WellSense Health Plan (formerly known as BMCHP and WellSense)

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WellSense Health Plan (formerly known as BMCHP and WellSense)

Provider Plan Documents

WellSense Health Plan (formerly known as BMCHP)

Northwood WellSense MH, Clarity, SCO Provider Manual

Northwood Medicaid Medical Policy Criteria for WellSense MH/ACO and SCO members

Northwood Medical Policy Criteria for QHP/Commercial

Provider Quick Reference

Claim Status Form

Prior Authorization Request Form

Enteral Medical Necessity Review Form

WellSense Health Plan Documents and Links

WellSense Health Plan Website Link

Northwood Provider manual for WellSense NH Medicaid and Medicare Advantage

NH DHHS Website Link

Prior Authorization Request Form

Claim Status Form

Quick Provider Reference Guide

Northwood Medical Policy Criteria for the WellSense New Hampshire Medicaid Care Management Program

Provider Portal Links

Provider Online Authorization Request Portal User Manual

Login ID Request Form for Provider Online Authorization Request Portal

Provider Authorization Request Portal Link

Click here to access Northwood’s Provider Portal for requesting online authorizations.

NH WIC Program Formulas and Special Medical Formulas

Clean Claim Criteria