| Assigned number | Title | Release date Sort ascending | Language | Available to order |
|---|---|---|---|---|
| F-11088A | Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA): Completion Instructions (PDF) | 07/01/2012 | English | No |
| F-11088 | Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA) (Word) | 07/01/2012 | English | No |
| F-11088 | Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA) (PDF) | 07/01/2012 | English | No |
Last revised November 10, 2026