Scope of Provider Credentialing
The Partners For Kids Credentialing Committee has expanded the scope of providers that Partners For Kids may credential for its network. In preparation for the inclusion of community-based, outpatient behavioral health services in managed Medicaid in July 2018, PFK will credential independently licensed behavioral health counselors including: licensed, independent social workers (LISW), licensed, professional clinical counselors (LPCC) and licensed marriage and family therapists (LIMFT). In addition, genetic counselors and speech language pathologists who have earned a certificate of clinical competence (SLP-CCC) may also apply to join the PFK provider network. If you have questions or are interested in credentialing any of these types of providers who are part of your practice, please contact your PFK Provider Relations Specialist at (614) 355-5503 or PFKProviderRel@NationwideChildrens.org.
More News & Updates
PFK Can Help with Certification
Partners For Kids is an excellent resource to fulfill Part 4 Maintenance of Certification (MOC) requirements through its six approved quality improvement projects. See how.
2017 Physician Incentive Plan Reimbursement Rates
The Per Successful Patient (PSP) reimbursement rates and the Pharmacy Shared Savings target for the 2017 Physician Incentive Plan have been calculated! Check them out.
PFK Featured in Harvard Business Review
PFK was recently featured in a "Harvard Business Review" article.
2018 Single Preferred Drug List
PFK has learned that the Ohio Department of Medicaid (ODM) is planning to implement a single preferred drug list (PDL).
ECHO Autism Resources
Educational resources for primary care practices caring for children with autism are available through the Child Development Center (CDC) Research Office at Nationwide Children’s Hospital.
Provider Survey Recap
Thanks for participating in the Provider Satisfaction Survey! Learn more about the survey and the winners of the drawing.
Save the Date: Pediatric Asthma Conference
The 9th Annual Pediatric Asthma Conference will be held on May 11, 2018, at Nationwide Hotel and Conference Center in Lewis Center, Ohio.
New Resources Added
Check out the Resources page for updated prescribing guidelines and new general practice resources.
“Depression Screening and Management in Primary Care” Webinar January 25
The next quarterly webinar, “Depression Screening and Management in Primary Care: Building Relationships with Local Behavioral Health Professionals,” is scheduled for Thursday, January 25, 2018, at noon.
2018 Physician Incentive Program
The Partners For Kids Physician Incentive Committee has announced the structure of the 2018 Physician Incentive Program.
Updated W-9 Forms
We want to make sure we have the most accurate billing information for each practice. Please submit a current W-9 form to Julianne.Michel@NationwideChildrens.org by February 28. If you have questions, call Juli-Anne Michel at (614) 355-5517.
Incorporating Behavioral Health Into Your Practice Webinar March 1
The next Practice Fitness Series, “Incorporating Behavioral Health Into Your Practice,” will be held Thursday, March 1, beginning at 5:30 p.m.
Upcoming Coding Seminar Hosted by CPP
On Wednesday, April 4, Children’s Practicing Pediatricians (CPP) will host a Pediatric Coding Seminar featuring Dr. Richard Tuck at Stecker Auditorium in Nationwide Children’s Hospital.
Adolescent Health Webinar Series
The Ohio Chapter of the American Academy of Pediatrics is hosting a three-part webinar series focused on adolescent health care.
Paperless is the Trend in the Health care Industry
Going paperless has many benefits and is becoming the trend in the health care industry. Get information on how to participate in paperless funds transfer.
Medicaid ID Numbers
In order to comply with Federal Rule 42 CFR 438.602 that went into effect January 1, 2018, providers are required to have an active Medicaid ID number.
Asthma Medication Updates
Read about which asthma inhalers were recently discontinued.
PCP Change Request Forms
Many practice managers have inquired about capturing the name of the rendering provider on patients Medicaid managed care cards. Here's how.
Single Formulary Update
Medicaid will not be moving forward with a single formulary as originally planned for this summer.
CareSource Well Check Denials (Code OA-119)
Several practices have reported that CareSource is denying claims for well checks with code OA-119 (benefits exceeding maximum).
Behavioral Health Webinar Series for Primary Care
Nationwide Children’s Hospital will present a multi-part Behavioral Health Webinar Series for Primary Care.
PFK Office Manager’s Retreat
PFK and Molina Healthcare are hosting a retreat for office managers at the Partners For Kids office, 525 E. Mound St., 3rd Floor Training Room, Columbus, on Friday, June 22.
