New Hampshire provider resources

Tools and resources for working with WellSense Health Plan

 

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Documents & forms
Important claims and appeals resources, prior authorization and pharmacy forms and more.

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Policies

Find medical coverage criteria and claims payment guidelines for specific services. 

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News and updates

Find important news and updates from WellSense Health Plan in Massachusetts.

Latest news

Quality
Find resources to help us work together to improve healthcare quality for the members who need it most. 
Pharmacy resources
Find updated formularies, check drug coverage, and locate pharmacies.
Prior authorization
Prior authorization resources for certain procedures, services and drugs.
Community Mental Health Center Providers Only

Prior authorization requirements for behavioral health medications for CMHC providers in NH: