Buckeye History
Next Gen Medicaid
Buckeye DA
ODM
Jira
100

Buckeye officially began in this year.

What is 2004?

100

Buckeye is one of this many managed care plans under the Next Gen contract

What is 7?

100

Information about Buckeye, Governance, Announcements, and more can be found here. 

What is the Buckeye DA Team Resources SharePoint?

100

ODM is the acronym for this state agency.

What is the Ohio Department of Medicaid?

100

This component is most frequently used by the DA team.

What is "Routine"?

200

Buckeye currently serves Medicaid members in this number of counties in Ohio.

What is 88?

200

Behavioral health services for children is operated through this program under Next Gen

What is OhioRISE?

200

Buckeye DA members all share these 3 performance goals. 

What are: Meet Deadlines, Documentation, and QC?

200

Our contract with the state is known by this name.

What is the provider agreement?

200

This business unit submits the most ad hoc requests.

What is Medical Management?

300

Until 2014, Buckeye Health Plan was known by this name.

What is Buckeye Community Health Plan?

300

The SPBM (Single Pharmacy Benefit Manager) is administered by this vendor of the state.

What is Gainwell?

300

DA team members hail from this number of states.

What is 8? (Ohio, Indiana, Xichigan, Missouri, Texas, Arkansas, New York, Washington)

300

All submissions to the state must be received by Buckeye Compliance by this specified time on the due date.

What is 2:00?

300

This field should never be changed, as it is used to determine past due items on calendar views. 

What is "priority"?

400

In 2014, these products (LOBs) were added to the Buckeye offerings.

What are MyCare and Ambetter?

400

The full Next Gen contract will be in place on this date.

What is December 1st, 2022?

400

This tool is utilized by the business to enter tickets

What is ServiceNow/Request Central?

400

ODM's current director.

Who is Maureen Corcoran?

400

This type of Jira can be used for larger projects with multiple components that are being worked on by different people. 

What is a Feature?

500

Buckeye was established through the acquisition of this health plan.

What is Mercy Family Health Plan?

500

The purpose of the FI (Fiscal Intermediary) is to do this.

What is serve as "one front door" for providers to send claims and authorizations?

500

The three business areas that DA has rolled up to since May, 2014.

What are Finance, Strategic Initiatives, and Operations?

500

The entity that helps the managed care plans unite for presenting information or disagreements to ODM.

What is OAHP (Ohio Association of Health Plans)?

500

The average number of Jiras closed each week.

What is 30?