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
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.
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 - Self Harm Self Injury
- February 2025 Buckeye Provider Bulletin
- 2024 Community Impact Report
- Pregnancy & Prenatal Resources
- February 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.
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 plansOctober
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 PrimeBuckeye 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.