2011-12 Provider Fast Facts 1
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Oklahoma Health Care Authority Provider Fast Facts All subsequent provider counts were derived from the total unduplicated provider count. Some providers may be counted in multiple programs. 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. 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 Acronyms Total Unduplicated Newly Enrolled Provider Count 530 Total Unduplicated Provider Count 38,234 Primary Care Provider (PCP) Capacities SoonerCare Program Description Total Capacity % of Capacity Used SoonerCare Choice 1,198,648 37.79% SoonerCare Choice I/T/U 116,150 13.42% Insure Oklahoma IP 412,428 3.34% 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. Payment Tier Code Count Tier 1 531 Tier 2 211 Tier 3 49 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. December 2011 24,575 52 1,553 130 129 118 140 1,576 2,787 1,233 2,773 32,341 54 1,763 148 147 125 156 1,534 2,818 1,276 2,858 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 2011 Benchmark Current Month Total Provider Count by Program 12,490 3,923 904 620 1,620 1,174 1,133 1,015 1,035 995 843 557 474 505 382 13,701 4,258 3,906 3,392 1,851 1,210 1,152 1,123 1,082 1,075 933 587 578 537 373 Physician Clinic Mental Health Provider Licensed Behavioral Health Practitioner Advance Practice Nurse DME/Medical Supply Dealer Pharmacy Dentist Physician Assistant Therapist Hospital Optometrist Personal Care Services Transportation Provider Extended Care Facility July 2011 Benchmark Current Month Top 15 Provider Types Due to federal regulations, the OHCA must have an approved agreement on file for all providers providing care to our members. To meet this requirement we are directly contracting with providers that refer/order services, prescribe prescriptions and providers that had previously billed through a group or agency. Data is based on the top 15 provider types with the highest count. 1/12/2012 Due to federal regulations, the OHCA must have an approved agreement on file for all providers providing care to our members. To meet this requirement we are directly contracting with providers that refer/order services, prescribe pre-scriptions and providers that had previously billed through a group or agency. Total Capacity represents the maximum number of members that PCPs request to have assigned within OHCA’s limit. Effective July 2011, panels that are on hold status are excluded from the capacity calculation. A group provider is a corporation that houses multiple individual providers. In order to provide a more accurate count, the group’s individual providers were counted instead of the group provider. Living Choice formally known as Money Follows Person.
|Okla State Agency||
Health Care Authority, Oklahoma
|Okla Agency Code||'807'|
|Title||Provider fast facts, 12/2011|
Oklahoma Health Care Authority.
|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=13566|
|Rights and Permissions||This Oklahoma government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders.|