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

Case Management and Pregnant Women Services and Transition to Managed Care

Contact Program Staff

Health and Human Services Commission
Case Management for Children and Pregnant Women
Mail Code H310
P.O. Box 149030, Austin, Texas 78714-9030
701 W. 51st St., Austin, Texas 78751-3199
Email Case Management
Relay Texas Dial 7-1-1

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, Medicaid Policy, HIPAA and all other applicable state and federal rules and regulations.

Case Management

Quality Assurance

Marketing Materials

Providers may order brochures and other marketing materials on the THSteps Catalog.

Make a Referral to Case Management

  • Call 877-THSteps (877-847-8377).
  • Contact the person’s Medicaid Health Plan (MCO).
  • Contact a case manager (PDF) for persons enrolled in fee-for-service.
  • Complete a referral form (PDF) and fax to Texas Health Steps. The fax number is 512-533-3867.

Rules and Policies

Providers must comply with the Case Management for Children and Pregnant Women, Medicaid policies, and state rules and regulations:

Submit a Prior Authorization

Before April 14, 2023

HHSC will accept the following requests, for clients enrolled in fee-for-service 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)

If you have any questions, please email askcm@hhs.texas.gov.

Due to the prior authorization transition process, no prior authorizations will be accepted from April 14, 2023, through April 16, 2023.

Beginning April 17, 2023

Texas Medicaid & Healthcare Partnership (TMHP) will accept the following requests, for clients enrolled in fee-for-service through the PA on the Portal. Go to TMHP and select “Prior Authorization” from the Topics drop-down menu. To submit by fax, send to 512-514-4212.

  • F00186 (Initial Prior Authorization Request)
  • F00187 (Prior Authorization Request for Additional Visits)

If you have any questions, please contact the TMHP call center at 800-925-9126.

Free Continuing Education Units/Credits

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