Case Management Providers for Children and Pregnant Women

Case Management for Children and Pregnant Women offers help in every county in Texas.

Become a Provider

Contact Program Staff

Department of State Health Services
Case Management for Children and Pregnant Women
Mail Code 1938
P.O. Box 149347, Austin, Texas 78714-9347
1100 W. 49th St., Austin, Texas 78756-3199
Phone: 512-776-2168
Fax: 512-776-7574
Toll Free: 800-252-8023, extension 2168
Email Case Management
Relay Texas Dial 7-1-1

Download the Health Service Regional Office Contacts list (PDF).

Download the Case Management Providers by Region list (PDF).

Forms

Specific documentation for the comprehensive visit and follow-up visits, the billable components of case management, are required. All forms below are in MS Word format, unless otherwise noted, and may be completed electronically or printed. All case management activities must be documented and maintained in a client record. Providers must ensure that documentation for case management activities complies with the requirements of Case Management for Children and Pregnant Women Rule and Policy, Medicaid Policy, HIPAA and all other applicable state and federal rules and regulations.

Case Management

Quality Assurance

Make a Referral to Case Management

Providers may choose to complete a referral form (MS Word) and fax it to Texas Health Steps. The fax number is 512-533-3867.

For clients enrolled in STAR or Traditional Medicaid, you can make a referral by:

For clients enrolled in STAR Kids:

Rules & Policies

Submit a Prior Authorization

HHSC will accept the following requests through the authorization request website. Note: This system is for use by approved Case Management for Children and Pregnant Women providers only.

  • CM-01 (Initial Prior Authorization Request)
  • CM-06 (Request for Additional Visits)
  • CM-06A (Request to Change Authorization to Another Case Manager)

HHSC staff will fax a response using the Response to Authorization Request form.

Download the Guide to Prior Authorization System (PDF)

If you have any questions, please contact Dagny Schmidt at 512-776-2168 or email to askcm@dshs.texas.gov.

Training

After receiving approval by HHSC to provide case management services, case management providers must complete a mandatory training. Please contact your DSHS Regional Representative for information about enrolling in a Case Management for Children and Pregnant Women training. Monthly training is offered. Call for dates.

Pre-Training Requirements

Once approved to provide case management services, providers must complete the following modules as a prerequisite to Case Management for Children and Pregnant Women training. These modules provide information that is essential to the provision of case management services and can be accessed at the Texas Health Steps Online Provider Education website.

  • Medicaid Case Management Services in Texas: A Course for Case Managers
  • Transition Services for Children and Youth with Special Health-Care Needs
  • Texas Medicaid Services for Children

Free Continuing Education Units/Credits

The Texas Health Steps Online Provider Education website offers FREE CE Courses to enhance your ability to provide preventive health, mental health, oral health & case management services to Medicaid eligible children in Texas.