CenCal Health

Select Your Plan Health Initiative Healthy Families Prenatal Plus2 In-Home Support Healthy Kids SB Healthy Kids SLO Health Education

Members Newsletters / Boletín para Miembros Community Resources / Recursos de la Comunidad Health Topics / Temas de Salud Preventive Guidelines / Guía de Preventiva Advance Health Care Directive / Directiva Anticipada de Atención de la Salud

Employers HIPAA Privacy Practices & Confidentiality Fraud and Abuse Reporting

Para Miembros

Seleccione Su Plan Health Initiative Healthy Families Prenatal Plus2 In-Home Support Healthy Kids SB Healthy Kids SLO HIPAA Privacy Practices & Confidentiality Reporte Fraude y Abuso

For Providers

Care Management

Care Management Program Description Care Management Referral Form Care Management Fillable Form

Claims and Billings Contracted Provider List Contracting with CenCal Health Eligibility Verification Ensuring Quality

HEDIS Report Disease Management Programs Provider Audit Process Clinical Guidelines Preventive Health Guidelines Medical Advisory Committee Members Quality Assessment & Improvement Program Combating Obesity

FAQ Formulary Health Education

For Providers: Asthma Action Plans For Providers: Staying Healthy Forms For Providers: Lead Screening Handout For Providers: Diabetes Action Plan For Providers: Make a Change Tool

Health Resource Links Manuals Online Medical Manuals Procedures Requiring TAR Provider Bulletin Provider Profile Cultural and Linguistic Resources Fraud and Abuse Reporting Providers Only (restricted)

About CenCal Health

Introduction Mission Statement Statutes Management Team Medical Advisory Committee Members Board Members

Board Agendas Board Meeting Schedules Board Packet Request

CenCal Health Budget Annual reports Audited Financial Statements Glossary of Terms Careers at CenCal Health

Current Job Opportunities Benefits Summary Mission & Values Apply Now!

SITEMAP

For Providers > Ensuring Quality > Preventive Health Guidelines

For Providers -

CenCal Health™ Procedures Requiring a TAR

The purpose of this page is to help you easily determine whether a procedure does or does not require a Treatment Authorization Request ("TAR"). If you have the code, enter the number of the code in the "Code" field. The "%" is a wild card character, so entering "Z%" will return all procdures requiring a TAR the begin with the letter Z.

If you do not have the CPT or HCPCS codes, enter a key word in the "Key Word" field, e.g. "hysterectomy"and a list of procedure descriptions and codes that require a TAR will be displayed. Choose the description and codes that best fit the procedure or service that you plan to provide and the codes that require a TAR be submitted to our Utilization Management Coordinators for prior authorization will be displayed.

Note that in some cases, only 1 TAR needs to be submitted for multiple procedure codes and in other cases, a TAR will be needed for each individual code.

	Plan
	Code
	Key Word
	Date of Service