Medical policy

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Reasonable and Necessary Guidelines

View these guidelines regarding what it means for a service to be "reasonable and necessary."

Open meeting fact sheet

The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer comments related to proposed local coverage determinations (LCDs) and/or…

Local and national coverage reference guide

Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).

Volunteer as a CAC member

Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.

Volunteer as a CAC member

Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.

Drugs and biologicals: Self-administered drug exclusions

View this information regarding excluded self-administered injectable drugs.

Humanitarian device exemption

First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the provider follows the specific guidelines and submits the appropriate…

Local and national coverage reference guide

Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).

Contractor Advisory Committee (CAC) meeting fact sheet

The CAC is used to supplement the MAC’s internal expertise and to ensure an unbiased and contemporary consideration of “state of the art” technology and science. Please read this fact sheet for more…

Drugs and biologicals: Self-administered drug exclusions

View this information regarding excluded self-administered injectable drugs.