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.
Updates You Need to Know
- June 28, 2022: Coverage of psychiatric or substance use disorder inpatient admissions for youth
- June 16, 2022 - UPDATED State Fiscal Year-End Claims Submission and Provider Payments
- June 21, 2022 Update to June 16, 2022 Practitioner Modifiers on Aetna OhioRISE Claims
- June 15, 21022 Informational Update - Extension of Reimbursement to non-VFC providers
- June 10, 2022 ODH Important Update on Infant Formula
- OhioRISE May 18 Home and Community-Based Waiver Training video now available.
- June 21 - OhioRISE Training Module 4 -Local and Statewide Systems Engagement
- May 18 - OhioRISE Home and Community-Based Waiver Training
- Ohio Medicaid's Next Generation program to launch July 1 with OhioRISE
Key Provider Information:
- Behavioral Health - Nutrition and Mental Health
- May 2022 Provider Update Newsletter
- 2020 Community Impact Report
- Pregnancy & Prenatal Resources
- May 15, 2022: Claims Payment System Error Notifications (CPSE) (PDF)
New Medication Adherence Tool
Data shows that out of every 10 of your patients, 3 are not taking their medications as prescribed. We’re introducing a new program, RxEffects, to assist in improving non-adherence for your Medicare Advantage patients. See more details.
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
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 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.