241 |
| HealthPlus | Anthem | Elevance | New York City; Nassau and Putnam Counties; Dutchess, Orange, Rockland, Suffolk, Ulster, and Westchester Counties added 1/1/22 | not reported | not reported | not reported | not reported | 2022: 394,993 |
| Healthfirst | Healthfirst | HealthFirst | New York City, Nassau, Orange, Rockland, Suffolk, Sullivan, and Westchester Counties | CMS reported 1,101,769 (2024) | 24.2% | -171,797 (-13.5%) | +1.2 pts | 2023: 1,273,566; 2024: 1,101,769 |
| Healthfirst | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 911,690 |
| Healthnow | not reported | unmatched | Allegany, Cattaraugus, Chautauqua, Erie, Orleans, & Wyoming counties. | not reported | not reported | not reported | not reported | 2016: 24,122 |
| Healthplus | not reported | unmatched | New York City & Nassau, Suffolk counties. | not reported | not reported | not reported | not reported | 2016: 371,536 |
| Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | New York City, Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Nassau, Orange, Rockland, Suffolk, Westchester and Wyoming Counties | not reported | not reported | not reported | not reported | 2023: 59,253 |
| Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | New York City, Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Nassau, Orange, Rockland, Suffolk, Westchester, and Wyoming Counties | CMS reported 47,240 (2024) | 1.0% | not reported | not reported | 2024: 47,240 |
| Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | Highmark Western & Northeastern NY | New York City; Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Nassau, Orange, Rockland, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 55,814 |
| Hudson Health Plan | not reported | unmatched | Dutchess, Orange, Rockland, Sullivan, Ulster, & Westchester counties. | not reported | not reported | not reported | not reported | 2016: 0 |
| Independent Health/Hudson Valley & WNY | Independent Health/Hudson Valley & WNY | Independent Health/Hudson Valley & WNY | Erie County | CMS reported 60,375 (2024) | 1.3% | -12,238 (-16.9%) | +0.0 pts | 2022: 69,934; 2023: 72,613; 2024: 60,375 |
| Independent Health/Hudson Valley & WNY | not reported | unmatched | Erie & Niagara counties | not reported | not reported | not reported | not reported | 2016: 62,385 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Clinton, Columbia, Dutchess, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Monroe, Montgomery, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, St. Lawrence, Sullivan, Ulster, Warren, Washington, and Westchester Counties | CMS reported 165,862 (2024) | 3.6% | -48,293 (-22.6%) | -0.2 pts | 2023: 214,155; 2024: 165,862 |
| MVP Health Plan | MVP Health Plan | MVP Health Plan | Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 210,608 |
| MVP Health Plan | not reported | unmatched | 22 counties. | not reported | not reported | not reported | not reported | 2016: 175,878 |
| MetroPlus Health Plan Special Needs | MetroPlus Health Plan Special Needs | MetroPlus Health Plan Special Needs | New York City | not reported | not reported | not reported | not reported | 2022: 4,628 |
| MetroPlus Health Plan | MetroPlus Health Plan | MetroPlus Health Plan | New York City | not reported | not reported | not reported | not reported | 2022: 478,976 |
| MetroPlusHealth Plan Special Needs | MetroPlusHealth Plan Special Needs | MetroPlusHealth Plan Special Needs | New York City | CMS reported 4,378 (2024) | 0.1% | -205 (-4.5%) | +0.0 pts | 2023: 4,583; 2024: 4,378 |
| MetroPlusHealth Plan | MetroPlusHealth Plan | MetroPlusHealth Plan, Inc. | New York City | CMS reported 407,507 (2024) | 9.0% | -85,615 (-17.4%) | +0.0 pts | 2023: 493,122; 2024: 407,507 |
| Metroplus Health Plan Special Needs | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 4,470 |
| Metroplus Health Plan | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 389,954 |
| Molina HealthCare of New York, Inc. | Molina HealthCare, Inc. | Molina | Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Onondaga, Ontario, Seneca, Tioga, Tompkins, Wayne, & Wyoming counties. Nassau, Orange, Orleans, Rockland, Suffolk, and Westchester Counties and New York City | not reported | not reported | not reported | not reported | 2022: 315,185 |
| Molina HealthCare of New York, Inc. | Molina Healthcare, Inc. | Molina | New York City, Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Nassau, Onondaga, Ontario, Orange, Orleans, Rockland, Seneca, Suffolk, Tioga, Tompkins, Wayne, Westchester, and Wyoming Counties | not reported | not reported | not reported | not reported | 2023: 310,491 |
| Molina Healthcare of New York, Inc. | Molina Healthcare, Inc. | Molina | New York City, Allegany, Broome, Cattaraugus, Chautauqua, Chenango, Cortland, Erie, Genesee, Livingston, Monroe, Nassau, Onondaga, Ontario, Orange, Orleans, Rockland, Seneca, Suffolk, Tioga, Tompkins, Wayne, Westchester, and Wyoming Counties | CMS reported 240,068 (2024) | 5.3% | not reported | not reported | 2024: 240,068 |
| NYS Catholic Health Plan/Fidelis | not reported | unmatched | New York City & 57 counties. | not reported | not reported | not reported | not reported | 2016: 1,170,307 |
| Today's Options | not reported | unmatched | Cortland, Onondaga, & Tompkins counties. | not reported | not reported | not reported | not reported | 2016: 36,293 |
| United HealthCare | United Health Group, Inc. | UnitedHealth | New York City and 42 counties | not reported | not reported | not reported | not reported | 2022: 379,366 |
| United Healthcare | not reported | unmatched | New York City & 38 counties. | not reported | not reported | not reported | not reported | 2016: 457,746 |
