| Assigned number | Title | Release date | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-11040 | Prior Authorization / Child / Adolescent Day Treatment Attachment (PA/CADTA) | 12/16/2019 | English | No | |
| F-11040A | Prior Authorization / Child / Adolescent Day Treatment Attachment (PA/CADTA) Instructions | 12/16/2019 | English | No | |
| F-11040 | Prior Authorization / Child / Adolescent Day Treatment Attachment (PA/CADTA) | 12/16/2019 | Word | English | No |
Last revised March 4, 2026