Auth57 Cafe

Stop chasing PDFs.
The rules just changed again.

Your UM team looks up PA requirements dozens of times a day. Cafe gives them verified, state-level answers instantly — so they stop guessing and start deciding.

CMS-0057-F · Final Rule
Electronic PA mandate — 14 service categories. API deadline: Jan 1, 2027
CMS-0062-P · Proposed Rule
Extends PA to 20 drug classes under medical benefit. Proposed deadline: Oct 1, 2027
Human-verified rules Monitored daily by our team Source-linked and confidence-scored
Start Cafe — $99/mo → See a live demo

10,402

Verified PA rules

51

States covered

6

Program types

< 1s

Average lookup time

What your team sees

The answer, not the research.

Every result includes the PA verdict, PA type, submission target, clinical documentation required, and turnaround time — pulled from verified state sources.

Updated continuously. Confidence-scored. Source-linked.

New Jersey · Medicaid FFS
GLP-1 — weight loss
PA Required
Full
No
Submit to enrollee's MCO. Step therapy required — document prior treatment failure.
High confidence Verified 2026-04-01 Source →
What to do next Show ↓
1
Gather clinical documentation
BMI documentation and prior weight loss attempt
Prior treatment failure or contraindication
Step therapy required
2
Submit PA request
Submit to: Enrollee's MCO plan
3
Expected turnaround
Standard: 7 business days
Expedited: 72 hours

Not just the verdict

When next steps exist, we show you.

Other tools tell you PA is required. When actionable guidance exists — what to gather, where to submit, how long it takes — Auth57 surfaces it so your UM team can act immediately.

Start Cafe — $99/mo →
What to do next Ohio · Medicaid MCO · Biologics
1
Gather clinical documentation
Diagnosis confirmation and prior treatment history
Lab results within 90 days (CBC, LFTs, inflammatory markers)
Documentation of inadequate response to conventional therapy
2
Submit PA request
Submit to: Enrollee's MCO plan
Federal protection applies: CMS-0057-F electronic PA mandate
3
Expected turnaround
Authorization valid: 180 days
Standard: 14 days
Expedited: 72 hours

The business case

$5.18 saved per lookup.

CAQH data shows manual PA costs your team $10.97 per authorization. Electronic lookup drops that to $5.79. At 500 lookups per month, Cafe pays for itself 10× over.

$10.97

Manual PA cost per request

$5.79

Electronic lookup cost

$5.18

Saved per lookup

10×

ROI at 500 lookups/mo

What's included

Everything your UM team needs.

Instant PA lookup

Search by state, program, drug class, or service category. Results in under a second — no logins, no phone queues.

CMS-0057-F + CMS-0062-P ready

All rules verified against CMS-0057-F and CMS-0062-P requirements. Confidence-scored. Source-linked. Updated continuously as regulations change.

Drug class data

Optional drugs add-on covers GLP-1s, biologics, oncology, and 17 more drug classes across all states and programs.

Team seats

Start with 5 seats, scale as needed. Every seat gets full access — no per-feature charges, no usage caps on lookups.

WISeR pilot states

Highest data quality in OH, TX, CA, AZ, OK, NJ, and WA — the WISeR pilot states where CMS rules are most actively enforced.

Simple pricing

One plan. No surprises.

Unlimited lookups. All states. All programs. Cancel anytime.

Cafe
$99 /month

All states · All programs · All drug classes · Cancel anytime

✓Unlimited PA lookups

✓All 51 states + DC

✓CMS-0057-F + CMS-0062-P verified

✓20 drug classes + 14 service categories

✓Next steps for every rule

✓Gold card law detection

✓Watch alerts for your states

✓Watch alerts for your states

Start Cafe — $99/mo →

Cross-state analysis

Compare

See where PA requirements diverge across states. Standalone or add to Cafe.

$199/mo

Start Compare →

Annual compliance

Compliance

CMS-0057-F + CMS-0062-P gap analysis. Human-reviewed reports with watch alerts.

$1,999/yr

Start Compliance →

CMS-0057-F + CMS-0062-P deadline: January 1, 2027

Your UM team deserves better than fax machines.

Start with 5 seats. Get your team live in under 10 minutes. First month on us if you're not satisfied.

Get started — $99/mo → Talk to sales