Form PSI-LP Masshealth Permission to Share Information (Psi) Form (Large Print) - Massachusetts

What Is Form PSI-LP?

This is a legal form that was released by the Massachusetts Department of Mental Health - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the PSI-LP Masshealth Permission to Share Information (Psi) Form?
A: The PSI-LP Masshealth Permission to Share Information (Psi) Form is a form used in Massachusetts to authorize the sharing of medical information with Masshealth.

Q: What is Masshealth?
A: Masshealth is the Medicaid program in Massachusetts that provides health insurance to low-income individuals and families.

Q: Why do I need to fill out the PSI-LP Masshealth Permission to Share Information form?
A: You need to fill out the form to give consent for your medical information to be shared with Masshealth for the purpose of determining your eligibility for benefits and coordinating your healthcare.

Q: Is the PSI-LP Masshealth Permission to Share Information form available in large print?
A: Yes, the form is available in large print format for individuals with visual impairments.