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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. We have a feedback form on the bottom of our What We Have Done For You Lately page.

2024 Model of Care for Medicare and MyCare Has Been Posted

EVV and Sandata Updates

See our EVV page for EVV Exemption for Live-In Caregiviers, Sandata Mobile Connect Update and additional training opportunities for EVV System Enhancement Training for Home Health and Therapy Providers, Electronic Visit Verification and Global Positioning System (GPS) Consent Required

Ohio Medicaid Electronic Visit Verification Resources Updated

The Ohio Medicaid EVV website has been updated and it is important that providers are using the correct link to access the most up to date information about the EVV program. 

An updated Frequently Asked Questions (dated 7/5/2024) document has been posted to the landing page.

Updates You Need to Know

  • 6-26: Electronic Visit Verification and Global Positioning System (GPS) Consent Required 
  • 6-20: 3 New opportunities for EVV System Enhancement Training-Home Health and Therapy Providers
  • 6-18 Sandata Mobile Connect App Update
  • 6-17: Payment Policy Updates Effective 8-1-24
  • 6-17: Electronic Visit Verification Exemption Request for Live-in Caregivers, as of July 1
  • 6-15: Medicare CPT II Codes and HCPCS Billing  
  • 6-11: Wellcare by Allwell Pharmacy Network Updates
  • 6-10: Centene Chief Health Officer named to Modern Healthcare’s 50 Most Influential Clinical Executives
  • 6-4: Provider Advisory Council - Interested?
  • 5-23: Medicaid Provider Requests for Urine Drug Screen Tests
  • 5-23: Medicaid Home Health Authorization Requests for Special and Complex Needs
  • 5-17: MyCare Ohio Program Updates and Resources
  • 5-13: Provider Advisory Committee - Interested?

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

Sign-Up For Our Buckeye Provider Bulletin

 

Provider Services

Medicaid and MyCare Ohio

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

Wellcare by Allwell

Monday - Friday  8:00 a.m. - 8:00 p.m. M-F at  855.766.1851

Ambetter

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

Key Provider Information:

 

Provider Quick Links

icon: go to pre auth check

PRE AUTH CHECK
icon: Submit a claim or check claim status

SUBMIT CLAIM/CHECK CLAIM STATUS
icon: go to preferred drug list

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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