Buckeye Health Plan Awarded Ohio Medicaid Contract; Buckeye in the News - Colorectal Cancer Awareness Month 2024; ... Schedule yours today! Find a doctor or pharmacy near you. Find a doctor or pharmacy near you Go! Home; Find a Provider; Login; Careers; Blog; Contact; For Providers Wellcare By AllwellGetting a good night’s sleep is crucial for our overall health and well-being, and choosing the right mattress is a significant factor in achieving that. With so many options avail... Latest Updates and Notices for Wellcare By Allwell. September 26, 2022: New Centene Medicare CPT II and HCPCS $0.01 Billing program. September 26, 2022: Reminder-Update and Certify Provider Data in CMS’s National Plan & Provider Enumeration System. August 26, 2022: Claims Xten Optimization – National Coverage Determination (NCD) Alignment. See a doctor from anywhere. A virtual health visit, or what is sometimes called telehealth, connects you with a doctor to get the care you need from your phone, computer or tablet. If you don’t have internet access, you can talk to a doctor on the phone. It’s safe, private and convenient — and no cost to you! Scheduling Made Easy.When it comes to your health, finding the right doctor is crucial. With so many options available, navigating through the sea of healthcare providers can be overwhelming. If you’re...MyCare Ohio Pre-Auth. All attempts are made to provide the most current information on the Pre-Auth Needed Tool. However, this does NOT guarantee payment. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. For specific details, please refer to the provider manual.your child, and he or she is on Medicaid from Buckeye Health Plan, choose Medicaid from Buckeye Health Plan. 1-866-246-4358 l TTY/TDD: 711 l buckeyehealthplan.com 4349 Easton Way, Suite 300 ... equipment, home health or other types of providers. 1-866-246-4358 l TTY/TDD: 711 l buckeyehealthplan.com 4349 Easton Way, Suite 300your child, and he or she is on Medicaid from Buckeye Health Plan, choose Medicaid from Buckeye Health Plan. 1-866-246-4358 l TTY/TDD: 711 l buckeyehealthplan.com 4349 Easton Way, Suite 300 ... equipment, home health or other types of providers. 1-866-246-4358 l TTY/TDD: 711 l buckeyehealthplan.com 4349 Easton Way, Suite 300Prediabetes is a health condition that happens before you develop type 2 diabetes. It means that your blood sugar is higher than normal, but not yet high enough for your doctor to ...Start Smart for Your Baby. 1-866-246-4358. Transportation. 1-866-531-0615. Hearing Impaired/TTY. 1-800-750-0750. Prior Authorization. 1-866-246-4359. Buckeye Health Plan offers Ohio Medicaid and Medicare health insurance plans, along with our Health Insurance Marketplace product, Ambetter.Primary care health tech startup Carbon Health has added a new element to its “omnichannel” healthcare approach with the launch of a new pop-up clinic model that is already live in...Getting a good night’s sleep is crucial for our overall health and well-being, and choosing the right mattress is a significant factor in achieving that. With so many options avail... Please fill out the below form or contact us at 1-866-246-4358 . Your inquiry will be reviewed. A Buckeye Health Plan representative may contact you regarding your inquiry. If you have an urgent medical situation please contact your doctor. If you have a life threatening emergency, please contact 911. Required fields are marked with an asterisk (*) Providers Getting started in Buckeye Health Plan – MyCare Ohio (Buckeye) This section explains key terms you’ll see in our Provider and Pharmacy Directory. x Providers are health care professionals and support providers such as do ctors, nurses, pharmacists, therapists, and other people who provide care and services. ServicesBuckeye is committed to helping our members get and stay healthy. That’s why we offer Ohio health insurance plans that cover every stage in life, including medical, behavioral health, pharmacy, dental, vision and so much more. Plus, we help with social needs that can impact health and well-being. Whether you’re looking for quality ...Buckeye provides coverage to qualified adults and children; eligible aged, blind and disabled persons and children within the foster care program. Potential members enroll through the Ohio Department of Medicaid and are required to renew their benefits annually. Available in all 88 Ohio counties. Visit the home page of our Medicaid plan.Find a Doctor . Our Provider and Pharmacy Directory is a list of Primary Care Providers (PCPs), physicians, hospitals, drug stores, and other healthcare providers that are available to you. Need transportation? You can use Google Maps within our Find a Provider tool to help you plan the best route for your provider visit. After a mammogram showed that she had stage 2 breast cancer, Desiree had successful treatment, and is now enjoying her new baby girl. Watch her story and learn how Buckeye provided the care and support she needed. “A mammogram can save your life like it did mine.”