Submission of CM prior authorizations via website

(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

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Last updated March 1, 2017