Complex Care Center | Services and Support

Care Management for Complex Conditions

24/7 outpatient management of children and adolescents with complex chronic medical, developmental, and mental health conditions, including:

  • Regular check-ups
  • Sick visits
  • Immunizations (shots/vaccines)
  • Manage the care of chronic conditions
  • Education and empowerment of patients and caregivers to obtain and provide the best care possible
  • Review test results (labs, radiology), other healthcare team visits (subspecialists, therapists) and unscheduled ill visits (Emergency and Urgent Care)

Track your child's progress as he or she grows, including:

  • Guidance with guardianship
  • Transition to adult care

Answer your questions about:

  • Your child’s diagnosis, treatment and support services
  • Behavior and discipline
  • Nutrition
  • Parenting/family issues
  • Insurance, government programs, schools, and/or workplace

Support you and your family, including:

  • Getting your child ready for school including completing school forms and providing information needed to complete IEP
  • Cincinnati Children's Special Needs Resource Directory

Care Coordination with Care Team:

  • If anyone on your healthcare team has questions, they can contact your Complex Care Care Team
  • Answer questions about your child's plan of care
  • Provide additional support to patients and families
  • Help coordinate clinical appointments
  • Emphasize the patient and family experience
  • Give family-centered medical care based on current evidence-based guidelines
  • Keep your child up-to-date on immunizations (shots/vaccines)
  • Provide preventative care with monitoring of labs, growth, and development
  • Serve as the central point of contact for coordination of your child’s medical needs
  • Assist with behavioral healthcare needs
  • During our regular office hours, provide refills for many of your child’s medications
  • Bring your child in for regular visits
  • Bring a list of medications your child is taking to all appointments
  • Choose a regular Primary Care Provider, amongst our team of doctors and nurse practitioners
  • Be on time for your child’s appointments
  • Cancel appointments ahead of time
  • Enroll in MyChart
  • Sign up to receive appointment reminders via text message

Who can be a Primary Care Provider (PCP)?

  • A physician (MD/DO)
  • A nurse practitioner

Why do I need to choose a PCP?

  • Allows you and your family to develop a bond with your PCP
  • The PCP can get to know your child and your family

How do I choose a PCP?

  • Talk with family and friends about PCPs they recommend.
  • Find out which PCPs see patients at the clinic closest to you - Burnet Campus or Liberty Campus
  • Think about what you liked about the PCPs you have seen in the past. Choose one you feel has those qualities.
  • Ask yourself, “Is it easy to talk to this PCP?

Will I always see the PCP I choose?

  • Every effort will be made to schedule with your child’s PCP at your request.
  • You may see a different PCP when your child is ill, but be assured they are all part of your child’s Care Team

Children need to see their primary care physician at certain times in their lives. Make sure to schedule an appointment for your child when he or she is:

  • Newborn
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old
  • 12 months old
  • 15 months old
  • 18 months old
  • 2 years old
  • 2 1/2 years old
  • Yearly check-ups after age 2, and 6 month follow up in between

You will receive a reminder phone call for scheduled appointments.

  • Social Workers
  • Registered Dieticians
  • Nurse Care Managers
  • Clinical Nursing Staff
  • Administrative Assistants

You can get a ride to clinic with a medical card by calling two business days ahead:

  • Buckeye: 1-866-531-0615
  • CareSource: 1-866-419-8419
  • Molina: 1-866-642-9279
  • Ohio Medicaid: 513-946-1000 Opt. 6
  • Paramount: 1-866-837-9817
  • United Health Care: 1-800-895-2017

Call us with your questions or concerns at 513-636-3000.

For life-threatening conditions, please call 911.

  • If you feel your child needs to go to the Emergency Room, and it is not life threatening, please call to speak to the nurse or the PCP on call
  • The nurse is available from 8:30-4:30 Monday through Friday to answer your questions – Choose Option 1
  • Our PCPs are on call after hours and on the weekends to assist with urgent medical issues that cannot wait until the next day

Find Special Needs Resources

Smiling girl in doctor's office.

Browse the Special Needs Resource Directory for comprehensive resources for special healthcare needs.

Resource Directory