If you’re a Massachusetts-based clinician currently credentialed with Carelon Behavioral Health (formerly Beacon Health Options), there’s an important update that could impact your ability to serve Wellsense members in 2026 and beyond.
Wellsense, which serves as the behavioral health carve-out for BMC HealthNet’s MCO and ACO plans, has officially notified Carelon and its providers that they will not be renewing their contract with Carelon after December 31, 2025.
Instead of outsourcing behavioral health services, Wellsense plans to bring all management of behavioral health benefits in-house. This means that they will begin handling their own credentialing and claims payment processes starting in 2026.
If you currently provide services to Wellsense members under the Carelon network, you must be credentialed directly with Wellsense to continue receiving payment for services rendered on or after January 1, 2026.
Providers should have already received a notification from Carelon regarding this change.
To avoid disruptions in reimbursement or patient care, we strongly recommend beginning the credentialing process with Wellsense as soon as possible.
Navigating credentialing can be time-consuming and complex. If you would like assistance with the Wellsense credentialing process, Billing Advantage is here to help.
Please reach out to us if you’d like our team to manage the credentialing on your behalf. We’ll ensure all necessary paperwork is submitted promptly to help prevent any delays in your ability to treat and bill for Wellsense members come 2026.
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