Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA)

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-11037 Coimpletiuon Instructions (PDF, 60 KB) July 1, 2012
PDF
English
F-11037 Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) July 1, 2012
Word
English
F-11037 Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) (PDF, 81 KB) July 1, 2012
PDF
English
Last Revised: December 2, 2014