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 ...