Providers

To find out more about the programs and services available to our members please visit the Stay Healthy section.

We partner with physicians, hospitals and other providers to ensure that each member gets the right care, at the right time, in the right setting. In this section you will find the contract request form and credentialing forms.

 

Introducing Buckeye Care:

 Buckeye Care Logo

Buckeye Community Health Plan would like to introduce Buckeye Care, our high-touch care management program for high-risk care management members.  Buckeye Care offers a unique, point of care, face-to-face care management program that supports your Buckeye patients’ care treatment plans.  

Buckeye Care Managers are visible in our provider offices, nursing facilities and community agencies and can assist you in obtaining the medically necessary services and preventive care to improve your Buckeye patients’ healthcare outcomes and quality of life.  Buckeye Care Managers support your care treatment plan by providing face-to-face education to high-risk care management members. Together we will assist them in meeting their healthcare goals and accomplish important health management activities while providing advocacy and support. 

We are happy to receive referrals from our providers for Buckeye members who could benefit from having a care manager accompany them to their point of care. Please contact Buckeye’s care management department at 866-246-4359 to connect with a Buckeye Care Manager.

Buckeye Care! It works!

Electronic TransactionsElectronic Transactions Spend less time on the phone or standing at the fax machine. Our electronic transaction (EDI and secure web portal) capabilities will save you time and money while producing faster results.

PharmacyPharmacy Important pharmacy information can be found here.

QAPIQAPI The QAPI Program is to addresses both the quality and safety of services provided to Buckeye’s members. We follow HEDIS standardized performance measures.

ResourcesResources Our resources section contains forms (including: claims, member data and delivery notification) and helpful website links.