First Coast Advantage (FCA) is a Provider Service Network (PSN), established and operated by Shands Jacksonville, that coordinates benefits for Medicaid Members under the State's Medicaid Reform Plan. FCA is required by AHCA (Agency for Healthcare Administration) to provide certain policies and procedures for our contracted providers upon written or oral request.
For easy reference, we have provided some of these policies below. FCA will provide written notice, which may be via electronic transmission or by mail, of material changes to these policies. If there are questions regarding the policies please contact Provider Relations at 904-244-9174.
Advanced Directives
Conducting Medical Record Reviews
DME Requiring Prior Authorization Review & Pricing
Excluded and Ineligible Populations
Hysterectomies, Sterilizations and Abortions
Mandatory and Voluntary Populations
Pre-Authorization of Medical Services
Primary Care & High Volume Specialists Site Visits
Provider Network Composition and Sufficiency
Unborn Activation and Newborn Assignment