Buckeye Health Plan
Welcome to the Buckeye Health Plan page. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent is responsible for. Additional process-specific training tools and modules can be found via links on the Resources tab at the top of the screen.
Effective January 1, 2026, Buckeye Community Health Plan is adding Integrated Dual-Eligible Special Needs Plans (D-SNP/D-SNP-POS) to their current programs with Evolent.
If you have any questions about our programs, please contact your dedicated Evolent Provider Engagement Manager:
- Rachel Vowels-Delk (Advanced Imaging/Cardiology)
- Sharee Adams (Musculoskeletal)
Advanced Imaging Program
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix - Medicaid
- Utilization Review Matrix - Medicare
For access to our Advanced Imaging tip sheets/checklists, click here.
Cardiology Program
For access to our Cardiac tip sheets/checklists, click here.
Musculoskeletal Program
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix (Hip, Knee, Shoulder Surgery)
- Utilization Review Matrix (Spine Surgery)
For access to our Musculoskeletal tip sheets/checklists, click here.
Peer-to-Peer Process
For access to our peer-to-peer process, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Low Dose Chest CT History Form
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.