MCNA is committed to maintaining the highest level of professional and ethical standards. To achieve our goals, we maintain a comprehensive Compliance Program to ensure we continue to provide the highest quality services in an ethical manner and in compliance with state and federal regulations.

Our Compliance Program was developed in accordance with 42 CFR § 438.608, and incorporates all relevant state and federal laws, regulations, and guidance issued by state agencies, CMS, and the Office of Inspector General. MCNA creates and maintains corporate policies and procedures that ...

At MCNA, we continually evaluate our services to ensure that we provide you with the best tools to help you effectively manage your practice. We are pleased to be able to offer you electronic funds transfer (EFT) as a convenient way to save time and hassle when it comes to cash management in your office.

EFTs allow MCNA to complete the payment of your claims by electronically depositing funds directly into the bank account you designate instead of sending paper checks. Whenever MCNA completes an EFT transaction into your bank account, you will receive an email confirmation as well as an electronic copy of your Remittance Advice (RA) at the email address you provide.

If your office is not currently taking advantage of EFT payment services with MCNA, we encourage you to contact us today to request a copy of our Direct ...

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.

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.

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 1-844-902-6262 (6 a.m. to 6 p.m., Mountain Time, Monday through Friday).