Welcome Ohio Providers!
Participating Plans
- Ambetter from Buckeye Health Plan (Health Insurance Marketplace) *
- Buckeye Health Plan (Medicaid)
- OhioRISE by Buckeye Health Plan (Medicaid)
* includes network access for United Concordia Advantage Plus
Resources for You
Thank you for being part of our network of dentists and oral healthcare professionals. For the most up-to-date, detailed information, we encourage you to join our provider network and register for our Provider Web Portal, where you can check member eligibility, dental benefits, online code tool and clinical policies, in addition to submitting authorizations and claims.
You also can call our IVR system for automated member eligibility verification 7 days a week, 24 hours a day. Or speak with one of our knowledgeable team members by calling our Provider Services line Monday through Friday, 7 a.m. - 8 p.m. EST.
Ambetter from Buckeye Health Plan
Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage
+ optional dental coverage for subscribers
Provider Services for Ambetter
Members: call the number on the back of your ID card or go to the plan site.
Buckeye Health Plan (Medicaid)
Established to deliver quality healthcare through local, community-based partners, Buckeye Health Plan improves the health of its members through focused, compassionate and coordinated care, offering Medicaid and Medicare-Medicaid products across Ohio.
Provider Services for Medicaid
Members: call the number on the back of your ID card or go to the plan site.
OhioRISE by Buckeye Health Plan (Medicaid)
New 7/1/22 benefit for Buckeye Medicaid members who receive medical, behavioral, dental and vision benefits.
Provider Services for Medicaid
Members: call the number on the back of your ID card or go to the plan site.
Buckeye Health Plan – MyCare Ohio (MMP)
MyCare Ohio (Medicare-Medicaid Plan) is designed for members 18 and older, who are eligible for both Medicare and Medicaid (dual demonstration). Members may opt-out of the Medicare portion of MyCare Ohio and stay with their current Medicare Advantage plan or traditional Medicare.
Provider Services for MMP
Members: call the number on the back of your ID card or go to the plan site.