MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  May 2018
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1-855-776-6262
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Managed Care of North America
200 West Cypress Creek Road, #500
Fort Lauderdale, Florida 33309
 
New ADA Policy on Opioids
New ADA Policy on Opioids

In March, the American Dental Association (ADA) announced a new interim policy designed to combat the opioid epidemic. The ADA's interim policy supports mandatory continuing education for dentists about prescribing opioids and other controlled substances. It also supports limits on opioid dosage and duration of no more than seven days for the treatment of acute pain, and the utilization of prescription drug monitoring programs.

According to the ADA, the interim policy was adopted to guide the organization's advocacy efforts centered on the role of dental professionals in preventing opioid abuse. Click here to see the ADA's collected policies and recommendations on substance use disorders, including the new Interim Board Policy on Opioid Prescribing. For more information about prescription opioid abuse, visit the ADA's website.

Your Practice
New ADA Policy on Opioids

In March, the American Dental Association (ADA) announced a new interim policy designed to combat the opioid epidemic. The ADA's interim policy supports mandatory continuing education for dentists about prescribing opioids and other controlled substances. It also supports limits on opioid dosage and duration of no more than seven days for the treatment of acute pain, and the utilization of prescription drug monitoring programs.

According to the ADA, the interim policy was adopted to guide the organization's advocacy efforts centered on the role of dental professionals in preventing opioid abuse. Click here to see the ADA's collected policies and recommendations on substance use disorders, including the new Interim Board Policy on Opioid Prescribing. For more information about prescription opioid abuse, visit the ADA's website.

The Main Dental Home
The Main Dental Home

Texas defines a Main Dental Home (MDH) as the dental provider that supports an ongoing relationship with the client that includes all aspects of oral health care delivered in a comprehensive, continuously accessible, coordinated, and family-centered way. A member can see his or her MDH Provider, or main dentist, at any location in which the provider is credentialed with MCNA.

A member can also see any MCNA-credentialed provider in the same "brick and mortar" facility in which his or her main dentist practices without changing the ...

Your Practice
The Main Dental Home

Texas defines a Main Dental Home (MDH) as the dental provider that supports an ongoing relationship with the client that includes all aspects of oral health care delivered in a comprehensive, continuously accessible, coordinated, and family-centered way. A member can see his or her MDH Provider, or main dentist, at any location in which the provider is credentialed with MCNA.

A member can also see any MCNA-credentialed provider in the same "brick and mortar" facility in which his or her main dentist practices without changing the ...

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.

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. Click here to download now.

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. Click here to download now.

Summer Solstice - June 21
Summer Solstice - June 21

The summer solstice is the longest day of the year and the meteorological start of summer. On this day in the Northern Hemisphere, the sun travels the longest path through the sky resulting in the most daylight hours. This annual event has been celebrated throughout history by many cultures as a sacred day through ceremonies and the construction of monuments. To learn more about solstice history, visit the National Geographic website.

Upcoming Events
Summer Solstice - June 21

The summer solstice is the longest day of the year and the meteorological start of summer. On this day in the Northern Hemisphere, the sun travels the longest path through the sky resulting in the most daylight hours. This annual event has been celebrated throughout history by many cultures as a sacred day through ceremonies and the construction of monuments. To learn more about solstice history, visit the National Geographic website.