Submission of CM prior authorizations via website


(For use by approved Case Management for Children & Pregnant Women providers only)

DSHS will accept the following requests through this website.

CM-01 (Initial Prior Authorization Request)

CM-06 (Request for Additional Visits)

CM-06A (Request to Change Authorization to Another Case Manager)

DSHS staff will fax back a response to you using the Response to Authorization Request form.

If you have any questions, please contact Judi Mendez at 512-776-6694 or Dagny Schmidt at 512-776-2168. Submit emails to

Click Here to Log In and Submit Form

Click Here to Create a New Account

Last updated June 04, 2013