AmeriHealth Caritas New Hampshire Providers
Welcome to the new AmeriHealth Caritas New Hampshire Vision Plan
Join us in providing our community with the vision care they need.
Starting August 1, 2024, AmeriHealth Caritas New Hampshire will directly administer vision benefits, transitioning away from Avesis. We are excited to share the key benefits and improvements of our new vision plan with you.
Claims Submission Options:
AmeriHealth Caritas New Hampshire has restored connectivity with Optum/Change Healthcare. The restoration of connectivity with Optum/Change Healthcare affords our providers options for claims submissions.
Electronic claims:
AmeriHealth Caritas New Hampshire providers will have the option of submitting electronic claims via:
- Optum/Change Healthcare — Providers with a software vendor or who use another clearinghouse to submit claims to Optum/Change Healthcare must consult their vendor/clearinghouse to confirm the process for claim submission. Please note: The 275 Claim Attachment transaction is currently available via Optum/Change Healthcare.
- Availity — Providers or clearinghouses not currently using Availity to submit claims, must register at: https://www.availity.com/intelligent-gateway/. Please note: The 275 Claim Attachment transaction is currently available via Availity.
Manual/direct entry claims:
Providers may submit manual/direct entry claims via:
- Optum/Change Healthcare ConnectCenterTM — This option is currently only available for providers who had an established account prior to the security incident. Access to the portal and usernames will remain the same but a password reset, and multi-factor authentication are required.
- PCH Global — Providers not currently using PCH Global must enroll for claims submission at: https://pchhealth.global.
For questions related to the information above, contact your dedicated Provider Network Account Executive. For other questions, you may contact Provider Services at 1-888-599-1479.
Thank you for choosing AmeriHealth Caritas New Hampshire
We are AmeriHealth Caritas New Hampshire, a mission-driven Medicaid managed care organization. Through dedicated providers like you, we serve New Hampshire Medicaid members in the Medicaid Care Management (MCM) program.
Working with you, we aim to deliver excellent care and improved health outcomes to our members.
If you have questions, you can call AmeriHealth Caritas New Hampshire Provider Services at 1‑888‑599‑1479.
How can we help you?
- Provider Reference Guide (PDF)
Keep this sheet of contact information close by for when you need to give us a call. - Contact your Account Executive
The best relationships are formed by staying in touch. If you have questions about us, contact your Account Executive or email newhampshireprovidernetwork@amerihealthcaritas.com - Frequently asked questions.
Do you have a question about working with AmeriHealth Caritas New Hampshire? Start here. - Find a form
We compiled all of our forms in one spot to help save you time. - Prior authorizations
Receive prior authorization before administering some health services to members. - Download your provider manual (PDF)
This manual will help you and your office staff provide services to our members. - Get credentialed
Let's work together to enrich the lives of our members through the delivery of quality health care. - Find a doctor, drug, or pharmacy
Use our directory to find other providers in our network. - Prior Authorization Non-Preferred Drug Approval Form (PDF)
Use this form to request prior authorization for non-preferred drugs. - Prior Authorization Mental Health Drug Approval Form (PDF)
Use this form to request prior authorization for mental health drugs. - Learn more about our claims and billing process
See how to get your payment quickly, electronically, or by paper check. - Training and education
Our training and education materials may assist you in delivering superior health care to our members.