Behavioral health

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We recognize and deeply appreciate the essential role behavioral health providers play in the lives of those we serve. Below you will find tools and resources for working with WellSense and our members. 

Where to submit claims

Member's plan type Date of service Send claims to
New Hampshire Medicaid On or before Nov. 30, 2025 Carelon
  On or after Dec. 1, 2025 WellSense
All other products in Massachusetts and New Hampshire On or before Dec. 31, 2025 Carelon
  On or after Jan. 1, 2026 WellSense

Does not apply to inpatient claims.

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Policies

Access behavioral health policies administered directly by WellSense on PolicyTech. For help, review our user guide.

Find policies on PolicyTech

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Prior authorization
Determine if prior authorization is required and submit requests for behavioral health services that require prior authorization.

Prior authorization resources

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Provider portal
The WellSense provider portal allows you to quickly and easily complete tasks. For help, see how to register or review the provider portal training guide.
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Provider toolkit
Our toolkit contains resources to help identify and treat members needing behavioral health support for dozens of conditions.
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Training
Register for live training and Q&A sessions, view on demand webinars, locate job aids and more.

Documents and forms

Get in touch