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.
- 1-30: Ohio Department of Medicaid to Update OhioRISE Eligibility & Enrollment Rule
- 1-13: HHA Licenses - ODH is granting a one-time grace period for renewals that were due for renewal between July 31, 2025, and Dec. 31, 2025.
- 12-26: Warmest Holiday Greetings!
- 12-26: Payspan: Add 2026 Duals Operating Model
- 12-26: CMS Turnaround Time Notification
- 12-26: Risk Adjustment Factor Calculations
- 12-26: EVV Rejudication Starts January 1, 2026
- 12-26: Medicare Telehealth Flexibilities for Wellcare By Allwell Members through January 2026
- 12-26: Key Differences for Providers Among Wellcare's 2026 Dual Special Needs Plan
- 12-26: Duals Availity & Portal FAQs
- Dec 23: Provider Alert: Temporary Pause on New Behavioral Health Policies
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
Key Provider Information:
- Behavioral Health - Blue Monday
- January 2026 Buckeye Provider Bulletin
- 2024 Community Impact Report
- Pregnancy & Prenatal Resources
- January 2026 CPSE Report: Claims Payment System Error Notifications
Zelis (PaySpan) System Outage Repaired as of 7:00 a.m. CST 1-28-26
- We received confirmation that the system outage has been resolved and all functions have been validated.
- Zelis is working through a prioritization plan to work through any claims backlog and will provide updates.
Zelis reported that they experienced an unexpected system outage following a planned maintenance on January 24, 2026.
The outage affected:
- Core services, including the PaySpan Health portal and all related applications.
- System access and payment processing.
- The impact would be observed by all payers on the legacy PaySpan solutions.
Zelis confirmed the issue is not cyber-security related.
D-SNP Pre-Payment Edit Update for January 1, 2026
Important MyCare Message
Buckeye is pleased to be one of the four managed care plans chosen by the Ohio Department of Medicaid to participate in the NextGen MyCare program beginning in January 2026.
Buckeye will continue to serve its existing MyCare members in whichever county they live at the time of service. As a result, Buckeye is required to maintain a full network of providers in all 88 Ohio counties.
ODM has informed Buckeye that we cannot enroll new members in 2026, but we will be able to enroll new members beginning in 2027.
We look forward to continuing to work with you in service to our members in 2026 and beyond. If you have questions please contact your Provider Engagement Administrator.
For all EVV and Sandata information please see:
Provider Services
Medicaid
Monday - Friday 7 a.m. to 8 p.m
866.296.8731
WellCare by Buckeye Health Plan / Next Generation MyCare Program
Monday-Friday 8:00 to 8:00 EST
833-998-4892
Wellcare
Monday - Friday 8:00 a.m. - 8:00 p.m. M-F at 833-998-5024
Ambetter
Monday - Friday 8 a.m. - 5 p.m.
877.687.1189