The Pediatric Care Council brings together pediatricians, medical directors of Ohio’s managed care organizations and commercial insurance companies to collaborate in finding practical ways to promote children’s health. The council meets three times a year and works closely with the Ohio Association of Health Plans to conveniently schedule meetings.
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Jonathan J. Price MD, FAAP |
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Frank Combs MBA, FACMPE |
Managed Care Organization Portals
Health Plan Assistance Guide
To help you help your patients, the major Ohio insurers have provided to the Ohio AAP the following phone numbers. In particular, the “Case Management” number may include access to nurses or social workers to help families line up resources or keep a complex array of medical appointments organized. Many of the plans also have portals that you can use to communicate with the plan and refer patients for Case Management services. You may find that the “Nurse Advice Lines”, while perhaps not appropriate for established patients, may be appropriate for patients whom you have not yet seen or established a relationship with, but who call for advice before their first visit. The Ohio AAP hopes this helps your practice provide medical home services more easily.
| Appointment Transportation | Nurse Advice Line | Member Services | Medications | Case Management | Website | |
|---|---|---|---|---|---|---|
 | (800) 872-3862 | (800) 556-1555 | (800) 872-3862 | (800) 238-6279 | (800) 872-3862 | www.aetna.com |
 | (800) 272-6967 | (888) 912-0636 | (800) 272-6967 | (800) 417-1961 | (800) 258-3175 | www.medmutual.com |
 | (800) 552-9159 | (888) 249-3820 | (800) 552-9159 | (800) 700-2541 | (866) 797-9884 | www.anthem.com |
 | (800) 951-7719 | (800) 951-7719 | (800) 951-7719 | (800) 951-7719 | (800) 951-7719 | www.wellcare.com |
 | (800) 895-2017 | (800) 542-8630 | (800) 895-2017 | (800) 895-2017 | (800) 895-2017 | www.uhccommunityplan.com |
 | (866) 837-9817 | (800) 234-8773 | (800) 462-3589 | (800) 462-3589 | (800) 462-3589 | www.paramounthealthcare.com |
 | (866) 642-9279 | (888) 275-8750 | (800) 642-4168 (CFC) (866) 408-9501 (ABD) | (800) 642-4168 (CFC) (866) 408-9501 (ABD) | (866) 774-1510 | www.molinahealthcare.com |
 | (800) 488-0134 (CFC) (800) 993-6902 (ABD) | (866) 206-0554 | (800) 488-0134 (CFC) (800) 993-6902 (ABD) | (800) 488-0134 (CFC) (800) 993-6902 (ABD) | (800) 488-0134 (CFC) (800) 993-6902 (ABD) | www.caresource.com |
 | (866) 531-0615 or 866-246-4359 | (866) 246-4359 option # 7 | (866) 246-4358 | (866) 246-4358 | (866) 246-4359 | www.buckeyehealthplan.com |
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