Need a Prior Authorization?
PA Lookup tool is under maintenance.
Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.
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 1-855-838-7999 or email your Provider Relations Representative or SWHProviderRelations@molinahealthcare.com.
Senior Whole Health and the Availity Provider Portal
- Check member eligibility and benefits
- Request prior authorizations and referrals
- Submit claims, send supporting documentation and check status
- View remittances and EOBs
- Access SWH of MA specific apps, resources, and news
New Availity users
Register for the portal to get access to SWH of MA’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 of MA on Availity.
Recent Provider Notices:
Historic EOP December 2022 Update
Skilled Nursing December 2022
Changes to Provider Network Effective January 1, 2023
2022 Quarter Four Newsletter
Echo/Change HealthCare September 2022 Update
Skilled Nursing September 2022 Update
Echo/Change HealthCare August 2022 Update
Behavioral Health Inpatient Admission Process
SWH Provider ID Card Letter
Changes to Provider Network Effective January 1, 2022
Pre-Payment Coding Eff 1/1/22
Fiscal Intermediary Paperwork due 12/17/21
It is important to Senior Whole Health of Massachusetts 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)