CSHCN 2008 > Authorizations > Authorization and Prior Authorization Denials

4.4.1 Administrative Review for Authorizations and Prior Authorizations

Providers dissatisfied with TMHP's decision to deny authorization of services may submit a request for administrative review to the DSHS-CSHCN Services Program.

All providers must submit requests for an administrative review within 30 days of the date TMHP denied the authorization. Request for an administrative review and all supporting documentation must be submitted by mail or fax to:

CSHCN Services Program-Administrative Review
Purchase Health Services Unit, MC-1938
Texas Department of State Health Services
PO Box 149347
Austin, TX 78714-9347
Fax: 1-800-441-5133

Additional information requested by the DSHS-CSHCN Services Program must be returned to DSHS-CSHCN Services Program within 30 calendar days of the date of the letter from the DSHS-CSHCN Services Program. If the information is not received within 30 calendar days, the case is closed.

Refer to: Chapter 7, "Fair Hearing Request and Administrative Review Deadline Calendar for 2008" .