. — Desiree, Cancer Survivor and Buckeye Health Plan member since 2015. updated monthly. Buckeye Health Plan encourages you to review this log often and prior to contacting Buckeye Health Plan Provider Contact Center. If you still have questions, please call 866-296-8731 to speak to a Buckeye Health Plan Provider Claims Assistance Representative. Page 1 of 5 UPDATES OF REPORTED CLAIMS PAYMENT …Notifications are communications to Buckeye Health Plan regarding a member’s admission to or discharge from a hospital. Admission notification can be submitted on Buckeye Health Plan website under the Medicaid PA check tool or by faxing admission information to 866-709-1109 or 866-786-1039.If you have difficulty in reading or understanding this information, please contact: Medicaid Member Services: 866-246-4358 or TTY at 800-750-0750. MyCare Member Services: 866-549-8289.Prediabetes is a health condition that happens before you develop type 2 diabetes. It means that your blood sugar is higher than normal, but not yet high enough for your doctor to ...Are you in need of specialized eye care? Whether you’re experiencing vision problems or just need a routine check-up, finding the right ophthalmology clinic is crucial for maintain...Find Buckeye Health Plan Doctors in Middletown, Ohio & make an appointment online instantly! Zocdoc helps you find Doctors in Middletown and other locations with verified patient reviews and appointment availability that accept Buckeye Health Plan and other insurances. All appointment times are guaranteed by our Middletown Doctors. It's free!Buckeye Health Plan is a care coordination plan contracted with the Ohio Department of Medicaid to serve Medicaid and other government services program … Join our network. If you are providing services as a Non-Contracted Provider, you need to register with Buckeye. Please call Provider Services at 1-866-296-8731. To provide services as a Non-Participating Provider, you must be enrolled in the Ohio Medicaid Program, be registered with Buckeye and receive Prior Authorization for any service ... Join Our Network. Thank you for your interest in participating in the Ambetter from Buckeye Health Plan network! If you would like to receive more information on becoming a provider within our network or would like to receive a contract, please contact us at 1-877-687-1189 ( TTY/TDD 1-877-941-9236 ).Medicaid Pre-Auth. All attempts are made to provide the most current information on the Pre-Auth Needed Tool. However, this does NOT guarantee payment. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. For specific details, please refer to the provider manual.Medicare plans may cover many of your healthcare expenses — like doctor visits and prescription drugs. But as you probably know, there are lots of other health-related costs that y...In the ever-evolving landscape of healthcare, it is essential for health plans and providers to have efficient systems in place to streamline administrative processes. One such sol... Please call Provider Services at 1-866-296-8731. To provide services as a Non-Participating Provider, you must be enrolled in the Ohio Medicaid Program, be registered with Buckeye and receive Prior Authorization for any service rendered. More information is available in the Out-of-Network Providers section of this website. We will support you on every step of your journey – attending doctor visits, developing your care plan and following up with reminders and help to stay on track. Want to learn more about Buckeye’s Behavioral Health Services? Call Buckeye Member Services (1-866-246-4358 OR TDD/TTY: 1-800-750-0750)Waiver Provider Instructions. 4349 Easton Way Suite 300 Columbus, OH 43219. Dear Provider: Thank you for your interest in becoming a MyCare Home and Community‐based Service Provider (HCBS) with Buckeye Health Plan. Interested providers must be Waiver Certified for each MyCare Ohio Waiver Service provided and have a Medicaid Provider …Buckeye’s dental benefits give your family a reason to smile. Buckeye makes it easier for your family to take care of their oral health with: Two free oral exams and teeth cleanings per year. To find a dentist near you, visit Buckeye’s “Find a Doctor” portal or call Buckeye Member Services at 1-866-246-4358.If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming...9 verified Buckeye Health Plan Endodontists in your area. Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that appears …Find Buckeye Health Plan Optometrists & Providers with verified reviews. Make an appointment online instantly with Optometrists that accept Buckeye Health Plan insurance. It's free! All appointment times are guaranteed by our Buckeye Health Plan Optometrists & Providers.May 1, 2024 · Find Buckeye Health Plan Doctors & Providers with verified reviews. Make an appointment online instantly with Doctors that accept Buckeye Health Plan insurance. It's free! 13.5 mi. 33 Triangle Park Dr, Suite 3301 Cincinatti OH 45246. 13.5 mi. 33 Triangle Park Dr, Suite 3301 Cincinatti OH 45246. 64 mi. 104 N Webster St St Paul IN 47272. 14.5 mi. 11085 Montgomery Rd, # 250 Cincinnati OH 45249.Find Buckeye Health Plan Eye Doctors in Tiffin, Ohio & make an appointment online instantly! Zocdoc helps you find Eye Doctors in Tiffin and other locations with verified patient reviews and appointment availability that accept Buckeye Health Plan and other insurances. All appointment times are guaranteed by our Tiffin …Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Those who meet the rules can join our plan to can get benefits from one single health plan. MyCare Ohio Medicaid Benefits. MyCare Ohio Medicare Benefits.Find Buckeye Health Plan Optometrists & Providers with verified reviews. Make an appointment online instantly with Optometrists that accept Buckeye Health Plan insurance. It's free! All appointment times are guaranteed by our Buckeye Health Plan Optometrists & Providers.Use this tool to find doctors, hospitals, pharmacies and specialty providers in our network. begin provider search. Buckeye Health Plan offers health insurance plans that fit your …Mail completed form(s) and attachments to the appropriate address: Ambetter from Buckeye Health Plan Attn: Level I - Request for Reconsideration PO Box 5010 Farmington, MO 63640-5010. Ambetter from Buckeye Health Plan Attn: Level II – Claim Dispute PO Box 5000 Farmington, MO 63640-5000.Buckeye Health Plan is a care coordination plan contracted with the Ohio Department of Medicaid to serve Medicaid and other government services program members. Buckeye has developed the expertise to work with Medicaid members to improve their health status and quality of life.Prior Authorizations. The process of getting prior approval from Buckeye as to the appropriateness of a service or medication. Prior authorization does not guarantee coverage. Your doctor will submit a prior authorization request to Buckeye to get certain services approved for them to be covered. Buckeye Health Plan (Buckeye)* is a managed care health plan, providing services throughout Ohio since 2004. As a wholly-owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core Medicaid and specialty services, Buckeye coordinates comprehensive care for its members. Medicare Pre-Auth. All attempts are made to provide the most current information on the Pre-Auth Needed Tool. However, this does NOT guarantee payment. Payment of claims is dependent upon eligibility, covered benefits, provider contracts and correct coding and billing practices. For specific details, please refer to the Medicare Advantage ...After a mammogram showed that she had stage 2 breast cancer, Desiree had successful treatment, and is now enjoying her new baby girl. Watch her story and learn how Buckeye provided the care and support she needed. “A mammogram can save your life like it did mine.”. — Desiree, Cancer Survivor and Buckeye Health Plan member since 2015.Member Services: 866.246.4358. Provider Manual. Medicaid Fiscal-Intermediary. Referral and prior authorization processes were followed, unless the service was an emergency service. For detailed information, please refer to the Provider Manual or, call Buckeye’s Provider Services Department at 866-296-8731.Jan 1, 2023 · October 30, 2023: Supporting Members with Substance Use Disorder. March 27, 2023: PA for Assertive Community Treatment Services. December 19, 2022: New Version of BH Provider Manual as of January 1, 2023. December 9, 2022: “MITS BITS” is being replaced with “BH Bulletin”. 40 verified Buckeye Health Plan Dermatologists in your area. Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that …1-866-246-4358 l TTY/TDD: 711 l buckeyehealthplan.com 4349 Easton Way, Suite 300 Columbus, OH 43219We appreciate the care you provide our members and look forward to strengthening our partnership with you to close care gaps and further improve health outcomes for your Buckeye Health Plan patients. If you have questions, please reach out to your Provider Relations representative or call 866-296-8731. 