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.
If you have never attended an Zoom meeting before:
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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.
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.
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))
Conference Phone Number: 1-646-931-3860 or 1-669-444-9171
Participant Code: 994-1520-3212
Ohio EVV March 2021 Webinars
The Ohio Department of Medicaid (ODM) is hosting 3 Electronic Visit Verification (EVV) webinars in January 2021. The webinars will focus providing an EVV overview and updates for Case Managers. Please use the links below to register. After registering, you will receive a confirmation email containing information on joining the webinars. If you are unable to attend a live webinar, a recording will be posted to the Webinar tab on the ODM website
EVV Overview and Updates for Case Managers
Friday, March 26: 10:30am – 12:00pm
The EVV team aims 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 EVV@medicaid.ohio.gov.
As you may know, we’ve been working toward sending each provider an email letting them know how they are doing with supporting claims with billing. To that end, we completed an analysis of claims for dates of service in April, May and June 2021.
As we have discussed previously, we will send the emails to providers in groups, based on their success in supporting claims with visits in EVV. See the email example below. The schedule for distribution is:
- Providers Not Using EVV at All - March 10, 2021
- "Providers Not Matching 76-100% of Claims" - April 10, 2021
- "Providers Not Matching 51-75% of Claims" - May 12, 2021
- "Providers Not Matching 26-50%% of Claims" - June 2,2021
- "Providers Not Matching 1-25% of Claims" -June 23, 2021
Dear Provider Name,
The 21st Century Cures Act (Cures Act) requires states to implement electronic visit verification (EVV) for select Medicaid services provided in community settings. The Ohio Department of Medicaid began rolling out EVV guidance for the impacted services in January 2018. Since then, the agency has sponsored 75 instructional webinars, released 33 advisory newsletters and offered multiple online provider trainings. We also offered more than 60 one-on-one technical assistance sessions and maintain a dedicated section on the ODM website with resources for providers.
We appreciate the efforts you continue to make to comply with EVV requirements. And we understand the complexity impacting compliance, as evidenced in a claims analysis for services provided between April and June 2020. Across all payers, 100% of your claims submitted were not supported by visits in the EVV system. Some of the most common missteps include:
- The visit was not in a verified status at the time the claim was submitted.
- The caregiver forgot to record a visit in the EVV system.
- Some information on the claim does not match the visit in the EVV system.
As you are aware, as of January 1, EVV compliance in Ohio is mandatory for all services required by the Cures Act (see the list of services here: EVV webpage).
- ODM and our EVV vendor, Sandata, are committed to your success with EVV. In addition to ongoing efforts listed above, providers like you can:
- Register online for a private 1:1 call session with an EVV trainer. (Please use the registration link with Chrome for the best results.)
- Visit the Ohio EVV website and review online training materials, step-by-step guides, and downloadable educational webinars that offer step by step help. The training manuals include screenshots and written instruction. You also may want to watch videos in the training library. NOTE: educational videos are available for agency and non-agency providers alike.
If you would like to ask a specific question about using the EVV system, please call the EVV Provider Hotline at 855-805-3505, Monday through Friday, 7 a.m. - 8 p.m. The hotline is open 9 a.m. - 5 p.m. on Saturday and Sunday.
You also can reach out to ODM directly by emailing EVV@medicaid.ohio.gov.
Thank you for your work as a Medicaid provider in supporting Ohioans we serve. And as stated above, we are committed to your success. Please let us know how else we can be of assistance.
Allan K. Showalter
Director of Program Integrity