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Behavioral Health Fast Facts
July 2013
This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with Title VI and Title VII of the Civil rights Act and the Rehabilitation Act of 1973. For additional copies, you can go online to OHCA's website www.okhca.org/research/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. The data is valid as of 8/21/2013 and is subject to change.
*The Total is an unduplicated count, members are only being counted once. Member Served counts members multiple times if they have multiple Category of Services, however, they are only counted once under each category of service. **Totals may not sum correctly due to rounding calculations.
¹ Behavioral Health Services Reimbursement is based on category of service. It does not include diagnosis information, which may not include all the expenses related to behavioral health services. Behavioral Health Services Reimbursement average 9% (as of SFY 2011) of the overall annual SoonerCare budget (excluding Psychotropic Drugs2).
2 Prescription claims that are not coded with diagnostic information and drugs used to treat behavioral health conditions may be used for some physical health conditions as well. This figure includes all uses of the drug included within behavioral health categories.
Reporting of figures are based on the payment date of the claims. Trends from month to month vary due to sporadic billing.
$40
$33
$40
$36
$35
$41
$34
$34
$33
$42
$34
$41
$10
$9
$10
$10
$9
$10
$9
$10
$10
$10
$9
$10
$50
$41
$50
$46
$44
$51
$43
$44
$43
$52
$43
$51
0
20
40
60
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13
Jul-13
Millions
Reimbursement
BH Services Dollars**
Psychotropic Drug²**
OHCA's Behavioral Health Program provides a behavioral health care benefit for adults 21 years of age and older and children under 21 years of age who are enrolled in SoonerCare (Traditional & Choice) programs.
* 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.
500,254
503,453
504,707
509,108
509,689
505,176
506,768
503,235
505,137
504,007
506,409
506,604
269,249
271,331
273,169
276,158
276,771
274,389
275,456
273,661
275,370
277,358
278,111
279,088
769,503
774,784
777,876
785,266
786,460
779,565
782,224
776,896
780,507
781,365
784,520
785,692
0
250,000
500,000
750,000
1,000,000
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13
Jul-13
SoonerCare Enrollment
Children Under 21 (65%)
Adult Age 21 - Over (35%)
Notes: The enrollment numbers are SoonerCare only, Individual Plan (IP) is excluded, all other figures include both SoonerCare & IP
40,261
39,993
43,158
43,072
45,131
45,780
44,807
45,344
45,533
47,006
45,250
43,993
21,649
20,120
22,274
20,377
20,918
21,857
21,252
20,327
21,674
23,356
21,947
23,276
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
Members Receiving Behavioral Health Services
Children Under 21
Adult Age 21 - Over
9,575
9,928
10,033
10,238
10,458
10,666
10,788
11,047
11,262
11,464
11,808
9,447
0
2,000
4,000
6,000
8,000
10,000
12,000
Behavioral Health Providers
*See note above regarding the Jul-13 BH provider decrease.
Reimbursement Members Served* Average per Member Reimbursement Members Served* Average per Member $402,091202$1,991$898,761386$2,328$835,408264$3,164$45,7018$5,713$8,730,0451,117$7,816$17,237,33237,459$460$6,995,12717,695$395$1,081,8023,596$301$240,036961$250$313,8542,587$121$426,6684,206$101$1,126,955435$2,591$1,336,256668$2,000$501,5994,912$102$316,3105,165$61$27,13965$418$307,968766$402$31,592,48143,993$718$9,230,57223,276$397Behavioral Health Services Reimbursement Psychiatrist Category of Service Children Under 21 Adult Age 21 and Over Inpatient (Acute-General) Total* (unduplicated) Residential Behavior Mgmt Services (TFC) SMI/SED Case Management Other OP Behavioral Hlth Services Residential Behavior Mgmt Services (Group) Inpatient (Acute-Freestanding) Psychiatric Residential Treatment Facility (PRTF) Outpatient Psychologist (Therapeutic Foster Care)1
8/21/2013
Object Description
| Okla State Agency |
Health Care Authority, Oklahoma |
| Okla Agency Code |
'807' |
| Title | Behavioral health fast facts, 07/2013 |
| Authors |
Oklahoma Health Care Authority. |
| Publication Date | 2013-07 |
| Publication type |
Statistics |
| Purpose | Monthly statistics for SoonerCare’s behavioral health care services. |
| For all issues click |
H1300.6 B419f |
