Availability to criteria
A complete version of our proprietary evidence based clinical criteria is available for providers on the CarePortal at https://login.careportal.com
If you are a provider and have not yet registered for the CarePortal, then please visit https://login.careportal.com to initiate registration.
If you would like a copy of the criteria at no charge, please contact Care to Care at 1-888-216-7010.
Physician Quick Reference Guide
CarePortal Tutorial
Prior Authorization Forms
- Generic Prior Authorization Fax Form
- CenCal Health Prior Authorization Fax Form
- Elderplan Prior Authorization Fax Form
- Health Tradition Health Plan Prior Authorization Fax Form
- Intermountain Healthcare
- PHPNI Prior Authorization Fax Form
covered services lists
- CPT List CenCal Abbreviated
- CPT List Elderplan Abbreviated
- CPT List Intermountain Healthcare Abbreviated
- CPT List Indiana University Health Plans
- CPT List PHPNI Abbreviated