HUDSON VALLEY MLTC APPLICATIONS (August 2012 Update) Note: Westchester in with NYC

Add Line Expand Effective Date New of Service New/ Revised Orange Putnam Sullivan Ulster Dutchess Rockland Plan Name Counties to Serve COA Business Area Model COA Comments Ahava Group III, LLC d/b/a Bronx, Kings, New York, Queens, Richmond, Nassau, Suffolk, Westchester, YES YES YES X Partial Under Review Revival Choice Orange, Rockland, Sullivan

Under review awaiting YES Care Resources Corp Bronx, Kings, New York, Queens, Nassau, Suffolk, Westchester, Rockland X Partial additional requsted information Centers Plan for Healthy YES Kings, Queens, Bronx, New York, Richmond, Rockland, Erie, Niagara X Partial Living, LLC Orange, Rockland, Sullivan, Ulster, Westchester, Bronx, New York, Kings, YES YES YES YES Hamaspik Choice X Partial Network Issues Queens, Richmond

United Healthcare Bronx, Kings, New York, Queens, Richmond, Broome, Cayuga, Erie, YES YES Herkimer, Jefferson, Madison, Nassau, Onondaga, Oswego, Oneida, X Partial 7/1/2012 Contract in process Community Plan Orange, Rockland, Suffolk, Tioga, Warren, Westchester

YES Archcare Senior Life Kings, Queens, Putnam X Partial Under review YES CCM Select Nassau, Suffolk, Richmond, Rockland X Partial Nassau county approved for 8/1/12 Nassau, Suffolk, Dutchess, Orange, Putnam, Rockland, Ulster, Erie, YES YES YES YES YES Elderplan dba Home First X Partial enrollment. Network Monroe, Ontario, Seneca, Wayne, Chautauqua issues in remaining counties. YES Elderserve Rockland X Partial

Albany, Allegany, Bronx, Broome, Cattaraugus, Cayuga, Chautauqua, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Kings, Lewis, Livingston, Madison, Monroe, Montgomery, Nassau, NewYork, Niagara, YES YES YES YES Fidelis Care at Home X Partial Oneida, Onondaga, Ontario, Orleans, Oswego, Otsego, Putman, Queens, Rensselaer, Richmond, Saratoga, Schenectady, Schoharie, Schuyler, St. Lawence, Steuben, Suffolk, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Wyoming, Westchester

Albany, Columbia, Delaware, Dutchess, Fulton, Greene, Herkimer, Madison, Montgomery, Oneida, Onondaga, Orange, Otsego, Putnam, enrollment is being YES YES YES YES YES YES VNSNY CHOICE X Partial Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Sullivan, Ulster, processed for 9/1/12 Warren, Washington

YES YES YES WellCare Advocate Albany, Erie, Orange, Rockland, Ulster X Partial 8/1/2012

LeadingAge NY Analysis of DOH Data 1