Our incentive program makes quarterly payments based on:

• Patient Engagement in Psychosocial Services
• Follow-Up After Emergency Department Visit for Mental Illness
• Follow-Up After Emergency Department Visit for Substance Abuse

Eligibility for the behavioral health provider incentive program requires 60% of your credentialed, independently licensed providers to participate in a PFK-sponsored education session.

We offer an online, interactive Provider Portal to help share the most up-to-date data available with contracted providers to assist them in the provider incentive program. Learn more about the Provider Portal.

Our primary care network includes more than 350 primary care specialists. We can help facilitate collaboration between the primary care and behavioral health providers within our network.

We provide credentialing for behavioral health providers including psychologists, psychiatrists, licensed independent social workers, licensed professional clinical counselors and licensed independent marriage and family counselors for the current managed Medicaid plans and have been delegated responsibility for credentialing by the Ohio Department of Medicaid as part of its next generation programs.

Our Provider Relations specialists provide monthly updates regarding PFK and payor initiatives. They are also available to assist with credentialing and in resolving claims issues with the managed Medicaid plans.

We offer free, quality improvement coaching for behavioral health organizations. Our experts will work directly with you to develop customized QI projects, with a focus on helping you meet important HEDIS and quality measures. Practices select from a list of issues to make their focus. That list includes:

• Patient Engagement in Psychosocial Services
• 7 Day Follow Up after Emergency Room Visit for Mental Illness and Substance Use
• Metabolic Lab Monitoring for Patients Using Antipsychotics

View the specific projects below.

A Partners For Kids quality improvement specialist will come on-site or provide virtual support to help guide the projects. The team and the quality improvement specialist will meet regularly to share ideas for change, test changes, and use data to track progress. The improvement process, which follows the Institute for Healthcare Innovation (IHI) model, is supported through participation in a learning network where diverse practices share best practices. Through this evidence-based approach, practices participating in similar programs have experienced success in increasing delivery rates of behavioral health services and improving relationships, communication, and efficiency among staff and providers. By participating in a quality improvement project, you may be eligible to receive Maintenance of Certification (MOC) Part IV credit.

Behavioral Health Portfolio

Patient Engagement in Psychosocial Services: Ensure new patients (who have not been seen in the organization in the prior 90 days) are engaged in initial and follow up care.

7 Day Follow Up after Emergency Room Visit for Mental Illness and Substance Use: Ensure patients who have been discharged from the emergency room for a mental health or substance use concern are seen for treatment within 7 days of discharge.

Metabolic Lab Monitoring for Patients Using Antipsychotics: Identify patients currently prescribed antipsychotic medications that are candidates for metabolic lab monitoring, including annual measurement of glucose and lipids.

Care coordinators assist your patients with behavioral health complexity and their families to navigate uneventfully, efficiently and as effectively as possible through the health care system. Examples of how we help families include:

• Connecting all healthcare and behavioral health providers together to promote continuity of care
• Facilitating care conferences
• Ensuring all follow up services are offered/accessed post inpatient (BH or medical) discharge
• Troubleshooting barriers to engagement in outpatient services
• Connecting providers as children transition between placements or different levels of care
• Linking families to community-based resources

Our care coordinators serve children who live in one of 47 Partners For Kids’ delegated counties and are diagnosed with complex medical or behavioral health conditions. Children must be enrolled in Medicaid through Molina Healthcare, Buckeye Health Plan or UnitedHealthcare Community Plan.

Learn More

Check out these resources for your practice:

Educational Resources for Providers

• 2024 Partners For Kids and Nationwide Children’s Community Partner Behavioral Health Training Offerings – Monthly on Fridays
  • View Calendar
  • Instructions – How to Create a CloudCME Account
• Project ECHO

Resources for Patient Families

• Behavioral Health Blog Posts – Print and share with your patient families.
• On Our Sleeves® – Powered by Nationwide Children’s Hospital, On Our Sleeves is the movement for children’s mental health. It provides education and resources to boost children’s mental wellness.
• Positive Parenting Program – The Positive Parenting Program (Triple P) is for parents and caregivers of children 0 to 6 years old. It covers parenting concerns such as obedience, bedtime routines and shopping frustrations. It also helps parents manage behavior and prevent problems from occurring in the first place. No referral needed for these classes.
• Suicide Prevention Resources