Providers

Provider Information

Well Sense Health Plan has contracted with the New Hampshire Department of Health and Human Services (DHHS) to serve New Hampshire Medicaid members. Well Sense is an experienced, not-for-profit leader in Medicaid and committed to providing high quality health coverage to our members.

It’s easy to find everything you need to work with us. In this section you can:

Recent Updates

  • New Hampshire Health Protection Program Launch - The New Hampshire Health Protection Program (NHHPP) generally offers coverage to individuals ages 19-64 that are newly eligible for Medicaid with incomes between 0% and 138% of the Federal Poverty Level. Open enrollment is underway.

    NHHPP benefits include current New Hampshire Medicaid Care Management Program benefits plus substance use disorder and  chiropractic services benefits.

    Please see this Frequently Asked Questions document for details. 

    In addition, DHHS is offering special trainings for providers to help prepare for NHHPP go-live. You can find more information at the bottom of this DHHS website page.
  • Meridian Health Plan announces its departure from the NH Medicaid program effective June 30, 2014. Well Sense will continue to provide coverage to Medicaid enrollees throughout the state. Learn more about the transition.
  • Sleep Study Prior Authorization Time Period Extended - Due to feedback from our network providers, effective immediately and going forward, prior authorization for sleep study requests will be granted for three months from the date of receipt or three months from the scheduled date of service if indicated on the prior authorization request.
  • ICD-10 updates take effect on October 1, 2015. Learn about the coming changes.
  • EDI for easy claims submissions & fast payments. Sign up for electronic claims submission, remittance advices, online and real-time member eligibility look-up, and other e-services. Learn more.

Recently Mailed Provider Notices

Enterovirus-D68 Alert

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NH DHHS has issued a health alert addressing the cluster of Enterovirus-D68 respiratory illness across multiple states.

Additional information from the CDC

Health Protection Program Launch

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We're excited to announce our participation in the New Hampshire Health Protection Program (NHHPP). Coverage begins August 15 through the Department of Health of Human Services before transitioning to Well Sense Health Plan on September 1. Providers can find details in the “Recent Updates” section to the left.

Paper Remittance Advices Will No Longer Be Available

As of June 30, 2014, all Well Sense Health Plan providers will no longer have the option of receiving paper remittance advices; only PDF versions will be available through our website. 

View Network Notification

Contact Us

Provider Services:
877-957-1300 option 3
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