Prior Authorization / Intensive In-Home Mental Health and Substance Abuse Services Assessment and Recovery / Treatment Plan Attachment

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-00212 Completion Instructions (PDF, 46 KB) July 1, 2012
PDF
English
F-00212 Prior Authorization / Intensive In-Home Mental Health and Substance Abuse Services Assessment and Recovery / Treatment Plan Attachment February 1, 2010
Word
English
F-00212 Prior Authorization / Intensive In-Home Mental Health and Substance Abuse Services Assessment and Recovery /Treatment Plan Attachment (PDF, 74 KB) February 1, 2010
PDF
English
Last Revised: December 2, 2014