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Return completed form to: MassHealth Transportation Unit, P.O. Box 45, Boston, MA 02112-0045, or fax it to 617-988-2925. PRESCRIPTION FOR TRANSPORTATION FORM Commonwealth of Massachusetts EOHHS www.mass.gov/masshealth.

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Login to your Customer Service Web Account. On the right hand menu, click PT-1 Request Management. Click Create New PT-1. Follow the instructions and fill out the form.

Scheduling a Trip To book your trip, call 1-800-854-9928; select your language option and then select option 3 for our MassHealth Call Center and then follow the telephone prompts. Do not press 0 for an operator, as this will return you to the beginning of the phone menu and further delay your call.

As a MassHealth member, you may be eligible for non-emergency transportation to and from your MassHealth covered services when you are unable to access public or private transportation. Customer Service Center (CSC) at 1-800-841-2900 (TTY: 1-800-497-4648 for people with partial or total hearing loss).

Your MassHealth medical provider must complete and sign a Prescription for Transportation (PT-1) form on your behalf. This form can be completed online, faxed, or mailed to the CSC . It can take up to three business days for us to process it once we receive it.

MassHealth Transportation Guide (PDF) A Guide for Providers & Members. MassHealth Prescription for Transportation Form PT1 (PDF) MassHealth Transportation Medical Necessity Form To be filled out by provider.

The FRTA contracts with the Department of Medical Assistance (DMA) to provide eligible MassHealth recipients with transportation to medical appointments. A Prescription for Transportation (PT-1) form must be filled out by a MassHealth provider and submitted to the DMA on your behalf.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232