Join Our Network

Credentialing and Provider Enrollment Process

See new information about contracting with us.

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.

If you have sent your information to Well Sense and are contracted as of May 1, 2015, please send your change of information to NHProvider.Enrollment@WellSense.org.

If you did not send us information to become contracted with Well Sense as of May 1, 2015, please send your information to Well Sense beginning July 1, 2015.

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, ACS 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.

Provider Type

Credentialing and Contact Information

Acute, 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 Well Sense
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 
Well Sense Health Plan
Email Well Sense
Call: 877-957-1300
Non-Emergency Transportation Provider
Provides non-emergency scheduled transportation to Medicaid covered services.
Coordinated Transportation Solutions
Provider line: 800-492-9928
Member line: 855-739-4775
Visit: ctstransit.com 
Behavioral Health Providers  Beacon Health Strategies
24-hr Provider line: 855-834-5655
TTY/TDD line: 866-727-9441
Member line: 866-444-5155
Visit: beaconhealthstrategies.com 
Durable Medical Equipment Providers
Customized Equipment
Oxygen and respiratory equipment and supplies
Wigs
Additional Supplies 
Northwood, Inc.
Call: 866-802-6471
rel="noopener noreferrer" Fax: 877-552-6551
Visit: northwoodinc.com
Email Northwood 
Pharmacy Providers EnvisionRx rel="noopener noreferrer" Options
rel="noopener noreferrer" Call: 855-408-0011
Visit: envisionrx.com
 Vision Providers Vision Services rel="noopener noreferrer" Plan (VSP)
rel="noopener noreferrer" 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 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:

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.

Join Our Provider Network

Provider Enrolling Over the Phone

Learn how to become credentialed and continue to offer medical care to your Medicaid patients.

Non-Participating Providers

If you are a non-participating provider and have received prior approval to provide service to a member, you must complete paperwork to become active in our system prior to providing a service.

Complete paperwork here.