Assigned Number | Title | Release Date Sort descending | File Type | Language | Available to Order |
---|---|---|---|---|---|
F-11037 | Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) | 07/01/2012 | Word | English | No |
F-11037A | Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA): Completion Instructions | 07/01/2012 | English | No | |
F-11037 | Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) | 07/01/2012 | English | No |
Last revised May 16, 2024