Provider fast facts by county, 01/2013

              January 2013
Provider Fast Facts by County
Adair County
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 Oklahoma
SoonerCare within the reporting period, it does not necessarily indicate participation.
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
Provider Network Count
89 92 92 93 93 95 95 95 93 94 95 97
80
90
100
Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13
2 Newly Enrolled Provider. 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.
Primary Care Provider (PCP) Capacities
Provider 33 Network by Type
2
6 3 1 1 4 4
37
6
Behavio ral
Health
Clinic Dental DME/Medical
Supply Dealer
Hospital LTC Facility Other Pharmacy Physicians &
Other
Practitioners
School Based
EPSDT
Services
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 by Program
96
1
10 3 4 11
3
SoonerCare
Tradit ional
SoonerCare Choice
I/T/U
SoonerCare Choice
(PCPs)
LTC Waiver Living Choice Insure Oklahoma IP
(PCPs)
DDSD Waiver
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.
Acronyms
SoonerCare Program Total Capacity % of Capacity Used
SoonerCare Choice 9,700 42.02%
SoonerCare Choice I/T/U 3,000 31.97%
Insure Oklahoma IP 3,265 1.53%
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 Rehabilitation 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.
2/12/2013