Okeene Medical Service Area Telephone Survey Form and Results

Size: px
Start display at page:

Download "Okeene Medical Service Area Telephone Survey Form and Results"

Transcription

1 Okeene Medical Service Area Telephone Survey Form and Results CIMARRO TEXA BEAVE HARPE WOOD ALFALF GRAN KAY OSAG NOWAT CRAI OTTAW WOODWAR NOBL W A ROGER ELLI MAJO S GARFIEL PAWNE HI MAYE D N E PAYN TULS G L DEWE CREE A BLAIN WAGONE W LOGA KINGFISHE ROGER MUSKOGE C ADAI CUSTE OKLAHOM LINCOL H E CANADIA OKFUSKE SEQUOYA R O O BECKHA CLEVELAN K McINTOS WASHIT M HASKEL CADD HUGHEU GRAD L GREE P W PITTSBUR KIOWA O LATIME MCCLAI A S T T E O PONTOTO MI LE COMANCH GARVI N H JACKSO O A STEPHEN COAL R TILLMA PUSHMATAH M MURRA COTTO JOHNSTO ATOK CARTE JEFFERSO LOVE MAR- CHOCTA MCCURTAI SHAL BRYA Okeene Canton Watonga Geary Your Opinion Counts Oklahoma State Department of Health, Office of Rural Health Oklahoma Cooperative Extension Service, Oklahoma State University May 2002

2 AE Okeene Municipal Hospital Medical Service Area Telephone Survey Form and Results April Burns and Brandi Cook - Student Assistants OSU, Stillwater (405) Mary K. Lawler - Assistant State Extension Specialist, OSU, Stillwater (405) FAX (405) Gerald A. Doeksen - Extension Economist, OSU, Stillwater (405) Joy Rhodes - Blaine County Extension, Okeene (580) Stan Ralstin - Area Extension Rural Development Specialist, Enid (580) Rod Hargrave Coordinator, Oklahoma Flex Program, Oklahoma City (405) Val Schott - Director, Oklahoma Office of Rural Health, Oklahoma City (405) RURAL DEVELOPMENT OKLAHOMA COOPERATIVE EXTENSION SERVICE OKLAHOMA STATE UNIVERSITY May 2002

3 Okeene Municipal Hospital Medical Service Area Telephone Survey Form

4 OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 1 of 4 Screener Okeene Longdale Southard Ringwood Oakwood Isabella Ames Loyal Canton Hitchcock Do you use a family doctor and/or nurse practitioner for most of your routine health care? Yes No 2. If no, who do you go to for routine care? 3. Where do you go the most for your family s routine health care needs? Okeene Kingfisher Enid Okeene Clinic in Watonga Stillwater Weatherford Okeene Clinic in Canton Hennessey Seiling Watonga Fairview Oklahoma City Thomas 4. If you use a family doctor outside of Okeene, why? 5. If you or your family members have used a family doctor or nurse practitioner in Okeene in the last 12 months, were you satisfied with the quality of care you received? Satisfied Dissatisfied If dissatisfied, why? 6. Do you think there are enough family doctors in Okeene? Yes No Don t Know 7. What specialist(s) have you or your family members seen in the past 12 months and in what city is the specialist(s) located? Specialist City

5 OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 2 of 4 8. What health insurance covers you and your family? You Family Insurance through Employer/ Previous Employer Medicare Medicare Supplement Medicaid or Sooner Care Champus/TriCare Program VA benefits Self-Paid Plan Native American Benefits Do Not Have Health Insurance 9. If you do not have health insurance coverage, which best describes why? Cannot afford coverage Pre-existing medical condition 10. Has any member of your household used the services of a hospital in the past 12 months? Yes No 11. If yes, at which hospital(s) were services received? Okeene Municipal Hospital Enid area hospitals Watonga Municipal Hospital Stillwater Medical Center Fairview Hospital Oklahoma City area hospitals Kingfisher Regional Hospital Seiling Municipal Hospital Other 12. If other than Okeene Municipal Hospital, why did you choose this/these hospital(s)? 13. If your last visit to a hospital was to Okeene Municipal Hospital, what hospital services did you use? Specialty Doctor Emergency Room Outpatient Surgery Inpatient Surgery Laboratory (blood) Tests Inpatient Stay Radiology (x-ray, CT) Birthing Services Respiratory Therapy Rural Health Clinic Rehabilitation (physical therapy occupational therapy, and/or speech therapy) 14. If answered 13, how would you describe your experience at Okeene Municipal Hospital? Satisfied Dissatisfied If dissatisfied, why?

6 OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 3 of If you have used Emergency Room services in the past 12 months at Okeene Municipal Hospital, what services were used? X-Ray (Radiology) Laboratory Respiratory Therapy Cardiac Evaluation Obstetrics (OB) Trauma Care Routine Illness Other 16. If answered 15, how would you describe your experience at the emergency room in Okeene Municipal Hospital? Satisfied Dissatisfied If dissatisfied, why? 17. Has any member of your household used the services of the Blaine County Health Department or your local health department in the past 12 months? Yes No 18. If Yes to Number 17, were you: Satisfied Dissatisfied If dissatisfied, why? 19. Does your community provide adequate services for the following: Yes No Don t Know Ambulance Service Home Health Care Nursing Homes Dental Services Pharmacy Services Nutrition Education Services Transportation to Health Care Service 20. What concerns you most about health care in your community? (INTERVIEWER: 1 OR 2 ISSUES) 21. What is your age? What is your race? (Optional) White Asian Hispanic African American Native American Other

7 OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 4 of What is your yearly household income? Less than $10,000 $10,000 to less than $15,000 $15,000 to less than $20,000 $20,000 to less than $25,000 $25,000 to less than $35,000 $35,000 to $50,000 Over $50,000 [Do not read Don't know/not sure these responses.] Refused 24. DO NOT ASK THIS QUESTION!!!! Interviewer will decide on the answer to this question!!! Male Female Unknown (Can t Tell)

8 Okeene Municipal Hospital Medical Service Area Telephone Survey Results

9 QScreen. What is your zip code? Okeene % Ringwood % Canton % Ames % Longdale % Loyal % Oakwood % Hitchcock % Isabella % Southard % Total % 0% 10% 20% 30% 40% 50% 60% 70% Okeene % Ringwood % Canton % Ames Longdale Loyal Oakwood Hitchcock Isabella Southard % 8% 8% 5% 5% 3% 1% Okeene Municipal Hospital Medical Service Area Telephone Survey 1

10 Q1. Do you use a family doctor for most of your routine care? Yes % No 18 9% Total % No 9% Yes 91% Okeene Municipal Hospital Medical Service Area Telephone Survey 2

11 Q2. If no, who do you go to for routine care? Clinic 7 37% Don't Go 5 26% Anyone 2 11% Doctor 2 11% Indian Clinic 1 5% Specialist 1 5% VA 1 5% Total Responses % Okeene Municipal Hospital Medical Service Area Telephone Survey 3

