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    • Home
    • Menu
      • About Us
      • Updates
      • Billing and Coding
      • How to join - Forms
      • MHACO/WellSense
      • Contact Us
      • Epic Implementation
      • Newsletters
    • Provider Directory

(617) 632-9728

  • Home
  • Menu
    • About Us
    • Updates
    • Billing and Coding
    • How to join - Forms
    • MHACO/WellSense
    • Contact Us
    • Epic Implementation
    • Newsletters
  • Provider Directory

bilhpn/wellsense masshealth aco partnership

General Information

Primary care capitation and tiering payment

Primary care capitation and tiering payment

WellSense and BILHPN have partnered together to care for MassHealth ACO Medicaid patients.

Click here to learn more

Primary care capitation and tiering payment

Primary care capitation and tiering payment

Primary care capitation and tiering payment

PCP practices are paid a monthly capitation and tiering payment.



Click to learn more

Care management

Primary care capitation and tiering payment

Care management

The majority of care management services are provided by WellSense staff.


Click here to learn more

General Information

 These files have general information about the BILHPN-WellSense partnership.

WellSense ACO Overview Provider Training March 2023 (pdf)

Download

Q&A WellSense ACO Overview Training March 2023 (pdf)

Download

Who to contact at WellSense (pptx)

Download

How to manage referrals (pdf)

Download

General Provider FAQ (docx)

Download

primary care capitation and tiering payments

The below files will help you understand the WellSense PCP capitation and tiering payments. We have also included a tiering binder that will help practices to document their compliance if they are audited by MassHealth.


BILHPN PCP Capitation Training March 2023 (pdf)

Download

MassHealth Tiering Initiative Binder template (pdf)

Download

care management

Care management referral forms should be faxed to  857-366-7800 

WellSense Referral_Form for CM services 2.15.23 - fillable template (pdf)

Download

Who to contact for various CM issues 021523 (pptx)

Download

Wellsense Care Management Provider Training- BILH 02.23.23_FINAL (pptx)

Download

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