Prior Authorization/Intensive In-Home Mental Health and Substance Abuse Services Assessment and Recovery/Treatment Plan Attachment

Assigned Number Titlesort ascending Version Date Publication Type Other Location Language
F-00212 Prior Authorization/Intensive In-Home Mental Health and Substance Abuse Services Assessment and Recovery/Treatment Plan Attachment February 1, 2010
Word
English
F-00212 Prior Authorization/Intensive In-Home Mental Health and Substance Abuse Services Assessment and Recovery/Treatment Plan Attachment February 1, 2010
PDF
English
F-00212 Completion Instructions December 16, 2019
PDF
English
Last Revised: December 16, 2019