| Assigned Number | Title | Release Date Sort ascending | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-11044 | Prior Authorization / Home Health Therapy / Attachment (PA/HHTA) | 07/01/2012 | Word | English | No |
| F-11044 | Prior Authorization / Home Health Therapy / Attachment (PA/HHTA) | 07/01/2012 | English | No | |
| F-11044A | Prior Authorization / Home Health Therapy / Attachment (PA/HHTA): Completion Instructions | 07/01/2012 | English | No |
Last revised June 22, 2025