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Texas Edition  •  November 2017
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Provider Portal Integration with HHSC Medicaid 'Your Texas Benefits Card'
Provider Portal Integration with HHSC Medicaid 'Your Texas Benefits Card'

Texas Medicaid invited managed care organizations and dental maintenance organizations to integrate with the YourTexasBenefitsCard (YTBC) provider portal and access Medicaid eligibility and available health information with a single click. Superior and MCNA are participating and providers can view their Medicaid patients' information directly through the YTBC link on their MCO's and DMO's portals. The integration reduces the burden on the organizations to implement this functionality themselves, while cost effectively improving access to information across the Medicaid healthcare continuum to promote more effective monitoring of services rendered and improve the overall quality of care.

If you are a Medicaid provider, check the YTBC - Medicaid Provider Portal link today to verify patients' eligibility, view their Medicaid ID cards, THSteps Alerts, and available health information such as past visits, diagnoses, treatments, vaccines, and prescription medicines.

For more information, visit www.YourTexasBenefitsCard.com, and click on the 'HHS Pilot Packet', or call the YTBC Help Desk at 1-855-827-3747.

MCNA Updates
Provider Portal Integration with HHSC Medicaid 'Your Texas Benefits Card'

Texas Medicaid invited managed care organizations and dental maintenance organizations to integrate with the YourTexasBenefitsCard (YTBC) provider portal and access Medicaid eligibility and available health information with a single click. Superior and MCNA are participating and providers can view their Medicaid patients' information directly through the YTBC link on their MCO's and DMO's portals. The integration reduces the burden on the organizations to implement this functionality themselves, while cost effectively improving access to information across the Medicaid healthcare continuum to promote more effective monitoring of services rendered and improve the overall quality of care.

If you are a Medicaid provider, check the YTBC - Medicaid Provider Portal link today to verify patients' eligibility, view their Medicaid ID cards, THSteps Alerts, and available health information such as past visits, diagnoses, treatments, vaccines, and prescription medicines.

For more information, visit www.YourTexasBenefitsCard.com, and click on the 'HHS Pilot Packet', or call the YTBC Help Desk at 1-855-827-3747.

Special Care: Serving Young Children with Special Health Care Needs
Special Care: Serving Young Children with Special Health Care Needs

Families who have children with special health care needs face many challenges in securing the appropriate dental and health care services. Providing optimum oral health care for children with special health care needs starts with the creation of a ...

Quality Improvement
Special Care: Serving Young Children with Special Health Care Needs

Families who have children with special health care needs face many challenges in securing the appropriate dental and health care services. Providing optimum oral health care for children with special health care needs starts with the creation of a ...

Focus on Prevention: Dental Sealants
Focus on Prevention: Dental Sealants

At MCNA, we take great pride in delivering access to high quality dental care and services to our members with the help of our outstanding network of providers. We focus on the prevention of oral disease for the children enrolled in Medicaid and CHIP programs to help them avoid painful dental decay, missed hours at school, and costly ...

Quality Improvement
Focus on Prevention: Dental Sealants

At MCNA, we take great pride in delivering access to high quality dental care and services to our members with the help of our outstanding network of providers. We focus on the prevention of oral disease for the children enrolled in Medicaid and CHIP programs to help them avoid painful dental decay, missed hours at school, and costly ...

Identifying and Reporting Suspected Abuse and Neglect
Identifying and Reporting Suspected Abuse and Neglect

According to the American Academy of Pediatric Dentistry (AAPD), physicians and dentists are required to ...

Your Practice
Identifying and Reporting Suspected Abuse and Neglect

According to the American Academy of Pediatric Dentistry (AAPD), physicians and dentists are required to ...

Claim Tip: Requesting Changes to Claims
Claim Tip: Requesting Changes to Claims

If you need to submit changes to a claim that you have already sent to MCNA, please keep in mind the following tips ...

MCNA Updates
Claim Tip: Requesting Changes to Claims

If you need to submit changes to a claim that you have already sent to MCNA, please keep in mind the following tips ...

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 her main dentist practices without changing the ...

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 her main dentist practices without changing the ...

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 oral health and treatment options.

The good news is that MCNA can help you overcome communication barriers when you treat one of ...

Communication
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 oral health and treatment options.

The good news is that MCNA can help you overcome communication barriers when you treat one of ...

Dr. Yum
Dr. Yum

The Dr. Yum Project started in 2011 as a website dedicated to teaching families about the benefits of healthy eating to combat childhood obesity. It has grown over time into a project designed to carry out the mission of transforming "the lives of families and communities by providing an understanding of the connection between food and overall health, as well as empowering them with the tools to live a healthy life."

This prolific organization offers many ...

Children's Corner
Dr. Yum

The Dr. Yum Project started in 2011 as a website dedicated to teaching families about the benefits of healthy eating to combat childhood obesity. It has grown over time into a project designed to carry out the mission of transforming "the lives of families and communities by providing an understanding of the connection between food and overall health, as well as empowering them with the tools to live a healthy life."

This prolific organization offers many ...

Winter Holiday Season
Winter Holiday Season

The end of the year is jam-packed with festivals and holidays celebrating beliefs from many different cultural backgrounds. Here is a quick reminder about the major events that inspire all of the festivities we enjoy during the upcoming month:

  • Hanukkah: December 6 through 14
    • The eight-day festival of light symbolized by the eight candles of the menorah. Gatherings and festivities involve traditional foods, gifts, and games.
  • Christmas Day: December 25
    • The day commemorating and celebrating the birth of Jesus Christ symbolized by nativity scenes and a decorated evergreen tree. Observations of this day involve music and carols, along with traditional foods and gifts.
  • Kwanzaa: December 26 - January 1
    • The seven-day festival of harvest symbolized by the seven candles of the kinara, the seven symbols, and the seven principles. Gatherings and festivities include African drums, singing and dancing, along with a large traditional meal.
  • New Year's Eve: December 31
    • The last day of the year and the close of the holiday season that is celebrated across the world with parties and countdowns during the final seconds before midnight.
Upcoming Events
Winter Holiday Season

The end of the year is jam-packed with festivals and holidays celebrating beliefs from many different cultural backgrounds. Here is a quick reminder about the major events that inspire all of the festivities we enjoy during the upcoming month:

  • Hanukkah: December 6 through 14
    • The eight-day festival of light symbolized by the eight candles of the menorah. Gatherings and festivities involve traditional foods, gifts, and games.
  • Christmas Day: December 25
    • The day commemorating and celebrating the birth of Jesus Christ symbolized by nativity scenes and a decorated evergreen tree. Observations of this day involve music and carols, along with traditional foods and gifts.
  • Kwanzaa: December 26 - January 1
    • The seven-day festival of harvest symbolized by the seven candles of the kinara, the seven symbols, and the seven principles. Gatherings and festivities include African drums, singing and dancing, along with a large traditional meal.
  • New Year's Eve: December 31
    • The last day of the year and the close of the holiday season that is celebrated across the world with parties and countdowns during the final seconds before midnight.