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
    529 Main Street, Suite 500
    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.