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Provider Training & Webinars

Welcome to Buckeye Health Plan. We thank you for being part of our network of participating physicians, hospitals and other healthcare professionals.

Please see the drop-down menus below for one-hour webinar orientations that will cover information related to claims, authorization, web access, reference materials and key contacts at Buckeye Health Plan. Please choose a webinar that fits your schedule and corresponds to the Buckeye Health Plan product(s) you are contracted with. When you have completed the webinar or presentation, please fill out the form with your provider information and which webinar you have chosen to attend. An email confirmation will be sent once the form is submitted. 

We are pleased to welcome you to our products and look forward to devleoping relationships that will improve the healthcare outcomes of our members and your patients.

Webinar Details

If you have never attended an Zoom meeting before:

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On-Demand Training

CMS Medicare Training Requirement

CMS recently issued a requirement related to the settlement of the 2013 Jimmo v. Sebelius class action lawsuit.  The settlement addresses the delivery of skilled nursing services to Medicare beneficiaries and applies to nursing facilities, home health and outpatient therapy benefits when a beneficiary needs skilled care in order to maintain function or to prevent or slow decline or deterioration (provided all other coverage criteria are met). 

All Medicare providers are required to review this training in order to ensure that services are provided and coverage determinations are adjudicated accurately and appropriately in accordance with existing Medicare policy. Please click on the link below to access the training materials.

Jimmo v. Sebelius Training Materials (PDF)

If you cannot attend the 'Live Instructor-led Webinar' in the list below or prefer to complete the orientation on your own time, please watch the video presentation below with voice-over narration. 

Medical Providers - All Products Orientation

Behavioral Health Providers - All Product Orientation

Nursing Facilities Orientation

Effective 12/31/2018, the Ohio Department of Medicaid (ODM) and Buckeye Health Plan (Buckeye) will implement new signature requirement for MyCare waiver services. On and after that date, waiver service providers will be required to sign the individual’s person-centered service plan (service plan). This change meets the Centers for Medicare and Medicaid Services’ (CMS) 42 CFR 441.301 rule requiring the service plan “be finalized and agreed to, with the informed consent of the individual, in writing, and by all people and providers responsible for its implementation.”

The provider’s signature confirms that the provider acknowledges and agrees to provide the waiver service, as authorized in the waiver service plan. The signed service plan must be completed and returned to Buckeye to ensure timely payment for services. Requirements will vary depending upon the services provided.

Please watch the video presentation below with voice-over narration or view a PDF of the presentation

Buckeye Medical Director Dr. Alvin Pelt presents a training video for substance use disorder providers to teach the importance and the mechanics of Substance Use Disorder Individualized Plans (ITP). 

If you are not able to attend one of our Instructor-led Orientation webinars on Tuesdays and Thursdays at 11:00 a.m. to 12 p.m. from November 10 through August 31, 2021, please download the OnDemand PDF of the slides we've created for your convenience.

2021 Ambetter Orientation OnDemand (PDF)

 

Included in the group of 4 microlearnings below are best practices for late adolescents who do not have adequate treatment planning and case coordination to successfully transition to adulthood.

See our Behavioral Health - Microlearnings page


Join a Live Instructor-led Webinar

All Products - Provider Orientation Webinar

  • Click on the Zoom meeting link below.
  • Enter the conference number and passcode.
  • Webinars are conducted every Wednesday at 4:00 PM EST.
    (No webinars on Wednesday before Thanksgiving (25) or Christmas (23))

All Products - Provider Orientation Webinars via Zoom

Conference Phone Number: 1-646-931-3860 or 1-669-444-9171 
Participant Code: 994-1520-3212
Password: 246174


Ohio EVV September 2021 Webinars

The Ohio Department of Medicaid (ODM) and Sandata Technologies are hosting 3 Electronic Visit Verification (EVV) webinars in September 2021.

The webinars will focus on Alternate EVV certification process changes. The intended audience includes alternate EVV vendors and Ohio agency providers that choose to use an alternate EVV vendor.

Please use the links below to register. After registering, you will receive a confirmation email. If you are unable to attend a live webinar, a recording and webinar slides will be posted to the Webinar tab on the ODM website after the last scheduled webinar.

September 2021 EVV Training

Description

Date/Time

Link to Register

Alternate EVV Certification Process Change

Tuesday, September 7th

1:30pm – 3:00pm EST

Register

Alternate EVV Certification Process Change

Thursday, September 16th

1:30pm – 3:00pm EST

Register

Alternate EVV Certification Process Change

Thursday, September 23rd

9:30am – 11:00am EST

Register

The EVV team’s goal is to provide valuable and useful information to providers during webinars. Please do not hesitate to reach out to ODM and share which topics you are interested in learning more on for future webinars. Please send topic suggestions to ODMEVV@Sandata.com.


New Nursing Facility Request Form - Training

The MyCare Managed Care Organizations (MCOPs) and the Medicaid Managed Care Organizations (MCOs) have been working collaboratively to address and reduce the administrative burden you experience with the prior authorization and level of care process (PA/LOC) process. As such, we, along with the Ohio Department of Medicaid (ODM) have developed a NF Request Form (formerly known as the PA/LOC Form) that can be utilized across all plans as well as with Medicaid.

The new form and the training can be found within the PDF below. If you need assistance with training, please contact CBRIM@CENTENE.COM

Nursing Facility Request Form - August 2021 (PDF)