12 Q3. Where do you go the most for your family's primary health care needs? Response No. Percent Response No. Percent Okeene 91 45% Okeene Clinic in Canton 2 1% Enid 54 27% Hennessey 2 1% Fairview 21 10% Weatherford 2 1% Kingfisher 8 4% Okeene Clinic in Watonga 1 1% Seiling 7 4% Other:Okarche(3), Don't Go(1) 4 2% Watonga 6 3% Oklahoma City 2 1% Total % 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Okeene Enid Fairview Kingfisher Seiling Watonga Oklahoma City Okeene Clinic in Canton Hennessey Weatherford Okeene Clinic in Watonga Other:Okarche(3), Don't Go(1) 4% 4% 3% 1% 1% 1% 1% 1% 2% 10% 27% 45% Okeene Municipal Hospital Medical Service Area Telephone Survey 4

13 Q4. Why do you use a doctor outside of the Okeene Municipal Hospital Medical Service Area? Closer to Home/Convenience 32 33% Established Patient 26 27% Personal Preference 15 16% Confidence/Quality of Care 12 13% Insurance/Cost/Affordability 5 5% Specialist 4 4% Availability of Health Services 2 2% Total Responses % Okeene Municipal Hospital Medical Service Area Telephone Survey 5

14 Q5A. How would you describe the quality of care provided by your family doctor? Frequency Percent Satisfied 94 93% Dissatisfied 7 7% Total % Dissatisfied 7% Satisfied 93% Okeene Municipal Hospital Medical Service Area Telephone Survey 6

15 Q5B. Why are you dissatisfied with the quality of care provided by your family doctor? Lack of Quality Care 3 43% Misdiagnosed 3 43% Qualified Staff 1 14% Total Responses 7 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 7

16 Q6. Do you think there are enough family doctors in Okeene? Frequency Percent Yes 94 47% No 32 16% Don't know 74 37% Total % No 16% Don't know 37% Yes 47% Okeene Municipal Hospital Medical Service Area Telephone Survey 8

17 Q7. What specialist(s) have you or your family members seen in the past 12 months and in what city is the specialist(s) located? Specialist City Frequency Percent Orthopedist OKC, Enid, Kingfisher, Edmond 33 16% Cardiologist OKC, Enid, Leedey, Midwest City 23 11% Neurologist Enid, OKC, Norman 20 10% Urologist Enid, OKC 14 7% Optometrist Enid, OKC, Fairview, Hennessey 13 6% Gynecologist Enid, OKC, Stillwater 12 6% Dermatologist Enid, OKC 8 4% Obstetrician Enid, OKC, Tulsa 6 3% Oncologist Enid, OKC 6 3% Ophthal. Enid, OKC 6 3% Other 67 31% Reported No- Specialists (80) Total Responses % Okeene Municipal Hospital Medical Service Area Telephone Survey 9

18 Q8A. What health insurance covers you? * Insurance through Employer/Previous Employer % Medicare 63 32% Medicare Supplement 49 25% Self-paid Plan 42 21% Medicaid/Sooner Care 13 7% VA Benefits 4 2% Champus / TriCare Program 3 2% Native American Benefits 3 2% Total 282 *Percent based on number of respondents. 0% 10% 20% 30% 40% 50% 60% Employer/Previous Employer 53% Medicare 32% Medicare Supplement Self-paid Plan 21% 25% Medicaid/Sooner Care 7% VA Benefits Champus / TriCare Program Native American Benefits 2% 2% 2% Okeene Municipal Hospital Medical Service Area Telephone Survey 10

19 Q8B. What health insurance covers your family? * Insurance through Employer/Previous Employer 85 43% Medicare 30 15% Self-paid Plan 23 12% Medicare Supplement 22 11% Medicaid/Sooner Care 18 9% Native American Benefits 4 2% Champus / TriCare Program 3 2% VA Benefits 2 1% Total 187 *Percent based on number of respondents. 0% 10% 20% 30% 40% 50% Employer/Previous Employer 43% Medicare Self-paid Plan Medicare Supplement Medicaid/Sooner Care 15% 12% 11% 9% Native American Benefits Champus / TriCare Program VA Benefits 2% 2% 1% Okeene Municipal Hospital Medical Service Area Telephone Survey 11

20 Q9. If you do not have health insurance coverage, which best describes why? Cannot afford coverage 17 68% Pre-existing Condition 5 20% Other: In-between jobs(2), 3 12% No Reason to Have Coverage(1) Total % Pre-existing Condition 20% Other: 12% Cannot afford coverage 68% Okeene Municipal Hospital Medical Service Area Telephone Survey 12

21 Q10. Has any member of your household used the services of a hospital in the past 12 months? Yes 86 43% No % Total % Yes 43% No 57% Okeene Municipal Hospital Medical Service Area Telephone Survey 13

22 Q11. At which hospital were services received? Enid area hospitals 31 36% Okeene Municipal Hospital 25 29% Oklahoma City area hospitals 15 17% Fairview Hospital 8 9% Kingfisher Regional Hospital 3 4% Watonga Municipal Hospital 1 1% Other: Bass Hospital(1), Lawton(1), 3 4% Clinton(1) Total % 0% 10% 20% 30% 40% 50% Enid area hospitals 36% Okeene Municipal Hospital 29% Oklahoma City area hospitals 17% Fairview Hospital 9% Kingfisher Regional Hospital 4% Watonga Municipal Hospital 1% Other: Bass Hospital(1), Lawton(1), 4% Okeene Municipal Hospital Medical Service Area Telephone Survey 14

23 Q12. If other than the Okeene Municipal Hospital, why did you choose this/these hospital? Recommendation/Referral 15 25% Availability of Health Services 11 18% Established Patient 9 15% Specialist 9 15% Insurance/Cost/Affordability 6 9% Closer to Home/Convenience 5 8% Confidence/Quality of Care 3 5% Personal Preference 3 5% Total Responses % 0% 10% 20% 30% 40% Recommendation/Referral 25% Availability of Health Services Established Patient Specialist 15% 15% 18% Insurance/Cost/Affordability Closer to Home/Convenience 9% 8% Confidence/Quality of Care Personal Preference 5% 5% Okeene Municipal Hospital Medical Service Area Telephone Survey 15

24 Q13. What hospital services did you use on your most recent visit to Okeene Municipal Hospital? Response No. Percent* Response No. Percent* Laboratory Tests 21 30% Inpatient Surgery 2 3% Radiology 10 14% Rehabilitation 2 3% Emergency Room 10 14% Specialty Doctor 2 3% Inpatient Stay 10 14% Rural Health Clinic 9 13% Total 71 Respiratory Therapy 3 4% Outpatient Surgery 2 3% *Percent based on number of "Okeene Municipal Hospital" answers in Q13. 0% 10% 20% 30% 40% 50% 60% 70% 80% Laboratory Tests 30% Radiology Emergency Room Inpatient Stay Rural Health Clinic 14% 14% 14% 13% Respiratory Therapy Outpatient Surgery Inpatient Surgery Rehabilitation Specialty Doctor 4% 3% 3% 3% 3% Okeene Municipal Hospital Medical Service Area Telephone Survey 16

