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Due to heightened security alerts near the state capitol, OHCA will cancel the Jan. 20, 2021 board meeting and reschedule for next week. The safety of OHCA employees, board members and partners is of paramount importance. Once confirmed, the new date and time will be posted here.

Data & Reports

Enrollment Fast Facts

Total Enrollment (updated 1/19/2020)– Overall SoonerCare program monthly member demographics and breakdowns.

Total Enrollment by County (updated 12/21/2020) – Overall SoonerCare program monthly member demographics and breakdowns by county.

Federal Poverty Level (FPL) (updated 8/11/2020) – SoonerCare enrollment by FPL

Online Enrollment FF (updated 8/11/2020) – Online Enrollment Statistics

SoonerCare Children (updated 1/19/2020) – Overall children (age 18 and under) monthly enrollment in SoonerCare.

SoonerCare Adult (updated 1/19/2020) – Overall adult (age 19 and over) monthly enrollment in SoonerCare.

SoonerCare Choice (updated 1/19/2020) – Overall SoonerCare Choice program demographics and breakdowns released quarterly.

Children under 18 by Race & County (updated 9/21/2020) – Overall children monthly enrollment in SoonerCare by race and county.

American Indian (updated 1/19/2020) – SoonerCare demographics and breakdowns for American Indians released monthly.

Oklahoma Cares (updated 1/19/2020) – Quarterly statistics for SoonerCare’s Breast and Cervical Cancer treatment program.

SoonerPlan (updated 1/19/2020) – Monthly statistics for the Oklahoma family planning program called SoonerPlan.

TEFRA (updated 1/19/2020) – Home care program for children with physical or mental disabilities released quarterly.

PACE (updated 1/19/2020) – Quarterly enrollment demographics and breakdowns for Program of All-Inclusive Care for the Elderly.

Third Party Liability (updated 1/19/2020) – Monthly enrollment demographics and breakdowns for SoonerCare members with additional insurance through a third party.

Insure Oklahoma Fast Facts

Insure Oklahoma Summary (updated 1/19/2020) – Overall Insure Oklahoma program member monthly statistics.

Insure Oklahoma ESI and IP Detail (updated 1/19/2020) – An expanded monthly ESI and IP report for Insure Oklahoma.

Provider and Service Fast Facts

SoonerCare DME Fast Facts SFY2020 (updated 8/7/2020) – Annual report of DME services provided to SoonerCare members.

Provider Fast Facts (updated 1/19/2020) – Monthly statistics for health care providers enrolled in SoonerCare.

Provider Fast Facts by County (updated 1/19/2020) – Monthly statistics for health care providers enrolled in SoonerCare by county.

Pharmacy (updated 1/19/2020) – Pharmacy usage and prescription monthly statistics for SoonerCare members.

Dental Fast Facts (updated 1/19/2020) – Quarterly statistics for the dental care program for SoonerCare members.

NET FF (updated 7/27/2020) – provides a quarterly report of non-emergency transportation activities.

Behavioral Health (updated 1/19/2020) – Monthly statistics for SoonerCare’s behavioral health care services.

Miscellaneous Fast Facts

Annual Deliveries (updated 12/20/2020) – Report covering SoonerCare members with paid delivery (birth) claims.

Annual Emergency Department SFY2019 (updated 9/30/2019) – The Emergency Department (ED) Fast Fact provides a summary of physician, facility ED charges and overall ED utilization by SoonerCare members.

Dual Enrollees (updated 8/7/2020) - Annual enrollment demographics and breakdowns for SoonerCare members also enrolled in Medicare (Duals)

Fast Facts Archives

Insure Oklahoma Archives

Total Enrollment Archives

Uninsured

Oklahoma Uninsured Fast Facts – Insurance status statistics using the latest annual federal uninsured estimates.

Oklahoma Uninsured by County 2013 – County level uninsured estimates using federal and state sources.

Oklahoma Uninsured by County 2009 – County level uninsured estimates using federal and state sources.

Oklahoma Uninsured by County 2005 – County level uninsured estimates using federal and state sources.

Annual Report

SFY 2019 OHCA Annual Report

SFY 2019 Annual Report Appendix

Annual Report Primer

Archived Annual Reports

Service Efforts and Accomplishments

The Service Efforts and Accomplishments Report contains detailed measures of the Health Care Authority's efforts and outcomes.

2018 Service Efforts and Accomplishments
(2018 Report includes data from SFY 2016 through SFY 2018)

Archived Service Efforts and Accomplishments

Strategic Planning

The Strategic Planning and Performance Report contains the Health Care Authority's vision for the future of Oklahoma Medicaid.

