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 managed care 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

  • We no longer accept modifications to claims over the phone. If any data element of the claim is incorrect and requires a change for reprocessing and payment, please submit a Corrected Claim by following the documented processes outlined in our Provider Manual.
  • HealthTrio Connect provider portal update
  • 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.
  • 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.

COVID-19 Resources

coronaVir mag site

Visit our COVID-19 Resource page for all provider specific information related to the pandemic. Topics include: FAQs, notices, and support for medical professionals.

Access Resources

Cultural Competency Training

walking with grandkids

Access training resources to help you assess and improve your cultural competency skills.

Access Resources

Community Mental Health Center Providers Only

Prior Authorization requirements for Behavioral Health Medications for CMHC providers in NH:

Pediatric Services at Boston Medical Center

child getting ear exam

Information on the pediatric services and primary care providers at Boston Medical Center.

Learn More

Contact Us

Provider Services:
877-957-1300 option 3
Email us

Do we have your email address? Email us with your contact information to ensure you receive our communications.