Form MAT-100 MA Request for Test - Connecticut

What Is Form MAT-100 MA?

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

FAQ

Q: What is Form MAT-100 MA?
A: Form MAT-100 MA is the Request for Test form for the Connecticut Medical Assistance Program.

Q: What is the purpose of Form MAT-100 MA?
A: The purpose of Form MAT-100 MA is to request a test under the Connecticut Medical Assistance Program.

Q: Who can use Form MAT-100 MA?
A: Form MAT-100 MA can be used by medical providers participating in the Connecticut Medical Assistance Program.

Q: Is there a fee to submit Form MAT-100 MA?
A: No, there is no fee to submit Form MAT-100 MA.

Q: What supporting documents are required with Form MAT-100 MA?
A: The required supporting documents may vary depending on the type of test being requested. Please refer to the instructions on Form MAT-100 MA for the specific requirements.

Q: How long does it take to process Form MAT-100 MA?
A: The processing time for Form MAT-100 MA varies. It is recommended to submit the form well in advance of the desired test date to allow for processing.

Q: Is Form MAT-100 MA only for residents of Connecticut?
A: No, Form MAT-100 MA can be used by medical providers in Connecticut regardless of the patient's residency status.