Provider News Feed

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.

MCNA is pleased to announce that Dental Incentive Payment Program (DIPP) checks will be sent out to our Louisiana providers on July 11, 2025, via USPS. Today we mailed letters regarding program information, which include the Milliman calculation results. Should you have any questions, please email our Provider Relations team at LA_PR_Dept@mcna.net. We appreciate your participation in MCNA’s Louisiana network!

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

• ADA Resources to Reduce Claims Denials and Missed Appointments

• The Importance of Continuing Education for Dentists

• ADA Guide to Extractions Added to MCNA Provider Resources

• Encourage Summer Dental Appointments

• 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.

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.