Provider News Feed

A new version of the Texas Provider Manual will go into effect January 18, 2020. To download a preview copy of the new manual, go to http://manuals.mcna.net/texas?v=1.11. Click here to view a list of updates. You can also view more information in the "Revision History" section of the manual. The current Texas Provider Manual is always accessible at http://manuals.mcna.net/texas.

Please contact your Provider Relations Representative for additional information regarding these changes.

The CDT code D7111 is being updated to require additional information, and the fee has been changed to match the HHSC rate and the rate of the other dental plan. As a result, effective January 18, 2020, the reimbursement rate for CDT D7111 will be $11.47 and the coverage description will be: TIDs #A-T and AS-TS. A Birth-20. All primary teeth within the normal exfoliation period will require submission of an x-ray (or intraoral photograph if the tooth cannot be seen radiographically) and rationale.

Effective January 1, 2020, the Texas Medicaid & Healthcare Partnership (TMHP) will only accept the 2018 or 2019 versions of the American Dental Association (ADA) Dental Claim Form. Please click here to read more.

Online Webinars

MCNA is hosting the following online webinar training sessions regarding Sedation of Pediatric Patients/High-Risk Patients:

• November 27, 2019
• December 17, 2019
• January 28, 2020

All webinars are available in either a 9:30am or 11:00am session.

To RSVP

Please RSVP if you would like to attend an online webinar session. Email TexasSeminars@MCNA.net with your name, contact information, office information, and the session time you would prefer. For questions, please contact the MCNA Provider Relations Department at 1-855-776-6262.

Online Webinars

MCNA is hosting the following online webinar training sessions regarding Sedation of Pediatric Patients/High-Risk Patients:

• October 10, 2019
• October 17, 2019
• October 24, 2019
• October 31, 2019

All webinars are available in either a 11:00am or 3:30pm session.

To RSVP

Please RSVP if you would like to attend an online webinar session. Email TexasSeminars@MCNA.net with your name, contact information, office information, and the session time you would prefer. For questions, please contact the MCNA Provider Relations Department at 1-855-776-6262.

Online Webinars

MCNA is hosting the following online webinar training sessions:

• August 27, 2019 - Claims, Complaints, and Appeals
• September 24, 2019 - Portal Training
• October 29, 2019 - Member Services/MAOS

All webinars are available in either a 9:30am or 11:00am session.

To RSVP

Please RSVP if you would like to attend an online webinar session. Email TexasSeminars@MCNA.net with your name, contact information, office information, and the session time you would prefer. For questions, please contact the MCNA Provider Relations Department at 1-855-776-6262.

On or after September 1, 2019, a permit holder may not administer sedation/anesthesia under a level 2, level 3, or level 4 permit to a pediatric patient unless the permit holder has completed the requirements and has received authorization from the Board to administer sedation/anesthesia to high-risk or pediatric patients. Click here to learn more and get links to the necessary application forms.

Once you have received your approval letter from the Texas State Board of Dental Examiners, please submit it to mcnacredentialing@mcna.net. Please use the subject line, “Texas Pediatric Sedation Authorization Course.”

Effective September 1, 2019, dentists holding level 2 – 4 anesthesia permits cannot administer sedation / anesthesia to patients younger than 13 years of age without an authorization to do so issued by the Texas State Board of Dental Examiners (TSBDE). Click here to read more about meeting this requirement through a new continuing education course offered by the Texas Dental Association.

Once you complete the required courses please submit your course completion documentation to mcnacredentialing@mcna.net. Please use subject line “Texas Pediatric Sedation Authorization Course."

A new version of the MCNA's Provider Manual for Texas Medicaid and CHIP Members is now available. Please download a copy of the Provider Manual directly at http://manuals.mcna.net/texas. For an overview of the changes made, please review the Revision History on page 217.

Online Webinars

MCNA is hosting the following online webinar training sessions:

• May 28, 2019 - Provider Portal
• June 25, 2019 - Members Services and Member Advocate Outreach Specialists (MAOS)
• July 30, 2019 - Credentialing

All webinars are available in either a 9:30am or 11:00am session.

To RSVP

Please RSVP if you would like to attend an online webinar session. Email TexasSeminars@MCNA.net with your name, contact information, office information, and the session time you would prefer. For questions, please contact the MCNA Provider Relations Department at 1-855-776-6262.