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).