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.