Exhibit_33_Network_Changes_Summary.xlsx
XLSX spreadsheet 29 KB Posted
- Attached to
- OEIBA Program Commercial HMO, MSP, and MAPD Plans State and local contract opportunity
- Solicitation number
- EV00000681
- Issued by
- Oklahoma County, Hobart City, Oklahoma
About this file
This document is an Excel reporting template from the Oklahoma Office of Management and Enterprise Services (OMES) for a healthcare network provider's Network Changes Summary report. The template requires monthly and quarterly reporting of network composition, tracking changes in healthcare providers and facilities across five key categories: non-specialty physicians, specialty physicians, pharmacies, urgent care centers, and hospitals. The report is due by the 20th of the following month and must be submitted electronically via a secure email domain to EGIDVendorReporting@omes.ok.gov.
The reporting template requires detailed tracking of network changes, including percentage of primary care physicians accepting new patients and comparative counts of providers and facilities from previous to current periods. The document provides flexibility for January reporting, allowing suppliers to either report the entire month's data or just the count as of January 31st, with the requirement that the supplier explain their specific date approach. The template is designed for quarterly and annual network composition analysis, enabling the state to monitor healthcare network dynamics and provider accessibility across different time periods.
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Text version
Report Cover
| Exhibit 33: Network Changes Summary |
| [Supplier Name] |
| OEIBA Program |
| [Plan Year] |
| *Due Date: 20th of the following month | ||
| Report | Report Title | Tab Name |
| 33a | Network Changes Summary | Network Changes |
| Notes: |
| 1) Send via email by a secure domain to: EGIDVendorReporting@omes.ok.gov |
| 2) Completed template must be submitted electronically as an Excel file. |
33a Network Changes Due Date 20th of following month
| Network Changes Summary |
| [Supplier Name] |
| Reporting Date [Plan Year] |
| Non-Specialty Physicians in Network | Specialty Physicians in Network | Pharmacies in Network | Urgent Care in Network | Hospitals in Network | ||||||||||||
| Count | Count | Count | Count | Count | ||||||||||||
| Time Period | PCPs Accepting New Patients (%) | Previous | Current | Net Change (%) | Previous | Current | Net Change (%) | Previous | Current | Net Change (%) | Previous | Current | Net Change (%) | Previous | Current | Net Change (%) |
| Example | 55% | 335 | 332 | -0.9% | ||||||||||||
| January** | ||||||||||||||||
| February | ||||||||||||||||
| March | ||||||||||||||||
| 1st QTR | ||||||||||||||||
| April | ||||||||||||||||
| May | ||||||||||||||||
| June | ||||||||||||||||
| 2nd QTR | ||||||||||||||||
| July | ||||||||||||||||
| August | ||||||||||||||||
| September | ||||||||||||||||
| 3rd QTR | ||||||||||||||||
| October | ||||||||||||||||
| November | ||||||||||||||||
| December | ||||||||||||||||
| 4th QTR | ||||||||||||||||
| [Plan Year] |
| Notes: |
| 1) Counts should be as of last business day of the calendar month. |
| 2) January reporting can either a) reflect count between January 1 and January 31 or b) only the count for January 31 in "Current" with all other January categories blank. Supplier is responsible for explaining which dates were utilized for January. |
File details come from the government source that posted it. Updated .