| UnitedHealthcare | UnitedHealth Group, Inc. | UnitedHealth | New York City and 42 Counties | not reported | not reported | not reported | not reported | 2023: 356,306 |
| UnitedHealthcare | UnitedHealth Group, Inc. | UnitedHealth | New York City, 42 Counties | CMS reported 268,061 (2024) | 5.9% | not reported | not reported | 2024: 268,061 |
| VNS Choice Special Needs | VNS Choice Special Needs | VNS Choice Special Needs | New York City, Nassau, and Westchester Counties | CMS reported 3,483 (2024) | 0.1% | +194 (+5.9%) | +0.0 pts | 2023: 3,289; 2024: 3,483 |
| VNS Choice Special Needs | VNS Choice Special Needs | VNS Choice Special Needs | New York City; Nassau and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 3,102 |
| VNS Choice Special Needs | not reported | unmatched | New York City | not reported | not reported | not reported | not reported | 2016: 3,668 |
| Wellcare | not reported | unmatched | New York City & Albany, Dutchess, Erie, Nassau, Niagara, Orange, Rensselaer, Rockland, Schenectady, Schuyler, Steuben, Ulster counties. | not reported | not reported | not reported | not reported | 2016: 95,350 |
| Yourcare Health Plan | not reported | unmatched | Albany, Cattaraugus, Chautauqua, Erie, Monroe, Ontario, & Wyoming counties. | not reported | not reported | not reported | not reported | 2016: 45,294 |
PACE (PACE)
PACE (PACE) 10
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| ArchCare Senior Life | Catholic Managed Long Term Care, Inc. | Catholic Managed Long Term Care, Inc. | New York City, Westchester, and Rockland Counties | CMS reported 816 (2024) | 8.6% | +50 (+6.5%) | +0.2 pts | 2023: 766; 2024: 816 |
| Catholic Health - Life | Catholic Health Systems PACE | Catholic Health Systems PACE | Erie County | CMS reported 238 (2024) | 2.5% | not reported | not reported | 2024: 238 |
| Catholic Health Life | Catholic Health Systems PACE | Catholic Health Systems PACE | Erie County | not reported | not reported | not reported | not reported | 2023: 233 |
| CenterLight (CCM) | CenterLight Healthcare, Inc. | CenterLight Healthcare, Inc. | New York City, Nassau, Suffolk, and Westchester Counties | CMS reported 6,281 (2024) | 66.2% | +139 (+2.3%) | -0.8 pts | 2023: 6,142; 2024: 6,281 |
| Complete Senior Care | Complete Senior Care, Inc. | Complete Senior Care | Niagara County | CMS reported 136 (2024) | 1.4% | +6 (+4.6%) | +0.0 pts | 2023: 130; 2024: 136 |
show all 10
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Eddy Senior Care | Senior Care Connections, Inc. | Senior Care Connections, Inc. | Albany, Rensselaer, and Schenectady Counties | CMS reported 409 (2024) | 4.3% | +70 (+20.6%) | +0.6 pts | 2023: 339; 2024: 409 |
| ElderOne (Independent Living for Seniors) | Independent Living for Seniors | Independent Living for Seniors | Monroe, Ontario, and Wayne Counties | CMS reported 738 (2024) | 7.8% | 0 (0.0%) | -0.3 pts | 2023: 738; 2024: 738 |
| Fallon Health Weinberg | Fallon Health Weinberg, Inc. | Fallon Health Weinberg | Erie and Niagara Counties | CMS reported 165 (2024) | 1.7% | +16 (+10.7%) | +0.1 pts | 2023: 149; 2024: 165 |
| PACE CNY (Loretto HMO) | Loretto Independent Living Services, Inc. | Loretto Independent Living Services, Inc. | Onondaga County | CMS reported 570 (2024) | 6.0% | +41 (+7.8%) | +0.2 pts | 2023: 529; 2024: 570 |
| Total Senior Care | Total Senior Care, Inc. | Total Senior Care | Allegany, Cattaraugus, and Chautauqua Counties | CMS reported 128 (2024) | 1.4% | -5 (-3.8%) | -0.1 pts | 2023: 133; 2024: 128 |
PACE (Program of All-inclusive Care for the Elderly (PACE))
PACE (Program of All-inclusive Care for the Elderly (PACE)) 39
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| ArchCare Senior Life | ArchCare Senior Life | ArchCare Senior Life | New York City & Westchester County | not reported | not reported | not reported | not reported | 2019: 836 |
| ArchCare Senior Life | ArchCare Senior Life | ArchCare Senior Life | New York City & Westchester county | not reported | not reported | not reported | not reported | 2021: 756 |
| ArchCare Senior Life | ArchCare Senior Life | ArchCare Senior Life | New York City | not reported | not reported | not reported | not reported | 2016: 515; 2017: 595 |
| ArchCare Senior Life | PACE | unmatched | Westchester County and New York City | not reported | not reported | not reported | not reported | 2018: 725 |
| Archcare Senior Life | Archcare Senior Life | ArchCare Senior Life | New York City & Westchester County | not reported | not reported | not reported | not reported | 2020: 726 |
show all 39
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Catholic Health - Life | Catholic Health - Life | Catholic Health - Life | Erie County | not reported | not reported | not reported | not reported | 2016: 222; 2017: 239; 2018: 246; 2019: 262 |
| Catholic Health - Life | Catholic Health - Life | Catholic Health - Life | Erie county | not reported | not reported | not reported | not reported | 2021: 256 |
| Catholic Health Life | Catholic Health Life | Catholic Health - Life | Erie County | not reported | not reported | not reported | not reported | 2020: 266 |
| CenterLight (CCM) | CenterLight (CCM) | CenterLight (CCM) | New York City & Nassau, Suffolk, Westchester counties | not reported | not reported | not reported | not reported | 2017: 3,086 |
| CenterLight (CCM) | CenterLight (CCM) | CenterLight (CCM) | New York City; Nassau, Suffolk, & Westchester counties | not reported | not reported | not reported | not reported | 2021: 2,380 |
| CenterLight (CCM) | PACE | unmatched | Nassau, Suffolk, and Westchester Counties, New York City | not reported | not reported | not reported | not reported | 2018: 2,822 |
