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CGS Administrators, LLC

IVR: 866.238.9650 Customer Service and myCGS: 866.270.4909

July 5, 2016

Requesting a Reopening Based on the Implementation of Section 2 of the Patient Access and Medicare Protection Act (PAMPA)

Based on the implementation of Section 2 of the Patient Access and Medicare Protection Act (PAMPA), certain wheelchair accessories that are furnished with Group 3 Complex Rehabilitative Power Wheelchairs that were processed before July 1, 2016, can be submitted to receive the full fee schedule amount.  A list of accessories affected by this implementation, as well as additional information about PAMPA, is available in MLN Matters Article SE1614External PDF

You can submit claims for adjustment that meet the criteria for PAMPA on or after July 5, 2016. If submitting a request in the form of a spreadsheet, please include the information below:

Spreadsheets may be faxed to 615.782.4649 or mailed to CGS, PO Box 20010, Nashville, TN 37202.

NOTE: Please send only one request per PTAN with your spreadsheet.

For additional information, refer to MLN Matters Article SE1614External PDF

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