25 Q14A. How would you describe your experience at Okeene Municipal Hospital? Satisfied 24 96% Dissatisfied 1 4% Total % Dissatisfied 4% Satisfied 96% Okeene Municipal Hospital Medical Service Area Telephone Survey 17

26 Q14B. Why were you dissatisfied with your experience at Okeene Municipal Hospital? Unprofessional Staff 1 100% Total Responses 1 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 18

27 Q15A. Have you used Emergency Room services at the Okeene Municipal Hospital in the past 12 months? Yes 34 17% No % Total % Yes 17% No 83% Okeene Municipal Hospital Medical Service Area Telephone Survey 19

28 Q15B. If you have used Emergency Room services in the past 12 months at Okeene Municipal Hospital, what services were used? * Laboratory 16 47% Radiology 11 32% Cardiac Evaluation 9 26% Trauma Care 9 26% Routine Illness 8 24% Respiratory Therapy 3 9% Total 56 *Percent based on "yes" answers to Q15A. 0% 10% 20% 30% 40% 50% 60% 70% Laboratory 47% Radiology 32% Cardiac Evaluation 26% Trauma Care 26% Routine Illness 24% Respiratory Therapy 9% Okeene Municipal Hospital Medical Service Area Telephone Survey 20

29 Q16A. If Yes to Q15, were you satisified or dissatisfied with these services? Satisfied 33 97% Dissatisfied 1 3% Total % Dissatisfied 3% Satisfied 97% Okeene Municipal Hospital Medical Service Area Telephone Survey 21

30 Q16B. Why were you dissatisfied with the quality of services? Unprofessional Staff 1 100% Total Responses 1 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 22

31 Q17. Have you or any member of your household used the services of the Blaine County Health Department or your local health department in the past 12 months? Yes 32 16% No % Don t Know 1 1% Total % Don t Know 1% Yes 16% No 83% Okeene Municipal Hospital Medical Service Area Telephone Survey 23

32 Q18A. If Yes to Q17, were you satisified or dissatisfied with these services? Satisfied 30 94% Dissatisfied 2 6% Total % Dissatisfied 6% Satisfied 94% Okeene Municipal Hospital Medical Service Area Telephone Survey 24

33 Q18B. Why were you dissatisfied with the quality of services? Better Management 1 50% Availability of Health Services 1 50% Total Responses 2 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 25

34 Q19A. Do you feel your community provides adequate ambulance services? Yes % No 34 17% Don't know 30 15% Total % No 17% Don't know 15% Yes 68% Okeene Municipal Hospital Medical Service Area Telephone Survey 26

35 Q19B. Do you feel your community provides adequate services for home health care? Yes 81 40% No 37 19% Don't know 82 41% Total % Don't know 41% No 19% Yes 40% Okeene Municipal Hospital Medical Service Area Telephone Survey 27

36 Q19C. Do you feel that the community provides adequate services for nursing homes? Yes % No 48 24% Don't know 52 26% Total % No 24% Don't know 26% Yes 50% Okeene Municipal Hospital Medical Service Area Telephone Survey 28

37 Q19D. Do you feel that the community provides adequate dental services? Yes % No 60 30% Don't know 19 10% Total % No 30% Don't know 10% Yes 60% Okeene Municipal Hospital Medical Service Area Telephone Survey 29

38 Q19E. Do you feel that the community provides adequate pharmacy services? Yes % No 39 20% Don't know 10 5% Total % No 20% Don't know 5% Yes 75% Okeene Municipal Hospital Medical Service Area Telephone Survey 30

39 Q19F. Do you feel that the community provides adequate nutrition education services? Yes 69 35% No 51 26% Don't know 80 39% Total % Don't know 39% No 26% Yes 35% Okeene Municipal Hospital Medical Service Area Telephone Survey 31

40 Q19G. Do you feel that the community provides adequate transportation to health care services? Yes 89 44% No 36 18% Don't know 75 38% Total % Don't know 38% No 18% Yes 44% Okeene Municipal Hospital Medical Service Area Telephone Survey 32

41 Q20. What concerns you most about health care in your community? Reponse Frequency Percent* Healthcare: Costs(27), Availability of services(16), Distance to Healthcare(12), Awareness(1), Quality of Care(1) 57 28% Doctors: Availability of Doctors(5), Qualified Staff(11), Spanish Speaking(1), Unprofessionalism(1) 18 9% Ambulance Services/Improved 911 Services 13 6% Specialist(5): Cardiologist(1), Dentist(2), Optometrist(1), Pediatrician(1), Pharmacist(1) 11 5% Elderly Care 9 4% Insurance: Cost(4), Coverage(4), Medicare Problems(1) 9 4% Hospital: Hospital Funding 3 2% Emergency Room Services/Trauma Care 2 2% Modern Equipment/Technology 2 2% Home Health Care 1 1% Nursing Homes: More 1 1% None 75 36% Total Responses % *Respondents may give more than one response. Okeene Municipal Hospital Medical Service Area Telephone Survey 33

42 Q21. What is your age? Years 2 1% Years 16 8% Years 39 19% Years 39 19% Years 31 16% Years 35 18% Years 26 13% 81 or Over 12 6% Total % Years 19% Years 16% Years 18% Years 19% Years 8% Years 1% 81 or Over 6% Years 13% Okeene Municipal Hospital Medical Service Area Telephone Survey 34

43 Q22. What is your race? Caucasian % Native American 2 1% Hispanic 6 3% Other: German 1 1% Total % Caucasian 95% Other: German 1% Hispanic 3% Native American 1% Okeene Municipal Hospital Medical Service Area Telephone Survey 35

44 Q23. What is your yearly household income? < $10, % $10,000-$14, % $15,000-$19, % $20,000-$24, % $25,000-$34, % $35,000-$50, % Over $50, % Don't Know/Not Sure 16 8% Refused 10 5% Total % $25,000- $34,999 15% $35,000- $50,000 20% Over $50,000 14% $20,000- $24,999 8% $15,000- $19,999 12% $10,000- $14,999 10% Don't Know/Not < $10,000 8% Refused 5% Sure 8% Okeene Municipal Hospital Medical Service Area Telephone Survey 36

45 Q24. What is the gender of the respondents? Male 65 33% Female % Total % Male 33% Female 67% Okeene Municipal Hospital Medical Service Area Telephone Survey 37

Cleveland Area Hospital Medical Service Area Telephone Survey Form and Results

Cleveland Area Hospital Medical Service Area Telephone Survey Form and Results Cleveland Area Hospital Medical Service Area Telephone Survey Form and Results CIMARRO TEXA BEAVE HARPE WOODS ALFALF GRANT KAY OSAGE NOWAT OTTAW CRAIG WOODWAR W NOBLE A ELLIS ROGER MAJOR S GARFIEL PAWNE

More information

Beaver County Phone Survey Form and Results

Beaver County Phone Survey Form and Results Beaver County Phone Survey Form and Results Beaver County Oklahoma State Department of Health Oklahoma Office of Rural Health Oklahoma Cooperative Extension Service Oklahoma State University September