| Centerlight (CCM) | Centerlight (CCM) | CenterLight (CCM) | New York City; Nassau, Suffolk, and Westchester counties | not reported | not reported | not reported | not reported | 2020: 2,453 |
| Centerlight (CCM) | not reported | unmatched | New York City & Nassau, Rockland, Suffolk, Westchester counties. | not reported | not reported | not reported | not reported | 2016: 3,185 |
| Centerlight | Centerlight | Centerlight | New York City; Nassau, Suffolk, & Westchester Counties | not reported | not reported | not reported | not reported | 2019: 2,699 |
| Complete Senior Care | Complete Senior Care | Complete Senior Care | Niagara County | not reported | not reported | not reported | not reported | 2016: 122; 2017: 126; 2018: 118; 2019: 128; 2020: 130 |
| Complete Senior Care | Complete Senior Care | Complete Senior Care | Niagara county | not reported | not reported | not reported | not reported | 2021: 124 |
| Eddy Senior Care | Eddy Senior Care | Eddy Senior Care | Albany & Schenectady Counties | not reported | not reported | not reported | not reported | 2019: 212 |
| Eddy Senior Care | Eddy Senior Care | Eddy Senior Care | Albany, Rensselaer, & Schenectady counties | not reported | not reported | not reported | not reported | 2021: 295 |
| Eddy Senior Care | Eddy Senior Care | Eddy Senior Care | Albany, Rensselaer, and Schenectady counties | not reported | not reported | not reported | not reported | 2020: 290 |
| Eddy Senior Care | Eddy Senior Care | Eddy Senior Care | Albany, Schenectady counties | not reported | not reported | not reported | not reported | 2017: 201 |
| Eddy Senior Care | PACE | unmatched | Albany and Schenectady Counties | not reported | not reported | not reported | not reported | 2018: 216 |
| Eddy Senior Care | not reported | unmatched | Albany & Schenectady counties. | not reported | not reported | not reported | not reported | 2016: 188 |
| Fallon Health Weinberg | Fallon Health Weinberg | Fallon Health Weinberg | Erie County | not reported | not reported | not reported | not reported | 2016: 44; 2017: 94; 2018: 120; 2019: 138; 2020: 148 |
| Fallon Health Weinberg | Fallon Health Weinberg | Fallon Health Weinberg | Erie county | not reported | not reported | not reported | not reported | 2021: 132 |
| Independent Living for Seniors | Independent Living for Seniors | Independent Living for Seniors | Monroe, Ontario, & Wayne Counties | not reported | not reported | not reported | not reported | 2019: 748 |
| Independent Living for Seniors | Independent Living for Seniors | Independent Living for Seniors | Monroe, Ontario, & Wayne counties | not reported | not reported | not reported | not reported | 2021: 730 |
| Independent Living for Seniors | Independent Living for Seniors | Independent Living for Seniors | Monroe, Ontario, Wayne counties | not reported | not reported | not reported | not reported | 2017: 679 |
| Independent Living for Seniors | Independent Living for Seniors | Independent Living for Seniors | Monroe, Ontario, and Wayne counties | not reported | not reported | not reported | not reported | 2020: 746 |
| Independent Living for Seniors | PACE | unmatched | Monroe, Ontario and Wayne Counties | not reported | not reported | not reported | not reported | 2018: 772 |
| Independent Living for Seniors | not reported | unmatched | Monroe County | not reported | not reported | not reported | not reported | 2016: 676 |
| PACE CNY | PACE CNY | PACE CNY | Monroe, Ontario, and Wayne counties | not reported | not reported | not reported | not reported | 2020: 612 |
| PACE CNY | PACE CNY | PACE CNY | Onondaga County | not reported | not reported | not reported | not reported | 2016: 489; 2017: 540; 2018: 563; 2019: 612 |
| PACE CNY | PACE CNY | PACE CNY | Onondaga county | not reported | not reported | not reported | not reported | 2021: 571 |
| Total Senior Care | PACE | unmatched | Allegany, Cattaraugus, and Chautauqua Counties | not reported | not reported | not reported | not reported | 2018: 112 |
| Total Senior Care | Total Senior Care | Total Senior Care | Allegany, Cattaraugus counties | not reported | not reported | not reported | not reported | 2017: 111 |
| Total Senior Care | Total Senior Care | Total Senior Care | Allegany, Cattaraugus, & Chautauqua Counties | not reported | not reported | not reported | not reported | 2019: 124 |
| Total Senior Care | Total Senior Care | Total Senior Care | Allegany, Cattaraugus, & Chautauqua counties | not reported | not reported | not reported | not reported | 2021: 144 |
| Total Senior Care | Total Senior Care | Total Senior Care | Allegany, Cattaraugus, and Chatauqua counties | not reported | not reported | not reported | not reported | 2020: 141 |
| Total Senior Care | not reported | unmatched | Allegany & Cattaraugus counties. | not reported | not reported | not reported | not reported | 2016: 113 |
Program of All-Inclusive Care for the Elderly (PACE)
Program of All-Inclusive Care for the Elderly (PACE) 9
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| ArchCare Senior Life | ArchCare Senior Life | ArchCare Senior Life | New York City and Westchester County | not reported | not reported | not reported | not reported | 2022: 656 |
| Catholic Health - Life | Catholic Health - Life | Catholic Health - Life | Erie County | not reported | not reported | not reported | not reported | 2022: 240 |
| CenterLight (CCM) | CenterLight (CCM) | CenterLight (CCM) | New York City; Nassau, Suffolk, and Westchester Counties | not reported | not reported | not reported | not reported | 2022: 4,261 |
