Wellsense transportation phone number. Register or log into the Provider portal: https://bmchp...
Wellsense transportation phone number. Register or log into the Provider portal: https://bmchp-wellsense. NON-EMERGENCY MEDICAL TRANSPORTATION QUICK SUMMARY GUIDE NH Medicaid FFS & MCO Vendors Effective 7/1/2022 To file a complaint, contact the broker directly using their non-Urgent number. State (select either MA, NH, or both): MA - Massachusetts All WellSense policies are located on the Provider's page at wellsense. Transportation providers include sedan/taxi, wheelchair/paralift, ambulance and more. This accountable care organization (ACO) is made up of doctors, hospitals and other providers who put you first. If you experience any trouble scheduling rides through MTM Link’s online portal or member app, please call MTM at 844-909-RIDE (844-909-7433 / TTY 711) for assistance. To contact My Ombudsman . com Choose ‘with my insurance’ and select ‘WellSense Health Plan’ from the Insurance Provider dropdown Enter your WellSense subscriber ID number and enter “0” for group number After you select your desired pump, you’ll enter your shipping information and a photo of your WellSense member ID card. Sep 1, 2020 · Non-Emergency Transportation Remember: Use Family and Friends or Public Transportation First! Helping you get to your non-emergency medical appointments is important to us. Please contact the WellSense Prior Authorization Team at 888-566-0008 and Press 3 for questions related to authorization requirements for codes that may or may not be listed in this tool. WellSense BILH Performance Network ACO is a partnership between WellSense Health Plan and Beth Israel Lahey Health Performance Network. With a WellSense Medicaid plan in New Hampshire, you'll have access to a statewide provider network, enhanced care coordination and extra member perks. Coordinated Transportation Solutions (CTS) (non-emergency medical transportation) Dedicated NH Medicaid Program Customer Service Reps NH Specific toll-free number for members: (855) 739-4775 Hours of Operation: Live 24/7 member coverage Mon-Wed 8AM to 8PM and Thurs-Fri 8AM to 6PM After-hours coverage post regular business hours, holidays and Join the WellSense Care Alliance under MassHealth in MA for a collaborative approach to healthcare, ensuring comprehensive and personalized care. This Breastpumps. Understand the benefits of your WellSense Clarity plan, including how the plan works, what’s covered, what’s not covered, the cost of services, and much more. E. WellSense Senior Care Options (HMO SNP) is an HMO plan with a Medicare Advantage contract and a contract with the Massachusetts Medicaid program. Aug 22, 2025 · What is the phone number for WellSense NH provider?You should still call your Provider Relations Consultant with administrative questions, or call our provider line at 877-957-1300. Also, MassHealth regulations control the covered services and benefits available to you. Collaborating on non-emergency medical transportation needs for WellSense members Together, we work diligently to ensure that our non-emergency medical transportation (NEMT) services meet the needs of your patients who are WellSense members. We also offer a family and friends reimbursement option for NEMT needs. to manage prior authorizations for durable medical equipment (DME). healthtrioconnect. For print copies of your Member Handbook, you can visit the Benefits page for your plan under Members at wellsense. WellSense New Hampshire Medicaid members should be directed to contact Northwood at 866-769-6884 or the WellSense New Hampshire Medicaid Member Services department at 877-957-1300 (711 TTY) or New Hampshire Medicaid to register a complaint or concern. Need a ride? You can get rides to medical appointments at no cost to you. WellSense Health Plan located at 529 Main St #500, Boston, MA 02129 - reviews, ratings, hours, phone number, directions, and more. They can help the member file a grievance or appeal with Well Sense. You need to mail, scan and email, or fax the completed form to CTS as specified on the form. Dec 17, 2025 · Find answers to common questions about the WellSense Medicaid plan in New Hampshire. If you’re covered by a WellSense Senior Care Options (SCO) plan or a WellSense New Hampshire Medicaid plan, give our transportation services a call to get your next ride scheduled: SCO members call: 855-833 If you run into any issues, ask the pharmacy to contact the health plan. Understand the WellSense Care Management program and how we can help with complicated health concerns such as asthma, diabetes and more. More information can be found on Medicaid Transportation. 