The MCNA Provider Manual is your primary resource for important program information, including documentation and claims submission requirements for all covered service codes. You can access the most current version of the Provider Manual online through your Provider Portal account.

As a best practice, please remember to check the home page of your Provider Portal account often for announcements regarding the Provider Manual. We post notification for all providers when a newly updated version of the manual is available for download.

A non-covered services form is a tool for use when an MCNA member's treatment plan requires the provision of services that are not covered by Medicaid and MCNA. It should also be used for elective procedures that are not medically necessary. The form will help you ensure that such treatment is adequately documented in the member's dental record after discussion with the member, or his or her parent or responsible party. To meet the documentation requirements for non-covered services, the form should clearly include ...

Our talented Provider Relations team knows that the key to providing excellent service to our network providers and members is ensuring that the information we have on file for your practice is up-to-date. When we are able to process new information about practice moves, the addition of practice locations, and new provider hires in a timely manner, our members will be better able to find you using our online Provider Directory tool. Letting us know about any changes in information also helps us ensure your payments are ...