| Complete Senior Care | Complete Senior Care | Complete Senior Care | Niagara County | not reported | not reported | not reported | not reported | 2022: 121 |
| Eddy Senior Care | Eddy Senior Care | Eddy Senior Care | Albany, Rensselaer, and Schenectady Counties | not reported | not reported | not reported | not reported | 2022: 311 |
show all 9
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Fallon Health Weinberg | Fallon Health Weinberg | Fallon Health Weinberg | Erie County | not reported | not reported | not reported | not reported | 2022: 138 |
| Independent Living for Seniors | Independent Living for Seniors | Independent Living for Seniors | Monroe, Ontario, and Wayne Counties | not reported | not reported | not reported | not reported | 2022: 732 |
| PACE CNY | PACE CNY | PACE CNY | Onondaga County | not reported | not reported | not reported | not reported | 2022: 498 |
| Total Senior Care | Total Senior Care | Total Senior Care | Allegany, Cattaraugus, and Chautauqua Counties | not reported | not reported | not reported | not reported | 2022: 138 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Appeals, grievances, and enrollment share (2024)
Appeals, grievances, and enrollment share (2024) 62
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Partners Health Plan Inc. | unmatched | 2023-24 Fully Integrated Dual Advantage for IDD ( FIDA-IDD) | 69 | not reported | not reported | 405 | 0.023% | 0.031% |
| AmidaCare Inc., | AmidaCare Special Needs | 2023-24 HIV Special Needs Plan ( HIVSNP) | 636 | not reported | not reported | 215 | 0.11% | 0.15% |
| Metro Plus Health Care Inc., | unmatched | 2023-24 HIV Special Needs Plan ( HIVSNP) | 219 | not reported | not reported | 24 | 0.06% | 0.08% |
| VNS Choice | VNS Choice | 2023-24 HIV Special Needs Plan ( HIVSNP) | 77 | not reported | not reported | 136 | 0.04% | 0.06% |
| Anthem | Elevance | 2023-24 Health and Recovery Program (HARP) | 1,499 | not reported | not reported | 88 | 0.1% | 0.1% |
show all 62
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Capital District Physicians' Health Plan, Inc | Capital District Physician's Health Plan | 2023-24 Health and Recovery Program (HARP) | 76 | not reported | not reported | 11 | 0.1% | 0.1% |
| Excellus Health Plan, Inc | Excellus Health Plan | 2023-24 Health and Recovery Program (HARP) | 130 | not reported | not reported | 104 | 0.1% | 0.2% |
| Health Insurance Plan of Greater New York | unmatched | 2023-24 Health and Recovery Program (HARP) | 25 | not reported | not reported | 41 | 0.1% | 0.1% |
| Healthfirst PHSP, Inc. | HealthFirst | 2023-24 Health and Recovery Program (HARP) | 4,008 | not reported | not reported | 1,074 | 0.4% | 0.6% |
| Highmark Western & Northeastern New York Inc. | Highmark Western & Northeastern NY | 2023-24 Health and Recovery Program (HARP) | 1 | not reported | not reported | 0 | 0% | 0% |
| Independent Health Association, Inc. | Independent Health Association | 2023-24 Health and Recovery Program (HARP) | 63 | not reported | not reported | 10 | 0% | 0% |
| MVP Health Plan, Inc. | MVP Health Plan | 2023-24 Health and Recovery Program (HARP) | 72 | not reported | not reported | 19 | 0.1% | 0.1% |
| MetroPlus Health Plan, Inc | MetroPlus | 2023-24 Health and Recovery Program (HARP) | 1,264 | not reported | not reported | 115 | 0.2% | 0.2% |
| Molina Healthcare of New York, Inc. | Molina | 2023-24 Health and Recovery Program (HARP) | 32 | not reported | not reported | 82 | 0.1% | 0.1% |
| New York Quality Health Care Corporation (Fidelis) | Centene | 2023-24 Health and Recovery Program (HARP) | 6,272 | not reported | not reported | 370 | 0.6% | 0.8% |
| UnitedHealthcare of New York, Inc. | UnitedHealth | 2023-24 Health and Recovery Program (HARP) | 176 | not reported | not reported | 158 | 0% | 0% |
| Anthem HP, LLC | Elevance | 2023-24 Mainstream Managed Care (MMC) | 12,186 | not reported | not reported | 1,435 | 4.8% | 6.4% |
| Capital District Physicians' Health Plan, Inc. | Capital District Physician's Health Plan | 2023-24 Mainstream Managed Care (MMC) | 360 | not reported | not reported | 37 | 1.2% | 1.6% |
| Excellus Health Plan, Inc. | Excellus Health Plan | 2023-24 Mainstream Managed Care (MMC) | 1,253 | not reported | not reported | 1,275 | 2.7% | 3.5% |
| Health Insurance Plan of Greater New York | unmatched | 2023-24 Mainstream Managed Care (MMC) | 487 | not reported | not reported | 483 | 1.9% | 2.6% |
| HealthFirst PHSP, Inc. | HealthFirst | 2023-24 Mainstream Managed Care (MMC) | 28,123 | not reported | not reported | 6,207 | 15.2% | 20.1% |
| Highmark Western and Northeastern New York Inc. | Highmark Western & Northeastern NY | 2023-24 Mainstream Managed Care (MMC) | 894 | not reported | not reported | 430 | 0.7% | 0.9% |
| Independent Health Association, Inc. | Independent Health Association | 2023-24 Mainstream Managed Care (MMC) | 331 | not reported | not reported | 76 | 0.8% | 1.1% |
| MVP Health Plan, Inc. | MVP Health Plan | 2023-24 Mainstream Managed Care (MMC) | 809 | not reported | not reported | 152 | 2.6% | 3.5% |
| MetroPlus Health Plan, Inc. | MetroPlus | 2023-24 Mainstream Managed Care (MMC) | 4,856 | not reported | not reported | 1,025 | 6.1% | 8.1% |
| Molina Healthcare of New York, Inc. | Molina | 2023-24 Mainstream Managed Care (MMC) | 1,182 | not reported | not reported | 10,923 | 3.4% | 4.6% |
| NY Quality Healthcare Corporation ( dba Fidelis) | Centene | 2023-24 Mainstream Managed Care (MMC) | 40,802 | not reported | not reported | 2,663 | 20.7% | 27.5% |
| United Healthcare of New York, Inc. | UnitedHealth | 2023-24 Mainstream Managed Care (MMC) | 2,212 | not reported | not reported | 1,605 | 0.1% | 0.2% |