More information

Prague Municipal Hospital Medical Service Area Telephone Survey Form and Results

Prague Municipal Hospital Medical Service Area Telephone Survey Form and Results Prague Municipal Hospital Medical Service Area Telephone Survey Form and Results CIMARRON TEXAS BEAVER HARPER GRANT WOODS ALFALFA WOODWARD ELLIS MAJOR GARFIELD NOBLE KAY PAWNEE OSAGE WASHINGTON NOWATA

More information

Love County Medical Service Area Telephone Survey Form and Results

Love County Medical Service Area Telephone Survey Form and Results Love County Medical Service Area Telephone Survey Form and Results Love County Oklahoma State Department of Health, Office of Rural Health Oklahoma Cooperative Extension Service, Oklahoma State University

More information

Creek Nation Community Hospital Medical Service Area Telephone Survey Form and Results

Creek Nation Community Hospital Medical Service Area Telephone Survey Form and Results Creek Nation Community Hospital Medical Service Area Telephone Survey Form and Results Okfuskee County Okemah Oklahoma State University, Office of Rural Health Oklahoma Cooperative Extension Service, Oklahoma

More information

Carnegie Tri-County Municipal Hospital Medical Service Area Phone Survey Form and Results

Carnegie Tri-County Municipal Hospital Medical Service Area Phone Survey Form and Results CIMARRON TEXAS BEAVER ELLIS HARPER ROGER MILLS BECKHAM GREER WOODWARD JACKSON DEWEY CUSTER WASHITA KIOWA TILLMAN WOODS COMANCHE ALFALFA MAJOR BLAINE CADDO COTTON CANADIAN GRADY GRANT GARFIELD KINGFISHER

More information

Okeene Municipal Hospital Medical Service Area Telephone Survey Form and Results

Okeene Municipal Hospital Medical Service Area Telephone Survey Form and Results Okeene Municipal Hospital Medical Service Area Telephone Survey Form and Results Oklahoma Office of Rural Health Center for Rural Health OSU Center for Health Sciences Oklahoma Cooperative Extension Service

More information

Fairfax Memorial Hospital Medical Service Area Phone Survey Form and Results

Fairfax Memorial Hospital Medical Service Area Phone Survey Form and Results Fairfax Memorial Hospital Medical Service Area Phone Survey Form and Results CIMARRON TEXAS BEAVER HARPER GRANT WOODS ALFALFA WOODWARD ELLIS MAJOR GARFIELD NOBLE KAY PAWNEE OSAGE WASHINGTON NOWATA CRAIG

More information

Seiling Community Hospital Medical Service Area Telephone Survey Form and Results

Seiling Community Hospital Medical Service Area Telephone Survey Form and Results Seiling Community Hospital Medical Service Area Telephone Survey Form and Results Oklahoma Office of Rural Health Center for Rural Health OSU Center for Health Sciences Oklahoma Cooperative Extension Service

More information

Purcell Municipal Hospital Medical Service Area Survey Results. Oklahoma Office of Rural Health OSU Center for Rural Health

Purcell Municipal Hospital Medical Service Area Survey Results. Oklahoma Office of Rural Health OSU Center for Rural Health Purcell Municipal Hospital Medical Service Area Survey Results Oklahoma Office of Rural Health OSU Center for Rural Health Oklahoma Cooperative Extension Service Oklahoma State University May 2013 AE-13055

More information

List of Lists Updated: January 2012

List of Lists Updated: January 2012 List of Lists Medical & Allied Health Professionals Medical Professionals at Office Address Medical Professionals by Demographics & Lifestyles Medical Professionals Email Addresses Healthcare Facilities

More information

Oklahoma Department of Career and Technology Education

Oklahoma Department of Career and Technology Education Oklahoma Department of Career and Technology Education Information Commons September 2016 Oklahoma Healthcare Practitioners and Technical Occupations Parameters Occupations Code Description 29-0000 Healthcare

More information

Year In Review: FY2015

Year In Review: FY2015 The Year In Review: FY2015 is a high level summary of activity for the last fiscal year compiled by the CCHHS BI team. For any questions, please contact Amanda Grasso at agrasso@cookcountyhhs.org. Facility

More information

F-999 Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs): Bonus Payments for Health Care Professionals

F-999 Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs): Bonus Payments for Health Care Professionals Oklahoma Cooperative Extension Service F-999 Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs): Bonus Payments for Health Care Professionals Brian Whitacre, Ph.D. Assistant

More information

Eastern Oklahoma Donated Dental Services (E.O.D.D.S.)

Eastern Oklahoma Donated Dental Services (E.O.D.D.S.) Eastern Oklahoma Donated Dental Services (E.O.D.D.S.) Dental Applicant Information E.O.D.D.S. operates on a first come, first serve bases; and you will not receive any notification that you have been approved

More information

SOURCE OF NEW FRESHMEN BY RESIDENT STATUS OKLAHOMA STATE UNIVERSITY FALL SEMESTER 2007 RESIDENT NEW FRESHMEN BY COUNTY

SOURCE OF NEW FRESHMEN BY RESIDENT STATUS OKLAHOMA STATE UNIVERSITY FALL SEMESTER 2007 RESIDENT NEW FRESHMEN BY COUNTY SOURCE OF STUDENTS SOURCE OF NEW FRESHMEN BY RESIDENT STATUS FALL SEMESTER RESIDENT NEW FRESHMEN BY COUNTY Cimarron Texas On County Map, Unknown Counties* Res. New Freshmen, *Unknown Counties include

More information

SOURCE OF NEW FRESHMEN BY RESIDENT STATUS OKLAHOMA STATE UNIVERSITY FALL SEMESTER 2008 RESIDENT NEW FRESHMEN BY COUNTY

SOURCE OF NEW FRESHMEN BY RESIDENT STATUS OKLAHOMA STATE UNIVERSITY FALL SEMESTER 2008 RESIDENT NEW FRESHMEN BY COUNTY SOURCE OF STUDENTS Cimarron On County Map, Unknown Counties* Res. New Freshmen, *Unknown Counties include students who did not supply county information and students who live out-of-state, but have residency

More information

Trends in Oklahoma Hospital Professions Supply, Vacancies, Turnover & Educational Capacity Expansion

Trends in Oklahoma Hospital Professions Supply, Vacancies, Turnover & Educational Capacity Expansion Trends in Oklahoma Hospital Professions Supply, Vacancies, Turnover & Educational Capacity Expansion April 2009 Vacancy & Supply DATA 2005 & 2008 Results of a 2005 staffing survey of Oklahoma Hospital

More information

PROVIDER PARTICIPATION REQUEST FORM

PROVIDER PARTICIPATION REQUEST FORM PROVIDER PARTICIPATION REQUEST FORM Thank you for your interest in becoming a participating provider with Quartz. Your request will be evaluated for participation in all Quartz affiliate networks. In order

More information

Client and Volunteer Satisfaction with the Poverello Medical Clinic

Client and Volunteer Satisfaction with the Poverello Medical Clinic Client and Volunteer Satisfaction with the Poverello Medical Clinic Fall 2007 Community Benchmarks Program The Maxwell School of Syracuse University Research Team Kathleen O Connor Kerri Aronson Inessa

More information

North Carolina Ambulatory Surgery Visit Data - Data Dictionary FY2011 Alphabetic List of Variables and Attributes Standard Research File

North Carolina Ambulatory Surgery Visit Data - Data Dictionary FY2011 Alphabetic List of Variables and Attributes Standard Research File North Carolina Ambulatory Surgery Visit Data - Data Dictionary FY2011 Alphabetic List of Variables and Attributes Standard Research File One of these three variables must be suppressed (Diag1, fac, ptzip)

More information

REGISTERING A PATIENT

REGISTERING A PATIENT REGISTERING A PATIENT Patient Eligibility It is important for the institution staff to review all eligibility criteria and follow-up requirements. A patient failing to meet all protocol eligibility requirements

More information

HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE

HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE ID: MD0000003250 X Schedule of s HPHC Insurance Company, Inc. THE HPHC INSURANCE COMPANY DEDUCTIBLE TIERED COPAYMENT PPO PLAN MAINE This Schedule of s summarizes your benefits under the The HPHC Insurance

More information

What Does Medicaid Do?

