MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  September 2022
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1-855-776-6262
 
Provider Information Updates
Provider Information Updates

Keeping MCNA updated of any changes in information regarding your practice is required and must be submitted to MCNA and Texas Medicaid & Healthcare Partnership (TMHP) in writing. The types of changes covered by this requirement and any specific time frames associated with them are listed below:

  • Changes in license status, board actions, address, phone number, or name changes, DBA, or Tax ID - Immediate notification required
  • Removal of a treating dentist - 30 days prior notice required
  • Addition of a new treating dentist - Three (3) to four (4) ...
Communication
Provider Information Updates

Keeping MCNA updated of any changes in information regarding your practice is required and must be submitted to MCNA and Texas Medicaid & Healthcare Partnership (TMHP) in writing. The types of changes covered by this requirement and any specific time frames associated with them are listed below:

  • Changes in license status, board actions, address, phone number, or name changes, DBA, or Tax ID - Immediate notification required
  • Removal of a treating dentist - 30 days prior notice required
  • Addition of a new treating dentist - Three (3) to four (4) weeks prior notice required
  • Termination of network participation - 90 days prior notice required to allow for continuity of care coordination

Your office may contact the TMHP by phone or by mail:

  • Mail: TMHP, Attn: Provider Enrollment Department, P.O. Box 200795, Austin, TX 78720-0795
  • Phone: 1-800-925-9126, option 3

You can report changes to MCNA by mail, email, or fax:

  • Mail: MCNA Dental, Attn: Texas Network Development, P.O. Box 29008, San Antonio, Texas 78229
  • Email: provider_enrollment@mcna.net
  • Fax: 1-877-563-8560

If you have any questions about reporting information updates for your office, please call the MCNA's Provider Hotline at at 1-855-776-6262 (8 a.m. to 7 p.m., Central Time, Monday through Friday).