Massachusetts Provider Resources
Tools and resources for working with WellSense Health Plan
Did you receive an email about needing to enroll with MassHealth? Read this FAQ about the new Federal Regulations.
Appeals Backlog
Due to a backlog of provider appeal requests, appeals are currently taking longer than 30 days to process. Please allow additional time for the Provider Appeals team to complete the review of any appeals requests. We apologize for this delay.
We are currently working diligently to decrease our backlog through increased staffing. We expect to return to a 30-day minimum processing time for submitted appeals beginning March 15, 2023. Thank you for your patience.
We are currently working diligently to decrease our backlog through increased staffing. We expect to return to a 30-day minimum processing time for submitted appeals beginning March 15, 2023. Thank you for your patience.
Application Backlog
We encourage you to log into the provider portal for faster claims and authorization updates. The Provider Enrollment Department is experiencing an application backlog. We ask that you only contact us if your application is over 90 days old. If you have an urgent request, please outreach to your Provider Relations Consultant.
Senior Care Options Training
Take the required Senior Care Options (SCO) Model of Care training. The training is provided annually to newly-participating providers.
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Key Dates
| Mar 1 - June 30 | MassHealth Plan Selection Period |
| Nov 1 - Jan 23 | Health Connector Open Enrollment |
| Dec 23 | Health Connector Payment for January Plans |
| Jan 23 | Health Connector Payment for February Plans |
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