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
- Sep 30: Availity Auth Inquiry Expansion Features
- Sep 29: Effective 1/1/2026 Buckeye Health Plan will no longer be accepting Paper Claims for our Medicaid Product
- Sep 29: ODM Updates Sterilization Consent Form (HHS-687) and Adds a 2028 Expiration
- Sep 29: Our Medicare-Medicaid Plan Transitioning to Aligned Dual Special Needs Plan on January 1, 2026
- Sep 29: 2026 Next Generation MyCare Website Pages Go-Live 10-1-25
- Sep 29: ODM Notification of Admission Form Reminder for SUD Residential Providers
- Aug 29: Policy Updates Effective October 1, 2025
- Problem Oriented Visits Billed with Surgical Procedure Payment Policy CC.PP.052
- E&M Services Billed with Treatment Room Revenue Codes Policy CC.PP.071
- Problem Oriented Visits Billed with Preventive Visits Policy CC.PP.057
- Optum CPI Update Notification for Buckeye Health Plan (Claim Edits)
- Aug 29: Prior Authorization Updates Effective October 1, 2025
- Updated Prior Authorization requirements for code G0483 (Medicaid) Effective October 1, 2025
- Evolent Prior Authorization Updates effective October 1, 2025 (All LOBs)
- Ambetter (Marketplace) Billing Code H0019 requires Prior Authorization effective October 1, 2025.
- Effective October 1, 2025, Ambetter Important Update for S5000 and S5001 codes with Charges Over $500 (Ambetter)
- Update to S5000 drug generic effective 10-1-25 (Medicaid)
- Aug29: Prior Authorizations Effective October 15, 2025
- Wellcare by Allwell (Medicare) Prior Authorizations effective October 15, 2025
- Ambetter Prior (Marketplace) Authorizations effective October 15, 2025
- Buckeye Health Plan (Medicaid) Prior Authorizations effective October 15, 2025.
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
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 and MyCare Ohio
Monday - Friday 7 a.m. to 8 p.m
866.296.8731
Wellcare by Allwell
Monday - Friday 8:00 a.m. - 8:00 p.m. M-F at 855.766.1851
Ambetter
Monday - Friday 8 a.m. - 5 p.m.
877.687.1189
Key Provider Information:
- Behavioral Health - Suicide and Social Determinants of Health
- August 2025 Buckeye Provider Bulletin
- 2024 Community Impact Report
- Pregnancy & Prenatal Resources
- August 15, 2025: Claims Payment System Error Notifications
Provider Quick Links
Buckeye Health Plan offers health insurance programs that fit the unique needs of our members.
View all of our available programs below. Select one to view more information and resources for our plan.