The Centers for Medicare & Medicaid Services

Under the umbrella of the Department of Health and Human Services, the Centers for Medicare & Medicaid Services (CMS) has the day-to-day responsibility of administering the Medicare program to beneficiaries in the United States and the U.S. territories (Puerto Rico, U.S. Virgin Islands, Guam, and America Samoa and Northern Mariana Islands). First Coast Service Options (First Coast) is contracted with CMS to serve as the Jurisdiction N Medicare Administrative Contractor for Florida, Puerto Rico and the U.S. Virgin Islands.

Agency for Health Care Administration

Working to improve access to affordable, quality health care to all Floridians, the state Agency for Health Care Administration (AHCA) administers Florida’s Medicaid program, licenses and regulates health care providers and health maintenance organizations and publishes health care data and statistics. First Coast provides audit services to AHCA, Florida's Medicaid agency, by auditing costs reported by hospitals.

Federal and State Elected Officials

First Coast works hard to inform Florida’s elected officials concerning changes in Medicare policy so they can better support and educate their constituents.