Frequently Asked Questions

Below are the answers to some common questions about MCNA Dental and the Texas Medicaid and CHIP dental programs.

Questions

General Provider Questions

  1. How do I join the MCNA Dental Provider Network?
  2. How do I contact MCNA Dental if I have questions or need help?
  3. How do I submit claims, pre-authorizations, or referrals?
  4. Where can I download my Provider Manual?
  5. Where can I find information about MCNA Member Rights and Responsibilities?
  6. What can I do if I suspect Medicaid fraud in the State of Texas?

Answers

General Provider Questions

  1. How do I join the MCNA Dental Provider Network?

    Click here to learn how to begin providing dental services to members.

  2. How do I contact MCNA Dental if I have questions or need help?

    Click here to contact the MCNA Dental Provider Relations Department.

  3. How do I submit claims, pre-authorizations, or referrals?

    MCNA Dental offers an online Provider Portal. From the portal you can submit claims, pre-authorizations, and referrals. You can also perform many other tasks. Click here to learn more.

    For a list of the criteria for pre-authorization as stated in the MCNA Provider Manual, please click here. To download a pre-authorization submission form, click here.

  4. Where can I download my Provider Manual?

    Click here to download the Provider Manual.

  5. Where can I find information about MCNA Member Rights and Responsibilities?

    To view the MCNA Member Rights and Responsibilities as they appear for our members, click here.

    A full list of MCNA Member Rights and Responsibilities can also be found in our Provider Manual. Click here to learn more.

  6. What can I do if I suspect Medicaid fraud in the State of Texas?

    The Health and Human Services Commission (HHSC), MCNA Dental, and you, as a Medicaid dental provider, share the common goal of providing quality dental care and services to eligible Texans. Please click here to read a special Notice from the HHSC to learn more about your role in stopping Medicaid fraud in the State of Texas.