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.

Access Standards

Advanced Directives

Child HealthCare Check Up

Circumcisions - Newborn

Conducting Medical Record Reviews

Continuity of Care

Covered Services

Cultural Competency Plan

Dental Services

Disenrollment Process

DME Requiring Prior Authorization Review & Pricing

Excluded and Ineligible Populations

Family Planning

Fraud & Abuse Prevention

Hysterectomies, Sterilizations and Abortions

Immunizations

Involuntary Disenrollment

Mandatory and Voluntary Populations

Medical Records Requirements

Network Change Reporting

Pre-Authorization of Medical Services

Primary Care & High Volume Specialists Site Visits

Provider Complaint System

Provider Network Composition and Sufficiency

Provider Termination

Unborn Activation and Newborn Assignment