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  1. From the homepage menu, click Submit PT-1 (See section on Logging In) Search for member using the MassHealth Member ID or the name and date of birth. Click Search. Verify the member's information in the next screen. If you need to select a different MassHealth member, click Clear and Search again. If the desired member is listed review the ...

  2. Nonemergency ambulance for members, wherever they live. When asking for such transportation, you will need to complete the MassHealth Medical Necessity Form attesting to the member's condition and need for the requested transportation. Call the Mass Customer Service Center at (800) 841-2900 for a list of wheelchair van and ambulance providers.

  3. 31 Μαΐ 2019 · Who should contact about submitting a PT-1 using the new version of the CWP? For questions about the CWP, please contact the MassHealth Customer Service Center. By phone at (800) 841-2900 or. By e-mail at providersupport@mahealth.net. For technical help, please email us at Webportal@mahealth.net.

  4. Masshealth Forms; Form Pt-1 - Masshealth Prescription For Transportation Form; Form Pt-1 - Masshealth Prescription For Transportation Form . ADVERTISEMENT. 1 2. Return completed form to: MassHealth Transportation Unit, P.O. Box 45, Boston, MA 02112-0045, or fax it to 617-988-2925. ... MassHealth provider ID/service location. NPI.

  5. Section 2 – Enter the provider’s name, telephone number, address, MassHealth provider ID and location code, and the NPI. The provider requesting transportation should be a physician, physician’s assistant, nurse midwife, dentist, nurse practitioner, psychologist, or managed care representative, and an active MassHealth provider.

  6. hipaa.jotform.com › 222993755079067PT-1 Request Form

    Return completed form to: MassHealth Transportation Unit, P. O. Box 45, Boston, MA 02112-0045, or fax it to 617-988-2925. Please indicate the type of request: *. New Form Renewal Increase in Visits Alternate Pick-up Address. 1.

  7. How long will it take to process my PT-1? The approval process may take up to three business days. You will be notified by mail whether or not you have been approved. If you need medical transportation before that, your medical provider can call the MassHealth Customer Service Center at (800) 841-2900 to request verbal approval.

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