Join our network
Keep your information current
If your specialty, tax, demographic or practice information changes, please update your information with the entity that initially completed your credentialing.
Join our network
To join our network, you must first be a contracted New Hampshire Medicaid provider and then submit a letter of interest to us. If you have questions regarding the application process, contact the Department of Health and Human Services vendor, Conduent Provider Enrollment, at 603-223-4774 or 866-291-1674, 8 a.m.-5 p.m., Monday-Friday.
Once you are enrolled in New Hampshire Medicaid, please contact the appropriate entity below for assistance with credentialing issues, including how to participate in WellSense’s network, how to check the status of a credentialing application, and to check credentialing criteria.
Non-participating providers must complete the Non-Participating Provider Activation Form.
| Provider Type | Credentialing and Contact Information |
|---|---|
| Acuate, Primary and Specialty Care Providers Hospitals and hospital systems Primary Care Providers Specialist Providers Federally Qualified Health Centers Rural Health Clinics Community Health Centers |
Well Sense Health Plan Email WellSense Call: 877-957-1300 |
| Ancillary Providers Adult Day Care Centers Ambulance (Emergency Services) Ambulatory Surgical Centers Birthing Centers Dialysis Early Intervention Family Planning Healthy Achievers Home Care Home Care And Hospice Home Infusion Laboratory Laboratory - Sleep Personal Care Attendants Private Duty Nursing Radiology (CT, MRI, PET, Radiation Therapy, Ultrasound) Urgent Care |
|
| Non-Emergency Transportation Provider Provides non-emergency scheduled transportation to Medicaid covered services. |
Well Sense Transportation Line 844-909-7433 Visit: WellSense Transportation |
| Behavioral Health Providers | Carelon Behavioral Health 24-hr Provider line: 855-834-5655 TTY/TDD line: 866-727-9441 Member line: 866-444-5155 Visit: carelonbehavioralhealth.com |
| Durable Medical Equipment Providers Customized Equipment Oxygen and respiratory equipment and supplies Wigs Additional Supplies |
Northwood, Inc. Call: 866-802-6471 Fax: 877-552-6551 Visit: northwoodinc.com Email Northwood |
| Pharmacy Providers | EnvisionRx Options Call: 855-408-0011 Visit: envisionrx.com |
| Vision Providers | Vision Services Plan (VSP) Call: 800-615-1883 Visit: vsp.com |
Next step: Send us a letter of interest
Please give us an opportunity to determine whether we have an opening in your specialty and geographic area. Simply send us a Letter of Interest Request Form along with current W9 to: NHProviderInfo@WellSense.org.If we have an opening that may be of interest to you, we will send you an enrollment package that includes:
Once you complete these forms, please send them to us by:
- Email, via secure email to NHProviderInfo@WellSense.org
- Fax to 1-866-779-5948
- Mail to:
Well Sense Health Plan
Provider Processing Center
100 City Square, Suite 200
Charlestown, MA 02129
As soon as we receive your forms, we'll begin the credentialing process through Aperture, whose representatives may contact you to verify information.
The credentialing process does not change your relationship with our Provider Relations team. You should still call your Provider Relations Consultant with administrative questions, or call our provider line at 877-957-1300.
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