(NOTICE: The Prior Authorization System will be undergoing system updates and will not be available from Friday, October 31st, 5:00 pm through Sunday evening. The updated system will be available Monday, November 3rd. Please refer to the Guide to New Prior Authorization System document shown below for assistance. 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 firstname.lastname@example.org.
Click Here to Log In and Submit Form
Click Here to Create a New Account