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

  • Feb 28: No Prior Authorization Waivers at This Time
  • Feb 27: Deadline Extended for Assistance from NCIL Barrier Removal Fund
  • Feb 20 : Ambetter Availity Editing Services (AES) Launch Moved to March 26
  • Feb 20: Respiratory Syncytial Virus (RSV) Medication Update
  • Feb 02: Routine Foot Care Billing (Ambetter)
  • Feb 02: Patient Safety Awareness Week
  • Jan 16: Availity Essential Training Available Beginning January, 20, 2025
  • Jan 10: Routine Foot Care Billing (Ambetter)
  • Dec 12: Launching our Provider Accessibility Initiative - Barrier Removal Fund in 2025
  • Dec 12: 2025 Changes for ESRD Part D and High-Impact Formulary
  • Dec 6: Lactation Consulting Opportunities

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

LOGIN/REGISTER

Notice for Awareness
  • We are not making any prior authorization waivers at this time.      
  • We have Gold Card SNF facilities providers can use to transfer members to post-acute care without a prior authorization.

See more details here.

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 

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.

Provider Newsroom Prior to July 1, 2020

May

Buckeye Health Plan Celebrates 20 Years of Improving the Health of Members in Ohio

05/09/24

Buckeye serves 500,000 Ohioans through Medicaid, Medicare, MyCare Ohio and the Health Insurance Exchange plans

October

What You Need to Know: Exciting Changes to Ohio’s Medicaid Program Starting on Oct. 1

10/01/22

On October 1, 2022, Ohio Medicaid implemented exciting improvements for members and providers!

June

Amazon Prime Discount for Medicaid Members

06/18/21

Qualified Buckeye members can get a discount on Amazon Prime

Buckeye Health Plan Encourages Men to Stay Up-to-Date on Screenings this Father’s Day

06/17/21

Eighty-two percent of men say it's important to stay healthy, yet they often don't make going to the doctor a priority.

September

September is National Infant Mortality Awareness Month

09/16/20

In honor of National Infant Mortality Awareness Month, Buckeye Health Plan is spotlighting the need for moms-to-be to focus on prenatal care and the health of their babies.

August

How to Create Positive New Habits in our New World

08/24/20

Our lives and routines have changed because of COVID-19. Gyms are closed, parks are closed, shopping trips are limited, and personal hygiene is more important than ever. How can we stay healthy with our habits broken? Here are some tips to help you.

July

Change in Medication Prior Authorization Requirement

07/01/20

Effective August 1, 2020, Buckeye Health Plan (Buckeye) is making changes to services requiring prior authorization for Medicaid members.

June

Buckeye Health Plan and PrimaryOne Health Join National Study to Assess COVID-19 Impact

06/26/20

PrimaryOne Health has been selected as a Federally Qualified Health Center to participate in a national research study that will offer COVID-19 PCR testing and antibody testing to confirm rates of current and previous COVID-19 infections among racial, ethnic and under-served communities in underserved communities.

Buckeye Health Plan Launches New Program That Expands Pharmacist Role in Patient Care

06/24/20

Buckeye Health Plan launched the first phase of a new program that expands the role of pharmacists in direct patient care to improve the health outcomes of people living with chronic diseases.

Allwell from Buckeye Health Plan Extends $0 Member Liability for Primary Care, Behavioral Health and Telehealth Services for Remainder of 2020

06/11/20

Beginning July 1, 2020, providers should waive the member liability for the eligible primary and behavioral health care claims at the point of service, and forego the collection of the member cost share.
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