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
New Population Enrollment
In an effort to improve health outcomes, the Ohio Department of Medicaid (ODM) will be transitioning new populations into a Managed Care Plan (MCP). ODM and the MCPs have been working together for several months to ensure a smooth transition and continuity of care. Included in this implementation are Children with Medical Handicaps (BCMH), Children in Custody, Adopted children and women eligible for Medicaid and participating in the Breast & Cervical Cancer Project (BCCP). Optional enrollment will be offered to individuals in the Developmental Disabilities (DoDD) program.
Buckeye Health Plan will collaborate with enrollees, parents, foster families, caseworkers from Public Children Services Agencies (PCSAs) and providers to reduce gaps in care and duplicative services. We will also help members navigate plan benefits and access community resources. Please note the key enrollment dates below:
- January 1, 2017 – For most of the new populations.
- Enrollment exceptions for Children in Custody prior to 1/1/2017 are as follows:
- May 1, 2017 - for children in custody prior to 1/1/2017 residing in Hamilton & Montgomery counties.
- July 1, 2017 – for children in custody prior to 1/1/2017 residing in Franklin & Cuyahoga counties.
Buckeye has developed some resources to assist you in caring for these individuals as they enroll. Please see the following documents:
- Provider Fact Sheet
- Case Management Key Contact List
- PHI Disclosure Form
- Medicaid Quick Reference Guide
For answers to frequently asked questions, click on the following link to the Ohio Department of Medicaid website. Please watch this page for additional information and resources as the program is implemented.
Thank you for your partnership and the care you provide to Buckeye members.
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.
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.