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On June 20, 2024, UnitedHealth Group issued a press release offering an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. While the investigation to determine whose data is impacted is not yet complete, UnitedHealth Group has started the process to notify impacted customers and shared a website that provides additional information. UnitedHealth Group continues to offer credit monitoring and identity protection services, as well as a dedicated contact center to address questions. You can learn more about the support resources by visiting Change Healthcare Cyberattack Support and/or by reaching out to the contact center at 1-866-262-5342 with any questions.  

Become a Provider

Thank you for your interest in participating with NH Healthy Families. We are excited that you selected our provider network as your network of choice.  Below are the steps required to join our Provider Network.

Fields denoted with an asterisk (*) are required.

Do you have a contract with NH Healthy Families? required *
What would you like to do? required *
What kind of provider are you? required *

Update an Existing Contract

To add additional services or to make changes to an existing contract, email NH_ProviderNetworkOperations@centene.com.

Update a Medical Practitioner or Practice

To make updates to your billing address, practice location (move or add), office hours, specialty, or services, please do the following:

  1. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Provider Change Form.
  2. Complete, sign, and date a W9 Form (PDF from IRS.gov).
  3. Complete a Provider Change Form (PDF).
  4. Submit your completed forms to our contracted provider document upload form.

Update a Behavioral Health Practitioner or Practice

To make updates to your billing address, practice location (move or add), office hours, specialty, or services, please do the following:

  1. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Provider Change Form.
  2. Complete, sign, and date a W9 Form (PDF from IRS.gov).
  3. Complete a Provider Change Form (PDF).
  4. Submit your completed forms to our contracted provider document upload form.

Update a Dual Practitioner or Practice

To make updates to your billing address, practice location (move or add), office hours, specialty, or services, please do the following:

  1. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Provider Change Form.
  2. Complete, sign, and date a W9 Form (PDF from IRS.gov).
  3. Complete a Provider Change Form (PDF).
  4. Submit your completed forms to our contracted provider document upload form.

Enroll a New Medical Practioner

To submit a new medical enrollment please do the following:

  1. Attest on CAQH (except hospitalists) and ensure all required documents are uploaded.
  2. Authorize NH Healthy Families in CAQH.
  3. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Enrollment Request.
  4. Complete a CAQH Form (PDF) or Enrollment Roster (Excel) for more than 10 practitioners.
  5. Ensure you have a NH Medicaid ID or apply for a NH Medicaid ID.
  6. Submit your completed forms to our contracted provider document upload form.

Enroll a New Behavioral Health Practitioner

To submit a new behavioral health/substance use disorder enrollment please do the following:

  1. Attest on CAQH and ensure all required documents are uploaded.
  2. Authorize NH Healthy Familes in CAQH.
  3. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Enrollment Request.
  4. Complete Provider Specialty Profile Form (PDF) (for 9 or fewer practitioners) or an updated Enrollment Roster (Excel) (for 10 or more practitioners).
  5. Ensure you have a NH Medicaid ID or apply for a NH Medicaid ID.
  6. Submit your completed forms to our contracted provider document upload form.

Enroll a New Dual Health Practitioner

To submit a new dual enrollment please do the following:

  1. Attest on CAQH (except hospitalists) and ensure all required documents are uploaded.
  2. Authorize NH Healthy Familes in CAQH.
  3. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Enrollment Request.
  4. Complete a Provider Specialty Profile Form (PDF).
  5. Complete a CAQH Form (PDF) or Enrollment Roster (Excel) for more than 10 practitioners.
  6. Ensure you have a NH Medicaid ID or apply for a NH Medicaid ID.
  7. Submit your completed forms to our contracted provider document upload form.
What kind of provider are you? required *

Submit a New Medical Contract Request

To submit a new medical contract request, please do the following:

  1. Attest on CAQH (except hospitalists) and ensure all required documents are uploaded.
  2. Authorize NH Healthy Families in CAQH.
  3. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Enrollment Request.
  4. Complete, sign, and date a W9 Form (PDF from IRS.gov).
  5. Ensure you have a NH Medicaid ID or apply for a NH Medicaid ID.
  6. Complete the Join Our Network request.

Submit a New Behavioral Health Contract Request

To submit a new behavioral health contract request, please do the following:

  1. Attest on CAQH and ensure all required documents are uploaded.
  2. Authorize NH Healthy Families in CAQH.
  3. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Enrollment Request.
  4. Complete, sign, and date a W9 Form (PDF from IRS.gov).
  5. Ensure you have a NH Medicaid ID or apply for a NH Medicaid ID.
  6. Complete the Join Our Network request.

Submit a New Dual Contract Request

To submit a new dual enrollment, please do the following:

  1. Attest on CAQH (except hospitalists) and ensure all required documents are uploaded.
  2. Authorize NH Healthy Families in CAQH.
  3. Go to NPPES and ensure your name, taxonomy, and all other information is correct and matches your submitted Enrollment Request.
  4. Complete, sign, and date a W9 Form (PDF from IRS.gov).
  5. Ensure you have a NH Medicaid ID or apply for a NH Medicaid ID.
  6. Complete the Join Our Network request.

Helpful Links

Ambetter

For more information on becoming an Ambetter provider, please visit our Ambetter website.

Wellcare

For more information on becoming a Wellcare provider, please visit our Wellcare website.