MCNA Dental
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Texas Edition  •  April 2019
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The Benefits of Case Management with MCNA
The Benefits of Case Management with MCNA

MCNA's Case Management Unit assists with the coordination of care for members with special health care needs, members who are pregnant, and those with a catastrophic dental condition, which is defined as 10 or more teeth requiring treatment at one time. A Case Management Coordinator (CMC) works in cooperation with a member's family and/or caregiver(s) to assist with the coordination of dental health care that meets the member's unique needs.

Our CMCs can assist with the following:

  • Liaising between members and providers
  • Ensuring referrals to the dental provider(s) are completed that can accommodate the member's unique needs
  • Ensuring dental treatment and routine care occurs appropriately through ongoing monitoring (for example, reviewing pre-authorizations to ensure all proper documentation is attached for clinical review)
  • Coordinating transportation to and from dental visits with the appropriate vendor
  • Assisting members in coordination of treatment and procedures covered by a health plan
  • Collaborating with other community partners and ...
Utilization Management
The Benefits of Case Management with MCNA

MCNA's Case Management Unit assists with the coordination of care for members with special health care needs, members who are pregnant, and those with a catastrophic dental condition, which is defined as 10 or more teeth requiring treatment at one time. A Case Management Coordinator (CMC) works in cooperation with a member's family and/or caregiver(s) to assist with the coordination of dental health care that meets the member's unique needs.

Our CMCs can assist with the following:

  • Liaising between members and providers
  • Ensuring referrals to the dental provider(s) are completed that can accommodate the member's unique needs
  • Ensuring dental treatment and routine care occurs appropriately through ongoing monitoring (for example, reviewing pre-authorizations to ensure all proper documentation is attached for clinical review)
  • Coordinating transportation to and from dental visits with the appropriate vendor
  • Assisting members in coordination of treatment and procedures covered by a health plan
  • Collaborating with other community partners and non-profit organizations to assist with non-covered services

If you know of a member who you think would benefit from the services provided by our Case Management Unit, please let us know! Email us your request for case management assistance to casemanagement@mcna.net, or fax it to 954-272-8944.