| Anthem HP, LLC | Elevance | 2023-24 Medicaid Advantage Plus (MAP) | 0 | not reported | not reported | 0 | 0.002% | 0.002% |
| Centers Plan for Healthy Living, LLC | Centers Plan for Healthy Living | 2023-24 Medicaid Advantage Plus (MAP) | 455 | not reported | not reported | 198 | 0.029% | 0.038% |
| Elderplan, Inc. | ElderPlan | 2023-24 Medicaid Advantage Plus (MAP) | 654 | not reported | not reported | 965 | 0.052% | 0.069% |
| Elderserve Health, Inc., dba RiverSpring at Home | ElderServe Health, Inc. | 2023-24 Medicaid Advantage Plus (MAP) | 11 | not reported | not reported | 86 | 0.003% | 0.004% |
| Hamaspik Inc. | Hamaspik, Inc. | 2023-24 Medicaid Advantage Plus (MAP) | 93 | not reported | not reported | 17 | 0.011% | 0.015% |
| HealthFirst Health Plan Inc. (Senior Health Partners) | Healthfirst Healthplan, Inc. | 2023-24 Medicaid Advantage Plus (MAP) | 7,211 | not reported | not reported | 7,275 | 0.385% | 0.51% |
| MetroPlus Health Plan Inc. | MetroPlus | 2023-24 Medicaid Advantage Plus (MAP) | 49 | not reported | not reported | 87 | 0.002% | 0.003% |
| NY Quality Healthcare Corp (Centene) | unmatched | 2023-24 Medicaid Advantage Plus (MAP) | 209 | not reported | not reported | 10 | 0.014% | 0.019% |
| Senior Whole Health of NY Inc. | Senior Whole Health of New York, Inc. | 2023-24 Medicaid Advantage Plus (MAP) | 903 | not reported | not reported | 0 | 0.004% | 0.005% |
| VNS Choice | VNS Choice | 2023-24 Medicaid Advantage Plus (MAP) | 750 | not reported | not reported | 437 | 0.057% | 0.076% |
| Village Senior Services Corp (VillageCare Max) | Village Care | 2023-24 Medicaid Advantage Plus (MAP) | 405 | not reported | not reported | 493 | 0.039% | 0.051% |
| Aetna Better Health, Inc. | CVS/Aetna | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 275 | not reported | not reported | 169 | 0.1% | 0.1% |
| Anthem HP, LLC (dba Empire BCBS HealthPlus MLTC) | Elevance | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 0 | not reported | not reported | 0 | 0.7% | 1% |
| Catholic Managed Long Term Care, Inc. (dba Archcare Community Life) (12/31/23) | Catholic Managed Long Term Care, Inc. | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 0 | not reported | not reported | not reported | 0.01% | 0.01% |
| Centers Plan for Healthy Living LLC | Centers Plan for Healthy Living | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 6,475 | not reported | not reported | 1,887 | 0.7% | 0.9% |
| Elder Plan, Inc. (dba Homefirst) | ElderPlan | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 1,837 | not reported | not reported | 2,310 | 0.3% | 0.4% |
| Elderserve Health (dba RiverSpring) | ElderServe | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 1,164 | not reported | not reported | 1,752 | 0.2% | 0.3% |
| ErieNiagara MLTCP Inc (dba Kalos) | Kalos Health, Inc. | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 16 | not reported | not reported | 14 | 0.01% | 0.02% |
| EverCare Choice Inc (dba Elant) | Evercare Choice, Inc. | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 69 | not reported | not reported | 36 | 0.01% | 0.01% |
| Extended MLTC, LLC (7/31/23) | Extended MLTC | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 0 | not reported | not reported | not reported | 0.1% | 0.1% |
| Fallon Health Weinberg, Inc. (12/31/23) | Fallon Health Weinberg | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 0 | not reported | not reported | not reported | 0.002% | 0.003% |
| Hamaspik Choice Inc. | Hamaspik Choice | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 829 | not reported | not reported | 130 | 0.1% | 0.1% |
| HealthFirst Health Plan Inc. (dba Senior Health Partners) | Healthfirst Healthplan, Inc. | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 2,413 | not reported | not reported | 2,265 | 0.1% | 0.2% |
| Icircle Services of the Finger Lakes | unmatched | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 540 | not reported | not reported | 232 | 0.05% | 0.1% |
| MetroPlus Health Plan Inc. | MetroPlus | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 103 | not reported | not reported | 200 | 0.02% | 0.03% |
| Montefiore HMO LLC (12/31/23) | Montefiore HMO | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 0 | not reported | not reported | not reported | 0.02% | 0.02% |
| NY Quality Healthcare Corp. (dba Fidelis Care) | Centene | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 1,767 | not reported | not reported | 324 | 0.2% | 0.3% |
| Niagara Adv Health Plan LLC (dba Elderwood) | Niagara Advantage Health Plan, LLC | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 51 | not reported | not reported | 9 | 0.02% | 0.02% |
| Prime Health Choice LLC | Prime Health Choice | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 9 | not reported | not reported | 12 | 0.01% | 0.01% |
| Senior Network Health LLC | Senior Network Health | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 13 | not reported | not reported | 17 | 0.005% | 0.01% |
| Senior Whole Health of NY | Senior Whole Health of New York, Inc. | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 1,360 | not reported | not reported | 4,465 | 0.4% | 0.5% |
| VNA Homecare Options LLC ( dba Nascentia Health Options) | VNA HomeCare Options | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 145 | not reported | not reported | 735 | 0.1% | 0.1% |
| VNS Health MLTC | unmatched | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 3,947 | not reported | not reported | 887 | 0.3% | 0.4% |
| Village Sr Services Corp (dba VillageCare Max) | Village Care | 2023-24 Medicaid Long Term Care Partial Capitation ( MLTCP) | 2,642 | not reported | not reported | 1,538 | 0.3% | 0.4% |
