Contract with MCNA Dental
Texas

The Texas Medicaid and CHIP programs have over 3,000,000 enrollees. We invite you to join our network of primary and specialized oral health practitioners. MCNA is a provider friendly program. The key to our success has been our relationships with our providers in each region.

Credentialing Application Forms

Click each link below to download the forms. Adobe Reader may be required to view these PDF files.

  1. Welcome Letter
  2. Application
  3. Contract
  4. W-9
  5. EFT Form

For More Information or for Questions

Click here to contact the MCNA Provider Relations Department.