Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.18.2
Instructions for Submitting ADMC Requests
5.18.2 – Instructions for Submitting ADMC Requests
(Rev. 10190; Issued: 06-19-2020; Effective: 01-01-2020; Implementation: 07-01-
2020)
Suppliers or beneficiaries may submit, in hard copy, requests for ADMC. Requests must
contain adequate information from the patient's medical record to identify the patient for
whom the item is intended, the intended use of the item, and the medical condition of the
patient that necessitates the use of a customized item. Each DME MAC shall publish the
mailing address to which requests should be sent.