(NOTICE: This system is for use by approved Case Management for Children and Pregnant Women providers only.)
Guide to Prior Authorization System PDF [377KB]
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 firstname.lastname@example.org.
Click Here to Log In, Submit Form, or Create New Account