| 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 July 16, 2025