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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. 

Medicaid Providers: Get Your OH|ID by October 1!

THE FIRST STEP NEEDED TO ACCESS NEW MEDICAID ENTERPRISE SYSTEMS!

On October 1, Medicaid providers will need a State of Ohio digital identification (OH|ID) to access the Provider Network Management (PNM) Module  and Gainwell Technologies’ single pharmacy benefit manager (SPBM) secure provider portal. Click the link above to create an account through the State's login system. 

Providers needing technical assistance can contact Ohio Medicaid’s Integrated Help Desk (IHD) at 800.686.1516. The IHD is open Mon.-Fri., 8 a.m.- 4:30 p.m. ET.

Are you ready for changes coming to Ohio Medicaid on October 1?

Updates You Need to Know

  • September 9, 2022: New Weitzman ECHO Series for Ohio: Diabetes Across the Lifespan begins October 18, 2022 
  • August 26, 2022: Medicare - Claims X-ten Update
  • August 26, 2022: All-LOB Policy Updates Effective November 1, 2022
  • August 25, 2022: CPC Contacts/Demographic Updates Reminder
  • August 25, 2022: ODM Announces SPBM Training
  • August 25, 2022: Materials from Next Gen Stage 2 - October 1 Launch Webinar
  • August 24, 2022: Buckeye Provider Advisory Council Expansion
  • August 15, 2022: The PNM Pre-Registration Tool is Live!
  • August 8, 2022: Medicare PA Change to Wound Care Eff October 1, 2022
  • August 4, 2022: Alt EVV Specifications and August 30 webinar
  • August 3, 2022: See our new EVV website page

 

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Provider Services

Medicaid and MyCare Ohio

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

LOGIN/REGISTER

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.

Provider Newsroom Prior to July 1, 2020

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