| Assigned number | Title | Release date | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-02567 | Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD) | 02/13/2023 | English | No | |
| F-02567 | Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD) | 02/13/2023 | Word | English | No |
| F-02567A | Prior Authorization / Residential Substance Use Disorder Treatment Attachment (PA/RSUD), Instructions | 02/13/2023 | English | No |
Last revised March 9, 2026