Behavioral Health Webinar Series for Primary Care
Nationwide Children’s Hospital is presenting a multi-part Behavioral Health Webinar Series for Primary Care this year.
CareSource OA-119 Well Check Denial Update
View an update on the CareSource OA-119 well check denial.
Buckeye Health Plan Vaccine Denials
Get updated information on the Buckeye Health Plan vaccine denials.
Announcing Ujjwal Ramtekkar, MD
In July, Ujjwal Ramtekkar, MD, MPE, MBA, joined the Department of Psychiatry and Behavioral Health at Nationwide Children's Hospital and Division of Child and Adolescent Psychiatry at The Ohio State University. He also joins Partners For Kids as an Associate Medical Director, where he will work to develop an integrated primary care – behavioral health model as a leading priority.
Prescribing Resources Updated
Check out updates to two prescribing resources.
Free Transportation Offered by Medicaid Plans
Do you have patients who miss appointments due to transportation issues? Each Medicaid Managed Care Plan provides free transportation for patients (and guardians) to physician appointments.
New Behavioral Health Webpage
In recognition of adding behavioral health providers to the Partners For Kids network, we have added a “For Behavioral Health Providers” webpage.
2018 Physician Incentive Plan Rates and 2017 Proof Forms
The Per Successful Patient (PSP) incentive rates for the 2018 Physician Incentive Plan have been calculated. They will be applied with the Q1 2018 checks scheduled for distribution at the end of August.
Upcoming Opportunities to Fulfill the 2018 Network Requirement
Mark your calendars for upcoming programs on substance abuse, mindful practice and the HEDIS BMI requirement. These programs allow you to meet the 2018 network requirement.
Save the Date! PFK Quarterly Webinar on the New HEDIS BMI Requirement
The next quarterly PFK webinar takes place Tuesday, October 2, from noon to 1 p.m. Our featured speakers are Ihuoma Eneli, MD, MS, and Marc Michalsky, MD, from the Center for Healthy Weight and Nutrition at Nationwide Children’s Hospital.
PFK Offers Assistance with Quality Improvement Projects
Interested in pursuing a sponsored quality improvement project? PFK offers training and resources to help! These projects overlap with many of Medicaid’s quality measures and with measures in the PFK Physician Incentive Program. Check out the available options.
Partners For Kids Provider Satisfaction Survey
PFK’s annual Provider Survey will be distributed October 19.
Sports Physicals vs. Well Checks
The start of the school year is synonymous with sports physicals. This is an excellent opportunity to educate parents that a sports physical does not constitute a well check
Best Practices in Reducing No-Show Appointments
Partners For Kids has a new best practice guide on reducing no-show appointments.
Annual Provider Survey
Check your inbox for the annual PFK Provider Survey!
Vaccines for Children (VFC) Program Recommendations
Check out resources for these recommendations.
Attaining Top HEDIS performance – Closing the Gaps in Care for Healthy Children
Learn about how we help you attain top HEIDS performance.
2018 Partners For Kids Provider Satisfaction Survey
Thank you to everyone who participated in the Provider Satisfaction Survey. See the results and how we will use them.
Credentialing Data Review
Starting in January, Partners For Kids will contact practices to verify information in our credentialing database.
Care Coordination Contact Preferences
Let the care coordination staff know how to best communicate with you.
Physician Incentive Program Open Forums
Have questions about the Physician Incentive Program for 2019? Check out opportunities to learn and ask questions.
Save the Date! Partners For Kids Quarterly Webinar on Best Practices for Asthma Management in Primary Care
Save the date! The next Partners For Kids webinar takes place Wednesday, January 16.
Project ECHO – Behavioral Health Collaboration
Partners For Kids is establishing a new behavioral health collaboration in 2019.
AHD Preferred Prescribing Guidelines
Our Prescribing Guidelines for Behavioral Health include prescribing recommendations for ADHD, disruptive behavior disorders, anxiety disorders and depression, and autism spectrum disorder, as well as a comprehensive medication list for…
Managed Care Plans At-A-Glance with Behavioral Health Specific Contacts
Partners For Kids has compiled this new resource for you.
Interdisciplinary Approach to Adolescent Eating Disorders Session
Join Nationwide Children’s Hospital and Partners For Kids for a free interactive session; “When Breakfast Tastes Like Failure: An Interdisciplinary Approach to Adolescent Eating Disorders” on March 7 at Nationwide Children’s Stecker Auditorium.