| Assigned number | Title | Release date Sort ascending | Language | Available to order |
|---|---|---|---|---|
| F-01629A | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) Completion Instructions (PDF) | 12/16/2019 | English | No |
| F-01629 | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) (Word) | 12/16/2019 | English | No |
| F-01629 | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) (PDF) | 12/16/2019 | English | No |
Last revised September 23, 2026