Alert!
Senior Whole Health is aware of recent developments related to Steward Health Care. Carney Hospital in Dorchester and Nashoba Valley Medical Center in Ayer have closed effective 8/31/24. The remaining Steward hospitals remain open. Keep your appointments and continue to seek care at these facilities. Visit https://www.mass.gov/steward-health-care-transitions for more information. If you have questions or concerns, call Member Services at (888) 794-7268 (TTY: 711). We are here to help Monday-Friday, 8 a.m.-8 p.m. local time.
Need a Prior Authorization?
Welcome Massachusetts Providers
Contracted Providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.
As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.
If you have any questions, please call Provider Services at (855) 838-7999 or email your Provider Relations Representative or SWHProviderRelations@molinahealthcare.com.
Senior Whole Health and the Availity Provider Portal
On the Provider Portal you can:-Check member eligibility and benefits
-Request prior authorizations and referrals
-Submit claims, send supporting documentation and check status
-View remittances and EOBs
-Access SWH specific apps, resources, and news
New Availity users
Register for the portal to get access to SWH's newest tools, resources and customized training opportunities. Learn more.
If you have credentials for another payer, you’re all set to log in and start working with SWH on Availity.
For dates of service prior to 1/1/2022, please contact Provider Services.
Recent Provider Notices:
Important Reminder:
It is important to Senior Whole Health and your patients that your provider directory demographics are accurate. Please visit our Provider Online Directory to validate your information and notify us if there are any updates. To make changes below please utilize the Provider Information Update Form.
Please notify Senior Whole Health of Massachusetts at least 30 days in advance when you have any of the following:
⦁ Change in office location, office hours, phone, fax, or email
⦁ Addition or closure of office location
⦁ Addition or termination of a provider
⦁ Change in Tax ID and/or NPI
⦁ Open or close your practice to new patients (PCPs only)
SWH collaborates with DirectAssure to help maintain a more accurate and timely directory. Providers may update information with CAQH ProView®, at CAQH ProView - Sign In. When updating your CAQH profile it is important to select "Global" for your access to ensure SWH can review these changes to your data. We encourage all providers to sign up for CAQH ProView® in order to utilize DirectAssure.