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Medical Providers
More than 2,300+ providers in 47 counties participate in Partners For Kids. With assistance from those providers, Partners For Kids programs have led to steady or improving measures of quality care and patient outcomes. USE OUR FIND A PROVIDER TOOL
Our Quality Improvement Coaching Program has*:
  • supported 33 practices’ QI initiatives, potentially reaching 90,000+ children
  • trained 170+ providers and office staff in QI methodology

* Since the program’s inception in 2014


Our member benefits offer the support and assistance you need to focus on the people who matter most – your patients.

By joining our practice network, you will receive the following benefits:

By joining Partners For Kids, you will receive a premium over Medicaid rates for each adjudicated claim.

Our incentive program makes quarterly payments based on quality measures, including:

  • A bonus for each patient who achieves pre-established quality outcomes, including well-child visits.
  • The number of members age 5 and up who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.
  • Children under the age of 2 receiving one lead screening test prior to their second birthday.

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.

Partners For Kids Pharmacy team provides pharmacy services to achieve the best medication-related outcomes for all of our patients. Our pharmacists help you make sure that patients have access to the medications they need by providing on-site education and online resources on clinically-effective medications covered by the Medicaid Managed Care Plans.

We offer free, quality improvement coaching. Our experts work directly with your office to provide on-site support and assist practices in achieving improved outcomes. Practices select from a list of issues to make their focus. That list includes:

  • Asthma
  • Behavioral health
  • Healthy children (well care visits)
  • Emergency department avoidance
  • Fluoride varnish
  • Reproductive health

View the specific projects below.

A Partners For Kids quality improvement specialist will come on-site to help guide the projects. The team and the quality improvement specialist will meet regularly to share ideas for change and test changes. The improvement process at the practice is then 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 preventive 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.

Preventive Care Portfolio
≥6 well visits by 15 months of age

Annual well visits for children 3-6 years old

Annual well visits for adolescents (12-21 years)

Body Mass Index (BMI) documentation and coding for children 3-17 years
Fluoride varnish application for children up to 6 years of age
Reproductive health assessments for adolescents

Contraception prescribing among 15-19-year-old females
Disease Management Portfolio
Reduce asthma-related Emergency Department visits and hospitalizations

Asthma Medication Ratio (AMR)

Asthma management (control assessed at every visit, schedule follow up appointments every 6 months, and asthma action plans updated annually)
Reduce utilization of the emergency department when the patient could have received appropriate and more sustainable care from their primary care provider or at an urgent care setting
Behavioral Health Portfolio
ADHD screening and follow up

Appropriate prescribing of ADHD medications
Universal screening of adolescents for depression

Primary care management of depression in adolescent patients
Screening adolescents for suicide intentions

Referral and management of at-risk adolescent patients

*Projects in development
Reduction in prescribing multiple concurrent antipsychotic medications

*Projects in development

Partners For Kids can provide personnel to contact your patients who are due for well-visits or follow-up appointments. We can also assist in marketing new or changing services to your patients.

Our staff will work in your office to develop an outreach plan, design outreach materials, and report out on progress.

Examples of patient outreach include:

  • Postcard reminder to schedule an annual WCV
  • Phone call to schedule a recommended immunization
  • Letter reminder to schedule an asthma follow-up visit
  • Postcard announcement of new walk-in clinic hours
  • Phone call to connect eligible patients to Supplemental Security Income (SSI), a federal cash benefit program for patients that are experiencing financial hardship and have a qualifying disability

Care coordinators assist your patients with medical 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:

  • Ensuring family/child links with provider referrals
  • Assisting with prior authorization/denial assistance
  • Reminding about annual well check/immunization
  • Following-up post-utilization with Emergency Department or inpatient admissions
  • Assisting with identifying/linking with providers for DME supplies, home health care
  • Ensuring families have access to managed care plan transportation benefits
  • Ensuring family understands and has ability to follow provider treatment recommendations
  • Connecting with social and community 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, CareSource or UnitedHealthcare Community Plan.

Learn More

We provide credentialing 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 staff is ready to assist you with resolving claims issues with the five Medicaid Managed Care Plans.

You will receive cutting-edge education and updates about the Partners For Kids community through our monthly e-newsletter, webinars and website. Physicians can also achieve CME credit through Partners For Kids.

Working with information technology experts within Nationwide Children’s, we can assist in implementing a new eClinicalWorks EMR and a related Health Information Exchange. Thirty percent of the implementation fee is subsidized.

The Behavioral Health Integration Program supports community primary care practices who want to integrate behavioral health clinicians within their practice. Learn how we can partner with your community practice to help meet your patients’ behavioral health needs.