MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  December 2019
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Texas Provider Hotline
1-855-776-6262
Corporate Headquarters
Managed Care of North America
200 West Cypress Creek Road, #500
Fort Lauderdale, Florida 33309
 
Identifying Children of Migrant Farmworkers with MCNA
Identifying Children of Migrant Farmworkers with MCNA

MCNA works to ensure preventive services, including cleanings, prophylaxis, and fluoride treatments, are accessible at an accelerated rate for Children of Migrant Farmworkers (CMFW) whose families must travel out of the area or state for work. We help CMFWs and their families understand the dental benefits available to them and assist them in obtaining these services ahead of periodicity guidelines.

If your office identifies an MCNA member who is a CMFW, it is important that you reach out to our Member Advocate team to share the information. You can contact a Member Advocate using our ...

MCNA Updates
Identifying Children of Migrant Farmworkers with MCNA

MCNA works to ensure preventive services, including cleanings, prophylaxis, and fluoride treatments, are accessible at an accelerated rate for Children of Migrant Farmworkers (CMFW) whose families must travel out of the area or state for work. We help CMFWs and their families understand the dental benefits available to them and assist them in obtaining these services ahead of periodicity guidelines.

If your office identifies an MCNA member who is a CMFW, it is important that you reach out to our Member Advocate team to share the information. You can contact a Member Advocate using our ...

Happy Holidays from MCNA!
Happy Holidays from MCNA!

We wish you, your staff, and your family a very happy holiday season and a cheerful new year. As one of our valued network providers, we appreciate the high-quality dental health care and excellent service our members receive each time they visit your office. We could not serve them without your dedication to good oral health!

We look forward to continuing our partnership with you in 2020 and to continuing to offer the tools, support, and information you need to provide care and services that positively impact the oral and overall health of our members.

MCNA Updates
Happy Holidays from MCNA!

We wish you, your staff, and your family a very happy holiday season and a cheerful new year. As one of our valued network providers, we appreciate the high-quality dental health care and excellent service our members receive each time they visit your office. We could not serve them without your dedication to good oral health!

We look forward to continuing our partnership with you in 2020 and to continuing to offer the tools, support, and information you need to provide care and services that positively impact the oral and overall health of our members.

Using a Patient Responsibility Form
Using a Patient Responsibility Form

A patient responsibility form is a tool for use when an MCNA member's treatment plan requires the provision of services that are not covered by Medicaid and MCNA. It should also be used for elective procedures that are not medically necessary. The form will help you ensure that such treatment is adequately documented in the member's dental record after discussion with the member, or his or her parent or responsible party. To meet the documentation requirements for non-covered services, the form should clearly include the prices of all services and the signature of the member, parent, or responsible party.

MCNA Updates
Using a Patient Responsibility Form

A patient responsibility form is a tool for use when an MCNA member's treatment plan requires the provision of services that are not covered by Medicaid and MCNA. It should also be used for elective procedures that are not medically necessary. The form will help you ensure that such treatment is adequately documented in the member's dental record after discussion with the member, or his or her parent or responsible party. To meet the documentation requirements for non-covered services, the form should clearly include the prices of all services and the signature of the member, parent, or responsible party.

Medicaid Program Integrity Education
Medicaid Program Integrity Education

The Centers for Medicare & Medicaid Services (CMS) continuously works to improve its Medicaid Program Integrity Education (MPIE) website. This site provides resources to educate providers, beneficiaries, and other stakeholders in promoting best practices and awareness of Medicaid fraud, waste, and abuse.

The MPIE website provides 24/7 access to the most current Medicaid Program Integrity education materials, including ...

MCNA Updates
Medicaid Program Integrity Education

The Centers for Medicare & Medicaid Services (CMS) continuously works to improve its Medicaid Program Integrity Education (MPIE) website. This site provides resources to educate providers, beneficiaries, and other stakeholders in promoting best practices and awareness of Medicaid fraud, waste, and abuse.

The MPIE website provides 24/7 access to the most current Medicaid Program Integrity education materials, including ...

Guidelines for X-rays
Guidelines for X-rays

X-rays are invaluable as supporting documentation for submissions like claims and pre-authorization requests. To ensure that MCNA is able to use the x-rays you submit for their intended purpose, they must meet the following minimum requirements:

  • Must be of diagnostic quality
  • Must be labeled with the member's name
  • Must be labeled with the date x-rays were taken
  • All x-rays must be labeled as Right or Left

Submitting an x-ray that does not meet the requirements listed above may delay the adjudication of a claim or the approval of a pre-authorization request.

If you have a question about the requirements for submitting x-rays to MCNA, please call our Provider Hotline at 1-855-776-6262 (8 a.m. to 7 p.m., Central Time, Monday through Friday).

MCNA Updates
Guidelines for X-rays

X-rays are invaluable as supporting documentation for submissions like claims and pre-authorization requests. To ensure that MCNA is able to use the x-rays you submit for their intended purpose, they must meet the following minimum requirements:

  • Must be of diagnostic quality
  • Must be labeled with the member's name
  • Must be labeled with the date x-rays were taken
  • All x-rays must be labeled as Right or Left

Submitting an x-ray that does not meet the requirements listed above may delay the adjudication of a claim or the approval of a pre-authorization request.

If you have a question about the requirements for submitting x-rays to MCNA, please call our Provider Hotline at 1-855-776-6262 (8 a.m. to 7 p.m., Central Time, Monday through Friday).

MCNA's Tooth Tribune
MCNA's Tooth Tribune

The Tooth Tribune, MCNA's member newsletter, delivers tips and information geared toward children's dental health in an easy-to-understand format. Published twice annually, the member newsletter is available for download on MCNA's Facebook page. We encourage you to download the latest edition and print a few copies for the children's area at your office.

Children's Corner
MCNA's Tooth Tribune

The Tooth Tribune, MCNA's member newsletter, delivers tips and information geared toward children's dental health in an easy-to-understand format. Published twice annually, the member newsletter is available for download on MCNA's Facebook page. We encourage you to download the latest edition and print a few copies for the children's area at your office.

National Buffet Day - January 2
National Buffet Day - January 2

Take one last pass down the buffet line on National Buffet Day before you get started on your New Year's resolutions. National Buffet Day celebrates our love of the wide array of choice on the buffet line. While the concept of the buffet grew from traditions in Sweden and France, the American version of the "all-you-can-eat" buffet started in Las Vegas. The El Rancho Vegas put on their Buckaroo Buffet, complete with selections of cold cuts, salad, and seafood, for just $1 to entice new patrons and keep current customers happy. It was such a hit that other hotels and casinos on the Strip copied the idea, creating a buffet culture that has become iconic to the city.

Upcoming Events
National Buffet Day - January 2

Take one last pass down the buffet line on National Buffet Day before you get started on your New Year's resolutions. National Buffet Day celebrates our love of the wide array of choice on the buffet line. While the concept of the buffet grew from traditions in Sweden and France, the American version of the "all-you-can-eat" buffet started in Las Vegas. The El Rancho Vegas put on their Buckaroo Buffet, complete with selections of cold cuts, salad, and seafood, for just $1 to entice new patrons and keep current customers happy. It was such a hit that other hotels and casinos on the Strip copied the idea, creating a buffet culture that has become iconic to the city.