Provider News Feed

Texas Health and Human Services Commission (HHSC) has issued a Newborn Medicaid Coverage Notice to inform parents and caregivers that newborn children are automatically eligible for Medicaid. In accordance with House Bill 3940, 89th Legislature, Regular Session, 2025, beginning January 1, 2026, providers will be required to distribute updated materials about newborn Medicaid coverage to the parent or caregiver of a newborn child and document that distribution. Please read our provider bulletin for details about this requirement and links to the updated materials.

MCNA's has updated our Clinical Practice Guidelines (CPGs) and they are are now available for your office. Our approved CPGs can be downloaded from the Support and Downloads page in the Provider Portal and from MCNA's website under Guides and Tools.

MCNA is hosting the following online webinar training sessions:

January 27, 2026

• 11:00am or 1:30pm: CHIP Presentation

February 24, 2026

• 11:00am or 1:30pm: General Anesthesia Cases for Members Aged 6 and Under

March 31, 2026

• 11:00am or 1:30pm: Corrected Claims Process

Please visit our Provider Training Webinars page to RSVP at least 24 hours before the scheduled webinar to ensure that you receive an invite. For questions, please contact the MCNA Provider Hotline at 1-855-776-6262.

The American Dental Association (ADA) has released the 2026 version of the Current Dental Terminology (CDT) dental procedure code manual. Please read our provider bulletin for the full list of the dental services benefit changes that have been made to support updates applicable to the Texas Medicaid and CHIP dental program.

A new version of the Texas Medicaid and CHIP Provider Manual is now available with an effective date of January 1. 2026. You will find a summary of the changes in the Revision History located at the back of the manual. We encourage you to download a copy of the new Texas Provider Manual today at https://manuals.mcna.net/texas.

The next issue of MCNA’s provider newsletter, Dental Details, is now available for download. In this issue:

• Happy Holidays from MCNA Dental

• Our Update Clinical Practice Guidelines

• Effective Strategies for Reducing No-Shows and Cancellations

• Go Green with MCNA Dental

• Question of the Quarter

If you are not subscribed to receive important information from the team at MCNA via email, you can easily sign up by clicking “Manage Your Mailing List” in your Provider Portal account. We also recommend that you check your Mailing List periodically to ensure the email addresses for your office are up-to-date.

MCNA has added the American Dental Association Guide to Claims Submission: Scaling and Root Planing to the provider resources listed under the News and Resources section of our website. This helpful tool provides guidance to your team and detailed instructions for accurate claim documentation, including:

• How to record attachment loss

• Sample charts

• Common reasons for claim denials

• Guiding values for treating dentists

• Examples of good and poor radiographs

MCNA's team is available to assist with any questions related to specific benefit limitations and plan submission requirements. You can get in touch with our representatives using one of the methods listed under Contact MCNA.

The Texas Health and Human Services Commission is monitoring how the federal government shutdown may impact benefits. At this time there are no changes anticipated to Medicaid and CHIP covered dental services, including those services performed in-office via teledentistry during the federal government shutdown. HHSC has created a site to house additional updates to policy or operational documents. For more information please visit: 2025 Federal Government Shutdown | Texas Health and Human Services.

The next issue of MCNA’s provider newsletter, Dental Details, is now available for download. In this issue:

• Information about Dental License Renewal

• The Importance of Cultural Competence in Dental Care

• ADA Policy on Teledentistry

• Question of the Quarter

If you are not subscribed to receive important information from the team at MCNA via email, you can easily sign up by clicking “Manage Your Mailing List” in your Provider Portal account. We also recommend that you check your Mailing List periodically to ensure the email addresses for your office are up-to-date.

MCNA is hosting the following online webinar training sessions:

October 28, 2025

• 11:00am or 1:30pm: Corrected Claims Process

November 18, 2025

• 11:00am or 1:30pm: Submission of X-Rays, Narratives, and Photos

December 16, 2025

• 11:00am or 1:30pm: General Anesthesia Cases for Members Aged 6 and Under

Please visit our Provider Training Webinars page to RSVP at least 24 hours before the scheduled webinar to ensure that you receive an invite. For questions, please contact the MCNA Provider Hotline at 1-855-776-6262.