Provider and Community Organization Grant Program

Thank you for your interest in the Buckeye Health Plan Grant Program. Grants of $5,000-$10,000 are available to participating Buckeye Health Plan providers and community organizations focused on promoting the health and well-being of the communities we serve. The maximum grant in a calendar year is $10,000 per organization. Preference will be given to year-round partnerships that offer opportunities to implement programs statewide in Ohio. Applications must be completed in full and submitted online to be considered. All applications are reviewed by the Buckeye Health Plan Grant Committee and may be awarded on a quarterly basis. Once the applications are reviewed and the recipients are selected, all applicants will be notified via email of the Grant Committee’s decision.

Eligibility

Before submitting the grant application, please review Buckeye’s Grant Priorities/Application Guidelines (PDF).

Grant Requests

Deadlines for grant requests are as follows:

GRANT CYCLE Q1 – Friday, March 29, 2019
GRANT CYCLE Q2 – Friday, June 28, 2019
GRANT CYCLE Q3 – Monday, September 30, 2019
GRANT CYCLE Q4 – Tuesday, December 31, 2019

Please note that submitting an online application does not guarantee funding. Please contact BuckeyeGrants@centene.com with any additional questions.

Application for Grant

Date *

First Name *

Last Name *

Email *

Confirm Email *

Organization Name *

Street Address *

Street Address Line 2

City *

State *

Zip Code *

Telephone *

Organization Website *

Type of Organization *

Healthcare Provider Community Organization

Does the organization have 501c3 status? *

Yes No

Tax ID Number *

Dollar Amount Requested ($5,000-$10,000) *

Briefly describe the organization's history, mission, vision, purpose and goals. *

Briefly describe the purpose of funding request and how it will be used. *

Number of individuals, geographic area and population who will benefit from these funds * (e.g. 30 children, ages 8-12, who are working to achieve grade-level performance in Central Ohio)

Briefly describe any promotional benefits or brand awareness Buckeye would receive in exchange for this grant. *

Describe the sustainability of this grant. * (e.g., grant money will be used to host a one-time event or it will be a part of a six-month ongoing program or multiple events, etc.) NOTE: Preference will be given to ongoing partnership opportunities.

Please attach the required detailed information in the Grant Application Guidelines * Required: Current annual report, 2 prior year's financial statements. If you have more than one document to upload, please send additional files to BuckeyeGrants@CENTENE.COM.

Has Buckeye Health Plan sponsored your organization in the past? *

Yes No

I verify that all the information I have provided is accurate. *

This form will send your message to Buckeye Health Plan as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Buckeye Health Plan through email, you accept associated risks. Buckeye Health Plan does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal.