ADMC
Advance Determination of Medicare Coverage (ADMC) is a process by which Medical Review will provide the supplier and beneficiary with a coverage decision prior to delivery of an item.
Click here for the Advance Determination of Medicare Coverage (ADMC) form.
An ADMC is available as an option only for the following wheelchair base HCPCS codes and related options and accessories:
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(Only if an alternative drive control interface will be provided at the time of initial issue) |
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(Only if an alternative drive control interface will be provided at the time of initial issue) |
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When a particular wheelchair base is eligible for ADMC, all wheelchair options and accessories ordered by the physician for that patient along with the base HCPCS code will be eligible for ADMC.
All requests for ADMC should be submitted to CIGNA Government Services. Clearly indicate “ADMC” on the first page of all requests. Submit your requests in writing by mail or fax to:
CIGNA Government Services
ATTN: ADMC
P.O. Box 20010
Nashville , TN 37202
FAX: 615.782.4647
For additional information concerning the ADMC process and required documentation, please refer to Chapter Nine of the Jurisdiction C Supplier Manual.