Sanctions (2024)
Sanctions (2024) 121
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| AmidaCare Inc., | AmidaCare Special Needs | Other, specify (Encounter data submission) | 2023-10-01 | No | No, no remediation |
| AmidaCare Inc., | AmidaCare Special Needs | Other, specify (Encounter Submission) | 2023-04-01 | No | No, no remediation |
| Metro Plus Health Care Inc., | unmatched | Other, specify (Focus survey, SD/D supplies and treatments) | 2023-06-28 | No | Yes, remediated |
| Metro Plus Health Care Inc., | unmatched | Other, specify (Focus Survey , MHPAEA Compliance) | 2024-01-17 | No | Yes, remediated |
| Metro Plus Health Care Inc., | unmatched | Other, specify (Encounter Submission) | 2023-04-01 | No | No, no remediation |
show all 121
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Anthem | Elevance | Other, specify (Other (free text, specify) Focus Survey, BH) | 2023-10-03 | No | Yes, remediated |
| Anthem | Elevance | Other, specify (Other (free text, specify) Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Anthem | Elevance | Other, specify (Other (free text, specify) Behavioral Health Parity) | 2023-08-17 | Yes | Remediation in progress |
| Anthem | Elevance | Other, specify (Other (free text, specify) Target survey, SDED Pharmacy, UR) | 2023-09-07 | No | Yes, remediated |
| Capital District Physicians' Health Plan, Inc | Capital District Physician's Health Plan | Other, specify ("Other (free text, specify)Behavioral Health Parity") | 2023-08-17 | Yes | Remediation in progress |
| Capital District Physicians' Health Plan, Inc | Capital District Physician's Health Plan | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| Excellus Health Plan, Inc | Excellus Health Plan | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Excellus Health Plan, Inc | Excellus Health Plan | Other, specify (Other (free text, specify) Behavioral Health Parity) | 2023-08-14 | Yes | Remediation in progress |
| Excellus Health Plan, Inc | Excellus Health Plan | Other, specify (Encounter Data Submission) | 2023-12-01 | No | No, no remediation |
| Health Insurance Plan of Greater New York | unmatched | Other, specify (Other (free text, specify) Target Survey, Contracts) | 2023-12-04 | No | Yes, remediated |
| Health Insurance Plan of Greater New York | unmatched | Other, specify (Other (free text, specify) Focus Survey, BH) | 2023-10-03 | No | Yes, remediated |
| Health Insurance Plan of Greater New York | unmatched | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Health Insurance Plan of Greater New York | unmatched | Other, specify (Other (free text, specify)Behavioral Health Parity) | 2024-01-19 | Yes | Remediation in progress |
| Healthfirst PHSP, Inc. | HealthFirst | Other, specify (Other (free text, specify)Behavioral Health Parity) | 2023-09-21 | Yes | Remediation in progress |
| Healthfirst PHSP, Inc. | HealthFirst | Other, specify (Other (free text, specify) Comprehensive Survey, Medicaid Contract, UR, Delegate Oversight) | 2022-10-20 | No | Yes, remediated |
| Highmark Western & Northeastern New York Inc. | Highmark Western & Northeastern NY | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Highmark Western & Northeastern New York Inc. | Highmark Western & Northeastern NY | Other, specify (Other (free text, specify)Behavioral Health Parity) | 2023-04-01 | Yes | Remediation in progress |
| Highmark Western & Northeastern New York Inc. | Highmark Western & Northeastern NY | Other, specify (Other (free text, specify) Target Survey, Contracts) | 2023-12-27 | No | No, no remediation |
| Independent Health Association, Inc. | Independent Health Association | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Independent Health Association, Inc. | Independent Health Association | Other, specify (Other (free text, specify) Target Survey, UR, QA) | 2023-09-07 | No | Yes, remediated |
| MVP Health Plan, Inc. | MVP Health Plan | Other, specify (Other (free text, specify)Behavioral Health Parity) | 2023-06-26 | Yes | Remediation in progress |
| MetroPlus Health Plan, Inc | MetroPlus | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| MetroPlus Health Plan, Inc | MetroPlus | Other, specify (Other (free text, specify)Focus Survey, MHPAEA Compliance) | 2024-01-17 | No | Yes, remediated |
| MetroPlus Health Plan, Inc | MetroPlus | Other, specify (Encounter Data Submission) | 2023-04-01 | No | No, no remediation |
| Molina Healthcare of New York, Inc. | Molina | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Molina Healthcare of New York, Inc. | Molina | Other, specify (Other (free text, specify)Focus Survey, MHPAEA Compliance) | 2024-01-17 | No | Yes, remediated |
| Molina Healthcare of New York, Inc. | Molina | Other, specify (Other (free text, specify) Comprehensive, BH Claims, BH Case Management, UR, Network, Non-UR) | 2023-02-15 | No | Yes, remediated |
| New York Quality Health Care Corporation (Fidelis) | Centene | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| New York Quality Health Care Corporation (Fidelis) | Centene | Other, specify (Other (free text, specify) Target Survey, Member Services, Non- UR) | 2023-09-07 | No | Yes, remediated |
| New York Quality Health Care Corporation (Fidelis) | Centene | Other, specify (Other (free text, specify) Focus Survey, MHPAEA Compliance) | 2024-01-17 | No | Yes, remediated |
| New York Quality Health Care Corporation (Fidelis) | Centene | Other, specify (Other (free text, specify) Focus Survey, Complaints) | 2023-10-03 | No | Yes, remediated |