2024 Provider Incentive Booklet (PDF)Access to Labs and Radiology Providers. Search Buckeye’s provider directory for a list of physicians, hospitals and other healthcare providers that are available to members.Step 1: Go to Provider Portal Login. New users can create new account to establish portal access. Go to the Create Account page. Step 2: Once logged into the portal, select the “Claims” tab at the top of the page. The “Claims’ tab allows you to search the claim number you want to dispute in the search window.New – Krames/StayWell Library! We have added a new set of tools to help you. This site has added assessments for wellness and lifestyle improvements. View the new Krames/ StayWell Library. Buckeye Health Plan is your guide to better health on a variety of topics you need to live a healthier life. Explore the health topics today.As a Ohio health plan option, Buckeye Health Plan can help you find a provider, find local resources, plan an appointment and find transportation. Call Member Services at 1-866-246-4358 (TDD/TTY: 1-800-750-0750).Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. Discover all the ways you can manage …Call 1-877-331-7154 to get your unique registration code. To begin registering, enter your PIN, TIN or EIN, and NPI. Click Start Registration and enter the requested information. Once complete, click Confirm. Within a few business days, you will receive a deposit of less than $1 from PaySpan Health. Follow these steps to complete registration:External Link. A paper copy can be requested by calling Gainwell member services at 1-833-491-0344 (TTY 1-833-655-2437) If a prescription drug you take is no longer preferred, you will be notified by your doctor, MCP or pharmacy. You may need to change your current drug (s) or ask your prescriber to submit a prior authorization request to stay ...Most popular medical specialty of providers who accept Buckeye Health Plan: Nephrologist (Kidney Specialist) Buckeye Health Plan providers listed on Doctor.com have been practicing for an average of: 17.7 year (s) Average ProfilePoints™ score for Providers who take Buckeye Health Plan: 66/80. Average Overall User Rating for …are reviewed at a minimum of every two years by Buckeye Health Plan's Quality Improvement Committee. Buckeye Health Plan provides annual notice of these guidelines via fax, website, and/or mail. To request a copy of any guideline, please contact Buckeye Health Plan at 1-866-246-4358. Provider Manual. Medical.Healthy partnerships are our specialty. With Ambetter Health, you can rely on the services and support that you need to deliver the best quality of patient care. You’re dedicated to your patients, so we’re dedicated to you. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge.Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Those who meet the rules can join our plan to can get benefits from one single health plan. MyCare Ohio Medicaid Benefits. MyCare Ohio Medicare Benefits.Call 1-877-331-7154 to get your unique registration code. To begin registering, enter your PIN, TIN or EIN, and NPI. Click Start Registration and enter the requested information. Once complete, click Confirm. Within a few business days, you will receive a deposit of less than $1 from PaySpan Health. Follow these steps to complete registration:24/7 Toll-Free Interactive Voice Response (IVR) Line: 1-877-687-1189. Provider Services: 1-877-687-1189. Patient Care Gaps. Find recommended services that a member has not completed. Visit the Secure Provider Portal. Review patient informationfor any gaps in care. Plan to address care gapsduring future appointment. Prior Authorization.What Type of Provider Are You * Solo: Medical provider, behavioral health provider, or pharmacist who will be billing under his/her own Tax ID (TIN) or Social Security Number (SSN), along with a Type 1 (individual) NPI (NOTE: If you are a person joining an existing group, please complete a New Practitioner Enrollment form located at https://www ...Prior Authorizations. The process of getting prior approval from Buckeye as to the appropriateness of a service or medication. Prior authorization does not guarantee coverage. Your doctor will submit a prior authorization request to Buckeye to get certain services approved for them to be covered. Please call Provider Services at 1-866-296-8731. To provide services as a Non-Participating Provider, you must be enrolled in the Ohio Medicaid Program, be registered with Buckeye and receive Prior Authorization for any service rendered. More information is available in the