Medicaid Provider: Have you checked the YTBC - Medicaid Provider Portal link?

You can find it in the Eligibility, Claim, Pre-Authorization, or Referral pages. With one single click from the MCNA Provider Portal, you can access YourTexasBenefitsCard.com to view Medicaid patients' available health information such as past visits, vaccines, prescription medicines and visit details. You can also view THSteps, verify eligibility and view or print their Medicaid ID cards.

Check the YTBC - Medicaid Provider Portal link today! To get more information regarding this portal integration pilot with Texas Medicaid, visit www.YourTexasBenefitsCard.com and click on the HHS Pilot Packet.

You and your staff play a key role in the establishment of a lifetime of good oral health for our members. We have assembled the following tips to help you provide treatment and services in the most efficient manner.

• Understanding Program Benefits: A full understanding of what is covered for a patient is very important. Being knowledgeable of the covered benefits and the requirements for prior authorization will save time for your staff and ours.
• Chart notes: Ensure that your clinical notes completely document the services and treatments rendered to patients. All details included in chart notes, and office remarks, are essential to supporting medical necessity.
• X-rays: X-rays must be of diagnostic quality. Ensure they are ...

This is an overview of the changes to the policy regarding dental services performed under general anesthesia. We want to confirm that this new policy applies to both dental (D9223) and medical (CPT 00170) anesthesia cases. Below are the steps in the new process for clients who are six (6) years of age or younger:

1. All therapeutic/restorative dental services treatment planned to be performed in conjunction with Level 4 sedation/general anesthesia services must be prior authorized.
2. Any anesthesia provided by either a dental anesthesiologist (billed as D9223)) or a qualified MD, DO or CRNA (billed as CPT 00170) will be indicated on separate form. (see below)
3. The dentist performing the therapeutic dental procedures under general anesthesia is responsible for demonstrating the need for the dental services to be provided under general anesthesia and obtaining prior authorization from MCNA for the dental services.
4. ONLY the dentist submitting the prior authorization request for the dental treatment may perform the dental therapeutic services after the case is approved.
5. The dentist submitting prior authorization request for therapeutic dental procedures under general anesthesia is responsible for providing documentation of MCNA's approval for the dental services to the anesthesiology provider.
6. When general anesthesia services (CPT 00170) are to be ...