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Prior authorization program for certain hospital outpatient department services - claim submission guidelines

May 11, 2026
Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14-byte unique tracking number (UTN) number…

First Coast’s live chat

April 30, 2026
Learn more about our live chat feature.

Botulinum toxin injections

April 29, 2026
Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and excessive muscle contractions, such as dystonia, spasms, and twitches.

Drugs and biologicals Part B: Using the JW and JZ modifiers

April 28, 2026
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.

MLN Connects for September 5, 2024

April 27, 2026
This edition includes information on National Recovery Month, prior authorization for osteogenesis stimulators, new code for Kisunla drug, and more.

MLN Matters articles: Third quarter 2023

May 14, 2026
This table of MLN Matters articles includes articles released by CMS from July through September.

MLN Connects for October 17, 2024

April 27, 2026
This edition includes information on the upcoming HCPCS public meeting, health literacy for patients, PrEP for HIV billing, and more.

Enrollment Gateway

May 8, 2026
The provider enrollment gateway can be used as a secure mechanism for providers and suppliers to upload paper enrollment applications, submit responses to development requests for an application submitted through the gateway, request a c

Stay of enrollment

May 11, 2026
Update: Providers have reported that stay of enrollment letters have been found in their spam folder when sent via email. Please ensure your spam folder is monitored for any provider enrollment correspondence.

Form 480.6A -- "Informativa de Ingreso"

May 13, 2026
As a MAC, First Coast does not provide the "Informativa de Ingreso 480.6A" or an equivalent document disclosing the provider's annual reimbursement to providers in Puerto Rico or the U.S. Virgin Islands. This article provides options to acc…
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