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CGS Administrators, LLC

IVR: 866.238.9650 Customer Service and myCGS: 866.270.4909

October 3, 2019

New ADMC and PA Submission Forms Now Available!

New versions of the Advanced Determination of Medicare Coverage (ADMC) Request FormPDF and Condition of Payment Prior Authorization (PA) CoversheetPDF are now available!

The new versions of these forms are designed for enhanced Optical Character Recognition in order to help further automate the internal processes we use to make decisions on your ADMC and PA requests. As a result, when you use the new forms your ADMC and PA requests will take less time to process and you will receive decisions faster. Additionally, the new PA Coversheet was redesigned to move the Expedited Request, Initial Request, and Resubmission Request fields to the top of the form to ensure that these fields are easily identified.

We encourage you to begin using the new forms immediately in order to ensure the fastest and most accurate processing of your ADMC and PA requests. You can access both the ADMC Request Form and PA Coversheet on our Forms pagePDF. For information about ADMC and PA, refer to our Medical Review pagePDF and/or the Supplier Manual, Chapter 9PDF.

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