Submission of CM prior authorizations via website


(NOTICE: The Prior Authorization System has been updated. For assistance, please refer to the Guide to New Prior Authorization System shown below. This system is for use by approved Case Management for Children and Pregnant Women providers only.)

Guide to New Prior Authorization System     PDF [377KB] Posted October 30, 2014

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

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Last updated December 10, 2014