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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.

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.


On-Demand Training Videos

Please see the drop-down menus on the right 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. 

Test Your Connection

If you have never attended an Zoom meeting before:

Copyright ©2019 Zoom Video Communications, Inc. All rights reserved.

 

Future location of Compliance Attestation

Future location for Fraud/Waste/Abuse reporting.

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 on the right.
  • Enter the conference number and passcode.
  • Webinars are conducted every Wednesday at 4:00 PM EST.

 
 
 

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

No webinars on Wednesday before Thanksgiving (25) or Christmas (23)


Training and Webinar Opportunities

Improving Outcomes Roundtable Series

February to November 2022

As some of you may be aware, OAHP has been working for the last year, in conjunction with OCALI, at what can be done to improve health outcomes for people with disabilities and reduce disability related health expenditures. In working with experts in the disability community, we learned that, one of the barriers to care for people with disabilities is access to providers who are willing and able to take them as patients. While current medical students get some training on core competencies in providing care to people with disabilities, it is often not enough training to create confidence and competency. What’s more, practitioners who have been in practice for a few years likely got no training in medical school in this area. Accordingly, in order to address the confidence and competency -gap for practitioners related to treating people with disabilities, we have created a series of nine virtual roundtables, each addressing a different competency.  The roundtable series begins in February 2022 and provides free CEUs to participants. The roundtables are suitable for all types of health care providers. Each roundtable features an expert in this field, many of whom are nationally recognized for their work with people with disabilities. Also participating are people with lived experience with disabilities to provide that important perspective.

Healthcare Ready: Advancing Resilience for Community Health in Emergency Response  (ARCHER)

The Centene Foundation for Quality Healthcare has awarded a grant to one of Centene’s strategic partners, Healthcare Ready (HcR), for a two-year project aimed at increasing all hazards planning and preparation for community health centers to improve resilience and rapid recovery in response to disasters. Links and info for upcoming live webinar trainings and recorded trainings and other resources available on HcR’s website. 

UPCOMING TRAINING OPPORTUNITIES FOR PROVIDERS

Crisis Standards of Communication Webinar

Date: Tuesday, April 12, from 1:00pm – 2:00pm ET via Zoom.

Registration 

Overview: This training will provide staff with information and skills that can be used to improve the systems and protocols that allow their organization to efficiently communicate during a disaster. The 1-hour long webinar will equip staff with:

  1. An understanding of the common challenges associated with crisis communications that typically arise during a disaster,
  2. Tips to developing a comprehensive communication plan that complies with Federal and state laws, and
  3. Enhanced knowledge of ways that staff can best coordinate with partner organizations in their region, state, or local areas.

The training will provide an overview of best practices in communication considerations with various partners during a crisis, including local healthcare partners, government partners, NGOs, and patients.

Links to recorded webinars & other resources are available on Healthcare Ready Resource Page

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)

June 9 Comprehensive Primary Care (CPC) Webinar is on Big 5 Initiatives 

Save the date for ODM’s next CPC webinar! It is scheduled for June 9, 2022, from 2:30-3:30 p.m. This webinar will focus on an overview of the Big 5 Initiatives happening at ODM and will provide CPC practices the opportunity to ask questions prior to our scheduled go-live later this year. Register here.  If you have been unable to attend any of our previous webinars, the recorded versions and their presentations are available here.

Weitzman ECHO Series for Ohio: Women's Health in Primary Care 

Kick-off for our ECHO series collaboration of the Weitzman Institute, Buckeye Health Plan and Ohio University was March 10, but there is still plenty of time to register for the remaining sessions through November. 

Program Sessions: Tuesday and Thursday Noon to 1:00 p.m. via Zoom

Duration: March to November 2022

(Attendance for each session is preferred, but not required.)

Brief Video: Benefits of attending this important program.

It's not too late! Register Now

Bonus: qualifies for continuing education credits.


Join Ohio AAP for our Spring Education Meeting in May! Free books, oral health tools, sleep sacks and other resources for your patients!

In this ever-evolving world of technology, medicine and increased consumer expectations, practice disrupters such as Amazon Cares, Walmart Health and minute clinics (to name a few() will be flooding the market with concierge, remote health “conveniences”. Additionally, large hospital systems are acquiring practices in an effort to bring resources to underserved communities. The future of primary care extends far beyond the physician’s office to pharmacies, retail clinics, large hospital systems and virtual care companies. A relentless focus on anticipating and delivering on the primary care needs and preferences is the only way for organizations to remain relevant amidst an abundance of new, innovative players. 

Join us May 6th at Ohio University Inn and Conference Center in Athens, Ohio for our 2022 Spring Education Meeting, The Future of Pediatrics – Disrupters in Primary Care, How to  Compete and Succeed While Protecting the Medical HomeWe know that we will not be able to stop services such as Amazon Cares, however, we can open a dialogue with large systems, and educate and prepare our members to be competitive to create a new vision for care! Attendees will leave with a deeper understanding of this “new world” to help shape new resources and endeavors as we build upon this work.

In the afternoon, we hold a session on lesson maximizing billable services from Ohio AAP programs, along with adolescent behavioral health: anxiety & depression during an ever-changing time for teens, including local resources and referral.

You will receive resources for your patients and clients, books, oral health supplies, sleep sacks, suicide prevention materials and more! 

Are you unable to stay for the entire day? Select the session(s) that best meet your needs!

Register Here! 


Caring for the Healers Part II: Preventing Suicide Among Providers and Staff

Date: Training date has expired, but please see link below to materials you can still receive.

Learning objectives:

  1. Detail the scope of provider and staff suicide, what factors contribute to this phenomenon, and the impact of COVID-19.
  2. Share practical organizational approaches to address suicide risk and help prevent suicide in providers and team members during and after the COVID-19 pandemic, including management training and response plans.
  3. Understand postvention strategies, how to support survivors, and provide opportunities for individual and group assistance.

Presenter:

Dr. Virna Little, PSyD, LCSW-r, SAP, CCM, Chief Operating Officer and Co-Founder of Concert Health, Co-Founder of Zero Overdose

We are making available to you a Fact Sheet and Online Toolkit of resources at this link: Preventing Suicide, even if you don't attend the seminar. 

This webinar is made possible by the generous support of the Centene Corporation.