TAR Authorization Instructions and Requirements
This file provides comprehensive guidelines for the TAR authorization process for Medi-Cal services. It includes necessary documentation steps and requirements for eligible Medi-Cal beneficiaries. Follow the detailed instructions to ensure proper reimbursement for services.
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How do I fill this out?
To fill out the TAR form, begin by gathering the necessary medical documentation to support the service request. Ensure you accurately complete all required fields including the service code and your NPI number. Submit the form through the preferred eTAR method for faster processing.

How to fill out the TAR Authorization Instructions and Requirements?
1
Gather medical documentation supporting the service necessity.
2
Complete the TAR form with required details accurately.
3
Submit the TAR via the eTAR application or by mail.
4
Check for any required supporting documents.
5
Await the adjudication response from the Medi-Cal field office.
Who needs the TAR Authorization Instructions and Requirements?
1
Healthcare providers seeking reimbursement for services provided.
2
Hospitals needing authorization for inpatient stays or procedures.
3
Pharmacies needing approval for specific medications.
4
Medical equipment suppliers requiring TAR for equipment rental.
5
Doctors who need pre-authorization for certain treatments or prescriptions.
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1
Upload your TAR PDF into PrintFriendly's editor.
2
Select the fields you wish to modify.
3
Make your desired changes using the editing tools.
4
Review all edits for accuracy.
5
Download the edited PDF for submission.

What are the instructions for submitting this form?
Submit the completed TAR form electronically via the Medi-Cal eTAR portal or send it to your local Medi-Cal field office by mail. Ensure you include all necessary documentation that supports the request. For best results, check the Medi-Cal website for specific submission addresses and guidelines tailored to your location.
What are the important dates for this form in 2024 and 2025?
For the year 2024, ensure you submit TAR requests by the specified deadlines for all services requiring prior authorization. In 2025, keep an eye on any changes as the review dates may be adjusted. Always refer to the Medi-Cal provider manual for the most current information.

What is the purpose of this form?
The purpose of the TAR form is to secure pre-authorization for services rendered to eligible Medi-Cal beneficiaries. This process is crucial for healthcare providers to ensure they get reimbursed appropriately for necessary services. Understanding the purpose will facilitate proper utilization of the form in the services offered.

Tell me about this form and its components and fields line-by-line.

- 1. Service Code: CPT codes or other relevant codes representing the service or item requested.
- 2. NPI Number: Your National Provider Identifier number for identification.
- 3. Requested Service Details: Describes the service needing authorization, including duration and necessity.
- 4. Provider Information: Information about the healthcare provider submitting the TAR.
- 5. Medical Documentation: Supporting documents that establish the medical necessity of the requested service.
What happens if I fail to submit this form?
If you fail to submit the TAR form appropriately, your request for services may be denied, resulting in a lack of reimbursement. This may lead to delays and complications in providing necessary services to patients.
- Claim Denial: Failure to get authorization may lead to financial loss from unapproved claims.
- Delays in Service: Unprocessed TAR requests can cause delays in patient service delivery.
- Compliance Issues: Not following proper submission guidelines can create compliance risks.
How do I know when to use this form?

- 1. Inpatient Services: When admitting a patient for coverage of services provided in a hospital.
- 2. Surgical Procedures: For any surgical services requiring approval before scheduling.
- 3. Pharmaceutical Requests: When prescribing medications that are not on the standard formulary.
- 4. Durable Medical Equipment: When requesting approval for medical equipment like wheelchairs or oxygen supplies.
- 5. Expanded Services: For any services that exceed the usual limitations set by Medi-Cal.
Frequently Asked Questions
What is a TAR form?
A TAR form is a Treatment Authorization Request needed to seek approval for certain Medi-Cal services.
How do I submit the TAR form?
You can submit the TAR form electronically via the eTAR portal or by mailing it to your local Medi-Cal field office.
What happens after I submit the TAR?
You will receive an Adjudication Response letter detailing the status of your TAR request.
Can I edit the TAR form on PrintFriendly?
Yes, you can easily edit the TAR PDF on PrintFriendly before submitting it.
Do I need documentation with my TAR?
Yes, submitting appropriate medical documentation is essential to support your TAR request.
How can I sign the TAR PDF?
Upload your PDF to PrintFriendly and use our signature function to sign it electronically.
Is sharing the TAR form easy?
Absolutely! PrintFriendly offers easy sharing options for your edited TAR form.
What is the preferred method of TAR submission?
The preferred method is to submit via the eTAR application for quicker processing.
What if my TAR is denied?
If denied, you can review the Adjudication Response letter for reasons and necessary steps.
How can I contact Medi-Cal for assistance?
You can reach out to your local Medi-Cal field office by phone or through their official website for help.
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