We are pleased to announce effective April 15, 2021, the integration of an exciting new tool, InterQual Connect™ in our Secure Provider Portal. InterQual Connect™ Buckeye Health Plan - Secure Provider Portal: effective April 15, 2021īuckeye values the relationships we have with our provider partners and works to ensure that doing business with us is easy and straightforward. A key component of meeting provider needs is our secure Provider Portal, which enables providers to conduct business with Buckeye from the convenience of their desktops seamlessly and in real time. View the full list (PDF) and review our Medicaid PA Quick Reference Guide for more information on prior authorization and important contacts. In response to your feedback, we have removed 22 services from our prior authorization list effective March 31, 2021. View the full list (PDF).īuckeye Health Plan has Reduced Prior Authorization Requirements In response to your feedback, Buckeye has removed 25 services from our prior authorization list effective March 31, 2021. Ambetter from Buckeye Health Plan has Reduced Prior Authorization Requirements See the PA Latest News for more recent updates. Prior Authorization Updates up to May 2021 Submitted authorizations display for 90 days.įor more nformation, see pages 28-33 of the Provider Portal Manual located on the landing page of the provider portal. Prior Authorization requests may take 24-48 hours to display on the Authorization list. Enter n/a if additional information is not applicable. The questionnaire that displays will vary based on the service type selected.'Finish Up' auto populates the user’s name, phone, fax and email address.To add additional services lines, click the +sign. The second service line displays the provider and service date information. To add additional diagnosis codes, click the +sign. Choose the name of the provider at the location that matches your search.A list of provider names and locations appear. Enter the provider’s last name or NPI number.The Requesting Provider search box appears. The Authorization screen will appear with the member’s data pre-populated. To submit a Prior Authorization for approval. Urgent requests for prior authorization should be called in as soon as the need is identified at 85. Authorization requests should be submitted via our secure web portal and should include all necessary clinical information.Ĭ. Standard prior authorization requests should be submitted for medical necessity review at least five (5) business days before the scheduled service delivery date or as soon as the need for service is identified.ī. If a service requires prior authorization, please note:Ī.To determine if a service needs prior authorization use our Prior Authorization Prescreen Tool.Prior Authorizations are required on some services for the provider to be reimbursed.
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