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Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
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Last Modified: 7/29/2020 Location: FL, PR, USVI Business: Part A, Part B

Difference between LCDs and NCDs FAQ

Q: What is the difference between LCDs and NCDs?
A. Local coverage determinations (LCDs) for a specific jurisdiction are developed by the Medicare Administrative Contractor (MAC) assigned to that jurisdiction. First Coast Service Options Inc. is the MAC for Florida, Puerto Rico, and the U.S. Virgin Islands. Although the majority of coverage determinations are local, in certain cases, the Centers for Medicare & Medicaid Services (CMS) may develop a national coverage determination (NCD) that is applicable to all jurisdictions.
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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.