Assigned Number | Title | Release Date | 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 April 19, 2024