Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD)

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-02567 Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD) January 1, 2021
PDF
English
F-02567 Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD) January 1, 2021
Word
English
F-02567 Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD), Instructions January 1, 2021
PDF
English
Last Revised: December 8, 2020