This is the new First Coast Part A Direct Data Entry (DDE) form to add/update/delete user access. This form was updated in March 2020. Any previous versions of this form will not be accepted after July 1, 2020.
CMS and First Coast are waiving the recertification process until further notice.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.