Massachusetts Provider Resources
Tools and resources for working with WellSense Health Plan
Appeals & Application Backlog
Due to a backlog of provider appeal requests, appeals are currently taking longer than 30 days to process. We expect to return to a 30-day minimum processing time for submitted appeals beginning June 1, 2023.
We're also experiencing a backlog of enrollment applications, so we ask that you only contact us if your application is over 90 days old. For urgent requests, contact your Provider Relations Consultant or log into the provider portal. Thank you for your patience.
Appeals Backlog
Due to a backlog of provider appeal requests, appeals are currently taking longer than 30 days to process.
We expect to return to a 30-day minimum processing time for submitted appeals beginning June 1, 2023. Thank you for your patience.
Application Backlog
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 reach out to your Provider Relations Consultant or log into the provider portal for faster claims and authorization updates.
Senior Care Options Training
ACO resources
In 2023, WellSense expanded its MassHealth coverage through eight ACO partnerships across Massachusetts.
MassHealth redetermination
Documents & forms
Important news and notices, claims and appeals resources, prior authorization and pharmacy forms and more.
Additional resources
Select a topic to learn more
Need help?
Contact Provider Relations at 888-566-0008 or provider.info@wellsense.org
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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