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. Learn how to use your WellSense Clarity health insurance plan in Massachusetts, explore benefits, find a provider, discover our pharmacy programs and more. Exception: Requests for home infusion therapy services should be submitted through the WellSense provider portal. EviCore receives a provider file from WellSense Health Plan with all independently contracted participating and non- participating providers. services for healthcare appointments. Contact at requesting provider’s office: Enter name of the provider office contact that can answer questions and clarify information on the Standardized Prior Authorization Request Form. Section 1: General Information 1. If you are scheduled for an appointment at BMC, please ask the front desk at your health center how to access a free Uber ride. If you believe that WellSense has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a complaint with: The best way to find out if the service you need is covered is to call the WellSense Member Service Department. To find out if you qualify for transportation benefits, please contact the MassHealth Customer Service Center (CSC) at 1-800-841-2900 (TTY: 1-800-497-4648 for people with partial or total hearing loss). If you do not have web access, you may contact your provider relations consultant for a copy of the policies. Offers ConnectorCare Plans for Individuals & Families Find your path or health with a WellSense Clarity plan. This is a guide. MTM Health is dedicated to partnering with medical facilities across New Hampshire to ensure seamless, reliable transportation for WellSense New Hampshire Medicaid patients. For information which may be available outside this area, please contact ServiceLink. WellSense partners with Northwood, Inc. We want you to know important information about your rights and benefits as a WellSense Health Plan member. Have the member’s WellSense Member ID number, phone number, address and appointment information available when you call. 08 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. 6,311 likes · 33 talking about this · 110 were here. Schedule your ride by contacting your Health Plan's transportation broker in advance of your Medicaid appointment. Feb 19, 2025 · Should you have any additional questions please contact your dedicated Provider Relations Consultant or send your inquiry to our Provider Engagement Team at provider. Contact your Health Plan's transportation broker for more information. A nonprofit health plan providing MA & NH Medicare, Medicaid and Individual & Family insurance. For authorized non-emergency medical transportation, you must follow plan rules for transportation coordination and reimbursement. For hard copies of your evidence of coverage, you can visit the Benefits page for your plan at wellsense. We’ll no longer accept faxed authorization requests. Mar 21, 2025 · WellSense Health Plans offers Medicare Advantage plans for qualifying members in Massachusetts and New Hampshire. For DME requests, providers must contact Northwood, Inc to request authorization prior to providing services. If you believe that WellSense has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a complaint with: Phone number: NPI#: Please fax or email this form to your health plan’s transportation broker prior to scheduling your ride. There are three easy ways you can access transportation. Find WellSense Health Plan contact information including hours of operation, phone numbers, address, Member Services and more. Discover helpful WellSense tools and resources for providers working with WellSense Health Plan in New Hampshire. Will transportation assistance be available to help me get to my appointments? Yes, transportation assistance may be coordinated by the Medicaid Health Plan. Patients with WellSense Health Plan insurance have access to a free Uber ridership program between some neighborhood health centers and BMC. Written member appeals should include name, address, WellSense Health Plan Medicaid ID number, daytime telephone number, detailed description of the appeal, and any applicable documents and clinical information that relate to the member appeal. WellSense encourages members to give providers a copy of the completed directive. . TRANSPORTATION OPTIONS RESOURCES - Compiled and Shared by Exeter Health ResourcesThis guide is intended as a resource for transportation for patients in the community. Begin your journey with WellSense as a new member, accessing essential resources and guidance to navigate your healthcare plan effectively. Important documents, forms, news, manuals, notices and more for New Hampshire healthcare providers in the WellSense network. Services We Offer Lifestar EMS, Ambulance Service is the finest provider of