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.

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)

The Care Guide team is dedicated to supporting your patient families who are enrolled in Medicaid or could be eligible for Medicaid. The team offers expert staff who are trained to help with a variety of issues related to social determinants of health. Examples of how we can help include:

• Medicaid enrollment
• Connection to food assistance
• Connection to housing assistance
• Coordinating transportation
• Scheduling and re-scheduling appointments
• Connection to affordable child care options
• Closing care gaps
• And more!

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.

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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.