Out-of-Network Providers section of this website. Buckeye Health Plan is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Benefits include: Maintain control over bank accounts – You keep TOTAL …Buckeye Member Services (1-866-246-4358 OR TDD/TTY: 1-800-750-0750) can answer questions about Buckeye Health Plan. Enrollment is done through the Department of Medicaid, located on the web at www.medicaid.ohio.gov or by calling the Medicaid hotline at 1-800-324-8680 .Join Our Network. Thank you for your interest in participating in the Ambetter from Buckeye Health Plan network! If you would like to receive more information on becoming a provider within our network or would like to receive a contract, please contact us at 1-877-687-1189 ( TTY/TDD 1-877-941-9236 ).Mental Health Providers 20 . Independently Practicing Psychologists \(IPP\) Hospitals 21 . Ancillary Providers 21 . ... Allwell from Buckeye Health Plan Address: 4349 Easton Way Ste. 300. Columbus, OH 43219. www.allwell.buckeyehealthplan.com Provider Services ; Phone: 1-866-296-8731 (TTYInterQual is a nationally recognized evidence-based decision support tool. You may access the InterQual ® SmartSheet(s)™ for Adult and Pediatric procedures, durable medical equipment and imaging procedures by logging into the secure provider portal or by calling Buckeye Health Plan. In addition, Buckeye Health Plan may from time to time ...Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Those who meet the rules can join our plan to can get benefits from one single health plan. MyCare Ohio Medicaid Benefits. MyCare Ohio Medicare Benefits.New Provider Enrollment Form Attachment A/B. Please attach a W9 and return by email to [email protected] Or use the submit button at the bottom of this page. Buckeye Health Plan requires all providers to utilize CAQH for credentialing. If you do not utilize the Global Authorization option in CAQH, it is critical that you grant BHP ...Buckeye Health Plan (BHP) is pleased to announce the launch of a new and innovative Surgical Quality and Safety Management Program, effective August 15, 2019.The program is designed to work collaboratively with physicians to promote patient safety through the practice of high quality and cost-effective care for BHP members …If your medication (s) requires prior authorization, you cannot get the medication (s) until your provider submits a request to your MCP and it is approved. Buckeye Health Plan is committed to providing the best possible Ohio Medicaid Managed Care. Learn how to switch healthcare plans and keep your doctor. Join our network. If you are providing services as a Non-Contracted Provider, you need to register with Buckeye. Please call Provider Services at 1-866-296-8731. To provide services as a Non-Participating Provider, you must be enrolled in the Ohio Medicaid Program, be registered with Buckeye and receive Prior Authorization for any service ... May 1, 2024 · Find Buckeye Health Plan Doctors & Providers with verified reviews. Make an appointment online instantly with Doctors that accept Buckeye Health Plan insurance. It's free! Buckeye is committed to helping our members get and stay healthy. That’s why we offer Ohio health insurance plans that cover every stage in life, including medical, behavioral health, pharmacy, dental, vision and so much more. Plus, we help with social needs that can impact health and well-being. Whether you’re looking for quality ...Some basic nursing skills include the ability to record a patient’s medical history, administer medication, set up patient care plans, observe and record a patient’s condition, and...
Access to Labs and Radiology Providers. Search Buckeye’s provider directory for a list of physicians, hospitals and other healthcare providers that are available to members.. Purple cow menu little rock
Start Smart for Your Baby. 1-866-246-4358. Transportation. 1-866-531-0615. Hearing Impaired/TTY. 1-800-750-0750. Prior Authorization. 1-866-246-4359. Buckeye Health Plan offers Ohio Medicaid and Medicare health insurance plans, along with our Health Insurance Marketplace product, Ambetter.When it comes to maintaining good health, regular check-ups with doctors in Cape Coral play a crucial role. These check-ups not only help prevent potential health problems but also... Please call Provider Services at 1-866-296-8731. To provide services as a Non-Participating Provider, you must be enrolled in the Ohio Medicaid Program, be registered with Buckeye and receive Prior Authorization for any service rendered. More information is available in the Out-of-Network Providers section of this website. Member Portal. Create your own online account today! Buckeye Health Plan offers many convenient and secure tools to assist you. You also have access to your healthcare information. To enter our secure portal, click on the login button. A new window will open.Buckeye Health Plan Transportation Buckeye Health Plan offers transportation to help members get to medical, dental and vision appointments at no cost to them. n Members in the Central Southeast Region receive 60 one way trips or 30 round trips. n Members in the West/Northeast Region receive 30 one way or 15 round trips.Waiver Provider Instructions. 