private, professional ambulance service in the state of New Hampshire. info@wellsense. To file a complaint, contact the broker directly using their routine non-emergency number. \expnd-3\expndtw-13 \expnd0\expndtw0 WellSense Health\expnd-3\expndtw-13 \expnd0\expndtw0 Plan\expnd-3\expndtw-13 \expnd0\expndtw0 Leverage WellSense's training and support resources for providers, enhancing healthcare delivery with expert guidance and educational tools. Discover WellSense tools and resources for healthcare providers working with WellSense Health Plan in Massachusetts. WellSense Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. com Access Provider Portal Training Guides: Enroll in a WellSense MassHealth plan for comprehensive Medicaid coverage, ensuring quality healthcare for you and your family. If you believe that WellSense has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a complaint with: Providers may also contact EviCore at 844-725-4448. Get transportation to your medical appointments You can get transportation at no cost to and from your medical appointments as part of your Tufts Health One Care (D-SNP) benefits. The best way to find out if the service you need is covered is to call the WellSense Member Service Department. Look in your Health Plan Member Handbook under "Important phone numbers" or contact the phone number on the back of your Health Plan Member ID card to learn about transportation coverage. Shop WellSense New Hampshire Medicare Advantage plans and check the differences between the plans' coverages, benefits and extras. T. WellSense Health Plan Accountable Organization (ACO) Member Handbook If you need these services, contact WellSense Health Plan. If you have any questions about this notification, please contact your dedicated provider relations consultant or call the provider line at 877-957-1300. WellSense Community Alliance is a partnership between WellSense Health Plan, Boston Medical Center, community health centers, and other providers throughout the service area. com Access Provider Portal Training Guides: WellSense Community Alliance is a partnership between WellSense Health Plan, Boston Medical Center, community health centers, and other providers throughout the service area. org. Trips can be scheduled 24 hours a day, 7 days a week. The valid OMB control number for this information collection is 0938-1146. Call 844-909-RIDE (844-909-7433) or 711 for hearing impaired patients to request or check the status of a ride. The time required to complete this information collection is estimated to average 0. For questions about behavioral health services, please call WellSense at 888-217-3501 or TTY: 866-727-9441 for people with partial or total hearing loss Register or log into the Provider portal: https://bmchp-wellsense. A step-by-step guide on how to use your WellSense MassHealth plan to find a doctor, complete a health survey, get prescriptions and more. Tufts Health One Care covers transportation for medical reasons other than emergencies 1, too. org or call the number below to request that we send you a paper copy at no cost to you. TTY Services and the hearing impaired, call: 7-1-1 or 800-735-2964 (relay New Hampshire). Enrollment in WellSense Senior Care Options\expnd-3\expndtw-13 \expnd0\expndtw0 depends\expnd-3\expndtw-13 \expnd0\expndtw0 on\expnd-3\expndtw-13 \expnd0\expndtw0 contract\expnd-3\expndtw-13 \expnd0\expndtw0 renewal. Please request your ride at least 2 business days before your appointment. We offer one of the lowest-cost plans for individuals and families available through the Massachusetts Health Connector. Individuals enrolled in Medicaid Care Management should call their health plan’s transportation phone number listed on the back of their health plan Member Identification Card. Claims to be Processed – Fax 262-834-3589 All Other Inquiries – Fax 262-834-3450 Learn about how to use your WellSense MassHealth plan, explore benefits, find a provider, discover our pharmacy programs and more. Find a complete list of covered services for your WellSense New Hampshire Medicaid health plan such as doctor's visits, telehealth options and more. Reliable N. For most plans, you can call your transportation provider Monday through Friday between 8am and 5pm. Medicaid Transportation for Well Sense Health Plan clients is managed by CTS, a Medicaid Transportation Broker. Mar 24, 2025 · Find instructions for how to submit a formal grievance or appeal for WellSense Medicaid members in New Hampshire. Contact the WellSense Health Plan transportation line listed below when you have questions about NEMT services. Claims, appeals and authorizations Claims submissions (re: Northwood, VSP, Carelon – see Section 9 of WellSense Provider Manual) Nov 10, 2025 · Call the phone number listed for Transportation on the back of your Member ID card and ask how many rides you have with your plan. WellSense Health Plan ATTN: Member Services 100 City Square, Suite 200 Charlestown, MA 02129 Your member handbook contains a full description of your covered services, coverage exclusions, any certain benefit limitations or conditions and what cost-sharing you must pay for covered services. To request transportation for a member’s eligible medical visit: Call 844-909-7433 at least two business days before the appointment. 