Buckeye Community Health Plan

Feed The Hungry

Lori Pruitt — Fri, 13 Jan 2012 22:27:20 +0000

Buckeye Operation Feed The Hungry

Medicare Advantage

Lori Pruitt — Fri, 11 Nov 2011 21:16:30 +0000

Get the medical, behavioral healthcare, and social services you need.

5010 Migration FAQ Posted

tmccollough — Wed, 26 Oct 2011 14:34:54 +0000

Buckeye has posted a 5010 Migration FAQ for 2012 on the website. To learn more about our 5010 migration, please see this page.

Fall 2011 Provider Report Newsletter

tmccollough — Tue, 18 Oct 2011 14:42:39 +0000

Newsletter highlights:

Provider Report Fall 2011 Newsletter (PDF)

Preventive Care and Clinical Practice Guidelines
It’s Flu Season!
Cold and Flu Guide
Access Standards
2011 HEDIS Rates
Dental Health Covered Benefit

Fall 2011 Healthy Moves Newsletters

tmccollough — Mon, 29 Aug 2011 14:30:11 +0000

CFC members can read about the highlights below in the:

Healthy MovesCFC Fall 2011 Newsletter (PDF), as well as the Spanish Version

ABD members can read the ABD Healthy Moves fall member newsletter. The Spanish version is also available.

Newsletter Highlights:

Who needs the flu shot?
2012 Buckeye Holiday Schedule
QI Program Ensures Proper Care
Cold and Flu Prevention Guide

Providers: Summer 2011 Provider Report

tmccollough — Mon, 22 Aug 2011 20:47:12 +0000

Provider Report Summer 2011 Newsletter (PDF)

Newsletter highlights:

Start Smart Study (Featuring Dr. Brad Lucas)
UM Criteria
OB Measures of Care
The Value of the EPSDT Program

PROVIDERS: Electronic Data Interchange HIPAA Version 5010 Implementation

tmccollough — Mon, 25 Jul 2011 18:01:57 +0000

Buckeye Community Health Plan will soon initiate the implementation of the Electronic Data Interchange (EDI) Version 5010 in accordance with the federal Health Insurance Portability and Accountability Act (HIPAA) rules for all EDI transactions.

HIPAA rules mandate that the implementation of EDI Version 5010 will begin January 1, 2012. From October 1, 2011, through December 31, 2011, Buckeye Community Health Plan will support a dual-strategy approach to the implementation of EDI HIPAA Version 5010. Trading partners will be able to submit version 4010 transactions through December 31, 2011; however, trading partners that have passed the EDI HIPAA Version 5010 testing and certification requirements may send version 5010 transactions beginning October 1, 2011.

Buckeye Community Health Plan is working with Edifecs to ensure a successful transition to the new formats. Trading partners are required to complete HIPAA Version 5010 testing and certification using the Centene Edifecs Ramp Management Testing Facility. To obtain access to the HIPAA Version 5010 Companion Guides, sample files, and FAQs trading partners must enroll on the Centene Edifecs Ramp Management site: https://sites.edifecs.com/index.jsp?centene

Additional information regarding HIPAA Version 5010 will be communicated on the Centene Edifecs Ramp Management site, and distributed to trading partners that have enrolled for testing on the Centene Edifecs Ramp Management site.

Questions? Contact the EDI Helpdesk at ediba@centene.com or 1-800-225-2573 X25525.

Providers: State of Ohio issues notice about provider-administered drugs

tmccollough — Fri, 22 Jul 2011 14:23:28 +0000

Buckeye Community Health Plan will soon be revising its claims submission process to mirror a policy that the state’s Office of Ohio Health Plans is implementing for Medicaid claims that relate to provider-administered drugs, and the corresponding usage of a National Drug Code on such claims. Click below for the state’s notice about the policy.

Please note that this change will take effect on Monday, August 2. See the attached information sheet provided by the State of Ohio for detailed information.

Buckeye has updated its claims processing systems to accommodate this change effective August 2, and we appreciate your cooperation in the claims submission process as such. If you have any questions about these changes, please call our Provider Services Department at (866) 296-8731.