| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-02567 | Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD) | January 1, 2021 |
PDF
|
None | English |
| F-02567 | Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD) | January 1, 2021 |
Word
|
None | English |
| F-02567 | Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD), Instructions | January 1, 2021 |
PDF
|
None | English |
Last Revised: December 8, 2020
