Our incentive program makes quarterly payments based on two quality goals:

1. Patient Engagement in Psychosocial Services.
2. Follow-Up After Hospitalization for Mental Illness.

Eligibility for the behavioral health provider incentive program requires 50% of your credentialed, independently licensed providers to participate in a PFK-sponsored education session.

Provider Incentive Program

Provider Incentive baseline questions and answers captured from the webinar:

2020 Baseline Provider Incentive Q&A

Our primary care network includes more than 350 primary care specialists. We can help facilitate collaboration between the primary care and behavioral health providers within our network.

We provide credentialing for behavioral health providers including psychologists, psychiatrists, licensed independent social workers, licensed professional clinical counselors and licensed independent marriage and family counselors 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 Provider Relations specialists provide monthly updates regarding PFK and payor initiatives. They are also available to assist with credentialing and in resolving claims issues with the managed Medicaid plans.

We offer free, quality improvement coaching for behavioral health 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:

• Patient Engagement
• Follow Up after Hospital Discharge

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 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.

Care coordinators assist your patients with behavioral health 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:

• Connecting all healthcare and behavioral health providers together to promote continuity of care
• Facilitating care conferences
• Ensuring all follow up services are offered/accessed post inpatient (BH or medical) discharge
• Troubleshooting barriers to engagement in outpatient services
• Connecting providers as children transition between placements or different levels of care
• Linking families to community-based 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 or UnitedHealthcare Community Plan.

Learn More

Check out these resources for your practice:

Educational Resources for Providers

• 2022 Partners for Kids and Nationwide Children’s Community Partner Behavioral Health Training Offerings – Join us virtually the second Friday morning of every month for our Partners For Kids and Nationwide Children’s Behavioral Health Training Series.
  • View Calendar
  • Instructions – How to Create a CloudCME Account
• Project ECHO

Resources for Patient Families

• Behavioral Health Blog Posts – Print and share with your patient families.
• On Our Sleeves® – Powered by Nationwide Children’s Hospital, On Our Sleeves is the movement for children’s mental health. It provides education and resources to boost children’s mental wellness.
• Positive Parenting Program – The Positive Parenting Program (Triple P) is for parents and caregivers of children 0 to 6 years old. It covers parenting concerns such as obedience, bedtime routines and shopping frustrations. It also helps parents manage behavior and prevent problems from occurring in the first place. No referral needed for these classes.
• Suicide Prevention Resources