Welcome to Provider's Corner! This section of our website is customized to meet your needs and will include useful tips and ideas for practices and procedures you need to complete for NCQA, Buckeye and Ohio Department of Medicaid requirements. The intent is to create an easy-to-use, one-stop shop with helpful specifics around Quality measures, such as HEDIS, CAHPS and clinical processes you can use to meet the criteria for these requirements. Be sure to bookmark this page to make it easy to return when you need to reference content. We hope you find this helpful and are open to topics you’d like discussed on the site.

Do you have Telehealth Services for your patients?

Telehealth services create easy access to care for your patients. It is important to Buckeye that members have access to the direct delivery of healthcare services related to the diagnosis, treatment and management of a condition through telehealth.

The use of telehealth involves the interaction with a patient via synchronous, interactive, real-time electronic communication that includes both audio and video elements.

The following activities that are asynchronous or do not have both audio and video elements:

• Telephone calls.
• Remote patient monitoring.
• Communication with a patient through secure electronic mail or secure patient portal.

For more information visit our Telehealth website page.

Coming in April....

• Mental Health Awareness
• A1c's
• Eye Exam Testing

Osteoporosis: Evaluating Risk

Osteoporosis is a disease that causes thinning of bones. Over time, this weakens the bones and can make them more likely to break. It can affect any bone, but the hip, spine, and wrist are most often affected. It's often called a silent disease because people can't feel their bones getting weaker. Gender words are used here to talk about anatomy and health risk.

Women are more likely than men to develop osteoporosis. This happens because of hormonal differences. Also, men often have larger, stronger bones than women. Men and women older than age 50 are at the greatest risk for osteoporosis. Women who are non-Hispanic white or Asian are more likely to get osteoporosis than Hispanic or African American women. For men, osteoporosis is more common in non-Hispanic whites.

Source:  Centene Stay Well Health Library

OMW: Osteoporosis Management in Women Who Had a Fracture

Women ages 67-85 who suffered a fracture and who had either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis in the 180 days (6 months) after the fracture.

HEDIS Improvement Tips:

• Assist members with Scheduling their bone mineral density test.
• Educate members on the importance of prevention such as will balanced diet, exercise and creating a safe environment at home to reduce risk of fall.
• Educate members that a bone density test (BMD) is the same as Dexa Scan.
• Assess women ages 67-85 at each visit for recent fall and fractures. Schedule member for bone density test (BMD) within 6 months of fracture if no BMD within the past 24 months.
• Reminder calls, text messages or mailing can assist with ensuring members do not miss scheduled appointments.
• Identify any barriers that are preventing members from getting the test.
• Remind members to complete release of information (ROI), if needed so primary care provider can get the BMD results.
• For members without visit or missing annual wellness visit in the current year, use the quality care gaps report to call them and schedule the annual wellness visit.

For more information, please visit: Our HEDIS 2025 Provider Reference Guide