| UnitedHealthcare of New York, Inc. | UnitedHealth | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| UnitedHealthcare of New York, Inc. | UnitedHealth | Other, specify (Other (free text, specify)Behavioral Health Parity) | 2023-10-18 | Yes | Remediation in progress |
| UnitedHealthcare of New York, Inc. | UnitedHealth | Other, specify (Other (free text, specify) Focus Survey, Complaints) | 2023-10-03 | No | Yes, remediated |
| Anthem HP, LLC | Elevance | Other, specify (Focus Survey, BH) | 2023-10-03 | No | Yes, remediated |
| Anthem HP, LLC | Elevance | Other, specify (Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Anthem HP, LLC | Elevance | Mental Health and Substance Use Disorder Parity compliance (N/A) | 2023-08-17 | Yes | Remediation in progress |
| Anthem HP, LLC | Elevance | Other, specify (Target survey, SDED Pharmacy, UR) | 2023-09-07 | No | Yes, remediated |
| Capital District Physicians' Health Plan, Inc. | Capital District Physician's Health Plan | Mental Health and Substance Use Disorder Parity compliance (N/A) | 2023-08-17 | Yes | Remediation in progress |
| Capital District Physicians' Health Plan, Inc. | Capital District Physician's Health Plan | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| Excellus Health Plan, Inc. | Excellus Health Plan | Other, specify (Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Excellus Health Plan, Inc. | Excellus Health Plan | Mental Health and Substance Use Disorder Parity compliance (N/A) | 2023-08-14 | Yes | Remediation in progress |
| Excellus Health Plan, Inc. | Excellus Health Plan | Other, specify (Encounter Data Submission) | 2023-12-01 | No | No, no remediation |
| Health Insurance Plan of Greater New York | unmatched | Other, specify (Target Survey, Contracts) | 2023-12-04 | No | Yes, remediated |
| Health Insurance Plan of Greater New York | unmatched | Other, specify (Focus Survey, BH) | 2023-10-03 | No | Yes, remediated |
| Health Insurance Plan of Greater New York | unmatched | Other, specify (Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Health Insurance Plan of Greater New York | unmatched | Mental Health and Substance Use Disorder Parity compliance | 2024-01-19 | Yes | Remediation in progress |
| HealthFirst PHSP, Inc. | HealthFirst | Mental Health and Substance Use Disorder Parity compliance | 2023-09-21 | Yes | Remediation in progress |
| HealthFirst PHSP, Inc. | HealthFirst | Other, specify (Comprehensive Survey, Medicaid Contract, UR, Delegate Oversight) | 2022-10-20 | No | Yes, remediated |
| HealthFirst PHSP, Inc. | HealthFirst | Other, specify (Encounter Data Submission) | 2023-12-01 | Yes | No, no remediation |
| Highmark Western and Northeastern New York Inc. | Highmark Western & Northeastern NY | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Highmark Western and Northeastern New York Inc. | Highmark Western & Northeastern NY | Mental Health and Substance Use Disorder Parity compliance | 2023-04-01 | Yes | Remediation in progress |
| Highmark Western and Northeastern New York Inc. | Highmark Western & Northeastern NY | Other, specify (Target Survey, Contracts) | 2023-12-27 | No | Yes, remediated |
| Independent Health Association, Inc. | Independent Health Association | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Independent Health Association, Inc. | Independent Health Association | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| Independent Health Association, Inc. | Independent Health Association | Other, specify (Target Survey, UR, QA) | 2023-09-07 | No | Yes, remediated |
| MVP Health Plan, Inc. | MVP Health Plan | Mental Health and Substance Use Disorder Parity compliance | 2023-06-26 | Yes | Remediation in progress |
| MetroPlus Health Plan, Inc. | MetroPlus | Other, specify (Other (free text, specify)Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| MetroPlus Health Plan, Inc. | MetroPlus | Other, specify (Focus Survey, MHPAEA Compliance) | 2023-01-07 | No | Yes, remediated |
| MetroPlus Health Plan, Inc. | MetroPlus | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| Molina Healthcare of New York, Inc. | Molina | Other, specify (Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| Molina Healthcare of New York, Inc. | Molina | Other, specify (Focus Survey, MHPAEA Compliance) | 2023-01-17 | No | Yes, remediated |
| Molina Healthcare of New York, Inc. | Molina | Other, specify (Comprehensive, BH Claims, BH Case Management, UR, Network, Non-UR) | 2023-02-15 | No | Yes, remediated |
| NY Quality Healthcare Corporation ( dba Fidelis) | Centene | Other, specify (Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| NY Quality Healthcare Corporation ( dba Fidelis) | Centene | Other, specify (Target Survey, Contracts) | 2023-09-07 | No | Yes, remediated |
| NY Quality Healthcare Corporation ( dba Fidelis) | Centene | Other, specify (Focus Survey, MHPAEA Compliance) | 2024-01-17 | No | Yes, remediated |
| NY Quality Healthcare Corporation ( dba Fidelis) | Centene | Other, specify (Focus Survey, Complaints) | 2023-10-03 | No | Yes, remediated |
| United Healthcare of New York, Inc. | UnitedHealth | Other, specify (Focus Survey, SD/ED Supplies and Treatments) | 2023-06-28 | No | Yes, remediated |
| United Healthcare of New York, Inc. | UnitedHealth | Mental Health and Substance Use Disorder Parity compliance | 2023-10-18 | Yes | Remediation in progress |
| United Healthcare of New York, Inc. | UnitedHealth | Other, specify (Focus Survey, Complaints) | 2023-10-03 | No | Yes, remediated |
| Anthem HP, LLC | Elevance | Other, specify (Encounter Data submission) | 2023-04-01 | No | No, no remediation |
| Hamaspik Inc. | Hamaspik, Inc. | Other, specify (Encounter Data Submission) | 2023-04-01 | No | No, no remediation |
