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.

ODM Next Gen Contract Launch - February 1, 2023

Please see our Next Gen Contract Information page for details on dates, times and access.

Updates You Need to Know

January 17, 2023: PNM Refresher Training Schedule
January 17, 2023: Next Gen February 1 Launch Webinar January 19
January 12, 2023: Learn the basics of Electronic Visit Verification (EVV) from ODM and Sandata Technologies on Thursday, January 19, from 10-11:30 a.m.
January 12, 2023: FI Refresher End User Courses through January 24
December 15, 2022: OhioRISE Mixed Services Protocol Updated December 8, 2022
December 15, 2022: Ambetter Providers - NCQA Letter
December 13, 2022: ODM Message - What to Expect on February 1, 2023
December 9, 2022: MITS Medicaid Payment Rates for CANS Assessments Will Increase January 1, 2023
December 9, 2022: December 9, 2022: “MITS BITS” is being replaced with “BH Bulletin”
December 9, 2022: MITS Claims Payment Error Resolved
December 7, 2022: Message from ODM on Phase 3 Launch on February 1, 2023.
December 6, 2022: BH Refresher PNM Training now available.

Key Provider Information:

Behavioral Health - Follow-Up Care for Children Prescribed ADHD Medication (ADD)
December 2022 Provider Update Newsletter
2021 Community Impact Report
Pregnancy & Prenatal Resources
January 15, 2023: Claims Payment System Error Notifications (CPSE) (PDF)

Sign-Up For Our Provider Update Newsletter

Provider Services

Medicaid and MyCare Ohio

Monday - Friday 7 a.m. to 8 p.m
866.296.8731

Wellcare by Allwell

Monday - Friday / 8 a.m.-Noon 1-5p.m
855.766.1851

Ambetter

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

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

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

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