Strategic Plan (SFY 2018-SFY 2022)
(2018 Report for SFY2018-SFY2022)

Update to Strategic Plan (SFY 2018-SFY 2022)
(Updated March 2019)

Archived Strategic Plans

Legislative Advisory Committee Reports

Oklahoma Long-term Care Services and Supports Advisory Committee

Forward-Looking Statements: These reports contain statements, estimates or projections that constitute “forward-looking statements” as defined under U.S. federal securities laws. Generally, the words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “project,” “will” and similar expressions identify forward-looking statements, which generally are not historical in nature. Forward-looking statements are subject to certain risks and uncertainties that could cause actual results to differ materially from the Oklahoma Health Care Authority's historical experience and our present expectations or projections. These risks include, but are not limited to, changes in economic and political conditions; fluctuations in the cost and availability of health care services; our ability to obtain funding; legislative and/or state law changes. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. The Oklahoma Health Care Authority undertakes no obligation to publicly update or revise any forward-looking statements.

Leavitt Report

2013 - Leavitt Reports and Summaries

Member Satisfaction Surveys

2019 SFY - Child Medicaid Member Satisfaction (CAHPS) Survey, CHIP population

2018 SFY - Adult Medicaid Satisfaction (CAHPS) Survey

Archived Member Satisfaction Surveys

Insure Oklahoma

2009 - Oklahoma Strategic Plan - Oklahoma State Coverage Initiative

2008 - Independent Evaluation of the Insure Oklahoma Program

2008 - Independent Evaluation of the Insure Oklahoma Program, Final Report

2008 - Independent Evaluation of the Insure Oklahoma Program, Issue Brief

OSDH – OHCA Maternal Child Health Studies and Evaluations

SoonerCare – Birth Certificate Linkage Project

Studies And Evaluations


2020 - Quality of Care in the SoonerCare Program Report - Quality Measures (2019)

2020 - Health Management Program Evaluation SFY 2019

2020 - Chronic Care Unit Evaluation SFY 2019

2020 - SoonerCare Section 1115 Waiver Demonstration Evaluation (2016-2018)

2019 - Chronic Care Unit Evaluation SFY 2018

2019 - Health Management Program Evaluation SFY 2018

2019 - Access Monitoring Review Plan

2019 - Quality of Care in the SoonerCare Program Report - Quality Measures (2018)  

2019 - SoonerCare Health Access Network Targeted Evaluation

2018 - SoonerCare Health Access Network Targeted Evaluation

2018 - SoonerCare Pain Management Independent Evaluation Findings

2018 - SoonerCare Choice Program Independent Evaluation - Initial Findings

2019 - SB 250 Diabetes Prevention Report

2018 - SB 972 Report - Diabetes Self-Management Training

2018 - Quality of Care in the SoonerCare Program Report - Quality Measures (2017)

2018 - SoonerCare Chronic Care Unit Evaluation SFY 2017

2018 - SoonerCare Health Management Program Evaluation SFY 2017

2017 - SB 773 Report - Coordinated Care Models for Children in DHS Custody

2017 - Quality of Care in the SoonerCare Program Report - Quality Measures (2016)

2017 - SoonerCare Chronic Care Unit Evaluation SFY 2016

2017 - SoonerCare Health Management Program Evaluation SFY 2016

2017 - SB 250 Diabetes Prevention Report

2016 - Annual EPSDT Participation Report (CMS)

2016 - HB 2962 Legislative Report

2016 - Diabetes Analysis SFY 2010-2015

2016 - Oklahoma ED Utilization Study Full Report - Year 2

2016 - Oklahoma ED Utilization Study Executive Summary - Year 2

2016 - Access Monitoring Review Plan

2016 - Population Care Management Independent Evaluation

2015 - SoonerCare Choice Program Independent Evaluation State Fiscal Year 2014

2015 - SoonerCare Choice Program Independent Evaluation State Fiscal Year 2014 Powerpoint

2015 - SoonerCare Choice Value Based Purchasing Options (Pacific Health Policy Group)

2015 - HB 2906 ER Utilization Study Report

2015 - HB 2906 ER Utilization Study Report Abstract

2015 - HB 2906 ER Utilization Study Report Appendices

2014 - Evaluation of the OHCA Cesarean Section Quality Initiative, Final Report

2014 – Provider Capacity Analysis

2013 - Dual Eligible Care Coordination Feasibility Study - Final Report

2013 - Dual Eligible Care Coordination Feasibility Study - Powerpoint

2013 – Oklahoma Health Care Insurance and Access Survey Fact Sheet

2013 – Oklahoma Health Care Insurance and Access Survey Final Report

2011 – Pacific Health Policy Group independent evaluation of “No Wrong Door” Online Enrollment Program  

2010 SFY - Behavioral Health Follow-Up Care & Recidivism Study

2010 SFY - SoonerCare External Quality Review Report

2010 SFY - SoonerPlan Study Executive Summary

2009 – Mathematica Evaluation Reports

2009 SFY - Child Health Checkups Study

2009 SFY – Early Preterm Birth Outcomes

2009 SFY - Oklahoma Cares (Breast and Cervical Cancer Treatment) Study

2006 FFY - Analysis of Federal Medical Assistance Percentage Changes (FMAP)

2006 - SoonerCare: Improving Care for Native Americans with Diabetes 2006 (CHCS)

2005 - Oklahoma Uninsured by County

2003 - State Planning Grant

2002 - Findings by OHCA Study Task Force

1990 – Medicaid Reform Documents

Archived Studies and Evaluations

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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.