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Ask your medical provider to fill out a PT-1 form You can check your eligibility for transportation by calling the MassHealth Customer Service Center at (800) 841-2900. Your MassHealth provider must complete an online transportation request (PT-1 form) for you. There is no paper form.
Its always a good idea to assume the process will take anywhere from 90 120 days for each plan application that you submit. It is important to note that you will not receive in-network reimbursement from an insurance company until you have completed credentialing and contracting.
Step 1 Processing Time (Varies by Submission Method): Paper: Approximately 65 days. Web: Approximately 30 days. A certified providers CMS-855 application is required to go through a multistep review process. Medicare Administrative Contractors (MACs) are responsible for the initial review of the application.
Who qualifies for transportation? MassHealth members who are in MassHealth Standard, MassHealth CommonHealth, or MassHealth Careplus coverage types and are not able to access public transportation and/or private means of transportation are eligible for non-emergency medical transportation services.
Steps to Achieve CAQH Credentialing Additional information like employers, practice locations, and disciplinary actions is also required. This step takes the longest and can take upwards of two hours to complete. CAQH approval takes anywhere from 90 to 120 days.
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To complete the Provider Request for Transportation form (PT-1), you will also need.
MassHealth has a 60-day timeline to process applications. However, a complete application submission will generally be processed within 30 days. If your submitted application is incomplete, a representative from MassHealth will reach out to the contact person listed on the application.

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