Who they are
WellSense Health Plan — formerly Boston Medical Center HealthNet Plan (BMC HealthNet), rebranded in 2021 — is a nonprofit health plan affiliated with Boston Medical Center. It offers MassHealth (Massachusetts Medicaid), New Hampshire Medicaid, and health-insurance-marketplace plans.
The behavioral health contracting entity
As a Medicaid-focused managed-care organization, WellSense sits in a different contracting world from commercial carriers — Medicaid managed care carries its own rate structures and processes. Facilities contract with WellSense across its Massachusetts and New Hampshire lines of business.
Levels of care
WellSense contracts across the behavioral health continuum — inpatient psychiatric, detoxification, residential treatment, partial hospitalization (PHP), intensive outpatient (IOP), and outpatient. Covered benefits vary by plan.
Websites & portals
- wellsense.org
Member and provider site.
Scope
Massachusetts and New Hampshire.
Notable context
Medicaid managed-care contracting differs from commercial in both rate structure and process — worth treating as its own track.
State guides
Where WellSense Health Plan appears in our state-by-state guide to the payer landscape:
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