MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  May 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
 
ADA Policy on Opioids
ADA Policy on Opioids

The American Dental Association's (ADA's) Policy on Opioid Prescribing has been designed to combat the opioid epidemic. This important 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 ...

Your Practice
ADA Policy on Opioids

The American Dental Association's (ADA's) Policy on Opioid Prescribing has been designed to combat the opioid epidemic. This important 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 ...

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 ...

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 ...

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.

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 Fresh Fruits and Vegetables Month - June
National Fresh Fruits and Vegetables Month - June

June marks the beginning of the growing season when fresh fruits and vegetables rule. Take advantage of the healthy and nutritious produce available locally and celebrate National Fresh Fruits and Vegetables Month. For some fruit and veggie fact sheets that you can download and share with your patients and encourage them to make healthy food choices for better oral health, click here.

Upcoming Events
National Fresh Fruits and Vegetables Month - June

June marks the beginning of the growing season when fresh fruits and vegetables rule. Take advantage of the healthy and nutritious produce available locally and celebrate National Fresh Fruits and Vegetables Month. For some fruit and veggie fact sheets that you can download and share with your patients and encourage them to make healthy food choices for better oral health, click here.

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.