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Click ‘Get Form’ to open the buckeye plan facility form in the editor.
Begin with SECTION A, where you will input essential information such as today's date, effective date of change, facility/agency name, Medicaid number, and NPI. Ensure accuracy to avoid processing delays.
Proceed to SECTION B for location changes. Depending on your needs, complete the relevant subsections: Ia for deleting a location, Ib for providing reasons for deletion, or Ic for adding a new location.
In SECTION C, attach any necessary accreditation certificates or licenses. This ensures compliance and smooth processing of your changes.
If applicable, update billing information in SECTION D. Fill out the new billing address and ensure a new W-9 is attached if required.
Finally, review all sections for completeness and accuracy before clicking the submit button at the end of the form to send it directly to OhioContracting@centene.com.
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Consumers have no premiums or medical copays on Buckeye. Ohio Medicaid covers long-term care services such as home and community-based waiver services and assisted living services and long-term nursing home care. It also covers dental and vision services.
Is Buckeye Health Plan the same as Buckeye Community Health Plan?
*Buckeye Health Plan operated as Buckeye Community Health Plan until September 2014.
What does Ohio Medicaid cover for adults?
Choose CareSource for your Ohio Medicaid health care plan and join over 1.4 million members who trust us with their health and well-being.
What does Buckeye Health Plan cover in Ohio?
Buckeye is committed to helping our members get and stay healthy. Thats why we offer Ohio health insurance plans that cover every stage in life, including medical, behavioral health, pharmacy, dental, vision and so much more.
Are Buckeye and Ambetter the same?
Ambetter from Buckeye Health Plan is Centene Corporation s Health Insurance Marketplace product. Ambetter Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care.
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People also ask
How do I apply for Buckeye Health Plan?
How to Apply ONLINE: Go to the Ohio Benefits website this is the fastest way! PHONE: Call the Ohio Medicaid Consumer Hotline at 1-800-324-8680. IN PERSON: Visit your County Department of Job and Family Services office. Find your county office at the JFS website.
Related links
Make a Request | Facilities Operations and Development
Use the Project Request Form for construction projects, renovation, space changes, and feasibility studies. Submit a Project Request Via Workday(opens in
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