MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  December 2018
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1-855-776-6262
 
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 ...

Spotlight on MCNA's Leaders: Linda Altenhoff, DDS
Spotlight on MCNA's Leaders: Linda Altenhoff, DDS

Our Texas leadership team supports MCNA's mission to promote good oral health by increasing access to high quality dental care for our members in their communities across the state. Our leaders use their own unique expertise and experience to connect with the provider community and guide our program to best serve to the children of Texas.

Dr. Linda Altenhoff serves as our Vice President of Program Integrity. She provides expert clinical consultation to MCNA's Special Investigations Unit and guides our program integrity activities within the Texas Medicaid and CHIP Program and throughout our nationwide operations.

A Texas-licensed general dentist, Dr. Altenhoff has over ...

MCNA Updates
Spotlight on MCNA's Leaders: Linda Altenhoff, DDS

Our Texas leadership team supports MCNA's mission to promote good oral health by increasing access to high quality dental care for our members in their communities across the state. Our leaders use their own unique expertise and experience to connect with the provider community and guide our program to best serve to the children of Texas.

Dr. Linda Altenhoff serves as our Vice President of Program Integrity. She provides expert clinical consultation to MCNA's Special Investigations Unit and guides our program integrity activities within the Texas Medicaid and CHIP Program and throughout our nationwide operations.

A Texas-licensed general dentist, Dr. Altenhoff has over ...

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 2019 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 2019 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.

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).

Documenting a Member's Preferred Language
Documenting a Member's Preferred Language

MCNA believes that clear and accurate health information is essential to the delivery of quality oral health care. One way we assist your office is by offering interpretation assistance for MCNA members with limited English proficiency. If your office encounters a member whose primary language is not English or faces other communication barriers, it is important that you clearly document his or her preferred language in the dental record. Having a record of the member's preferred language is a ...

Your Practice
Documenting a Member's Preferred Language

MCNA believes that clear and accurate health information is essential to the delivery of quality oral health care. One way we assist your office is by offering interpretation assistance for MCNA members with limited English proficiency. If your office encounters a member whose primary language is not English or faces other communication barriers, it is important that you clearly document his or her preferred language in the dental record. Having a record of the member's preferred language is a ...

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.