This is a legal form that was released by the Massachusetts MassHealth - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form PT-1?
A: The Form PT-1 is the Prescription for Transportation Form used in Massachusetts.
Q: What is the purpose of the Form PT-1?
A: The Form PT-1 is used to authorize transportation services for a patient in Massachusetts.
Q: Who can fill out the Form PT-1?
A: The Form PT-1 can be filled out by a physician, nurse practitioner, or licensed psychologist.
Q: What information is required on the Form PT-1?
A: The Form PT-1 requires information such as the patient's name, address, medical condition, and transportation needs.
Q: How is the Form PT-1 submitted?
A: The completed Form PT-1 can be submitted to the patient's insurance company or the transportation vendor.
Q: Are there any fees associated with the Form PT-1?
A: There may be fees associated with transportation services, but the Form PT-1 itself does not have a fee.
Q: What should I do if I have questions about the Form PT-1?
A: If you have questions about the Form PT-1, you should contact the patient's healthcare provider or insurance company.
Form Details:
Download a printable version of Form PT-1 by clicking the link below or browse more documents and templates provided by the Massachusetts Masshealth.