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October 22, 2021

Suppliers, only submit Prior Authorization and Advanced Determination of Medicare Coverage requests ONCE.

CGS has noticed a trend where suppliers are submitting Prior Authorization (PA) requests and Advanced Determination of Medicare Coverage (ADMC) requests via both fax machine and the DME myCGS web portal. You should only submit these forms one time. There is no need to submit through two different methods “just in case.”

The preferred method of submission is the myCGS web portal, as it is fast and efficient, and you can check the status directly through myCGS.

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