Provider fast facts, 10/2012

              Provider Fast Facts
October 2012
fi/M
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.
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
l'rT
Oklahoma
health care
authority
Provider Network Count
45,000
40,000
35,000
30,000
25,000
34,682
35,244  35,799   35,932  35,998  36,641   37,029  37,550  38,258  38,716  39,314
34,132
609 Newly Enrolled Providers
Nov-11      Dec-11      Jan-12       Feb-12      Mar-12      Apr-12      May-12      Jun-12       Jul-12       Aug-12      Sep-12      Oct-12
* 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.
15,344
10,008   8,917 9,654
Top 15 Provider Network by Types
1,3291,363 1,275 1,339 1,2411,246 1,1851,197 1,0341,069 954 995
543 659  622 638  575
■July2012 Benchmark     ■Current Month
m   M     266   266     225   '27
I
Physician      Behavioral      Advance
Health Provider Practice Nurse
Dentist
Therapist    DME/Medical    Pharmacy
Supply Dealer
Hospital
Primary Care Provider (PCP) Capacities
SoonerCare Program
Total Capacity % of Capacity Used
SoonerCare Choice
1,097,825                   43.33%
SoonerCare Choice I/T/U
124,400                     14.49%
Insure Oklahoma IP
420,450                      3.31%
Physician    Personal Care   Optometrist  Transportation Extended Care Direct Support   Laboratory
Assistant       Services Provider        Facility        Services
Patient-Centered Medical Home
(PCMH) Enrollment by Tier
Payment Tier Code
Tierl
Count
526
Tier 2
206
Tier 3
74
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.
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.
Provider Network by Program
36,468 32,228
SoonerCare
Traditional
ljuly 2012 Benchmark      B Current Month
2,947 2,956
SoonerCare      SoonerCare     Sooner Seniors     My Life; My     Medicare
Choice I/T/U    Choice (PCPs) Choice
LTC Waiver     Living Choice   Insure Oklahoma DDSD Waiver
IP (PCPs)
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
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.