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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 1 526 Tier 2 200 Tier 3 75 November 2012 36,468 58 1,957 170 169 135 176 1,625 2,904 1,406 2,947 33,267 58 1,915 175 174 144 182 1,782 2,360 1,412 2,367 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 1,034 954 543 622 575 368 216 225 10,698 9,844 2,288 1,363 1,279 1,249 1,200 1,077 1,008 678 640 482 363 230 229 Physician Behavioral Health Provider Advance Practice Nurse Dentist Therapist DME/Medical Supply Dealer Pharmacy Hospital Physician Assistant Personal Care Services Optometrist Transportation Provider Extended Care Facility School Corporation Laboratory July 2012 Benchmark Current Month Top 15 Provider Network by Types 12/11/2012 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. Provider Network Count 35,244 35,799 35,932 35,998 36,641 37,029 37,550 38,258 38,716 39,314 34,132 34,759 25,000 30,000 35,000 40,000 45,000 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Newly Enrolled Providers* * 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. 523 SoonerCare Program Total Capacity % of Capacity Used SoonerCare Choice 1,087,125 45.80% SoonerCare Choice I/T/U 124,400 14.68% Insure Oklahoma IP 410,596 3.37% 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. OHCA is currently in a provider contract renewal period. Some of the totals below may indicate a decrease in the provider counts due to this process. This occurrence is typical during all renewal periods.
|Okla State Agency||
Health Care Authority, Oklahoma
|Okla Agency Code||
|Title||Provider fast facts, 11/2012|
Oklahoma Health Care Authority.
|Purpose||Statistics for health care providers enrolled in SoonerCare.|
|For all issues click||
|Digital Format||PDF Adobe Reader required|
|ODL electronic copy||Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=14389&libID=13372|
|Rights and Permissions||This Oklahoma State Government publication is provided for educational purposes under US copyright law. Other usage requires permission of copyright holders.|