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Provider Fast Facts
This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with the Title VI and Title VII of the 1964 Civil Rights Act and the Rehabili-tation
Act of 1973. For additional copies, you can go online to OHCA’s website www.okhca.org under Research/Statistics and Data. The Oklahoma Health Care Authority does not discriminate on the basis of race, color,
national origin, gender, religion, age or disability in employment or the provision of services. Data is valid as of the report date and is subject to change.
Acronyms
DDSD - Developmental Disabilities
Services Division
DME - Durable Medical Equipment
IP - Individual Plan
I/T/U - Indian Health Service/
Tribal/Urban Indian
LTC - Long-Term Care
PCMH - Patient-Centered Medical
Home
PCP - Primary Care Provider
Primary Care Provider (PCP) Capacities
Payment Tier Code Count
Tier 1 498
Tier 2 231
Tier 3 113
April 2013
36,468
58
1,957
170 169 135 176
1,625
2,904
1,406
2,947
35,329
59
2,069
186 185
86
194
2,017 2,490 1,561 2,583
SoonerCare
Traditional
SoonerCare
Choice I/T/U
SoonerCare
Choice (PCPs)
Sooner Seniors My Life; My
Choice
Medicare Only Medically Fragile LTC Waiver Living Choice Insure Oklahoma
IP (PCPs)
DDSD Waiver
July 2012 Benchmark Current Month
Provider Network by Program
15,344
8,917
2,130
1,329 1,275 1,241 1,185 954
543 575 622
1,034
368
225 216
12,046 10,847
2,499
1,412 1,345 1,249 1,224 1,102 840
527 522 426 358
246 246
Physician Behavioral
Health Provider
Advance
Practice Nurse
Dentist Therapist DME/Medical
Supply Dealer
Pharmacy Physician
Assistant
Personal Care
Services
Transportation
Provider
Optometrist Hospital Extended Care
Facility
Laboratory School
Corporation
July 2012 Benchmark Current Month
Top 15 Provider Network by Types
5/13/2013
Effective July 2012, the methodology for counting providers has changed to count provider network. Previous counts include
group practice and its members; the current count will include members only. Provider Network is providers who are contracted to
provide health care services by locations, programs, types, and specialties. Providers are being counted multiple times if they have
multiple locations, programs, types, and/or specialties. The term “contracted” is defined as a provider that was enrolled with Okla-homa
SoonerCare within the reporting period, it does not necessarily indicate participation.
Total Capacity represents the maximum number of members that PCPs request to have assigned within OHCA’s
limit. Panels on hold status are excluded from the capacity calculation.
37,029 37,550 38,258 38,716 39,314
34,132 34,759 35,476 35,982 36,406 37,018 37,101
25,000
30,000
35,000
40,000
45,000
May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13
Provider Network Count
* The data is based on the new provider IDs added to the system during the reporting month. The effective date of the contract may or may not be in that month.
SoonerCare Program Total Capacity % of Capacity Used
SoonerCare Choice 1,147,625 43.94%
SoonerCare Choice I/T/U 101,900 17.03%
Insure Oklahoma IP 435,187 3.02%
Patient-Centered Medical Home
(PCMH) Enrollment by Tier
These counts were computed using a different method
than indicated elsewhere on the report and are not
comparable to any other figures. Non-participating
PCMH are excluded.
692 Newly Enrolled Providers*
Object Description
| Okla State Agency |
Health Care Authority, Oklahoma |
| Okla Agency Code |
'807' |
| Title | Provider fast facts, 04/2013 |
| Authors |
Oklahoma Health Care Authority. |
| Publication Date | 2013-04 |
| Publication type |
Statistics |
| Purpose | Statistics for health care providers enrolled in SoonerCare. |
| For all issues click |
H1300.6 P969 |
| Digital Format | PDF, Adobe Reader required |
| ODL electronic copy | Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=14850&libID=13833 |
| Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
| Date created | 2013-05-16 |
| Date modified | 2013-05-16 |
Description
| Title | Provider_FF_04_2013[1] 1 |
| Full text | Provider Fast Facts This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with the Title VI and Title VII of the 1964 Civil Rights Act and the Rehabili-tation Act of 1973. For additional copies, you can go online to OHCA’s website www.okhca.org under Research/Statistics and Data. The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, gender, religion, age or disability in employment or the provision of services. Data is valid as of the report date and is subject to change. Acronyms DDSD - Developmental Disabilities Services Division DME - Durable Medical Equipment IP - Individual Plan I/T/U - Indian Health Service/ Tribal/Urban Indian LTC - Long-Term Care PCMH - Patient-Centered Medical Home PCP - Primary Care Provider Primary Care Provider (PCP) Capacities Payment Tier Code Count Tier 1 498 Tier 2 231 Tier 3 113 April 2013 36,468 58 1,957 170 169 135 176 1,625 2,904 1,406 2,947 35,329 59 2,069 186 185 86 194 2,017 2,490 1,561 2,583 SoonerCare Traditional SoonerCare Choice I/T/U SoonerCare Choice (PCPs) Sooner Seniors My Life; My Choice Medicare Only Medically Fragile LTC Waiver Living Choice Insure Oklahoma IP (PCPs) DDSD Waiver July 2012 Benchmark Current Month Provider Network by Program 15,344 8,917 2,130 1,329 1,275 1,241 1,185 954 543 575 622 1,034 368 225 216 12,046 10,847 2,499 1,412 1,345 1,249 1,224 1,102 840 527 522 426 358 246 246 Physician Behavioral Health Provider Advance Practice Nurse Dentist Therapist DME/Medical Supply Dealer Pharmacy Physician Assistant Personal Care Services Transportation Provider Optometrist Hospital Extended Care Facility Laboratory School Corporation July 2012 Benchmark Current Month Top 15 Provider Network by Types 5/13/2013 Effective July 2012, the methodology for counting providers has changed to count provider network. Previous counts include group practice and its members; the current count will include members only. Provider Network is providers who are contracted to provide health care services by locations, programs, types, and specialties. Providers are being counted multiple times if they have multiple locations, programs, types, and/or specialties. The term “contracted” is defined as a provider that was enrolled with Okla-homa SoonerCare within the reporting period, it does not necessarily indicate participation. Total Capacity represents the maximum number of members that PCPs request to have assigned within OHCA’s limit. Panels on hold status are excluded from the capacity calculation. 37,029 37,550 38,258 38,716 39,314 34,132 34,759 35,476 35,982 36,406 37,018 37,101 25,000 30,000 35,000 40,000 45,000 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 Provider Network Count * The data is based on the new provider IDs added to the system during the reporting month. The effective date of the contract may or may not be in that month. SoonerCare Program Total Capacity % of Capacity Used SoonerCare Choice 1,147,625 43.94% SoonerCare Choice I/T/U 101,900 17.03% Insure Oklahoma IP 435,187 3.02% Patient-Centered Medical Home (PCMH) Enrollment by Tier These counts were computed using a different method than indicated elsewhere on the report and are not comparable to any other figures. Non-participating PCMH are excluded. 692 Newly Enrolled Providers* |
| Date created | 2013-05-16 |
| Date modified | 2013-05-16 |
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