4349 Easton Way Suite 300 Columbus, OH 43219. Dear Provider: Thank you for your interest in becoming a MyCare Home and Community‐based Service Provider (HCBS) with Buckeye Health Plan. Interested providers must be Waiver Certified for each MyCare Ohio Waiver Service provided and have a Medicaid Provider …We appreciate the care you provide our members and look forward to strengthening our partnership with you to close care gaps and further improve health outcomes for your Buckeye Health Plan patients. If you have questions, please reach out to your Provider Relations representative or call 866-296-8731. 2024 Provider Incentive Booklet (PDF)Buckeye Health Plan Eye Doctors. Buckeye Health Plan OB-GYNs. Buckeye Health Plan Psychiatrists. Buckeye Health Plan Psychologists. Buckeye Health Plan Therapists/Counselors. Buckeye Health Plan Urgent Care. More Specialties. Zocdoc › Doctors ›. Find Buckeye Health Plan Doctors & Providers with verified reviews.This includes coordinating care and services for you or your family for immediate needs. For example, maybe you need help connecting with a primary care doctor and arranging transportation. OR maybe you need housing assistance. Care Guides can connect members with a wide range of community resources and assistance programs using our online ...Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Those who meet the rules can join our plan to can get benefits from one single health plan. MyCare Ohio Medicaid Benefits. MyCare Ohio Medicare Benefits. Buckeye is committed to helping our members get and stay healthy. That’s why we offer Ohio health insurance plans that cover every stage in life, including medical, behavioral health, pharmacy, dental, vision and so much more. Plus, we help with social needs that can impact health and well-being. Whether you’re looking for quality ... Clinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are not limited to policies relating to evolving medical technologies and procedures, as well as pharmacy policies. Clinical policies help identify whether services ... Provider Portal. Take care of business on YOUR schedule. The Provider Portal is yours to use 24 hours a day, seven days a week to accomplish a number of tasks. Easily check member eligibility. View, manage, and download your member list. View and submit claims. View and submit service authorizations. Communicate with us through secure messaging. Whether you’re in perfect health or searching for catastrophic coverage, the best health plans in New York have you covered. Choose a small group health plan or company health plan...What Type of Provider Are You * Solo: Medical provider, behavioral health provider, or pharmacist who will be billing under his/her own Tax ID (TIN) or Social Security Number (SSN), along with a Type 1 (individual) NPI (NOTE: If you are a person joining an existing group, please complete a New Practitioner Enrollment form located at https://www ...Buckeye Health Plan offers affordable individual and family health insurance plans in Ohio that fit your unique needs. Program eligibility depends on your: Age. Income. Family size. Any special health needs you may have. View all of our available programs for how to get health insurance in Ohio below. Select the program you are enrolled with.Find Buckeye Health Plan Doctors & Providers with verified reviews. Make an appointment online instantly with Doctors that accept Buckeye Health Plan …Buckeye Health Plan. Appeals/Grievance Coordinator. 4349 Easton Way, Suite 120. Columbus, OH 43219. Buckeye will send you something in writing if we make a decision to: deny a request to cover a service for you. reduce, suspend or stop services before you receive all of the services that were approved.HEDIS® is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA) which allows comparison across health plans. Through HEDIS, NCQA holds Buckeye Health Plan accountable for the timeliness and quality of healthcare services (acute, preventive, mental health, etc) delivered to its diverse ....
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