Join Our Network

Credentialing and Provider Enrollment Process

COVID-19 Essential Providers: As the state of emergency has been lifted, our COVID-19 related expedited provisional credentialing measures will be phased out during July, 2021. Learn more.

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. You can enroll here to become a New Hampshire Medicaid provider. 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 Well Sense Health Plan’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.

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 along with:

• Your name and specialty
• Reason you are interested in participating in the Well Sense Health Plan network
• Your practice location(s)
• Your hospital affiliation(s), if applicable
• Language(s) you speak and other cultural competencies
• Copy of W-9 form 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:

• HCAS Enrollment Form
• Well Sense Health Plan Provider Data Form

Once you complete these forms, please send them to us by:

• Email, via secure email to NHProvider.Enrollment@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.