WellSense and BILHPN have partnered together to care for MassHealth ACO Medicaid patients.
PCP practices are paid a monthly capitation and tiering payment.
The majority of care management services are provided by WellSense staff.
These files have general information about the BILHPN-WellSense partnership.
MassHealth ACO go-live_ week 1 FAQs 4-10-23 (pdf)
DownloadWellSense ACO Overview Provider Training March 2023 (pdf)
DownloadQ&A WellSense ACO Overview Training March 2023 (pdf)
DownloadWho to contact at WellSense (pptx)
DownloadHow to manage referrals (pdf)
DownloadGeneral Provider FAQ (docx)
DownloadLetter sent to Members moving to new ACO (pdf)
DownloadLetter sent to member about Pts changing MA Health Provider (pdf)
DownloadMassHealth-Redeterminations Phase 1 Toolkit (pdf)
DownloadMassHealth - Redeterminations Update_JAN2023 (pdf)
DownloadThe 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.
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