Help Families Keep Their Medicaid Coverage
Changes to Medicaid eligibility and re-enrollment are coming in 2027. Providers play a key role in advising families about their coverage. Encourage families enrolled in Buckeye Health Plan, CareSource, Molina Healthcare, Anthem Blue Cross and Blue Shield, Humana Health Horizons, AmeriHealth Caritas or UnitedHealthcare Community Plan to check their coverage status and make sure their contact information is up to date.
Families can update their information by:
- Visiting benefits.ohio.gov to log in or create an account
- Calling (800) 324-8680
- Visiting their local Job and Family Services office
Once their contact information is updated, remind families to watch for mail from their county Job and Family Services office. They may need to complete forms by the deadline to keep their health insurance. A conversation during a visit can help patients stay connected to the care and services they need!
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Register for the Next Partners For Kids’ Primary Care Webinar
Join Amanda Jacobson-Kelly, MD, from Nationwide Children’s for the next Partners For Kids' quarterly webinar about “Iron Deficiency” held on Wednesday, October 14, from noon to 1 p.m. CME credit will be available.
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Sunsetting the Proof Form Process
Partners For Kids will no longer engage in the proof form process. Practices that have participated in this process over the years will be receiving correspondence soon. If you have questions, please contact the provider relations team at PFKProRelations@childrensdayton.org
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Asthma Spacer Coverage: What Care Teams Need to Know
Ohio Medicaid currently covers up to two spacers every 365 days.
When prescribing spacers, ask families how many spacers or masks they need based on where the child spends time (home, school, childcare, caregiver homes, etc.). Educate families that additional spacers may still be available through an exception process if the pharmacy cannot fill the requested quantity.
Pharmacy Tip: If a pharmacy receives the message "Exceeds QTY per DAYS", they should contact the Gainwell Helpdesk at 1-833-491-0344 to request an override.
Helping families obtain the spacers they need supports proper inhaler technique and improves asthma management across all settings where children live, learn and play.
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Save The Date! Primary Care Webinar
Join Jessica Alexander, PA, from Dayton Children’s Hospital for the next Partners For Kids' quarterly webinar about “Constipation” held on Tuesday, November 3, from noon to 1 p.m. CME credit will be available.
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Expanding Preventive Oral Health Care for Children Across Rural Ohio
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A new statewide partnership is working to make preventive oral health care more accessible to young children in rural communities.
The Ohio Department of Health, the Ohio Colleges of Medicine Government Resource Center, The Ohio State University College of Dentistry and Nationwide Children’s Hospital Partners For Kids are collaborating to integrate oral health services into primary care settings. This quality improvement initiative will support providers in delivering oral health assessments, fluoride varnish, silver diamine fluoride, patient education and referrals to dental visits – right in the primary care setting.
The initiative plans to recruit at least one participating practice in each of Ohio’s 73 rural counties over five years, with special attention to nine counties that lack a safety net dental clinic.
Do you think your practice may be a good fit? If you’re interested in participating, click the button below to sign up today.
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Know Where to Turn for Behavioral Health Consultation Support
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Are you looking for behavioral health consultation support? Nationwide Children’s offers free resources specifically designed for primary care practices, including two consultation options with hospital experts.
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BH-TIPS offers scheduled, virtual, clinician-to-clinician case consultations with Nationwide Children’s psychiatrists and care management clinicians for guidance in behavioral health assessment, treatment considerations and resources
- Physician Direct Connect (PDC) provides 24/7 support through on-demand phone conversations with a psychiatrist.
Explore these resources and more to find the right support for your patients and practice.
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Register for the Annual Coding Seminar
Children’s Practicing Physicians (CPP) will hold its annual coding seminar on Tuesday, October 20, from 6 to 8 p.m. Participants will walk through several common clinical scenarios associated with coding and discuss current coding guidelines and updates.
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Register for the October Behavioral Health Training
Don’t miss the next training on Friday, October 9, from 9 a.m. to 12:15 p.m. on “The Practice of Ethical and Responsible Reporting of Suspected Abuse and Neglect.” Register for the October offering and be sure to check out the full Partners For Kids’ Behavioral Health Community Education Series 2026 course calendar for more.
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Pharmacy and Prescribing Updates: |
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Over-The-Counter (OTC) Medication Series: Did you know Medicaid and Gainwell cover many OTC medications?
An OTC medication can be purchased by a patient from a pharmacy without a prescription. All providers recommend a patient pick up a vitamin D supplement or a bottle of acetaminophen at some point, and now those OTC medications are covered for Ohio Medicaid patients.
It’s true! Even though OTCs can be obtained without a prescription, to be eligible for coverage; a prescription must be issued. Next time you ask Mom to get a vitamin D supplement, make sure you write a prescription. Check in with our next newsletter to learn more tips to get covered!
Need more information? Email PFKPharmacy@NationwideChildrens.org
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We are pleased to welcome the following providers and practices who have joined the Partners For Kids’ provider network:
- Florence Jillian Freeman, Rocking Horse Center
- Maci Alexandra Jenkins, Ohio Pediatrics, Inc
- Nicole Alexandra Sutter, Hearthstone Psychology. LLC,
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Important Dates
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Wednesday, October 7, noon to 1 p.m.: Behavioral Health Series for Primary Care: “Suicidality”
- Friday, October 9, 9 a.m. to 12:15 p.m.: Behavioral Health Course Offering, “The Practice of Ethical and Responsible Reporting of Suspected Abuse and Neglect”
- Tuesday, October 20, 6 to 8 p.m.: Children’s Practicing Physicians (CPP) Annual Coding Seminar
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Tuesday, November 3, noon to 1 p.m.: Primary Care Quarterly Webinar: “Constipation”
- Thursday, November 4, 5:30 to 8 p.m.: Primary Care Education Series, “Challenges for Primary Care Providers during the Newborn Period.”
- Friday, November 13, 9 a.m. to 12:15 p.m.: Behavioral Health Course Offering: “Supervising Trauma Informed Care: From Assessment to Intervention”
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Friday, November 20, 11 a.m. to noon: Behavioral Health Course Offering, “Strategies for Caregivers to Teach Co-Regulation to Children and Adolescents”
- Thursday, November 26: Partners For Kids’ offices are CLOSED
- Wednesday, December 2, noon to 1 p.m.: Behavioral Health Series for Primary Care: “Refugee and Immigrant Mental Health”
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Friday, December 11, 9 a.m. to 12:15 p.m.: Behavioral Health Course Offering: TBD
- Friday, December 25: Partners For Kids’ offices are CLOSED
- Friday, January 1, 2027: Partners For Kids’ offices are CLOSED
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