MCNA Dental
Dental Details  •  Monthly Provider Newsletter
Texas Edition  •  August 2022
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Fraud Reporting
Fraud Reporting

In our commitment to prevent fraud and abuse, MCNA has implemented a program integrity component of our Compliance Program. We monitor and maintain integrity by implementing the following activities:

  • Duplicate payment prevention
  • Post-payment utilization review to detect fraud and abuse
  • Internal controls to ...
Communication
Fraud Reporting

In our commitment to prevent fraud and abuse, MCNA has implemented a program integrity component of our Compliance Program. We monitor and maintain integrity by implementing the following activities:

  • Duplicate payment prevention
  • Post-payment utilization review to detect fraud and abuse
  • Internal controls to ...
Marketing Rules
Marketing Rules

We strongly encourage all providers to review the marketing rules set forth by the Texas Health and Human Services Commission (HHSC) and ensure your practice is adhering to them. HHSC's marketing rules define how MCNA (the Managed Care Organization or MCO) and our contracted providers may market and advertise to potential Medicaid and CHIP members and their families.

For your convenience, we have listed them below. These marketing rules may also be found in MCNA's Provider Manual.

  • Providers are permitted to educate/inform their patients about the CHIP/Medicaid Managed Care Programs in which they participate.
  • Providers may inform their patients of the ...
Communication
Marketing Rules

We strongly encourage all providers to review the marketing rules set forth by the Texas Health and Human Services Commission (HHSC) and ensure your practice is adhering to them. HHSC's marketing rules define how MCNA (the Managed Care Organization or MCO) and our contracted providers may market and advertise to potential Medicaid and CHIP members and their families.

For your convenience, we have listed them below. These marketing rules may also be found in MCNA's Provider Manual.

  • Providers are permitted to educate/inform their patients about the CHIP/Medicaid Managed Care Programs in which they participate.
  • Providers may inform their patients of the ...
Case Management Assistance
Case Management Assistance

MCNA has dedicated Case Managers to assist members with special health care needs in coordinating dental care with their Main Dental Home and specialty providers.

Members or providers may contact Case Management at casemanagement@mcna.net to initiate the assessment process for members with conditions that are medically compromising or who are otherwise physically or mentally disabled. Our Case Managers will act as a liaison between the member and provider in all aspects of arranging care including coordinating travel arrangements and communication services, facilitating treatment prior authorization, and other needs while the member is in active care. They also assist in scheduling follow-up appointments.

Your Practice
Case Management Assistance

MCNA has dedicated Case Managers to assist members with special health care needs in coordinating dental care with their Main Dental Home and specialty providers.

Members or providers may contact Case Management at casemanagement@mcna.net to initiate the assessment process for members with conditions that are medically compromising or who are otherwise physically or mentally disabled. Our Case Managers will act as a liaison between the member and provider in all aspects of arranging care including coordinating travel arrangements and communication services, facilitating treatment prior authorization, and other needs while the member is in active care. They also assist in scheduling follow-up appointments.

Reminder: Check on Approved Pre-Authorizations
Reminder: Check on Approved Pre-Authorizations

The Provider Relations Team has recently identified a trend of unused pre-authorizations amongst our network of participating provider offices. We encourage all providers to be proactive and check MCNA's Provider Portal regularly for approved pre-authorizations. MCNA also recommends routinely checking on your recall process to ensure that members with active, approved pre-authorizations on file are ...

Your Practice
Reminder: Check on Approved Pre-Authorizations

The Provider Relations Team has recently identified a trend of unused pre-authorizations amongst our network of participating provider offices. We encourage all providers to be proactive and check MCNA's Provider Portal regularly for approved pre-authorizations. MCNA also recommends routinely checking on your recall process to ensure that members with active, approved pre-authorizations on file are ...

Reminder: Missed Appointments
Reminder: Missed Appointments

MCNA is here to help your office address missed appointments. Our members have a responsibility to attend all scheduled appointments. Please let us know if you need assistance with an MCNA member who ...

MCNA Updates
Reminder: Missed Appointments

MCNA is here to help your office address missed appointments. Our members have a responsibility to attend all scheduled appointments. Please let us know if you need assistance with an MCNA member who ...

The Dentist - Oil on Canvas, 1929
The Dentist - Oil on Canvas, 1929

The Dentist, painted by Sir John Lavery, depicts Conrad Ackner performing surgery on his wife at his dental practice in London, United Kingdom. This painting is significant in terms of art history for dental historians as it is an accurate and exceptional resource for understanding twentieth century dentistry. The clinical equipment is well represented by the artist with the x-ray machine most prominent. This detail shows Ackner's commitment to progress and modernity in his practice. The Dentist was exhibited at the Royal Society of Portrait Painters Exhibition in 1929 at the Grafton Galleries before being returned to the artist.

Dental Artwork
The Dentist - Oil on Canvas, 1929

The Dentist, painted by Sir John Lavery, depicts Conrad Ackner performing surgery on his wife at his dental practice in London, United Kingdom. This painting is significant in terms of art history for dental historians as it is an accurate and exceptional resource for understanding twentieth century dentistry. The clinical equipment is well represented by the artist with the x-ray machine most prominent. This detail shows Ackner's commitment to progress and modernity in his practice. The Dentist was exhibited at the Royal Society of Portrait Painters Exhibition in 1929 at the Grafton Galleries before being returned to the artist.

National Save Your Photos Day
National Save Your Photos Day
September 24
Upcoming Events
National Save Your Photos Day
September 24
National Self-Care Awareness Month
National Self-Care Awareness Month
September
Upcoming Events
National Self-Care Awareness Month
September