Partners For Kids e-Newsletter!
Welcome to the Partners For Kids provider network and e-newsletter. We are pleased to be launching the provider e-newsletter this month. Partners For Kids providers and office staff members will receive the newsletter on the 3rd Thursday of each month. The newsletter will contain information about Partners For Kids projects, resources that are available to your practice via Partners For Kids, Ohio Medicaid updates, and managed Medicaid payor updates such as information regarding pre-authorization, coding or claims submission changes. We hope that the information we share each month will be useful to your practice. Please contact us at any time at PFKProRelations@childrensdayton.org with article suggestions or questions. We welcome your input.
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Dayton Children’s Receives Funding Through FCC COVID-19 Telehealth Program
Dayton Children’s Hospital was awarded funding from the Federal Communications Commission (FCC) to assist with telehealth costs related to COVID-19. With this funding, much of the focus will be on reducing access to care inequities that many of the kids in the region face. By offering additional opportunities to see providers in a virtual setting, families will be able to access the right care when they need it. Dayton Children’s has chosen to invest in at-home diagnostic and examination devices so that families can receive more comprehensive exams from the comfort and convenience of their own home. Looking at these initiatives through a population health management lens will lead to overall improved health of the patient population while also providing great value for both the patient and the hospital.
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New Developmental Milestone Checklists Are Now Available
New developmental milestone checklists are now available on the CDC Learn the Signs Act Early website. In 2019, the CDC provided funding for the American Academy of Pediatrics to convene a group of experts to review the milestones that were originally released in 2004 and make recommendations for evidence-informed revisions. The new Evidence-Informed Milestones for Developmental Surveillance were released in February 2022 by the CDC and in Pediatrics. Read more and access the checklists here.
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Updated CareSource Attribution Data
Partners For Kids has begun to receive new PCP attribution data from CareSource for the 2022 calendar year. CareSource indicates this attribution data is a better representation of a member’s provider and organization relationship. Internal analysis of the data shows members were 20% more likely to have a claim with their new CareSource attributed provider or organization in the past 12 months compared to the previous CareSource attribution data file. This will have no effect on members eligible with other health plans. We are excited for this improvement and hope it will translate into more actionable data for managing the care of your patients.
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OhioRISE Scheduled to Launch July 1
The Ohio Department of Medicaid (ODM) has announced a staggered implementation calendar for its Next Generation programs beginning with the implementation of OhioRISE on July 1. OhioRISE, which stands for Resilience through Integrated Systems and Excellence, has been designed to support children with complex behavioral health and multi-system needs. Aetna Better Health of Ohio will administer the program. ODM expects 60,000 children to be enrolled statewide. ODM’s OhioRISE website has a wealth of information about the program including training session recordings and materials. Click here for ODM’s full announcement.
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RSV Season May Start Early Again This Year - Planning Ahead for Palivizumab (Synagis®) Administration
Respiratory syncytial virus (RSV) season in Ohio typically begins in the Fall and extends into the early Spring. As a result of factors related to the COVID-19 pandemic, RSV season shifted in 2021, with high community spread beginning in June and persisting through November. This year may follow a similar pattern as area labs are detecting more cases of RSV. Palivizumab (Synagis®) is an intramuscular-delivered monoclonal antibody approved for infants who are high risk for severe RSV infection. In order to be effective, palivizumab should be administered each month when RSV-rates are highest in the community. A multi-disciplinary team of infectious disease doctors, neonatologists and pharmacists are reviewing the data weekly to determine when it may become appropriate to start administering palivizumab. We will keep you updated if and when this recommendation is made ahead of the typical RSV season (i.e. November to March). Click here to view more resources in preparation for RSV season.
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Formula Shortage: What Parents Can Do
The infant formula shortage currently impacting the US has left families wondering what they should feed their children if they cannot find their usual formula. Many alternative formula options are available. It is crucial that parents give an appropriate source of nutrition to their babies for normal growth and development; however, there are things that could cause harm to babies and should be avoided. Click here to find more resources to share with those impacted by the formula shortage.
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Managed Care Plan Updates
This past month CareSource has published a variety of updates and policy changes. Click here to view a comprehensive overview.
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Welcome New Members
We are pleased to welcome the following providers and practices who have joined the
Partners For Kids provider network in the West Central Region:
- Nalini Aggarwal, MD Springboro Pediatrics, Inc
- Ramzieh Azmeh, MD Kettering Pediatric and Family Care
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Craig E. Chalfie, MD Cornerstone Pediatrics, LLC
- Kathryn Lorraine Dearing, MD Child & Adolescent Specialty Care of Dayton, Inc.
- Gregory M. Eberhart, MD Cornerstone Pediatrics, LLC
- Lauren Marie Ford, MD Child & Adolescent Specialty Care of Dayton, Inc.
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Blake Elizabeth Hatfield, DO Child & Adolescent Specialty Care of Dayton, Inc.
- Charles L. Hutchison, MD Springboro Pediatrics, Inc
- Amy Renee Letts, FNP Springboro Pediatrics, Inc
- Sylvia V. Parks, MD South Dayton Pediatrics
- Jessica Sanchez, FNP South Dayton Pediatrics
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Jennifer Lynn Sweat-Burdette, MD Cornerstone Pediatrics, LLC
- Suzanne Kay Williams-White, MD South Dayton Pediatrics
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Important Dates
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Save the date; August 10, noon to 1:00 p.m.: Behavioral Health For Primary Care Webinar Series: “Complex ADHD in Children and Adolescents”, presented by Dr. Kristina Jiner, MD. More details will be shared in next month's newsletter.
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Did You Know?
In this section each month, you’ll receive a quick fact or reminder about one of the resources Partners For Kids has to offer. This month we share how to access our care coordination program:
There are three easy ways to refer patients to the Partners For Kids Care Coordination team.
1) Directly contact Care Coordination at (855) 562-4735. 2) Email the team at PFKCareCoordination@NationwideChildrens.org.
3) Utilize CareLink.
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Contact Partners For Kids Provider Relations
If you have questions regarding any of the information in this newsletter, please contact us at:
Email: PFKProRelations@childrensdayton.org
Visit us at PartnersForKids.org
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