| Digital Format | PDF, Adobe Reader required |
| ODL electronic copy | Downloaded from agency website: http://www.okhca.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=15148&libID=14131 |
| 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 | 2013-09-05 |
| Date modified | 2013-09-05 |
| OCLC number | 890225679 |
Description
| Title | Behavioral Health_FF_07_13[1] 1 |
| Full text | Behavioral Health Fast Facts July 2013 This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with Title VI and Title VII of the Civil rights Act and the Rehabilitation Act of 1973. For additional copies, you can go online to OHCA's website www.okhca.org/research/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. The data is valid as of 8/21/2013 and is subject to change. *The Total is an unduplicated count, members are only being counted once. Member Served counts members multiple times if they have multiple Category of Services, however, they are only counted once under each category of service. **Totals may not sum correctly due to rounding calculations. ¹ Behavioral Health Services Reimbursement is based on category of service. It does not include diagnosis information, which may not include all the expenses related to behavioral health services. Behavioral Health Services Reimbursement average 9% (as of SFY 2011) of the overall annual SoonerCare budget (excluding Psychotropic Drugs2). 2 Prescription claims that are not coded with diagnostic information and drugs used to treat behavioral health conditions may be used for some physical health conditions as well. This figure includes all uses of the drug included within behavioral health categories. Reporting of figures are based on the payment date of the claims. Trends from month to month vary due to sporadic billing. $40 $33 $40 $36 $35 $41 $34 $34 $33 $42 $34 $41 $10 $9 $10 $10 $9 $10 $9 $10 $10 $10 $9 $10 $50 $41 $50 $46 $44 $51 $43 $44 $43 $52 $43 $51 0 20 40 60 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Millions Reimbursement BH Services Dollars** Psychotropic Drug²** OHCA's Behavioral Health Program provides a behavioral health care benefit for adults 21 years of age and older and children under 21 years of age who are enrolled in SoonerCare (Traditional & Choice) programs. * 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. 500,254 503,453 504,707 509,108 509,689 505,176 506,768 503,235 505,137 504,007 506,409 506,604 269,249 271,331 273,169 276,158 276,771 274,389 275,456 273,661 275,370 277,358 278,111 279,088 769,503 774,784 777,876 785,266 786,460 779,565 782,224 776,896 780,507 781,365 784,520 785,692 0 250,000 500,000 750,000 1,000,000 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 SoonerCare Enrollment Children Under 21 (65%) Adult Age 21 - Over (35%) Notes: The enrollment numbers are SoonerCare only, Individual Plan (IP) is excluded, all other figures include both SoonerCare & IP 40,261 39,993 43,158 43,072 45,131 45,780 44,807 45,344 45,533 47,006 45,250 43,993 21,649 20,120 22,274 20,377 20,918 21,857 21,252 20,327 21,674 23,356 21,947 23,276 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 Members Receiving Behavioral Health Services Children Under 21 Adult Age 21 - Over 9,575 9,928 10,033 10,238 10,458 10,666 10,788 11,047 11,262 11,464 11,808 9,447 0 2,000 4,000 6,000 8,000 10,000 12,000 Behavioral Health Providers *See note above regarding the Jul-13 BH provider decrease. Reimbursement Members Served* Average per Member Reimbursement Members Served* Average per Member $402,091202$1,991$898,761386$2,328$835,408264$3,164$45,7018$5,713$8,730,0451,117$7,816$17,237,33237,459$460$6,995,12717,695$395$1,081,8023,596$301$240,036961$250$313,8542,587$121$426,6684,206$101$1,126,955435$2,591$1,336,256668$2,000$501,5994,912$102$316,3105,165$61$27,13965$418$307,968766$402$31,592,48143,993$718$9,230,57223,276$397Behavioral Health Services Reimbursement Psychiatrist Category of Service Children Under 21 Adult Age 21 and Over Inpatient (Acute-General) Total* (unduplicated) Residential Behavior Mgmt Services (TFC) SMI/SED Case Management Other OP Behavioral Hlth Services Residential Behavior Mgmt Services (Group) Inpatient (Acute-Freestanding) Psychiatric Residential Treatment Facility (PRTF) Outpatient Psychologist (Therapeutic Foster Care)1 8/21/2013 |
| Date created | 2013-09-05 |
| Date modified | 2013-09-05 |