What Does Medicaid Do? Page 1 of 5 Texas Department of Health What Does Medicaid Do? Table 4.1 Medicaid Eligibility in Texas: 1998 TANF-Related Categories (dollar amounts = maximum income limit for eligibility: asset cap: $2000)

More information

Gender. Age DEMOGRAPHICS POINTS OF DISTINCTION COMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES STATE OF FLORIDA BRAIN AND SPINAL CORD PROGRAM

Gender. Age DEMOGRAPHICS POINTS OF DISTINCTION COMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES STATE OF FLORIDA BRAIN AND SPINAL CORD PROGRAM POINTS OF DISTINCTION 89-bed Acute Adult Inpatient Rehabilitation Unit, All private rooms 4 th largest Rehabilitation provider in the state of Florida Admitted 2157 patients from April 2017 through March

More information

Care Provider Demographic Information Update

Care Provider Demographic Information Update Care Provider Demographic Information Update Please use this form for a single care provider practitioner update. Incomplete forms will not be processed. Fields with an asterisk (*) are required for practitioners

More information

Oklahoma Department of Career and Technology Education

Oklahoma Department of Career and Technology Education Oklahoma Department of Career and Technology Education Information Commons September 2016 Oklahoma Healthcare Support Occupations Parameters Occupations Code Description 31-0000 Healthcare Support Occupations

More information

Independent Accountant s Report on the Examination of Disproportionate Share Hospital Verifications

Independent Accountant s Report on the Examination of Disproportionate Share Hospital Verifications Independent Accountant s Report on the Examination of Disproportionate Share Hospital Verifications State of Oklahoma Department of Health Care Authority Oklahoma City, Oklahoma 73105 DSH Year Ended September

More information

National Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition

National Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition National Hospice and Palliative Care OrganizatioN Facts AND Figures Hospice Care in America 2017 Edition NHPCO Facts & Figures - 2017 edition Table of Contents 2 Introduction 2 About this report 2 What

More information

Community Health Needs Assessment: St. John Owasso

Community Health Needs Assessment: St. John Owasso Community Health Needs Assessment: St. John Owasso IRC Section 501(r) requires healthcare organizations to assess the health needs of their communities and adopt implementation strategies to address identified

More information

Company Vanguard Recycling Energy , Novgorod region, Staraya Russa, No. 8, Slavic St. +Fax: : 7 (81652)

Company Vanguard Recycling Energy , Novgorod region, Staraya Russa, No. 8, Slavic St. +Fax: : 7 (81652) Ecopolis Medical Center VR Energie GmbH & Company Vanguard Recycling Energy 175202, Novgorod region, Staraya Russa, No. 8, Slavic St. +Fax: : 7 (81652) 59410 www.vrenergy.ru info@trt-wv.com Introduction

More information

Certified Nursing Assistant (CNA) Program. Fall 2013 Demographics Survey

Certified Nursing Assistant (CNA) Program. Fall 2013 Demographics Survey Certified Nursing Assistant (CNA) Program Fall 2013 Demographics Survey Prepared by Danielle Pearson Date: 10.17.2013 Introduction The Chaffey College Health Science Demographic Survey was completed by

More information

High Deductible Health Plan (HDHP)

High Deductible Health Plan (HDHP) High Deductible Health Plan (HDHP) BeneFIts Summary Effective July 1, 2012 or October 1, 2012 Benefit Highlights How The Plan Works...1 Summary Of Benefits...4 Special Programs...7 Approval Of Care At

More information

PROVIDER INFORMATION UPDATE FORM CURRENT CONTRACT INFORMATION - ALL FIELDS IN THIS SECTION ARE REQUIRED

PROVIDER INFORMATION UPDATE FORM CURRENT CONTRACT INFORMATION - ALL FIELDS IN THIS SECTION ARE REQUIRED PROVIDER INFORMATION UPDATE FORM CURRENT CONTRACT INFORMATION - ALL FIELDS IN THIS SECTION ARE REQUIRED 1. Type of Group: Ancillary Specialist PCP Hospital Urgent Care FQHC/RHC QFPP/ X Contracted Entity/Name:

More information

The Healthy Michigan Plan Handbook

The Healthy Michigan Plan Handbook The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). The Healthy Michigan Plan provides health

More information

Module 1 Program Description

Module 1 Program Description Module 1 Program Description Palliative Care Program Description 1. What type(s) of communities does your palliative care program serve? Check all that apply. Urban Suburban Rural 2. Which counties does

More information

Blue Cross Premier Bronze

Blue Cross Premier Bronze An individual PPO health plan from Blue Cross Blue Shield of Michigan. You will have a broad choice of doctors and hospitals within BCBSM s unsurpassed statewide PPO network including nationwide coverage.

More information

2017 SPECIALTY REPORT ANNUAL REPORT

2017 SPECIALTY REPORT ANNUAL REPORT 2017 SPECIALTY REPORT ANNUAL REPORT National Commission on Certification of Physician Assistants Table of Contents Message from the President... 3 About the Data Collection and Methodology...4 All Specialties....

More information

GIC Employees/Retirees without Medicare

GIC Employees/Retirees without Medicare GIC Active Employees & Retirees without Medicare 7/1/18 GIC Employees/Retirees without Medicare HMO Summary of Benefits Chart This chart provides a summary of key services offered by your Health New England

More information

North Carolina Emergency Department Visit Data - Data Dictionary FY2012 Alphabetic List of Variables and Attributes Standard Research File

North Carolina Emergency Department Visit Data - Data Dictionary FY2012 Alphabetic List of Variables and Attributes Standard Research File North Carolina Emergency Department Visit Data - Data Dictionary FY2012 Alphabetic List of Variables and Attributes Standard Research File One of these three variables must be suppressed (diag1, fac, or

More information

SUMMARY OF BENEFITS. Hamilton County Department of Education Network Copay Plan. Connecticut General Life Insurance Co.