| MetroPlus Health Plan Inc. | MetroPlus | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| VNS Choice | VNS Choice | Other, specify (Encounter Data Submission) | 2024-10-01 | No | No, no remediation |
| Village Senior Services Corp (VillageCare Max) | Village Care | Other, specify (Encounter Data Submission) | 2023-04-01 | No | No, no remediation |
| Village Senior Services Corp (VillageCare Max) | Village Care | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| Aetna Better Health, Inc. | CVS/Aetna | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Anthem HP, LLC (dba Empire BCBS HealthPlus MLTC) | Elevance | Other, specify (Focused Survey) | 2023-05-09 | No | Yes, remediated |
| Anthem HP, LLC (dba Empire BCBS HealthPlus MLTC) | Elevance | Other, specify (Operational Survey) | 2024-03-19 | No | Remediation in progress |
| Catholic Managed Long Term Care, Inc. (dba Archcare Community Life) (12/31/23) | Catholic Managed Long Term Care, Inc. | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Centers Plan for Healthy Living LLC | Centers Plan for Healthy Living | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Elder Plan, Inc. (dba Homefirst) | ElderPlan | Other, specify (Complaint Investigation) | 2023-05-08 | No | Yes, remediated |
| Elder Plan, Inc. (dba Homefirst) | ElderPlan | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Elder Plan, Inc. (dba Homefirst) | ElderPlan | Other, specify (Operational Survey) | 2023-01-13 | No | Yes, remediated |
| Elderserve Health (dba RiverSpring) | ElderServe | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| ErieNiagara MLTCP Inc (dba Kalos) | Kalos Health, Inc. | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| ErieNiagara MLTCP Inc (dba Kalos) | Kalos Health, Inc. | Other, specify (Operational Survey) | 2022-04-29 | No | Yes, remediated |
| EverCare Choice Inc (dba Elant) | Evercare Choice, Inc. | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| EverCare Choice Inc (dba Elant) | Evercare Choice, Inc. | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| EverCare Choice Inc (dba Elant) | Evercare Choice, Inc. | Other, specify (Operational Survey) | 2022-11-30 | No | Yes, remediated |
| Extended MLTC, LLC (7/31/23) | Extended MLTC | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | No, no remediation |
| Fallon Health Weinberg, Inc. (12/31/23) | Fallon Health Weinberg | Other, specify (Focused Survey) | 2024-03-25 | No | Remediation in progress |
| Fallon Health Weinberg, Inc. (12/31/23) | Fallon Health Weinberg | Other, specify (Encounter Data Submission) | 2023-12-01 | No | No, no remediation |
| Hamaspik Choice Inc. | Hamaspik Choice | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Hamaspik Choice Inc. | Hamaspik Choice | Other, specify (Operational Survey) | 2024-04-16 | No | Remediation in progress |
| HealthFirst Health Plan Inc. (dba Senior Health Partners) | Healthfirst Healthplan, Inc. | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| HealthFirst Health Plan Inc. (dba Senior Health Partners) | Healthfirst Healthplan, Inc. | Other, specify (Complaint Survey) | 2023-10-16 | No | Yes, remediated |
| Icircle Services of the Finger Lakes | unmatched | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| MetroPlus Health Plan Inc. | MetroPlus | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| MetroPlus Health Plan Inc. | MetroPlus | Other, specify (Operational Survey) | 2023-11-10 | No | Yes, remediated |
| Montefiore HMO LLC (12/31/23) | Montefiore HMO | Other, specify (Operational Survey) | 2023-05-22 | No | Yes, remediated |
| NY Quality Healthcare Corp. (dba Fidelis Care) | Centene | Other, specify (Complaint Survey) | 2023-05-24 | No | Yes, remediated |
| NY Quality Healthcare Corp. (dba Fidelis Care) | Centene | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Niagara Adv Health Plan LLC (dba Elderwood) | Niagara Advantage Health Plan, LLC | Other, specify (Operational Survey) | 2023-03-08 | No | Yes, remediated |
| Niagara Adv Health Plan LLC (dba Elderwood) | Niagara Advantage Health Plan, LLC | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Prime Health Choice LLC | Prime Health Choice | Other, specify (Focused Survey) | 2023-03-20 | No | Yes, remediated |
| Prime Health Choice LLC | Prime Health Choice | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Prime Health Choice LLC | Prime Health Choice | Other, specify (Operational Survey) | 2023-05-04 | No | Yes, remediated |
| Prime Health Choice LLC | Prime Health Choice | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
| Senior Network Health LLC | Senior Network Health | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Senior Whole Health of NY | Senior Whole Health of New York, Inc. | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| VNA Homecare Options LLC ( dba Nascentia Health Options) | VNA HomeCare Options | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| VNA Homecare Options LLC ( dba Nascentia Health Options) | VNA HomeCare Options | Other, specify (Encounter Data Submission) | 2023-12-01 | No | No, no remediation |
| VNS Health MLTC | unmatched | Other, specify (PNDS Network Adequacy Focused Survey) | 2023-08-08 | No | Yes, remediated |
| Village Sr Services Corp (dba VillageCare Max) | Village Care | Other, specify (Operational Survey) | 2023-11-10 | No | Yes, remediated |
| Village Sr Services Corp (dba VillageCare Max) | Village Care | Other, specify (Encounter Data Submission) | 2023-10-01 | No | No, no remediation |
Award history
- Medicaid managed care: no competitive MCO procurement.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.