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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 83 practice’s QI initiatives, potentially reaching 230,000 + children
  • trained 300+ 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 appropriate and cost-effective medications covered by the Medicaid Managed Care Plans.

We offer free, quality improvement coaching for primary care 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, but is not limited to:

  • Asthma Management
  • Contraceptive Access
  • Childhood and Adolescent Immunizations
  • Depression Management
  • Lead Screening
  • Reproductive Health
  • Topical Fluoride Varnish
  • Well Care Visit Compliance

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.

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

2 additional well visits by 30 months of age

Annual well visits for children 3-6 years old

Annual well visits for adolescents (12-21 years)
Fluoride varnish application for children 1 to 4 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)
Behavioral Health Portfolio
Universal screening of adolescents (age 12-21 years of age) for depression

Primary care management of depression in adolescent patients

Partners For Kids can provide personnel to contact your patients who are due for well-visits or follow-up appointments.

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 and services offered
  • Phone call to connect eligible patients to Supplemental Security Income (SSI)

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.