SUMMARY OF BENEFITS. Hamilton County Department of Education Network Copay Plan. Connecticut General Life Insurance Co. SUMMARY OF BENEFITS Connecticut General Life Insurance Co. Hamilton County Department of Education Annual deductibles and maximums Lifetime maximum Pre-Existing Condition Limitation (PCL) Coinsurance All

More information

North Carolina Inpatient Hospital Discharge Data - Data Dictionary FY2011 Standard Research File Alphabetic List of Variables and Attributes

North Carolina Inpatient Hospital Discharge Data - Data Dictionary FY2011 Standard Research File Alphabetic List of Variables and Attributes North Carolina Inpatient Hospital Discharge Data - Data Dictionary FY2011 Standard Research File Alphabetic List of Variables and Attributes One of these three variables must be suppressed (diag1, fac,

More information

Standards for Success ROSS Data Elements

Standards for Success ROSS Data Elements This shortcut assists ROSS Grantees to identify: Relevant data elements to collect; Questions for gathering information for the data element; and Possible response options. Participant Description 1 Person

More information

Primary Care. in Rural America

Primary Care. in Rural America WWAMI Rural Health Research Center University of Washington Primary Care in Rural America Physician Survey 2011 WWAMI Rural Health Research Center University of Washington Primary Care in Rural America:

More information

Department of Health. Managing NHS hospital consultants. Findings from the NAO survey of NHS consultants

Department of Health. Managing NHS hospital consultants. Findings from the NAO survey of NHS consultants Department of Health Managing NHS hospital consultants Findings from the NAO survey of NHS consultants FEBRUARY 2013 Contents Introduction 4 Part One 5 Survey methodology 5 Part Two 9 Consultant survey

More information

AMERICAN INDIAN 638 CLINICS PROVIDER MANUAL Chapter Thirty-nine of the Medicaid Services Manual

AMERICAN INDIAN 638 CLINICS PROVIDER MANUAL Chapter Thirty-nine of the Medicaid Services Manual AMERICAN INDIAN 638 CLINICS PROVIDER MANUAL Chapter Thirty-nine of the Medicaid Services Manual Issued December 1, 2009 Claims/authorizations for dates of service on or after October 1, 2015 must use the

More information

PeachCare for Kids. Handbook

PeachCare for Kids. Handbook PeachCare for Kids Handbook Table of Contents What is PeachCare for Kids?...2 Who is eligible?...3 How do you apply for PeachCare for Kids?...3 Who will be your child s primary doctor?...4 Your child s

More information

Your Out-of-Pocket Type of Service

Your Out-of-Pocket Type of Service Calendar Year Deductible (CYD) 1 $3,000 single/ 3x family Out-of-Pocket Maximum - Deductibles and copays all accrue towards the out-of-pocket $6,200 single/ 2x family maximum. With respect to family plans,

More information

KY Medicaid Co-pays Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following:

KY Medicaid Co-pays Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: This is a list of current covered services and co-pays. Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: Non-KCHIP children Children under 19 in foster care Pregnant

More information

Elliot Health System is a non-profit organization serving your healthcare needs since New Hampshire is living better.

Elliot Health System is a non-profit organization serving your healthcare needs since New Hampshire is living better. E L L I O T H E A L T H S Y S T E M C O M M U N I T Y B E N E F I T R E P O R T 2 0 1 4 Elliot Health System is a non-profit organization serving your healthcare needs since 1890. New Hampshire is living

More information

KY Medicaid Co-pays. Acute admissions medical Per admission diagnoses $0 Acute health care related to. Per admission substance abuse and/or for

KY Medicaid Co-pays. Acute admissions medical Per admission diagnoses $0 Acute health care related to. Per admission substance abuse and/or for This is a list of current covered services and co-pays. Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: Non-KCHIP children Children under 19 in foster care Pregnant

More information

November 2008 Report No

November 2008 Report No November 2008 Report No. 08-64 Medicaid Reform: Reform Provider Network Requirements Same as Traditional Medicaid; Improvements Needed to Ensure Beneficiaries Have Access to Specialty Providers at a glance

More information

QUESTIONNAIRE FOR HOSPITALS

QUESTIONNAIRE FOR HOSPITALS 370 QUESTIONNAIRE FOR HOSPITALS Identification: 1. Name of Hospital.. 2. Address.. 3. Name of the head of hospital. 4. Kind of Hospital : Public Private 5. Nature of Hospital : General Special 6. Teaching

More information

Your Out-of-Pocket Type of Service

Your Out-of-Pocket Type of Service Calendar Year Deductible (CYD) 1 $0 single/ 3x family Out-of-Pocket Maximum - Deductibles, coinsurance and copays all accrue toward the outof-pocket maximum. With respect to family plans, an individual

More information

ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018

ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018 ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018 All benefits are subject to the calendar year deductible, except those with in-network copayments,

More information

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV CO-PAYMENT BOOK 1901 Las Vegas Blvd. South Suite 107 Las Vegas, NV 89104 702-733-9938 www.culinaryhealthfund.org Revised January 2018 (Replaces Co-Payment Book dated June 2017) TABLE OF CONTENTS 4 5 6

More information

Basic, including 100%

Basic, including 100% OMAHA INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, C, D, F, AND G This chart shows the benefits included in each of the standard Medicare

More information

All but Part A Deductible. Medicare Part A Deductible. Nothing. Inpatient Hospital All but Part A Medicare Part A Nothing.

All but Part A Deductible. Medicare Part A Deductible. Nothing. Inpatient Hospital All but Part A Medicare Part A Nothing. Summary of Signature 65 Benefits Signature 65 is a Medicare-complimentary benefit program that fills in the coverage gaps and cost sharing of the traditional Medicare program (Medicare Part A and ). In

More information

Health Workforce Demand in Nevada Presented to the Western Interstate Commission for Higher Education (WICHE)

Health Workforce Demand in Nevada Presented to the Western Interstate Commission for Higher Education (WICHE) Health Workforce Demand in Nevada Presented to the Western Interstate Commission for Higher Education (WICHE) Tabor Griswold, PhD Office of Statewide Initiatives University of Nevada School of Medicine

More information

Hannah Maxey, PhD, MPH, RDH Assistant Professor and Director of The Bowen Center for Health Workforce Research and Policy

Hannah Maxey, PhD, MPH, RDH Assistant Professor and Director of The Bowen Center for Health Workforce Research and Policy Hannah Maxey, PhD, MPH, RDH Assistant Professor and Director of The Bowen Center for Health Workforce Research and Policy Health Workforce: The intersection of health sciences, health systems, and population/patient

More information

University of Idaho Survey of Staff

University of Idaho Survey of Staff University of Idaho Survey of Staff 2016 Staff Survey Contents Overall Satisfaction with Employment... 2 2 Year Turnover... 3 Reason You Might Leave UI... 4 Satisfaction with Aspects of Job... 5 Available

More information

Adult Health History

Adult Health History Adult Health History Name: DOB: Please list medications, including: vitamins, herbs, homeopathic remedies, and nonprescription medicines on the attached medication sheet. Medical History: High blood pressure

More information

Dear Kaniksu Patient,

Dear Kaniksu Patient, Dear Kaniksu Patient, Welcome to Kaniksu Health Services (KHS), a Community Health Center that provides quality and affordable medical, pediatric, dental, behavioral health and veteran care, regardless

