| Assigned number | Title | Release date | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-11088A | Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA): Completion Instructions | 07/01/2012 | English | No | |
| F-11088 | Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA) | 07/01/2012 | Word | English | No |
| F-11088 | Prior Authorization / Health and Behavior Intervention Attachment (PA/HBA) | 07/01/2012 | English | No |
Last revised March 19, 2026