Become a Provider
We appreciate your interest in Buckeye and are excited that you have selected Buckeye’s provider network as your network of choice.
Joining our Network – If you would like to join Buckeye’s network or add new groups/facilities, lines of business, or services to existing contracts, go to one of our form pages tailored to your business' needs:
Waiver-Only | Join our network form (Individual or agency that only provides MyCare home and community-based services for waiver-eligible members).
Individual/Solo | Join our network form Medical provider, behavioral health provider, or pharmacist who will be billing under his/her own Tax ID (TIN) or Social Security Number (SSN), along with a Type 1 (individual) NPI (NOTE: If you are a person joining an existing group, please complete a New Practitioner Enrollment form located at Buckeye Health Plan website.
Facility/Agency | Join our network form
If you are providing services as a Non-Contracted Provider, you need to register with Buckeye. Please call Provider Services at 1-866-296-8731. To provide services as a Non-Participating Provider, you must be enrolled in the Ohio Medicaid Program, be registered with Buckeye and receive Prior Authorization for any service rendered. More information is available in the Out-of-Network Providers section of this website.
For Home and Community Based Waiver Providers covered by MyCare Ohio Waiver, click on the following link for the Waiver Provider Instructions. Waiver Providers must be certified for the type of service they provide, enrolled in the Ohio Medicaid Program, registered with Buckeye and receive Prior Authorization according to the Service Plan of each member.
As a Buckeye Health Plan provider, you can rely on:
- A comprehensive approach to care for your patients through disease management programs, healthy behavior incentives and 24-hour toll-free access to bi-lingual registered nurses
- Initial and ongoing provider education through orientations, office visits, training and updates
- A dedicated claims team to ensure prompt payment
- Minimal referral requirements and limited prior authorizations
- A dedicated provider relations team to keep you informed and maintain support in person, by email or by phone
- The ability to check member eligibility, authorization and claims status online
Healthcare collateral for your patients (e.g., information about our benefits and services) and educational displays for your office
Ambetter
For more information on becoming an Ambetter provider, please visit our Ambetter website.