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Medi-Cal Treatment Authorizations and Claims Processing, Appendices I1 Appendix I: TAR Forms TAR forms include: (Hospital) Extension-of-Stay (18-1) TAR for hospital stays; Long-term care (20-1) TAR for nursing home stays; Treatment Authorization Request (50-1) for medical procedures and pharmacy; and Discharge Planning Option (55-1) TAR for coordinated requests for a beneficiary being discharged.

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Medi-Cal Treatment Authorizations and Claims Processing, Appendices I1

Appendix I: TAR Forms

TAR forms include: (Hospital) Extension-of-Stay (18-1) TAR for hospital stays;

Long-term care (20-1) TAR for nursing home stays;

Treatment Authorization Request (50-1) for medical procedures and pharmacy; and

Discharge Planning Option (55-1) TAR for coordinated requests for a beneficiary being discharged.
Medi-Cal Treatment Authorizations and Claims Processing, Appendices I2
Medi-Cal Treatment Authorizations and Claims Processing, Appendices I3
Medi-Cal Treatment Authorizations and Claims Processing, Appendices I4
Medi-Cal Treatment Authorizations and Claims Processing, Appendices I5

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