MassHealth members have access to funding for non-emergency transportation to receive necessary healthcare services. This program ensures that individuals can attend medical appointments even when they lack personal transportation options.
Who is Eligible for MassHealth Transportation?
As a MassHealth member, you may qualify for non-emergency transportation benefits to and from MassHealth-covered services if you cannot use public or private transportation. These services include a range of healthcare needs, such as:
- Doctor’s appointments
- Counseling sessions
- Day habilitation programs
To determine your eligibility for transportation benefits, it’s best to contact the MassHealth Customer Service Center (CSC) directly at 1-800-841-2900 (TTY: 1-800-497-4648 for hearing impaired). They can provide specific guidance based on your situation.
Applying for PT-1 Transportation Services
If you are deemed eligible, the next step is to apply for services. You will need a Prescription for Transportation (PT-1) form. To obtain this form, you can:
- Contact MassHealth Customer Service: Call the toll-free number at 800-841-2900 or 800-497-4648 (TTY). You can request that a PT-1 form be faxed directly to your MassHealth medical provider.
- Provider Request: Your MassHealth medical provider can also request the PT-1 form on your behalf.
The PT-1 form must be completed and signed by your MassHealth medical provider. This form serves as a “prescription” for transportation, confirming your medical need for transportation assistance. The completed PT-1 form can be submitted online, faxed, or mailed to the CSC by your provider.
Once the CSC receives your PT-1 form, processing typically takes up to three business days. If transportation is needed more urgently, your medical provider can request a verbal authorization by contacting the CSC at 1-800-841-2900 (TTY: 1-800-497-4648).
PT-1 Approval, Denial, and Scheduling Rides
After submitting your PT-1 form, you will receive a notification by mail regarding its status.
- Approval: If your PT-1 is approved, the letter will include instructions on how to arrange your transportation services.
- Denial: If denied, the letter will explain the reason for denial and provide information on how to appeal the decision.
Upon PT-1 approval for MassHealth transportation, a transportation broker will be assigned to you. This broker will be your point of contact for arranging all your rides. After your initial setup, you will receive a welcome letter from your broker with complete contact details and further instructions.
To schedule a ride, you should always contact your assigned transportation broker. It is recommended to schedule trips at least three days in advance whenever possible to ensure availability. Any service-related comments or complaints should also be directed to your transportation broker for resolution.
Disclaimer: This information is for informational purposes only and should not be considered professional advice. Always verify details with official MassHealth resources.
