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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.

Updates You Need to Know

  • 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  
  • Nov. 25: Four New Behavior Health Policies
  • Nov 25: Prior authorization for CPT code 90870 
  • Nov. 25: CMS Turnaround Time Notification
  • Nov. 25: Reminder: No Balance Billing
  • Nov. 25: Ambetter Health Solutions - ICHRA
  • Nov. 25: Payspan: Add 2026 Duals Operating Model
  • Nov. 25: Changes in Clinical  Policy Criteria for Gender Dysphoris Medication
  • Nov. 25: Buckeye Medicaid Member Mobile App

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

Key Provider Information:

 

Sign Up for our Monthly Provider Bulletin

All 2026 Ambetter from Buckeye Health Plan Content
All Dual Content: Wellcare by Buckeye Health Plan - Next Generation MyCare Program

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