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Our representatives will discuss the process with you. All appeals must be submitted in writing to:. The cost for drug prescriptions in the Texas Medicaid program is shared by the federal government and the state. In return for having their drugs covered by state Medicaid programs, the manufacturer agrees to pay rebates according to their state and federal contracts.

VDP oversees the collection of these rebates from drug manufacturers. Visit the VDP website for more information. You can also search the formulary and view the Preferred Drug List. Stay connected with all of the latest news and updates from MCNA through our monthly provider newsletter. You may also sign up to begin receiving a copy of our newsletter in your inbox each month.

Log in to your Provider Portal account now to update your mailing list preferences. MCNA Dental hosts regional training sessions and online webinars to discuss our program and other important information.

Please RSVP to reserve your seat at one of our upcoming sessions. No training sessions are currently scheduled. Please check back soon or contact us to schedule one-on-one training.

We welcome you to sign up and create your Provider Portal account today! Already have an account? Log in instead. If you have any questions, please call our toll-free Texas Provider Hotline at:. You can call Monday through Friday, 8 a. If calling after hours, please leave a message for our representatives. Your call will be returned on the next business day. Box , San Antonio, TX A Provider Friendly Program for Texas.

Provider Network Enrollment. Download, review, and complete the following documents: The Dental Provider Agreement and Amendment 1. One New Location Form for each physical office location. At the end of your application, be sure to select MCNA as the dental health plan to receive your application , and attest to the completeness of the data you have entered.

If you prefer to submit a paper application, click here for more information. MCNA will communicate the credentialing decision to you as soon as possible. Provider Resources and Documents. Provider Manuals. Quick Reference Guides. Helpful Tips and Contact Information. Important Program Requirements. ADA Claim Form. Add Existing Provider to Existing Location. Change Main Dentist. Curriculum Vitae. Incident Report.

Member Outreach. We excel at staying on the forefront of development and implementation of such programs. Our philosophy since our inception has been simple. We are committed to ensuring that our members receive necessary preventative and diagnostic treatments on a routine basis, averting costly and damaging episodic treatment.

Additionally, we reach out to members to provide them with valuable Oral Hygiene Instruction and Case Management when necessary to promote a lifetime of exceptional oral health. We are your accountable partner on the forefront of oral healthcare.

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Pre-Authorization Process. Texas Health Steps Provider Information. Follow the steps outlined in the above section. MCNA Dental sends monthly newsletters to all of our providers, delivered right to their email inboxes! These newsletters include the latest updates from MCNA Dental, information about upcoming changes, dental industry news, and much more.

To sign up for these email newsletters, log in to the Provider Portal and add your email address to the mailing list. The Pre-Authorization and Claims Submission Guide provides coverage criteria and prior authorization requirements in an easily searchable format. Call our Provider Hotline at for clarification about prior authorization requirements and assistance in submitting a prior authorization request.

Members may call the Member Hotline at to ask questions about the prior authorization process and obtain assistance in submitting a prior authorization request. To view our recent provider newsletters, you may visit our Provider Resources and Documents section. The DAC meets on a quarterly basis to review benefit design, policies and procedures, and provider-related concerns.

DAC members work with the HHSC to provide evidence-based recommendations to improve utilization rates and the delivery of oral health and dental care services, including prevention and education services and dental managed care. These courses are designed to offer updated clinical, regulatory, and best practices guidelines regarding a range of oral health, preventive health, mental health, and case management topics.

MCNA facilitates access to dental services for non-English speaking members. We recognize that the diversity of our member population can serve as a barrier to accessing dental services. You may also call the OIG Hotline at Send a written complaint to:.

Box San Antonio, Texas Our representatives will discuss the process with you. All appeals must be submitted in writing to:. The cost for drug prescriptions in the Texas Medicaid program is shared by the federal government and the state. In return for having their drugs covered by state Medicaid programs, the manufacturer agrees to pay rebates according to their state and federal contracts. VDP oversees the collection of these rebates from drug manufacturers.

Visit the VDP website for more information. You can also search the formulary and view the Preferred Drug List. Stay connected with all of the latest news and updates from MCNA through our monthly provider newsletter. You may also sign up to begin receiving a copy of our newsletter in your inbox each month. Log in to your Provider Portal account now to update your mailing list preferences.

MCNA Dental hosts regional training sessions and online webinars to discuss our program and other important information. Please RSVP to reserve your seat at one of our upcoming sessions. No training sessions are currently scheduled. Please check back soon or contact us to schedule one-on-one training. We welcome you to sign up and create your Provider Portal account today! Already have an account? Log in instead. If you have any questions, please call our toll-free Texas Provider Hotline at:.

You can call Monday through Friday, 8 a. If calling after hours, please leave a message for our representatives. Your call will be returned on the next business day. Box , San Antonio, TX We excel at staying on the forefront of development and implementation of such programs. Our philosophy since our inception has been simple.

We are committed to ensuring that our members receive necessary preventative and diagnostic treatments on a routine basis, averting costly and damaging episodic treatment. Additionally, we reach out to members to provide them with valuable Oral Hygiene Instruction and Case Management when necessary to promote a lifetime of exceptional oral health.

We are your accountable partner on the forefront of oral healthcare.