Provider News Feed

The Louisiana Department of Health has released a bulletin about the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Comprehensive Dental Benefit. We encourage you to review this information in order to help ensure your office fully understands this important benefit..

Federal regulations mandate that pediatric preventive services must be paid without regard to third party liability (TPL). Please read our provider bulletin about TPL and CARC 943 to help ensure your office has the information it needs to ensure the efficient processing of claims.

As part of our ongoing efforts to ensure smooth and efficient prior authorization processing, MCNA has identified trends related to D7240 (removal of impacted tooth - completely bony). Please read our provider bulletin for information that will help to reduce prior authorization denials.

MCNA has added the American Dental Association (ADA) Guide to Extractions – Tooth and Remnants to our provider resources. This ADA resource is a helpful tool to provide guidance to your team when submitting claims for services to MCNA. The guide can be found in the News and Resources section of our website. Please read our provider bulletin for more information.

MCNA's Louisiana Provider Manual version 1.26 is now available. Please refer to the Revision History located near the front of the manual for an overview of the changes included in this version. You may download a copy of the Provider Manual directly at https://manuals.mcna.net/louisiana.

The U.S. Department of Health and Human Services Office of Inspector General (OIG) has released an important notice about a fraud scheme with the potential for large losses. In the scheme identified by OIG, fraudsters diverted Federal and State payments intended for providers participating in the Medicare and Medicaid programs. Please access the full Fraud Survey Report on OIG's website to learn more.

The next issue of MCNA’s provider newsletter, Dental Details, is now available! Check your email or download the latest issue.

In this issue:

• Celebrating National Dentist’s Day and Dental Hygienists’ Week

• Emerging Technologies in Dental Care

• Preparing for Tax Season

• How to Build a Strong Dental Team

• Question of the Quarter

If you are not subscribed to receive the newsletter each quarter, 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.

In October 2024, Louisiana Medicaid began its Provider Enrollment Rebaseline initiative to streamline the enrollment process for new Managed Care Organization (MCO) credentialed providers. Rebaselines for additional providers will occur every two months moving forward. Please read our provider bulletin for more information.

The Louisiana Department of Health (LDH) is hosting an additional stakeholder discussion meeting on February 18, 2025, at 12PM about the new Louisiana Medicaid Dental Incentive Payment Program. MCNA encourages all of our participating general and pediatric dentists to take part in this discussion. To learn more about the session and to join the Zoom meeting, view LDH's webinar flyer.

The next issue of MCNA’s provider newsletter, Dental Details, is now available! Check your email or download the latest issue.

In this issue:

• Using MCNA's Practice Site Performance Summary

• The Importance of Cultural Competency

• New Clinical Practice Guidelines

• Exclusions and Protecting Your Patients

• Question of the Quarter

If you are not subscribed to receive the newsletter each quarter, 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.