| 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 September 18, 2024