Join Our Network
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. 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 WellSense’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|
|Acuate, Primary and Specialty Care Providers
Hospitals and hospital systems
Primary Care Providers
Federally Qualified Health Centers
Rural Health Clinics
Community Health Centers
|Well Sense Health Plan
Adult Day Care Centers
Ambulance (Emergency Services)
Ambulatory Surgical Centers
Home Care And Hospice
Laboratory - Sleep
Personal Care Attendants
Private Duty Nursing
Radiology (CT, MRI, PET, Radiation Therapy, Ultrasound)
|Non-Emergency Transportation Provider
Provides non-emergency scheduled transportation to Medicaid covered services.
|Well Sense Transportation Line
Visit: Well Sense Transportation
|Behavioral Health Providers||Beacon Health Strategies
24-hr Provider line: 855-834-5655
TTY/TDD line: 866-727-9441
Member line: 866-444-5155
|Durable Medical Equipment Providers
Oxygen and respiratory equipment and supplies
|Pharmacy Providers||EnvisionRx Options
|Vision Providers||Vision Services Plan (VSP)
Next Step: Send Us a Letter of InterestPlease give us an opportunity to determine whether we have an opening in your specialty and geographic area. Simply send us a Letter of Interest Request Form along with current W9 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 NHProviderInfo@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.