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Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA)

Assigned number Title Release date Language Available to order
F-11037 Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) (PDF) 07/01/2012 English No
F-11037 Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA) (Word) 07/01/2012 English No
F-11037A Prior Authorization / Substance Abuse Day Treatment Attachment (PA/SADTA): Completion Instructions (PDF) 07/01/2012 English No

Glossary

 
Last revised September 23, 2026