More information

A B C D F F* G K L M N. Basic Benefits. Basic Benefits* Skilled Nursing Facility Coinsurance Part A Deductible Part B. 50% Skilled Nursing Facility

A B C D F F* G K L M N. Basic Benefits. Basic Benefits* Skilled Nursing Facility Coinsurance Part A Deductible Part B. 50% Skilled Nursing Facility Outline of Medicare Supplement Coverage Standard Benefit for Plan A, Plan F, High Plan F*, Plan N, and Blue Plan65 Select Benefit for Plan F and Plan N This chart shows the benefits included in each of

More information

CLASSIC BLUE SECURE/BLUE CROSS BLUE SHIELD COMPLEMENTARY Monroe County Benefit Summary/Comparison (Over 65 Retirees)

CLASSIC BLUE SECURE/BLUE CROSS BLUE SHIELD COMPLEMENTARY Monroe County Benefit Summary/Comparison (Over 65 Retirees) WHO IS COVERED Enrollment Requirement Members must be enrolled in both Medicare Parts A and B Members must be enrolled in both Medicare Parts A and B Type of Tier Single only Single only Dependent/Student

More information

HOSPITAL STAFF. Identify hospital services, staff, specialties, specilaists by means of pictures and flowcharts. Aims:

HOSPITAL STAFF. Identify hospital services, staff, specialties, specilaists by means of pictures and flowcharts. Aims: HOSPITAL STAFF Aims: Identify hospital services, staff, specialties, specilaists by means of pictures and flowcharts. Professor: Viviam Batista Pérez. AREA HOSPITAL WARD Intensive Care Casualty & Emergency

More information

Current and Projected Health Workforce Supply and Demand in Nevada

Current and Projected Health Workforce Supply and Demand in Nevada Current and Projected Health Workforce Supply and Demand in Nevada John Packham, PhD and Tabor Griswold, PhD Office of Statewide Initiatives University of Nevada School of Medicine February 24, 2016 Nevada

More information

Responsible Party Information (Information used for patient balance statements) Responsible Party Another Patient Guarantor Self

Responsible Party Information (Information used for patient balance statements) Responsible Party Another Patient Guarantor Self Patient Information (Please Print) Dr. Miss Mr. Mrs. Sir Patient s Name (Last) (First) (MI) Previous Name Address Line 1 City, State ZIP Home Phone Cell No. Work Phone Ext. Primary Care Provider (PCP)

More information

Covered Services List

Covered Services List CAREPLUS Covered Services List For CeltiCare Health with MassHealth CarePlus Coverage This is a list of all covered services and benefits for MassHealth CarePlus enrolled in CeltiCare Health. The list

More information

2015 Community Health Needs Assessment 1

2015 Community Health Needs Assessment 1 Boulder City Hospital 2015 Community Health Needs Assessment Results John Packham, PhD Office of Statewide Initiatives University of Nevada School of Medicine February 25, 2016 Purpose of the Assessment

More information

IMPORTANT INFORMATION:

IMPORTANT INFORMATION: Schedule of Benefits ElevateHealth Options HMO NEW HAMPSHIRE ID: MD0000018209_A13 X Coverage under this Plan is under the jurisdiction of the New Hampshire Insurance Commissioner. IMPORTANT INFORMATION:

More information

PLEASE FILL OUT FORM BELOW AND THEN FAX BACK TO: ADDITIONALLY, PLEASE BRING FORM WITH YOU ON THE DAY OF YOUR SCHEDULED APPOINTMENT.

PLEASE FILL OUT FORM BELOW AND THEN FAX BACK TO: ADDITIONALLY, PLEASE BRING FORM WITH YOU ON THE DAY OF YOUR SCHEDULED APPOINTMENT. PLEASE FILL OUT FORM BELOW AND THEN FAX BACK TO: 516-354-8597 ADDITIONALLY, PLEASE BRING FORM WITH YOU ON THE DAY OF YOUR SCHEDULED APPOINTMENT. THANK YOU - 1 - NEW PATIENT MEDICAL INFORMATION Steven J.

More information

For Large Groups Health Benefit Single Plan (HSA-Compatible)

For Large Groups Health Benefit Single Plan (HSA-Compatible) Financial Features (DED 1 ) (PBP 2 ) (DED is the amount the member is responsible for before Florida Blue pays) Out-of-Network Inpatient Hospital Facility Services Per Admission (PAD) Coinsurance (Coinsurance

More information

3) Patient must have NO Private Medical, TennCare/Medicaid or

3) Patient must have NO Private Medical, TennCare/Medicaid or Medical Eligibility Requirements 1) Patients MUST Reside In: Northeast Tennessee Southwest Virginia 2) Patient and/or someone in their household MUST be employed, unless they are retired or a student.

More information

Yes, for all plans, see or call for a list of network providers.

Yes, for all plans, see   or call for a list of network providers. Important Questions (Massachusetts ) (New England ) (National ) What is the overall $0.00 Are there other s for specific? Is there an out of pocket limit on my expenses? What is not included in the out

More information

2015 Physician Licensure Survey

2015 Physician Licensure Survey 2015 Physician Licensure Survey 1. What is your racial background? Please select all that apply. White American Indian or Alaska Native Native Hawaiian/Pacific Islander Black or African American Asian

More information

PRELIMINARY INFORMATION TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1

PRELIMINARY INFORMATION TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 PRELIMINARY INFORMATION TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 AUGUST 2018 TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 AUGUST 2018 PRELIMINARY INFORMATION Table of Contents Welcome: Texas

More information

The MITRE Corporation Plan

The MITRE Corporation Plan Benefit Type Plan Year Type Calendar Year Annual Medical Out of (for certain services) Employee Employee + 1 Family Annual Prescription Drug Out of Employee Employee + 1 Family Copayments: One copay per

More information

Oklahoma Health Care Authority. ECHO Adult Behavioral Health Survey For SoonerCare Choice

Oklahoma Health Care Authority. ECHO Adult Behavioral Health Survey For SoonerCare Choice Oklahoma Health Care Authority ECHO Adult Behavioral Health Survey For SoonerCare Choice Executive Summary and Technical Specifications Report for Report Submitted June 2009 Submitted by: APS Healthcare

More information

MEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN INDIANS & ALASKA NATIVES

MEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN INDIANS & ALASKA NATIVES American Indian & Alaska Native Data Project of the Centers for Medicare and Medicaid Services Tribal Technical Advisory Group MEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN

More information

2017 Summary of Benefits

2017 Summary of Benefits H5209 004_DSB9 23 16 File & Use 10/14/2016 DHS Approved 10 7 2016 This is a summary of drug and health services covered by Care Wisconsin Medicare Dual Advantage Plan (HMO SNP) January 1, 2017 to December

More information

SCREENING CRITERIA: Age 18+

SCREENING CRITERIA: Age 18+ HARRIS INTERACTIVE [161 Avenue of Americas] [New York, NY] Researcher: [Marc Staniford] [J34453] Telephone Omnibus Questions for Health System Performance The Commonwealth Fund OMNIBUS QUESTIONS SCREENING

