We partner with Beacon Health Options to administer our behavioral health program for our members.
- To request prior authorization for behavioral health services, call Beacon at 866-444-5155 or visit their website.
- To find a behavioral health provider, search the provider directory:
Beacon Health Options developed a toolkit to assist PCPs in the diagnosis and treatment of mental health and substance use disorders.
Beacon/WellSense Provider Resource Guide
The purpose of the Beacon/WellSense Provider Resource Guide is to offer a better understanding of the behavioral health resources and supports available to our provider network. The guide includes
- Guidelines for Mental Health Provider referrals
- Guidelines for PCP referrals
- Peer Recovery Support and Additional Resources
Physician decision support line available for behavioral health issues
Beacon Health Options, our behavioral health partner, offers Physician Decision Support Lines for primary care providers to discuss behavioral health issues with Beacon psychiatrists. This includes topics such as psychopharmacology, treatment alternatives and when to refer for a psychiatric assessment. To reach Beacon's Physician Decision Support Line, call 877-241-5575.
We now offer reimbursements for Naloxone kits
WellSense is committed to making Naloxone kits available at all SUD provider sites. In order to ensure SUD providers have these available, WellSense has created a process by which SUD providers are able to submit for reimbursement of kits provided to Well Sense members.
Naloxone Kit Reimbursement
To obtain reimbursement for Naloxone kits distributed to Well Sense member, please send the following information to Well Sense Health Plan:
- W-9 form
WellSense will reimburse you through its Accounts Payable system, not its claim system, and as such will need a completed W-9 form. The W-9 form is required only the first time a provider submits an invoice.
- A completed Vendor Authorization Agreement for ACH Payments.
Well Sense will transmit payment via electronic means to your financial institution.Please be sure to include your financial institution details, either in the form of a voided check, or by filling out the appropriate section of the authorization form.
Please note that the address on the ACH Authorization form will be linked to the bank account you provide.Additionally, please be sure that the address used on your invoice matches the address on your ACH Authorization form.
- A completed invoice with supporting documentation in the form of a receipt (or copy of receipt) for the cost of the kit(s) that you are billing to Well Sense.
Three ways to submit this information for reimbursement:
Attn: Accounts Payable
WellSense Health Plan
529 Main Street, Suite 500
Charlestown, MA 02129
If you have any questions about this process, please contact Beacon provider relations at Provider.Relations@beaconhealthoptions.com.