Quality Improvement Working with You: Member Records and Provider Education
MCNA's Quality Improvement (QI) Program actively monitors the quality and appropriateness of the services you, our network providers, deliver to our members every day. We are committed to working with your office to fulfill state and federal requirements through our QI Program. Our goal is to ensure that members and providers are receiving the full benefit of the Medicaid and CHIP programs in which they participate.
MCNA's monitoring activities often require our representatives to request a sample of member dental records from our providers in order to complete their review. When you signed your Provider Agreement to become a participating provider in our network, you agreed to provide such information to us upon our request. Please also note that you may send an MCNA member's dental records to us without first obtaining their consent. Our team periodically requests records for a variety of reasons, so if your facility is selected and contacted there is no cause for alarm.
If you receive a records request from us, we ask that ...