| Assigned number | Title | Release date | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-01629A | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) Completion Instructions | 12/16/2019 | English | No | |
| F-01629 | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) | 12/16/2019 | Word | English | No |
| F-01629 | Prior Authorization / Behavioral Treatment Attachment (PA/BTA) | 12/16/2019 | English | No |
Last revised July 13, 2025