2025 Provider Incentive Plan Town Halls

After significant planning and consideration to streamline the Partners For Kids’ Provider Incentive Plans (PIP), we will be holding town hall meetings for our community primary care providers, behavioral health providers and practice managers. Primary care incentive town halls will be held on January 27, and behavioral health incentive town halls will be held on January 28. For more information, or if you are unable to attend a town hall, please contact Provider Relations PFKProRelations@childrensdayton.org.

Register for the First Quarterly Partners For Kids’ Webinar in 2025

Join us for the first Partners For Kids’ quarterly webinar in 2025: “Understanding Why Ohio Can’t Snooze on the 2022 AAP Safe Sleep Guidelines” presented by Dr. Stephanie Napolitano and Dr. Courtney Brown. The webinar will be on Wednesday, February 26, from noon to 1 p.m.

2025 Partners For Kids’ Network Requirement for the West Region

As Partners For Kids continues to support you in your efforts toward the health of our members, the network requirement is in place to ensure we engage with each other and keep population health in our line of sight. The network requirement for provider engagement will be for all providers, whether community-based or affiliated with Dayton Children's Hospital, so that everyone has the same opportunities for education, engagement, and support.

Updated Management Guidelines for Insomnia

Partners For Kids has updated the Management Guidelines for Pediatric Insomnia, designed to help primary care practitioners provide effective treatment for children with difficulty falling asleep or staying asleep. The guidelines include clinical recommendations, sleep hygiene tips, evaluation tools, medication information and more.

Upcoming Behavioral Health Webinars for Primary Care

View and register for three webinars on behavioral health topics for primary care providers.

Upcoming Project ECHO Series

Dayton Children’s Hospital is excited to present a virtual Project ECHO series designed to empower primary care providers with the tools and knowledge to better support children with disruptive behavior disorders.

Resources from December’s Behavioral Health Training

During the “Trauma Informed Supervision” webinar, attendees learned how to apply key trauma-informed principles to their practice, such as recognizing and addressing trauma reactions, normalizing routine supervision and prioritizing self-care for clinicians. Attendees also learned how to apply theoretical knowledge to scenarios through case discussions.

2025 Partners For Kids’ Behavioral Health Course Offerings Now Available

Check out the monthly behavioral health training course offerings for 2025. Training sessions are open to all independently and dependently licensed behavioral health providers, as well as paraprofessionals. Attendance at one of these sessions satisfies the education requirement for Partners For Kids-credentialed behavioral health providers.

Welcome, Foundations Behavioral Health Services to Partners For Kids!

Foundations Behavioral Health Services is a cornerstone of community-based behavioral health care, proudly serving Mercer, Van Wert and Paulding Counties, along with the surrounding areas. They provide mental health, substance use services and medication services using case managers and therapists, as well as staffing a psychiatrist and nurse practitioner. We are excited for them to join Partners For Kids!

Quarterly Update for Partners For Kids’ Pediatric Unified Preferred Drug List (UPDL)

Partners For Kids’ UPDL for Ohio Medicaid Plans is now available. The Ohio Department of Medicaid’s UPDL is developed by the Ohio Department of Medicaid and implemented by the single Pharmacy Benefit Manager, Gainwell Technologies. Partners For Kids’ has condensed the UPDL into commonly prescribed drug classes for pediatric primary care and behavioral health providers.

There are several important changes impacting pediatric patients that were effective as of January 1. To review these changes, please see our Pharmacy Coverage Updates document. For any questions about Partners For Kids’ coverage resources, please contact PFKPharmacy@childrensdayton.org.

Access to Spacers Improved for Patients with Asthma

Patients insured by an Ohio Medicaid plan can now access two spacers per year without the need for a prior authorization. The previous quantity limit for spacers was one per year. Asthma patients should use metered dose inhalers with a spacer or mask/spacer to assist with administration technique and deliver more medication to the lungs. Most patients younger than 12-years old do not have the lung strength or coordination to use a breath-actuated inhaler, and therefore metered dose inhalers with a spacer is the preferred option. If you have questions about what metered dose inhalers are available and covered for your Ohio Medicaid patients, view the Partners For Kids’ Inhaled Steroid Table.

Constipation Over-The-Counter Medication Guide

Over-the-counter medications are covered for patients insured by an Ohio Medicaid plan. If a provider sends prescriptions to the pharmacy for an over-the-counter medication this will avoid out-of-pocket costs for families and may improve adherence. Many constipation medications are available over-the-counter, but keeping track of what strengths, dosage forms and coverage caveats exist for these medications, is a challenge. To help navigate this space, Partners For Kids has developed the Constipation OTC Coverage Guide. For any questions about PFK Coverage Resources, please contact  PFKPharmacy@childrensdayton.org.

January Managed Care Updates

View updates from the managed care plans on events and policy changes impacting their organizations.  

Welcome New Members!

We are pleased to welcome the following providers and practices who joined the Partners For Kids provider network: 

• Roberta D. Donnovan, LISW-S – Foundations Behavioral Health Services, Inc 

• Amy Beth Doyle, PMHNP – Rocking Horse Center 

• Linda Jean Griffith, MD – Rocking Horse Center 

• Mary E. Kastner, LISW-W – Child & Adolescent Specialty Care of Dayton, Inc. 

• Rebecca Leigh McCarthy, PMHNP – Rocking Horse Center  

• Brenton Andrew Perkins, PMHNP – Rocking Horse Center 

• Lindsey Faith Wright, PMHNP – Rocking Horse Center 

Important Dates 

• Monday, January 27, 7:30 a.m: Primary Care Provider Incentive Plan Town Hall

• Monday, January 27, 12 p.m.: Primary Care Provider Incentive Plan Town Hall

• Monday, January 27, 5:30 p.m.: Primary Care Provider Incentive Plan Town Hall

• Tuesday, January 28, 7:30 a.m: Behavioral Health Provider Incentive Plan Town Hall

• Tuesday, January 28, 12 p.m.: Behavioral Health Provider Incentive Plan Town Hall

• Tuesday, January 28, 5:30 p.m: Behavioral Health Provider Incentive Plan Town Hall

• Friday, February 14, 9 a.m. to 12:15 p.m.: Behavioral Health Course Offering: “The What, When, How and Why of Genograms”

• Friday, March 14, 9 a.m. to 12:15 p.m.: Behavioral Health Course Offering: “There Are No Bad People: The Circumstances View of Problem Behavior Part 1”

Did You Know?

Each practice has a dedicated provider relations specialist that can connect you to Partners For Kids’ benefits, resources and services. Tanae Leonard and Bob Pastva cover the central region and Emily Buckingham covers the west region. Contact them using the information below!

Contact Partners For Kids Provider Relations 

If you have questions regarding any of the information in this newsletter or suggestions regarding newsletter content that would be useful to your practice, please contact us at Email: PFKProRelations@childrensdayton.org. 

Phone: (419) 376-5667

Visit us at PartnersForKids.org.

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