| Assigned Number | Title | Release Date Sort ascending | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-01629A | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) Completion Instructions | 12/16/2019 | English | No | |
| F-01629 | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) | 12/16/2019 | Word | English | No |
| F-01629 | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) | 12/16/2019 | English | No |
Last revised May 4, 2025