MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  April 2017
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1-855-776-6262
 
MCNA's Green Initiative for 2017
MCNA's Green Initiative for 2017

MCNA is committed to being a responsible "green" company by offering our network providers solutions and technology-based innovations that help to streamline administrative processes and reduce the overall amount of waste generated.

Beginning June 1, 2017, MCNA will switch to electronic-only Remittance Advice (RA) documents that will be available to all providers through MCNA's Provider Portal. We will no longer mail paper RAs to your office. You may easily search for, view, save, and print your RAs from your Provider Portal account. All MCNA network providers have access to our free Provider Portal. If you have not already done so, please visit http://portal.mcna.net and click on "Register a New Account" to start using your Provider Portal account today.

We also recommend that you sign up for Electronic Funds Transfer (EFT) with us for faster payment of your claims. Please note, this is not required. After June 1, 2017, you will still be able to receive payments in the form of a paper check mailed to your office.

If you are unable to access MCNA's Provider Portal and need a paper copy of an RA, you can get one by calling our Provider Hotline at 1-855-776-6262 (8 a.m. to 7 p.m., Central Time, Monday through Friday). Our Representatives can produce the document upon request and send it to your office. Please click here to view the informational flyer announcing this upcoming change.

MCNA Updates
MCNA's Green Initiative for 2017

MCNA is committed to being a responsible "green" company by offering our network providers solutions and technology-based innovations that help to streamline administrative processes and reduce the overall amount of waste generated.

Beginning June 1, 2017, MCNA will switch to electronic-only Remittance Advice (RA) documents that will be available to all providers through MCNA's Provider Portal. We will no longer mail paper RAs to your office. You may easily search for, view, save, and print your RAs from your Provider Portal account. All MCNA network providers have access to our free Provider Portal. If you have not already done so, please visit http://portal.mcna.net and click on "Register a New Account" to start using your Provider Portal account today.

We also recommend that you sign up for Electronic Funds Transfer (EFT) with us for faster payment of your claims. Please note, this is not required. After June 1, 2017, you will still be able to receive payments in the form of a paper check mailed to your office.

If you are unable to access MCNA's Provider Portal and need a paper copy of an RA, you can get one by calling our Provider Hotline at 1-855-776-6262 (8 a.m. to 7 p.m., Central Time, Monday through Friday). Our Representatives can produce the document upon request and send it to your office. Please click here to view the informational flyer announcing this upcoming change.

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 MCNA-credentialed provider in the same "brick and mortar" facility in which his or ...

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 MCNA-credentialed provider in the same "brick and mortar" facility in which his or ...

MCNA-YTBC Portal Integration Pilot
MCNA-YTBC Portal Integration Pilot

Effective June 5, 2017, Texas Medicaid will be conducting a provider pilot to integrate the YourTexasBenefitsCard.com (YTBC) Provider Portal with the MCNA Provider Portal. Other managed care organizations (MCOs) and dental maintenance organizations (DMOs) are participating in this pilot. Providers will be able to access the YTBC Portal to view Medicaid patients' available health information with one single click from the MCNA Portal. To get more information regarding this pilot, please click here.

Your Practice
MCNA-YTBC Portal Integration Pilot

Effective June 5, 2017, Texas Medicaid will be conducting a provider pilot to integrate the YourTexasBenefitsCard.com (YTBC) Provider Portal with the MCNA Provider Portal. Other managed care organizations (MCOs) and dental maintenance organizations (DMOs) are participating in this pilot. Providers will be able to access the YTBC Portal to view Medicaid patients' available health information with one single click from the MCNA Portal. To get more information regarding this pilot, please click here.

Volunteering for Change
Volunteering for Change

There are many opportunities in your community where you can donate your time and skills to make a positive change in the lives of children and adults in need of dental care and ...

Quality Improvement
Volunteering for Change

There are many opportunities in your community where you can donate your time and skills to make a positive change in the lives of children and adults in need of dental care and ...

Enhancing Member Understanding
Enhancing Member Understanding

Differences in primary languages and other circumstances like hearing impairments can prevent a patient from understanding the important information they need to know about their ...

Quality Improvement
Enhancing Member Understanding

Differences in primary languages and other circumstances like hearing impairments can prevent a patient from understanding the important information they need to know about their ...

The Benefits of Case Management with MCNA
The Benefits of Case Management with MCNA

MCNA's Case Management Unit assists with the coordination of care for members with special health care needs, members who are pregnant, and those with a catastrophic dental condition, which is defined as 10 or more teeth requiring treatment at one time. A Case Management Coordinator (CMC) works in cooperation with a member's family and/or caregiver(s) to assist with the coordination of dental health care that meets the member's unique needs.

Our CMCs can assist with the following:

  • Liaising between members and providers
  • Ensuring referrals to the dental provider(s) are completed that can accommodate the member's unique needs
  • Ensuring dental treatment and routine care occurs appropriately through ongoing monitoring (for example, reviewing pre-authorizations to ensure all proper documentation is attached for clinical review)
  • Coordinating transportation to and from dental visits with the appropriate vendor
  • Assisting members in coordination of treatment and procedures covered by a health plan
  • Collaborating with other community partners and ...
Utilization Management
The Benefits of Case Management with MCNA

MCNA's Case Management Unit assists with the coordination of care for members with special health care needs, members who are pregnant, and those with a catastrophic dental condition, which is defined as 10 or more teeth requiring treatment at one time. A Case Management Coordinator (CMC) works in cooperation with a member's family and/or caregiver(s) to assist with the coordination of dental health care that meets the member's unique needs.

Our CMCs can assist with the following:

  • Liaising between members and providers
  • Ensuring referrals to the dental provider(s) are completed that can accommodate the member's unique needs
  • Ensuring dental treatment and routine care occurs appropriately through ongoing monitoring (for example, reviewing pre-authorizations to ensure all proper documentation is attached for clinical review)
  • Coordinating transportation to and from dental visits with the appropriate vendor
  • Assisting members in coordination of treatment and procedures covered by a health plan
  • Collaborating with other community partners and ...
Armed Forces Day
Armed Forces Day
May 20
Upcoming Events
Armed Forces Day
May 20
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SMiLE_Boulder
Dental Artwork
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