DHCS issued a Dental All Plan Letter to provide instructions on how to process TARs for intravenous sedation and general anesthesia services for dental procedures. Providers must submit TARs or prior authorization requests for these services as of 11/1/15. This letter includes six criteria and documentation requirements based on whether local anesthesia or conscious sedation had failed or was not feasible, as well as information about how the dental treatment plan affects what documentation must be submitted.
DHCS Dental APL 17-004 (June 28, 2017).