Insurance Participation & Practice Experiences among OK Psychologists
The Oklahoma Psychological Association (OPA) Insurance Committee is conducting this anonymous survey to better understand the experiences of psychologists related to insurance participation.The purpose of this survey is descriptive and informational only, to help OPA identify member support needs and systemic barriers to practice.This survey does not collect information about reimbursement rates, fees, or coordinated actions, and is not intended to facilitate collective negotiation or decisions among practitioners.All results will be reported only in aggregate and de-identified.
SECTION 1: PRACTICE CHARACTERISTICS
Which best describes your current professional role?
Solo private practice owner
Group private practice owner
Psychologist in private practice with decision-making authority about insurance participation
Psychologist employed in a group practice
Psychologist employed by a hospital or health system
Psychologist employed by an academic institution
Psychologist employed by a community mental health center
Other
If you are a group practice owner, approximately how many clinicians work in your practice (including yourself)?
2–5
6–10
11–20
More than 20
Not applicable
Which best describes the clinical services provided by your practice?
Primarily psychological or neuropsychological assessment/testing
Primarily psychotherapy
A mix of assessment/testing and psychotherapy
Other
In which Oklahoma county is your primary practice located?
Please Select
Oklahoma City Metro
Tulsa Metro
Northeast Oklahoma
Northwest Oklahoma
Southeast Oklahoma
Southwest Oklahoma
Central Oklahoma (outside OKC Metro)
Multiple locations throughout Oklahoma
Primarily outside Oklahoma
Other
SECTION 2: INSURANCE PARTICIPATION STATUS
Are you currently paneled with any insurance plans (private or public) to provide mental health services?
Yes
No
Previously, but not currently
Approximately how many insurance plans are you currently paneled with?
1–2
3–5
6–10
More than 10
Which types of insurance are you currently paneled with?
Commercial/private insurance plans
Medicare
Oklahoma Medicaid (SoonerCare)
TRICARE
Employee Assistance Programs (EAPs)
Third-party platforms (Headway, Alma, etc.)
Other
Are you currently accepting new patients with insurance?
Yes, for most or all plans
Yes, for some plans
No, currently closed to new insurance patients
SECTION 3: CHANGES IN INSURANCE PARTICIPATION
During the past five years, have you added or removed insurance plans from your practice?
Added insurance plans
Removed insurance plans
Both added and removed plans
No changes
If you have added insurance plans, which factors contributed to that decision?
Improving patient access
Administrative support or resources improved
Practice growth or sustainability
Use of third-party credentialing or billing platforms
Other
If you have removed insurance plans, which factors contributed to that decision?
Administrative burden
Credentialing or recredentialing challenges
Claims processing issues
Documentation or medical necessity requirements
Practice sustainability
Staffing or capacity limitations
Concerns related to reimbursement rates
Other
SECTION 4: BARRIERS AND HESITATIONS
Which of the following factors make insurance participation challenging for your practice?
Time spent on administrative tasks
Credentialing or recredentialing
Claims submission or payment delays
Documentation or medical necessity requirements
Complexity of insurance rules
Cash-flow unpredictability
Staffing or billing support limitations
Significant effort required by third-party platforms
Concerns related to reimbursement rates
Other
Which payer(s) create the greatest administrative burden for your practice?
Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare
HealthChoice
Humana
Oklahoma Medicaid (SoonerCare)
Medicare
TRICARE
Please describe any additional barriers or concerns related to insurance participation.
SECTION 5: PRACTICE CAPACITY
If administrative barriers to insurance participation were reduced, how likely would you be to accept additional insured patients?
Very likely
Somewhat likely
Unsure
Unlikely
Not applicable
SECTION 6: SUPPORT AND RESOURCES
What types of support would be most helpful from OPA related to insurance participation?
Education or training on insurance processes
Practice management resources
Guidance on credentialing and recredentialing
Advocacy with insurers and policymakers to reduce administrative barriers
Peer-to-peer information sharing (non-financial)
Other
SECTION 7: OPTIONAL FOLLOW-UP
If you would be willing to participate in future surveys or discussions on this topic, please provide your email address.
example@example.com
SECTION 2A: MEDICAID PARTICIPATION
Does your practice currently bill Oklahoma Medicaid (SoonerCare/OHCA)?
*
Yes
No
Compared to one year ago, your overall experience with Oklahoma Medicaid (SoonerCare/OHCA) has:
Improved significantly
Improved somewhat
Stayed about the same
Worsened somewhat
Worsened significantly
Which Medicaid-related administrative issues have you experienced during the past 12 months?
Prior authorization delays
Claims processing delays
Secondary claims processing issues
Payment delays
Claim denials
Recoupments
Difficulty obtaining assistance from OHCA/MCE representatives
Frequent requests for additional documentation
Eligibility verification issues
Other (please specify)
None of the above
Which Medicaid issue has had the greatest impact on your practice?
Prior authorization
Claims processing
Payment delays
Denials
Recoupments
Provider communication
Other (please specify)
Approximately how often have Medicaid administrative issues delayed patient care?
Never
Rarely
Sometimes
Often
Very Often
Please describe any ongoing Medicaid/SoonerCare challenges or recent improvements you have experienced.
Are there any specific Medicaid Managed Care Entities (MCEs) or processes that create recurring administrative burdens?
Submit
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