Welcome to the Buckeye Provider Home Page
Being a trusted partner with our providers is a top priority. We must earn that trust every day, with every interaction. Based on your feedback, we have begun implementing a communication plan to enhance our provider messaging and communications. Please let us know if you have suggestions. We have a feedback form on the bottom of our What We Have Done For You Lately page.
2026 NextGen MyCare Townhall
Updates You Need to Know
- Nov. 25: 4 New Behavior Health Policies
- Nov 25: Prior authorization for CPT code 90870
- Nov. 25: CMS Turnaround Time Notification
- Nov. 25: Reminder: No Balance Billing
- Nov. 25: Ambetter Health Solutions - ICHRA
- Nov. 25: Payspan: Add 2026 Duals Operating Model
- Nov. 25: Changes in Clinical Policy Criteria for Gender Dysphoris Medication
- Nov. 25: Buckeye Medicaid Member Mobile App
- Oct. 31: High-Impact 2026 Part D Formulary - Changes for Medicare Advantage and MyCare
- Oct. 31: 2026 Preferred Biosimilars for Medicare Advantage and MyCare
- Oct. 31: Continuity of Care (CoC) Program Q4 Key Areas
- Oct. 30: Reminder of the tango-WellSky Skilled Home Health and Post Acute Facility Network Services
- Oct.16: Policy Update for CP.MP.185 Effective November 16, 2025
Secure Provider Portal Login
If you are a contracted Buckeye Health Plan provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim.
Once you have created an account, you can use the Buckeye Health Plan provider portal to:
- Verify member eligibility
- Manage claims
- Manage authorizations
- View patient list
- Login/Register
Buckeye Community Connect Can Help
Reminder: Buckeye Community Connect is our go-to online resource for local services and resources that meet our member’s and others in need. Through this free database, Buckeye connects users with an ever-growing statewide network of thousands of community partners that can provide local resources and support.
This is a free service for anyone, not just Buckeye Health Plan members. Simply enter a ZIP code to search for help with food, housing, transportation, childcare, jobs and more! Buckeye Community ConnectExternal Link
Important MyCare Message
Buckeye is pleased to be one of the four managed care plans chosen by the Ohio Department of Medicaid to participate in the NextGen MyCare program beginning in January 2026.
Buckeye will continue to serve its existing MyCare members in whichever county they live at the time of service. As a result, Buckeye is required to maintain a full network of providers in all 88 Ohio counties.
ODM has informed Buckeye that we cannot enroll new members in 2026, but we will be able to enroll new members beginning in 2027.
We look forward to continuing to work with you in service to our members in 2026 and beyond. If you have questions please contact your Provider Engagement Administrator.
For all EVV and Sandata information please see:
Provider Services
Medicaid and MyCare Ohio
Monday - Friday 7 a.m. to 8 p.m
866.296.8731
2026 Wellcare Buckeye MyCare
Ohio Dual Align
Monday-Friday 8:00 to 8:00 EST
833-998-4892
Wellcare by Allwell
Monday - Friday 8:00 a.m. - 8:00 p.m. M-F at 855.766.1851
Ambetter
Monday - Friday 8 a.m. - 5 p.m.
877.687.1189
Key Provider Information:
- Behavioral Health - Senior Mental Health
- November 2025 Buckeye Provider Bulletin
- 2024 Community Impact Report
- Pregnancy & Prenatal Resources
- November CPSE Report v2: Claims Payment System Error Notifications
Provider Quick Links
Buckeye Health Plan offers health insurance programs that fit the unique needs of our members.
View all of our available programs below. Select one to view more information and resources for our plan.