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.

Human-verified rules Monitored daily by our team Source-linked and confidence-scored

Start 5-seat trial — $245/mo → See a live demo

10,402

Verified PA rules

States covered

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

GLP-1 — weight loss

PA Required

Program

Medicaid FFS

PA type

Full

Turnaround

7 days standard

Submit to enrollee's MCO. Step therapy required — document prior treatment failure.

              What to do next
            

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

High confidence 2026-04-01

California

Metformin — diabetes

No PA Required

Program

Medicaid MCO

PA type

—

Turnaround

No auth needed

Preferred formulary placement. Proceed without authorization.

High confidence 2026-03-15

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 ready

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

API included

Every Cafe seat comes with API access. Connect your UM system, EHR, or PA platform directly at api.auth57.io.

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.

Drugs data

20 drug classes including GLP-1, biologics, oncology oral, and more.

+$99/mo

Scale up

More seats

Add seats anytime. Volume discounts at 20+ seats.

Enterprise

Custom contract

SSO, dedicated support, SLA, custom data delivery.

Talk to us →

Stop chasing PDFs. The rules just changed again.