MassHealth ACO BILH Care Management Resources

BILHPN transitioned to the Wellsense Mass Health ACO on 4/1/2023. Care Management for Mass Health will be moving to the Wellsense programmatic teams and referrals can be sent to ACOCMReferrals@wellsense.org starting on 4/10/2023. 

BILHPN will continue to support Mass Health patients with social determinants of health needs within the scope of the flexible services program and BILHPN employed Community Health Worker’s, which will be overseen by Katherine Record. Mass Health Community Health Worker referrals can be sent to a central email masshealthchworker@bilhpn.org.

BILHPN is working collaboratively with the office of Health Equity, Diversity, and Inclusion to develop a Community Health Navigator program to address the social determinant of health and quality care gaps within our underserved populations within our Network.

Click here to view, download and print a document that will aid in navigating the MassHealth product lines. Click here to view, download and print and accompanying MassHealth Provider Bulletin that breaks down the ACO exclusivity. Please note: the cheat sheet refers to products that COULD be accepted, but not necessarily ARE accepted by your practice. To determine if your practice is participating in a specific contract through the Northeast PHO, please refer to our Contract Participation grid (https://www.nepho.org/health-plan-participation-by-product/) or reach out to Alycia.Messelaar@lahey.org

Click here to view, download and print the WellSense MassHealth BILHPN Referral Form.