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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
848
Total Unduplicated Provider Count
39,191
Primary Care Provider (PCP) Capacities
SoonerCare Program Description Total Capacity % of Capacity Used
SoonerCare Choice 1,203,178 37.85%
SoonerCare Choice I/T/U 118,650 14.02%
Insure Oklahoma IP 411,778 3.26%
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 1 518
Tier 2 212
Tier 3 70
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.
March 2012
24,575
52
1,553
130 129 118 140
1,576
2,787
1,233
2,773
33,043
55
1,798
163 162 129 168
1,561
2,830
1,292
2,887
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
904
620
1,620 1,174 1,015 1,133 995 843 1,035
557 505 382 474
260
14,099
4,448 3,311
1,989
1,223 1,168 1,162 1,138 980 866
591 553
367 335 264
Physician Mental Health
Provider
Licensed
Behavioral
Health
Practitioner
Advance
Practice Nurse
DME/Medical
Supply Dealer
Dentist Pharmacy Therapist Hospital Physician
Assistant
Optometrist Transportation
Provider
Extended Care
Facility
Personal Care
Services
Direct Support
Services
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.
4/10/2012
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.
Object Description
| Okla State Agency |
Health Care Authority, Oklahoma |
| Okla Agency Code | '807' |
| Title | Provider fast facts, 03/2012 |
| Authors |
Oklahoma Health Care Authority. |
| Publication Date | 2012-03 |
| Publication type |
Statistics |
| For all issues click | H1300.6 P696 |
| Digital Format | PDF, Adobe Reader required |
| ODL electronic copy | Downloaded from Agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=13766 |
| Rights and Permissions | This Oklahoma State Government Publication is provided for educational purposes under US copyright law. Other usage requires permission of copyright holders. |
| Language | English |
| Date created | 2012-04-16 |
| Date modified | 2012-04-30 |
| OCLC number | 890218257 |
Description
| Title | Provider_FF_03_2012 1 |
| Full text | 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 848 Total Unduplicated Provider Count 39,191 Primary Care Provider (PCP) Capacities SoonerCare Program Description Total Capacity % of Capacity Used SoonerCare Choice 1,203,178 37.85% SoonerCare Choice I/T/U 118,650 14.02% Insure Oklahoma IP 411,778 3.26% 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 1 518 Tier 2 212 Tier 3 70 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. March 2012 24,575 52 1,553 130 129 118 140 1,576 2,787 1,233 2,773 33,043 55 1,798 163 162 129 168 1,561 2,830 1,292 2,887 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 12,490 904 620 1,620 1,174 1,015 1,133 995 843 1,035 557 505 382 474 260 14,099 4,448 3,311 1,989 1,223 1,168 1,162 1,138 980 866 591 553 367 335 264 Physician Mental Health Provider Licensed Behavioral Health Practitioner Advance Practice Nurse DME/Medical Supply Dealer Dentist Pharmacy Therapist Hospital Physician Assistant Optometrist Transportation Provider Extended Care Facility Personal Care Services Direct Support Services 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. 4/10/2012 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. |
| Date created | 2012-04-16 |
| Date modified | 2012-04-16 |
