MyCare Ohio Resources
Forms & Reference Links
- MyCare Key Contacts (PDF)
- MMP Waiver Billing Code List (PDF)
- Timely Filing and Corrected Claims (PDF)
- Buckeye Web Portal Quick Billing Guide (PDF)
- Buckeye Web Portal Create an Authorization (non-waiver) (PDF)
- Buckeye Web Portal Multiple Claims Submission Wizard (PDF)
- Behavioral Health Resources
HCBS Provider Training Modules & Reference Guides
- MyCare Program Overview (PDF)
- Prior Authorizations, Home Health (PDF)
- Home Health Agency and Home Care Providers (PDF)
- Independent Providers (non-agency) - Resource Coming Soon
- Home Modification and Vehicle Modification (PDF)
- Waiver Transportation Provider - Frequently Asked Questions (FAQ) (PDF)
- Medical Supplies and Equipment Providers - Resource Coming Soon
- Assisted Living Providers - Resource Coming Soon
- Waiver Providers (PDF)
- Waiver Provider Reference Guide (PDF)
MyCare Ohio Home & Community Based Providers Click here to join email listing for Updates, Notifications, Webinar Invites & Events.
Check Run Schedule Changes
To improve the timeliness and consistency of the claim payment process, Buckeye is adjusting the check run schedule. Beginning September 19, 2016, Buckeye’s twice weekly check run dates will occur as follows:
Medicare | Medicaid Waiver | |
---|---|---|
Current | Tuesday & Thursday | Wednesday & Friday |
Effective Sept. 19, 2016 | Monday & Thursday | Tuesday & Friday |
Keep in mind that this change would mainly effect transmissions submitted on a Sunday.
To further compliment timely payment contact PaySpan at (877) 331-7154 for electronic remittance and funds transfer capabilities.
MyCare Ohio Home & Community Based Providers Click here to join email listing for Updates, Notifications, Webinar Invites & Events.
Home Health Rate and Billing Changes
ODM announces changes to home health rates (PDF)
Buckeye MyCare Ohio Provider Job Board
The Buckeye MyCare Ohio Provider Job Board connects providers with members requiring services. By using this tool, Waiver Service Coordinators and Care Managers are able to post a secure, confidential notice that a member is in need of new or additional providers. Providers will be able to see these postings and apply as appropriate.
- Job Board
- FAQs
- Job Board User Guide
Opting Out of Buckeye MyCare Ohio Medicare Coverage
MyCare Ohio allows for individuals to opt-out of Medicare coverage from the plan managing their MyCare Ohio benefits.
Providers need to confirm the MyCare Ohio member’s option for Medicare coverage. If a member chooses to Opt Out of Buckeye MyCare Ohio for their Medicare benefits, Buckeye will only manage Medicaid benefits, and will only reimburse claims for Medicaid services. Claims for Medicare must be submitted to the plan managing their Medicare benefits.
Therefore, it is important to verify member eligibility prior to each service rendered. Providers may use our secure Provider Portal on our website to check member eligibility, or call our Provider Services Department.
- Provider Portal: Please log onto our Provider Portal, then click “Member Eligibility”
- MyCare Concierge Team: 866-296-8731
If your patient has chosen to Opt Out of the Medicare portion of MyCare OH, Buckeye Health Plan is managing the Medicaid benefits and will only reimburse claims for Medicaid services. A Prior Authorization for secondary payment from Buckeye is not required for the service(s) covered by their Medicare plan. Please submit the claim(s) to the plan managing the Medicare benefits (Medicare Fee For Service or Medicare Advantage Plan/Medicare Part C).