Documents
Instructions
Updated: 2/2024
Purpose
HHSC requires prior authorization for cystic fibrosis treatment agents for people enrolled in the Children with Special Health Care Needs (CSHCN) Services Program.
How to Submit
Providers should send the completed form by fax or mail to the CSHCN Services Program.
Fax: 512-776-7238
Mail:
Texas Health and Human Services
CSHCM Services Program
Mail Code 1938
P.O. Box 149030
Austin, TX 78714-9947
Questions
Refer comments or questions about this form to the CSHCN Services Program at 800-252-8023.