Behavioral Health
Buckeye Health Plan Welcomes Cenpatico Behavioral Health Providers.
Effective November 30, 2017, Cenpatico Behavioral Health, LLC (“Cenpatico”) will be assigning its Provider Agreements to Buckeye Health Plan. Cenpatico traditionally contracted with Behavioral Health Providers to provide Behavioral Health specific services. Along with the contracts, the management of certain Behavioral Health functions will also transition from Cenpatico to Buckeye Health Plan. This integration will unite best-in-class services under one name and will provide several benefits to members and providers, including:
- A fully integrated delivery model for medical and Behavioral Health services, supporting the needs of both members and providers.
- An enhanced member experience with centralized medical and Behavioral Health services and benefits to provide continuity in care.
- A streamlined approach to delivering service and support, with a single point of contact and benefits administration for providers.
If you have any questions, please call Provider Relations at 1-866-246-4356 ext. 24291.
If you are a provider and have an urgent need, please email our rapid response inbox at BehavioralHealth@centene.com.
Members with urgent needs should call Member Services at 1-866-246-4358.
Join our Network:
If you would like to join Buckeye’s network, please click on the following link to access forms and information.
For information on Buckeye Health Plan products for new Behavioral Health providers, please view the video in the "All Products - New Provider Orientation" section of the Provider Training & Webinars page of our website.
Log in to the Secure Provider Portal:
- For Behavioral Health & Medical information, claims, etc., please log into Buckeye’s Secure Provider Portal: https://provider.buckeyehealthplan.com/sso/login
- Ohio Provider Manual (PDF)
- Ohio Uniform Prior Authorization Form - Community Behavioral Health Services (PDF)
- Behavioral Health Facility Application (PDF) (Behavioral Health only or facilities that provide both Behavioral Health and Medical)
- Behavioral Health CMHC_SUD Roster (Excel)
- Medicaid-MyCare Residential and Partial Hospitalization Treatment Request Form (PDF)
- Applied Behavioral Analysis (ABA) for Autism - Authorization Form (PDF)
- Electroconvulsive Therapy (ECT) Form - Medicaid (PDF)
- Electroconvulsive Therapy (ECT) Form - Medicare (PDF)
- Neuropsychological Testing Authorization Form - Medicare (PDF)
- Outpatient Treatment Request Form - Medicare (PDF)
- Outpatient Psychological Testing Authorization Form - Medicare (PDF)
- Community Mental Health Center Partial Hospitalization (CMHC PHP) Form - MyCare (PDF)
- Applied Behavior Analysis Covered Services (PDF)
- Ohio Urine Drug Screen Prior Authorizaiton Request Form (PDF)
- Substance Use Disorder (SUD) Review Form (PDF)
- HEDIS Provider Reference Guide 2019 (PDF)
- Provider DME Letter May 2019 (PDF)
- Prior Authorization Request Letter May 2019 (PDF)
- Durable Medical Equipment (DME) Provider Contact List for BP Monitors (PDF)
- Buckeye Products Overview & ID Card Reference Sheet (PDF)
- Member Rights & Responsibilities (PDF)
- Medicare Provider Toolkit (PDF)
- Qualified Medicare Beneficiaries (QBM) Billing FAQ (PDF)
- Healthchek Provider Reference Manual (PDF)
- EAPG 2017 Covered Codes (XLS)
- EAPG 2018 Covered Codes (PDF)
Below are documents you will find helpful when working with on ADHD and depression issues with patients.
- ADHD and Depression Toolkit Introduction Letter (PDF)
- Behavioral Health & Wellness Brochure (PDF)
- Talking to Friends & Family Brochure (PDF)
- Suicide Prevention Brochure (PDF)
ADHD
Depression
- 30-Day Readmission Payment Policy (PDF)
- Abortion Certification Form (PDF)
- Advance Directives Form (PDF)
- Care Management Referral Form- Southwest Region (PDF)
- Care Management Referral Form- Northwest Region (PDF)
- Care Management Referral Form- Northeast Region (PDF)
- Care Management Referral Form- East Central Region (PDF)
- COB Dispute & Adjustment Request Form (PDF)
- CONNECTIONS Referral Form (PDF)
- Acknowledgement of Hysterectomy Form rev 04/2011 (PDF)*
- Federal HHS687 Consent to Sterilization Form (PDF)***
- Federal HHS687.1 Consent to Sterilization Form SPANISH (PDF)***
- Home Health Nurse & Aide Service Rate Change (PDF)
- Immunization Coding & Billing Guidelines (PDF)
- Medicaid Inpatient Prior Authorization Form (PDF)
- Medicaid Outpatient Prior Authorization Form (PDF)
- OAHP PA Home Health Form (PDF)
- OAHP PA Nursing Facility Form (PDF)
- OAHP PA Standardized Form–Medicaid (PDF)
- Pain Management Referral Form (PDF)
- Pregnancy Event Form (PDF)
- Pregnancy Notification Form (PDF)
- Pregnancy Notification Reimbursement Letter (PDF)
- Provider Adjustment Request Form (PDF)
- Request to Change PCP Form (PDF)
- Waiver Services Prior Authorization Request (PDF)
- Envolve Prior Authorization Form with Update Fax Number (PDF) - Effective June 1, 2019
- MAC Appeals Process (PDF)
- Appropriate Use and Safety Edits (PDF)
- Acaria Health-Supplied Biopharmaceutical Program (PDF)
- Maintenance Drug List (PDF)
- Preferred Drug List (PDF)
- Preferred Drug List Quick Reference Guide (PDF)
- ADHD Quick Reference Drug List (PDF)
- Alzheimer Quick Reference Guide (PDF)
- Antidepressants Quick Reference Guide (PDF)
- Antipsychotics Quick Reference Guide (PDF)
- Hyperlipidemia Quick Reference Guide (PDF)
- Diabetes Quick Reference Guide (PDF)
- Proton Pump Inhibitors Quick Reference Guide (PDF)