The Care Navigation Program helps your child be as healthy as possible by making it easier to get care. Care Navigation team members work with schools, insurance companies, community groups and the health care team to help the child get what he or she needs.

Care Navigation is for children and families with complex medical problems or special health care needs. These families may have many people involved with their children’s health care, such as specialists, homecare nurses and schools. It is also for those who come to the doctor’s office, emergency room or hospital a lot.

Services include:

• Making sure all who are involved with the child have the information they need.
• Helping fix current problems and prevent new ones from occurring.
• Lessening the burden on families related to the child’s health conditions.
• Helping families know the right questions to ask and understand the next steps to take.
• Getting medicine, supplies and other items families need to be healthy.

If you think your child would benefit from Care Navigation services, email PFKCareCoordination@NationwideChildrens.org or call (855) 562-4735.

The Disease Management Program helps patients and families by providing case management services within primary care. The team works to remove barriers and streamline treatment plans. We work with families, providers, pharmacies, community agencies and payors to help patients and families have less complications while managing a chronic condition.

Services include:

• Well care to help prevent diseases and complications.
• Assistance with scheduling appointments and transportation.
• Education on best practices and how to identify the signs and symptoms of your child’s condition.
• Help with medications and refills.
• Connection to helpful resources for caregivers.

If you think your child would benefit from Disease Management services, email PFKCareCoordination@NationwideChildrens.org or call (855) 562-4735.

The OhioRISE program provides long-term case management for children with behavioral health conditions and their families who are eligible for coverage under the OhioRise Medicaid managed care plan. The team helps coordinate support and services that meet the patient’s needs.

Care coordinators remove barriers to care and develop sustainable, long-term plans that allow patients and families to succeed.

Services include:

• Moderate and intensive care coordination.
• Assistance in accessing behavioral health, temporary services and flex funding.
• Navigation of multiple, complex systems.

If you think your child would benefit from OhioRISE services, email PFKCareCoordination@NationwideChildrens.org or call (855) 562-4735.

The Transitions of Care Program helps patients and families by providing short-term support during health care transitions. The team helps families develop a transition plan that reduces the risk of gaps or lapses in treatment during the transition period.

Services include:

• Assistance with scheduling follow-up appointments and arranging transportation.
• Help arranging the right services in the right setting.
• Connection to helpful resources for caregivers.
• Help with medications, supplies and refills.

If you think your child would benefit from Transitions of Care services, email PFKCareCoordination@NationwideChildrens.org or call (855) 562-4735.

The Care Guide Program provides case management assistance for short-term periods (about 60 days). The team helps patients and families by coordinating and accessing support and resources that meet the patient’s needs.

Services include:

• Addressing physical and behavioral health care needs.
• Help with medications and refills.
• Assistance with scheduling appointments and transportation.
• Setting up equipment or services needed in the home.
• Connection to helpful resources in the community.

If you think your child would benefit from Care Guide services, email PFKCareCoordination@NationwideChildrens.org or call (855) 562-4735.

The Health Risk Assessment (HRA) team helps families complete the Ohio Department of Medicaid’s Health Risk Assessment at least once per year. Any needs identified during the assessment can be addressed by a single point of contact.

HRA Screening includes:

• Completion of Health Risk Assessment via mail, phone or electronic communication methods.
• Provide resource lists to help find assistance with food, transportation, housing, utilities and more.

If you think your child would benefit from taking the Health Risk Assessment, email PFKCareCoordination@NationwideChildrens.org or call (855) 562-4735.