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
ReportReport TitleTab Name
33aNetwork Changes SummaryNetwork 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 NetworkSpecialty Physicians in NetworkPharmacies in NetworkUrgent Care in NetworkHospitals in Network
CountCountCountCountCount
Time PeriodPCPs Accepting New Patients (%)PreviousCurrentNet Change (%)PreviousCurrentNet Change (%)PreviousCurrentNet Change (%)PreviousCurrentNet Change (%)PreviousCurrentNet Change (%)
Example55%335332-0.9%
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 .