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.
• Members age 5 and up who are identified as having persistent asthma and who are filling units of asthma controller medications during the measurement year.
• Children who are discharged from an Emergency Department for a mental health or substance use concern.

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.

The Partners For Kids Pharmacy team empowers providers to deliver safe, effective, and affordable medication therapy. By providing expert consultation, on-site education, and easy-to-use online resources, our pharmacists help ensure patients have timely access to clinically appropriate medications covered by Medicaid Managed Care Plans, leading to better outcomes and improved quality of care.

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
• Childhood and Adolescent Immunizations
• Topical Fluoride Varnish
• Well Visit Compliance

View the specific projects below.

A Partners For Kids quality improvement advisor will come on-site or provide virtual support to help guide the projects. The team and the quality improvement advisor will meet regularly to share ideas for change, test changes, and use data to track progress. The improvement process follows the Model for Improvement, developed by Associates in Process Improvement (API) and endorsed by the Institute for Healthcare Improvement (IHI). This process is supported by 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 primary care services and improving relationships, communication, and efficiency among staff and providers. By participating in a quality improvement project, you may be eligible to claim continuing education (CE) credits and/or receive Maintenance of Certification (MOC) Part IV credit.

Our Quality Improvement Program has:

• supported 62 practice’s QI initiatives, potentially reaching 100,000 + children
• trained 300+ providers and office staff in QI methodology

Partners For Kids can provide personnel to contact your patients in our West Region 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 Program empowers families to access the care, services, and resources they need to thrive. Through personalized, short-term support, our expert Care Guides help families enrolled in Medicaid, or those who may be eligible, navigate health care systems and address social determinants of health (e.g., financial, housing, and/or food insecurities). From finding providers and scheduling appointments to connecting with community resources and managing Medicaid enrollment and redetermination, we help remove barriers and create pathways to better health outcomes.

Examples of how we can help include:

• Medicaid Enrollment – Helping families enroll or re-enroll in Medicaid
• Food Assistance – Guiding families to food pantries, SNAP enrollment and WIC resources.
• Housing Assistance – Connecting families with affordable housing and rent or mortgage assistance programs
• Transportation – Identifying affordable transportation options for medical appointments and other essential services
• Scheduling – Assisting with appointment scheduling and referral coordination
• Child Care Assistance – Helping families explore affordable childcare options and navigate school enrollment
• Closing Care Gaps – Facilitating access to primary care, dental, vision, specialty care and other needed health services
• SSI Support – Assisting with SSI applications and related resources
• And more!

The Care Coordination Program empowers patients with complex medical needs and their families to navigate the health care system with confidence. Our care coordinators provide personalized support, coordinate services across providers, and connect families to resources that improve access to care and health outcomes.

Examples of how we help families include:

• Specialty Care Access – Connecting families with specialists and coordinating provider referrals.
• Hospital & Emergency Follow-Up – Supporting families after hospital stays or emergency department visits to ensure a smooth transition back to routine care.
• Prior Authorization Assistance – Helping navigate insurance requirements and coverage denials.
• Preventive Care Support – Promoting annual well visits, immunizations, and preventive screenings.
• Medical Equipment & Home Health Services – Assisting with access to DME, home health care, and other needed services.
• Transportation Resources – Connecting families with transportation benefits for medical appointments.
• Treatment Plan Navigation – Helping families understand and follow care recommendations.
• Community Connections – Linking families with social and community resources that address barriers to care.
• Care Coordination – Working with providers, specialists, and families to ensure care is coordinated and patient needs are met.
• And more!

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 one of our partnering managed care plans.

Learn More

We provide credentialing for the current Medicaid manage care plans and have been delegated responsibility for credentialing by the Ohio Department of Medicaid as part of its next generation programs.

You will receive cutting-edge education and updates about the Partners For Kids community through our monthly e-newsletter, webinars and website. We also have PFK clinical education staff available for in-person or virtual meetings.

Providers can also achieve CME credit through Partners For Kids.