Medically Necessary Services
MCNA maintains a Utilization Management (UM) Program that incorporates Utilization Review Criteria and Guidelines based on the needs of our members and requirements set in place by the Medicaid program. These evidence-based guidelines are used by our team of Clinical Reviewers, which is made up of ...
MCNA Updates
MCNA maintains a Utilization Management (UM) Program that incorporates Utilization Review Criteria and Guidelines based on the needs of our members and requirements set in place by the Medicaid program. These evidence-based guidelines are used by our team of Clinical Reviewers, which is made up of ... |
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Access and Availability Requirements for Medicaid Members
As a Medicaid-participating provider, your office is required to ensure that all of the Medicaid enrollees you treat have access to the same appointment availability as all other patients. Appropriate access to care is an essential part of MCNA's Quality Improvement Program. Access to care is monitored by the Provider Relations (PR) Department. Periodically, one of our PR Representatives may reach out to your office via a written ...
Quality Improvement
As a Medicaid-participating provider, your office is required to ensure that all of the Medicaid enrollees you treat have access to the same appointment availability as all other patients. Appropriate access to care is an essential part of MCNA's Quality Improvement Program. Access to care is monitored by the Provider Relations (PR) Department. Periodically, one of our PR Representatives may reach out to your office via a written ... |
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Correcting Overpayments from MCNA
Are you aware of the actions required to correct an overpayment received from MCNA? In accordance with 42 CFR § 438.608(d)(2), any network provider who determines that they have received an overpayment from MCNA must notify us in writing of the reason for the overpayment and return the funds within 60 calendar days of the date on which the overpayment was identified. The provider's office may return the overpayment by check, or may choose to have the amount ...
MCNA Updates
Are you aware of the actions required to correct an overpayment received from MCNA? In accordance with 42 CFR § 438.608(d)(2), any network provider who determines that they have received an overpayment from MCNA must notify us in writing of the reason for the overpayment and return the funds within 60 calendar days of the date on which the overpayment was identified. The provider's office may return the overpayment by check, or may choose to have the amount ... |
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Good Dental Habits at Home
Establishing and sticking to a good oral hygiene routine at home is one of the most important lessons for your youngest patients. We have created some fun resources to support this message and encourage the adoption of good habits for life! Click on the links below to download your copies today.
Communication
Establishing and sticking to a good oral hygiene routine at home is one of the most important lessons for your youngest patients. We have created some fun resources to support this message and encourage the adoption of good habits for life! Click on the links below to download your copies today.
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World Autism Month - April
Autism Speaks, the organization dedicated to promoting solutions for the needs of individuals with autism and their families, celebrates World Autism Month every April. This month-long observance kicks off with World Autism Day on April 2 and is a time to focus on sharing stories and provide opportunities for people to learn about autism in order to foster increased support across our communities. Learn how you can participate by visiting the Autism Speaks website at https://www.autismspeaks.org/world-autism-month.
Upcoming Events
Autism Speaks, the organization dedicated to promoting solutions for the needs of individuals with autism and their families, celebrates World Autism Month every April. This month-long observance kicks off with World Autism Day on April 2 and is a time to focus on sharing stories and provide opportunities for people to learn about autism in order to foster increased support across our communities. Learn how you can participate by visiting the Autism Speaks website at https://www.autismspeaks.org/world-autism-month. |
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World Health Day - April 7
World Health Day is celebrated annually on April 7, the anniversary of the founding of World Health Organization (WHO) in 1948, to draw attention to a specific health topic of concern to people across the globe. The 2022 theme for World Health Day in "Universal Health Coverage." According to WHO, half of ...
Upcoming Events
World Health Day is celebrated annually on April 7, the anniversary of the founding of World Health Organization (WHO) in 1948, to draw attention to a specific health topic of concern to people across the globe. The 2022 theme for World Health Day in "Universal Health Coverage." According to WHO, half of ... |
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