More information

SUMMARY OF BENEFITS. Cigna Health and Life Insurance Co. For Employees of - Digital Risk, LLC Open Access Plus Plan

SUMMARY OF BENEFITS. Cigna Health and Life Insurance Co. For Employees of - Digital Risk, LLC Open Access Plus Plan SUMMARY OF BENEFITS Cigna Health and Life Insurance Co. For Employees of - Digital Risk, LLC Open Access Plus Plan Notice of Grandfathered Plan Status This plan is being treated as a "grandfathered health

More information

Early and Periodic Screening, Diagnosis and Treatment

Early and Periodic Screening, Diagnosis and Treatment Early and Periodic Screening, Diagnosis and Treatment 1 Healthchek Ohio Medicaid EPSDT Services Early Periodic Screening Diagnosis Treatment Identify problems early, starting at birth Check children s

More information

HMO BLUE. VALUE HMO HMO Blue New England - $500 deductible (New England Network) PPO 90 Blue Care Elect Preferred 90 Copay (National Network)

HMO BLUE. VALUE HMO HMO Blue New England - $500 deductible (New England Network) PPO 90 Blue Care Elect Preferred 90 Copay (National Network) Important Questions (Massachusetts ) (New England ) (National ) What is the overall $0.00 Are there other s for specific? Is there an out of pocket limit on my expenses? What is not included in the out

More information

CARE COORDINATION SERVICES

CARE COORDINATION SERVICES Table 1: Detailed Measure Specifications and Scoring for FECC Caregiver Survey Indicators All are on a 0-100 scale, where higher is better. Survey response items should be coded to reflect that. For dichotomous

More information

MOLINA HEALTHCARE MEDICAID PRIOR AUTHORIZATION/PRE-SERVICE REVIEW GUIDE EFFECTIVE: 6/1/2018

MOLINA HEALTHCARE MEDICAID PRIOR AUTHORIZATION/PRE-SERVICE REVIEW GUIDE EFFECTIVE: 6/1/2018 MOLINA HEALTHCARE MEDICAID PRIOR AUTHORIZATION/PRE-SERVICE REVIEW GUIDE EFFECTIVE: 6/1/2018 THIS PRIOR AUTHORIZATION/PRE-SERVICE GUIDE APPLIES TO ALL MOLINA HEALTHCARE MEDICAID MEMBERS ONLY REFER TO MOLINA

More information

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY

Benefits and Premiums are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY The maximum out-of-pocket limit applies to all covered Medicare Part A and B benefits including deductible. Primary Care Physician Selection Optional There is no requirement for member pre-certification.

More information

Boulder City Hospital Community Health Needs Assessment

Boulder City Hospital Community Health Needs Assessment Boulder City Hospital Community Health Needs Assessment 2015 Introductions Tom Maher, Boulder City Hospital John Packham and Laima Etchegoyhen, Nevada Office of Rural Health, University of Nevada School

More information

Provider Profile GENERAL DETAILS STATE/ PROVINCE: OTHERS (PLEASE SPECIFY): CONTACT DETAILS DESIGNATION NAME PHONE MOBILE

Provider Profile GENERAL DETAILS STATE/ PROVINCE: OTHERS (PLEASE SPECIFY): CONTACT DETAILS DESIGNATION NAME PHONE MOBILE Provider Profile Dear Valued Provider, Kindly fill up this form with the information requested below. Availability of accurate and detailed information about your facility will definitely help QLM staff

More information

Stillwater Billings Clinic Community Needs Assessment and Focus Groups

Stillwater Billings Clinic Community Needs Assessment and Focus Groups 1 Stillwater Billings Clinic Community Needs Assessment and Focus Groups Table of Contents Introduction...2 Health Assessment Process...2 Survey Methodology...2 Survey Respondent Demographics...4 Survey

More information

UNIVERSITY OF NORTH DAKOTA PHYSICIAN ASSISTANT PROGRAM

UNIVERSITY OF NORTH DAKOTA PHYSICIAN ASSISTANT PROGRAM Student Applicant s Name: preceptor profile UNIVERSITY OF NORTH DAKOTA PHYSICIAN ASSISTANT PROGRAM School of Medicine and Health Sciences, Department of Physician Assistant Studies PERSONAL DATA 501 North

More information

Administrative Billing Data

Administrative Billing Data Administrative Billing Data Patient Identification and Demographic Information: From UB-04 Data or Medical Record Face Sheet. Note: When you go to enter data on this case, the information below will already

More information

Telemedicine services $0 copay Not applicable Primary care provider (PCP) CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance

Telemedicine services $0 copay Not applicable Primary care provider (PCP) CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance Calendar Year Deductible (CYD) 2 Plan includes an embedded individual deductible provision. An embedded deductible combines individual and family deductibles in $4,000 Single / $8,000 Family $12,000 Single

More information

Co C as a t s Pro r v o i v nce nc G eneral Hospi s tal Le L v e e v l 5 R 5 e R fe f rr r al a F ac a i c lity *** 9/2/2015 1

Co C as a t s Pro r v o i v nce nc G eneral Hospi s tal Le L v e e v l 5 R 5 e R fe f rr r al a F ac a i c lity *** 9/2/2015 1 Coast Province General Hospital Level 5 Referral Facility *** 9/2/2015 1 Background Coast Province General Hospital was founded in 1908 as the Native Civil Hospital in the Makadara area of Mombasa Island.

More information

The Registered Nurse Workforce in South Carolina

The Registered Nurse Workforce in South Carolina The Registered Nurse Workforce in South Carolina - 2016 July, 2018 This document contains information about the Registered Nurses actively employed as nurses in South Carolina as reported by the nurses

More information

Complete Senior Care Enrollment Agreement

Complete Senior Care Enrollment Agreement Complete Senior Care Enrollment Agreement I have received the Enrollment Handbook and a copy of the Provider Network and have had the opportunity to ask questions. Name: Address: (First) (Middle) (Last)

More information

PATIENT REGISTRATION FORM (ecw)

PATIENT REGISTRATION FORM (ecw) PATIENT INFORMATION PATIENT REGISTRATION FORM (ecw) (Please print) Patient s Name: (Last) (First) (MI) Address: City, State, Zip: Home: Cell: Work: E-Mail Address: DOB: Sex: Female Male Transgender Race:

More information

Business-Facts Summary- Healthcare NAICS Summary

Business-Facts Summary- Healthcare NAICS Summary - Healthcare NAICS Summary Title Page Title Page Data Version: 2018 Feb (Internal) Report Generation Method: Single Analysis Area: 1789 STATE ST, SAN DIEGO, CA, 92101-2530 Reporting Detail: As Selected

More information

Amherst Central School District First Choice Health Plan. Non-First Choice Providers and Out-of-Network Providers

Amherst Central School District First Choice Health Plan. Non-First Choice Providers and Out-of-Network Providers Health: Hospital Services provided by First Choice Preferred Provider Network Medical Services Radiology, Ultrasounds 20% after $500 individual or Laboratory Testing 20% after $500 individual or MRI and

More information