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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 1 493
Tier 2 228
Tier 3 112
March 2013
36,468
58
1,957
170 169 135 176
1,625
2,904
1,406
2,947
35,420
58
2,008
184 183
81
191
1,863 2,485 1,495
2,542
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
216 266
11,659 10,629
2,431
1,396 1,319 1,244 1,215 1,111 1,078
744 648 516
358
245 243
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
Direct Support
Services
July 2012 Benchmark Current Month
Top 15 Provider Network by Types
4/17/2013
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.
36,641 37,029 37,550 38,258 38,716 39,314
34,132 34,759 35,476 35,982 36,406 37,018
25,000
30,000
35,000
40,000
45,000
Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-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 1,135,495 44.85%
SoonerCare Choice I/T/U 101,900 17.52%
Insure Oklahoma IP 427,300 3.08%
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.
173 Newly Enrolled Providers*
Object Description
| Okla State Agency | Health Care Authority, Oklahoma |
| Agency Division | Reporting & Statistics Sunit |
| Okla Agency Code | '807' |
| Title | Provider fast facts, 03/2013 |
| Authors | Oklahoma Health Care Authority. |
| Publication Date | 2013-04-17 |
| Frequency | Monthly |
| Publication type |
Statistics |
| Purpose | Provider Network Count; Top 15 Provider Network by Types |
| For all issues click | H1300.6 P969 |
| Digital Format | PDF, Adobe Reader required |
| ODL electronic copy | Filed with documents.ok.gov submissions system |
| 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. |
| Language | English |
| Date created | 2013-04-23 |
| Date modified | 2013-04-23 |
Description
| Title | Page 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 1 493 Tier 2 228 Tier 3 112 March 2013 36,468 58 1,957 170 169 135 176 1,625 2,904 1,406 2,947 35,420 58 2,008 184 183 81 191 1,863 2,485 1,495 2,542 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 1,034 954 543 622 575 368 216 266 11,659 10,629 2,431 1,396 1,319 1,244 1,215 1,111 1,078 744 648 516 358 245 243 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 Direct Support Services July 2012 Benchmark Current Month Top 15 Provider Network by Types 4/17/2013 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. 36,641 37,029 37,550 38,258 38,716 39,314 34,132 34,759 35,476 35,982 36,406 37,018 25,000 30,000 35,000 40,000 45,000 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-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 1,135,495 44.85% SoonerCare Choice I/T/U 101,900 17.52% Insure Oklahoma IP 427,300 3.08% 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. 173 Newly Enrolled Providers* |
| Date created | 2013-04-23 |
| Date modified | 2013-04-23 |
