Interested in becoming a provider with Partners For Kids? Contact us to learn more about the program.
For
Medical Providers
More than 1,000 doctors in 34 counties in central and southeast Ohio Medicaid regions participate in Partners For Kids. With assistance from those partnership doctors, Partners For Kids programs have led to steady or improving measures of quality care and patient outcomes.
Programs and Benefits
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 our practice network, you will receive the following benefits:
Physician Reimbursement
By joining Partners For Kids, you will receive a premium over Medicaid rates for each adjudicated claim.
Provider Incentive Program
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.
- A share in the cost savings that result from a focus on prescribing patterns for select drug categories. Our staff pharmacists can assist with prescribing guidelines.
Pharmacy Consultations and Education Support
Partners For Kids Pharmacy 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.
Quality Improvement Coaching
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
- Health supervision visits
- Emergency department avoidance
- Fluoride varnish
- Patient experience
- 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 in 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 |
|
|
Healthy Children |
≥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) |
|
Oral Health |
Fluoride varnish application for children up to 6 years of age |
|
Reproductive Health |
Reproductive health assessments for adolescents Contraception prescribing among 15-19-year-old females |
|
Disease Management Portfolio |
|
|
Asthma |
Asthma Medication Ratio (AMR) Asthma management (control assessed at every visit, schedule follow up appointments every 6 months, and asthma action plans updated annually) |
|
Pharyngitis |
Appropriate testing for pharyngitis: ensuring that patients with a diagnosis of strep pharyngitis receive strep testing, if antibiotics will be prescribed |
|
Emergency Department Use Reduction |
Reduce emergency department visits, with a focus on four ambulatory sensitive conditions: asthma, otitis media, upper respiratory infections and skin-soft tissue infections |
|
Behavioral Health Portfolio |
|
|
Attention Deficit Hyperactivity Disorder |
ADHD screening and follow up Appropriate prescribing of ADHD medications |
|
Depression |
Universal screening of adolescents for depression Primary care management of depression in adolescent patients |
|
Suicide Prevention |
Screening adolescents for suicide intentions Referral and management of at-risk adolescent patients |
|
Antipsychotic Prescribing |
Reduction in prescribing multiple concurrent antipsychotic medications |
Patient Outreach
To help you improve well-check compliance and earn incentive dollars, we provide free staffing to contact your patients who have not been seen recently and schedule them for a well-child appointment. Our staff can work in your office to:
- Schedule patients or work closely with your schedulers, depending on your preference
- Send an outreach letter to families with children due for their well-child services. Using your practice’s letterhead and stationery, we will print letters on your behalf; or, if you prefer to handle the mailing, we can reimburse your practice for postage expense.
Care Navigation
Care coordinators assist children with medical complexity and their families to navigate uneventfully, efficiently and as effectively as possible through the health care system.
Delegated Credentialing
We provide credentialing for all five Medicaid managed-care plans and most of the large commercial plans.
Claims Issue Resolution
Our staff is ready to assist you with resolving claims issues with the five Medicaid Managed Care Plans.
Continuing Education
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.
Electronic Medical Record Implementation
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.