1 About WellSense Health Plan WellSense Health Plan (WellSense), formerly BMC HealthNet Plan, was founded in 1997 by Boston Medical Center to expand the hospital’s mission — provide excellent and accessible care to all in need regardless of status or ability to pay. WellSense collaborates with vendors to build our New Hampshire network of behavioral health care, pharmacy, radiology, durable medical equipment, non-emergent medical transportation, and vision care providers. Please see the telephone number and hours of operation for our Member Service Department at the bottom of this document. • Request that your health plan reimburse you for driving to medically necessary covered services or arrange for non-emergent medical transportation if you qualify. Wellpoint Mass proudly provides health benefits exclusively to state and municipal employees, retirees, and their families insured through the GIC in Massachusetts. Oct 5, 2023 · Oct 5, 2023 Your WellSense plan might offer transportation assistance to help you get to and from your medical appointments. Enrollment in WellSense Senior Care Options depends on contract renewal. A copy is also stored in the J iva care management system. Non-emergency medical transportation services & consulting, workers comp & special ed transportation, plus mobility management services. AmeriHealth Caritas New Hampshire Phone: 1-833-301-2264 Fax: 1-203-375-0511 Find a list of doctors, hospitals, pharmacies, dentists, specialists, chiropractor and more in your WellSense plan network. Acquire tools that help them track their numbers, including annual diabetes calendars and self-management checklists Receive assistance and reminder calls, including help coordinating transportation to appointments WellSense Health Plan located at 529 Main St #500, Boston, MA 02129 - reviews, ratings, hours, phone number, directions, and more. WellSense Health Plan, Charlestown. All providers are encouraged to convert their prior authorization Offers ConnectorCare Plans for Individuals & Families Find your path or health with a WellSense Clarity plan. Mar 23, 2023 · MassHealth March 2023 Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid Nov 10, 2025 · Call the phone number listed for Transportation on the back of your Member ID card and ask how many rides you have with your plan. My Ombudsman helps people enrolled in Medicaid with service or billing problems. WellSense is a nonprofit health insurance plan serving more than 680,000 Medicaid, Medicare and Individual & Family plan members across Massachusetts and New Hampshire. Learn about how to use your WellSense MassHealth plan, explore benefits, find a provider, discover our pharmacy programs and more. List of MassHealth Accountable Care Organizations and Manage Care Organizations Sep 29, 2023 · Prior Authorization Submission Process Updates Beginning March 1, 2024, WellSense will require that all inpatient and outpatient authorization requests submitted directly to WellSense be performed via digital submission in our provider portal, also known as HealthTrio. org or call the number above. You can call the WellSense Member Service Department for more information about services and benefits or to ask questions. We provide the highest quality of care for emergency and non-emergency ambulance services 24-7, ranging from basic life support to critical care, from neonatal to geriatric. Safe, timely rides for patients to medical visits, treatments, and therapy sessions. Access specialized care with WellSense Boston Children's ACO under MassHealth in MA, providing expert healthcare for children and families. Discover the benefits of MassHealth with WellSense in MA, offering a range of Medicaid services for comprehensive and accessible healthcare. Find a medical doctor, specialist, hospital, clinic, dentist or pharmacy within the WellSense MassHealth plan network. WellSense Health Plan – Massachusetts 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 Patients with WellSense Health Plan insurance have access to a free Uber ridership program between some neighborhood health centers and BMC. prd hhdv ryowef gkhdv oqkmkhq jkt yinyby hynbnuz mkeav lqetx
