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PT-1 Frequently Asked Questions (FAQ)

Enhancements have been made to the Customer Web Portal (CWP), effective May 31, 2019.

Table of Contents

What is a Provider ID and Service Location (PID/SL)?

Each provider's NPI is associated in MassHealth’s Medicaid Management Information System (MMIS) with a corresponding MassHealth provider ID and service location (PID/SL). This PID/SLis 10 characters, made up of a 9-digit base number and an alpha service location (e.g. 1234567 89A). The provider’s PID/SL will be displayed on MassHealth reports as well as correspondence and remittance advices.

Trip distance and public transportation questions on the PT-1 form didn't pertain to my patient.

You may have been asked an additional question about your patient’s trip distance or public transportation availability. In these scenarios, please answer the questions to the best of your ability. An address may have affected the calculated trip distance between the patient's pick up address and the treating location.

How can I use the Treatment type for my patient's transportation that I've used in the past?

The medical treatment type used for PT-1s submitted before May 3, 2019, has been changed. A dropdown has been added to the CWP which lists the ICD-10 diagnosis code chapters. You should convert the patient's medical condition into one of the entries listed.

Why did my patient's PT-1 expire?

If the patient recently moved and reported an address change, all active PT-1s will require a new PT-1 form. To avoid any interruption in services, treating providers must submit new PT-1 requests within 30 days of the patient's address change.

Where can I find the transportation regulations?

For more information, see the Transportation Regulations page. 

Note: To make sure you stay on the MassHealth Customer Web Portal, right-click the link and select "Open link in new tab."

Where can I find more information about the Human Service Transportation (HST) Office?

See the Human Service Transportation Office page. 

Note: To make sure you stay on the MassHealth Customer Web Portal, right-click the link and select "Open link in new tab."

Where can I find more information about ICD-10 codes?

See ICD-10 Chapters for more information. 

Note: To make sure you stay on the MassHealth Customer Web Portal, right-click the link and select "Open link in new tab."

Who should contact about submitting a PT-1 using the new version of the CWP?

For questions about the CWP, please contact the MassHealth Customer Service Center

For technical help, please email us at Webportal@mahealth.net 

Contact

Phone

Open Monday–Friday 8 a.m.–5 p.m.

Open Monday–Friday 8 a.m.–5 p.m.

Fax

(617) 988-8974
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