MCNA Dental: Dental Details: Texas Edition: October 2015

MCNA Dental

Dental Details • Monthly Provider Newsletter

Texas Edition • October 2015

MCNA Dental

Dental Details

Monthly Provider Newsletter

Texas Edition • October 2015

Issue Homepage

MCNA Updates

Your Practice

Important Reminder: Deadline for Texas Medicaid Re-enrollment

Children's Corner

Mouth Healthy Activities

Utilization Management

The Benefits of Case Management with MCNA

Dental Artwork

Perfect Smile - No Carving Necessary!

Upcoming Events

Thanksgiving

MCNA Dental

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Texas Provider Hotline

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Important Reminder: Deadline for Texas Medicaid Re-enrollment As the result of a new federal regulation, all Texas Medicaid providers must periodically revalidate their enrollment in the Medicaid program. Any Texas Medicaid provider that enrolled in Medicaid prior to January 1, 2013, must begin the re-enrollment process immediately in order to remain a participating provider in MCNA's network. We strongly encourage you to begin this process as soon ... Your Practice Important Reminder: Deadline for Texas Medicaid Re-enrollment As the result of a new federal regulation, all Texas Medicaid providers must periodically revalidate their enrollment in the Medicaid program. Any Texas Medicaid provider that enrolled in Medicaid prior to January 1, 2013, must begin the re-enrollment process immediately in order to remain a participating provider in MCNA's network. We strongly encourage you to begin this process as soon ... Read More »	Second-Level Provider Appeals A second-level provider appeal may be requested for a denial based on Medicaid medical necessity determinations. Please use one of the following submission methods when requesting a second-level provider appeal with MCNA: By fax to 1-954-628-3330 By mail to: MCNA Dental 200 West Cypress Creek Road, Suite ... MCNA Updates Second-Level Provider Appeals A second-level provider appeal may be requested for a denial based on Medicaid medical necessity determinations. Please use one of the following submission methods when requesting a second-level provider appeal with MCNA: By fax to 1-954-628-3330 By mail to: MCNA Dental 200 West Cypress Creek Road, Suite ... Read More »
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 that member's unique needs. Our CMCs can assist with ... 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 that member's unique needs. Our CMCs can assist with ... Read More »
Uncovering Cases of Suspected Abuse or Dental Neglect When your evaluation of a patient reveals what you suspect are signs of child abuse and/or dental neglect, determining your next step can be difficult. All dental providers are required by law to report suspected cases of child abuse or dental neglect to the appropriate authorities. Dental neglect is the result of the "willful failure of [the] parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection," according to the AAPD. It is important to remember that the failure to ... MCNA Updates Uncovering Cases of Suspected Abuse or Dental Neglect When your evaluation of a patient reveals what you suspect are signs of child abuse and/or dental neglect, determining your next step can be difficult. All dental providers are required by law to report suspected cases of child abuse or dental neglect to the appropriate authorities. Dental neglect is the result of the "willful failure of [the] parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection," according to the AAPD. It is important to remember that the failure to ... Read More »
Mouth Healthy Activities In need of some fresh activity sheets to keep your young patients occupied? The ADA's Mouth Healthy Kids website offers these fun choices: A-MAZE-ing Message Word Decoder Finders Keepers Send a Smile! Children's Corner Mouth Healthy Activities In need of some fresh activity sheets to keep your young patients occupied? The ADA's Mouth Healthy Kids website offers these fun choices: A-MAZE-ing Message Word Decoder Finders Keepers Send a Smile! Read More »
Thanksgiving November 26th Upcoming Events Thanksgiving November 26th Read More »	Perfect Smile - No Carving Necessary! Dental Artwork Perfect Smile - No Carving Necessary! Read More »