| Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-11038 | Prior Authorization / Adult Mental Health Day Treatment Attachment (PA/MHDTA) | 07/01/2012 | English | No | |
| F-11038A | Prior Authorization / Adult Mental Health Day Treatment Attachment (PA/MHDTA): Completion Instructions | 07/01/2012 | English | No | |
| F-11038 | Prior Authorization / Adult Mental Health Day Treatment Attachment (PA/MHDTA) | 07/01/2012 | Word | English | No |
Last revised July 12, 2025