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.

Important Messages

New: Medicare Adjustments to IP Admissions, Post-Acute Accommodations and Skilled Nursing Facilities through January 31, 2022.
COVID Vaccine Campaign - VOTS: Has been updated to include the 5+ age group and extended for the Enhanced Vaccine Admi Program.
Please disregard December newletter item regarding EVV payment reduction. See more information at ODM.
Medicare: Billing Updates Effective January 1, 2022.
New Pharmacy Benefit Manager beginning January 2022. Effective January 1, 2022, Buckeye Health Plan will transition their Pharmacy Benefit Manager (PBM) from Envolve Pharmacy Solutions to…..
New Payment Policy Updates
Medical Prior Authorization Updates

Sign Up to Receive Our Provider Communications

Latest provider information:

Behavioral Health Series - Coping with Stress During the Holidays
December 2021 Provider Update Newsletter
2020 Community Impact Report
Pregnancy & Prenatal Resources
November 23, 2021: Claims Payment System Error Notifications (CPSE) (PDF)

Newest Website Changes

See our Did You Know? page. Helpful tips to answer frequent questions.

Provider Services

Medicaid & Wellcare by Allwell

866.296.8731 / Monday - Friday
8 a.m. - Noon and 1- 5p.m.

Ambetter

877.687.1189 / Monday - Friday
8 a.m. - 5 p.m.

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

Provider Quick Links

PRE AUTH CHECK

SUBMIT CLAIM/CHECK CLAIM STATUS

PREFERRED DRUG LIST

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.

Health Insurance Marketplace

The Health Insurance Marketplace is an online shopping mall of healthcare plans. Buckeye Health Plan's plan is called Ambetter. Ambetter offers affordable health care coverage for individuals and families. Depending on family size and income, a person may even qualify for help to pay their monthly premium.

Medicaid

Buckeye Health Plan is a care coordination plan contracted with the Ohio Department of Medicaid to serve Medicaid and other government services program members. Buckeye has developed the expertise to work with Medicaid members to improve their health status and quality of life.

MyCare Ohio

The Medicare-Medicaid Plan (MMP) is a joint effort between the Ohio Department of Medicaid (ODM) and the Centers for Medicare and Medicaid Services (CMS). Buckeye Health Plan – MyCare Ohio (Buckeye) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. The goal of this program is to improve the experience in accessing quality, coordinated care.

Medicare

Buckeye Health Plan Advantage is an HMO SNP plan with a Medicare contract and a contract with the Ohio Medicaid program. Enrollment in Buckeye Health Plan Advantage depends on contract renewal. This plan is available to anyone who has both Medical Assistance from the State and Medicare.

Provider Newsroom Prior to July 1, 2020

Show