For Primary Care Providers: Boost Your Well-Visit Completion Rates 

Discover three essential strategies to help you boost well-visit completion. Partners For Kids shares tips on how to effectively conduct pre-visit chart reviews to convert sick visits into well-checks, encourage sports physicals as comprehensive evaluations, and implement reminder systems that reduce no-show rates. Click the button below to learn valuable insights to improve patient care and engagement.

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

The Ohio Department of Medicaid’s (ODM) UPDL is developed by ODM 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. Click the button below to view Partners For Kids’ UPDL. 
 

To review specific changes that were effective on July 1, 2025, please see our Pharmacy Coverage Updates document.  

PFK's UPDL for Ohio Medicaid Plans is now available for review.  

7th Annual Administrative Staff Retreat Resources 

Thank you to all who were able to attend the 7th Annual Administrative Staff Retreat! The full presentation slides are available at the button below. For questions and more information, contact provider relations at PFKProRelations@childrensdayton.org. 

Proof Form Process Coming in August 

Proof forms are a way for your practice to receive Provider Incentive Program (PIP) payments for incentivized services rendered in 2024, where a Medicaid claim may not have been filed. An example of this could be a patient seen for a well-visit who has Medicaid as a secondary insurance. This process will begin at the end of August and will be complete by the end of October, so PIP payments will be on the quarterly check in November. Your provider relations team will contact practice leaders once this process is open, and share what documentation is considered an "acceptable proof." For more information, contact provider relations at PFKProRelations@childrensdayton.org. 

Save The Date: 2025 CPP Coding Seminar 

Please save the date for the 2025 CPP Coding Seminar on Thursday, October 23, from 6 to 8 p.m.

EDM/EDS Measures Update 
Discover how Partners For Kids is expanding support for primary care practices through the newly implemented EDM and EDS follow-up visits for mental health and substance use emergencies. This initiative aims to ensure timely care and continuity for young patients following an emergency department visit, addressing critical mental health needs. Learn about the responsibilities of primary care providers, the incentives for participating practices and the valuable resources available to assist in this follow-up process. Stay informed and equipped to make a difference in the lives of children and families navigating their mental health journeys. 

Register for the Behavioral Health Training on August 8 
Join us for the first Partners For Kids’ Behavioral Health Training, “Big Feelings, Bright Futures: Emotion Regulation for Children with Autism.” The training will be on Friday, August 8, from 9 a.m. to 12:15 p.m. 

For Primary Care Providers: Asthma Inhaler Patient Assistance Programs 

Partners For Kids knows high costs can be a barrier to a patient's ability to get medication. To support providers in caring for both uninsured and underinsured patients, the Asthma Inhaler Patient Assistance Programs resource is now available to help you  find the most affordable asthma controller inhalers for your patients. 

This resource is not intended for patients with active coverage through Ohio Medicaid plans. For Ohio Medicaid inhaler coverage, please review the Partners For Kids’ UPDL.  

For questions about Partners For Kids’ Coverage Resources, please contact PFKPharmacy@nationwidechildrens.org.  

July Managed Care Plan Updates 

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

Important Dates 

• Friday, August 8, 9 a.m. to 12:15 p.m.: Behavioral Health Course Offering: “Big Feelings, Bright Futures: Emotion Regulation for Children with Autism” 

   

• Thursday, August 28, noon to 1 p.m.: Quarterly Webinar Series: “Asthma Updates” 

   

• Thursday, October 23,, 6 to 8 p.m.: “CPP Coding Seminar” 

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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