Alert: Upcoming Changes to Florida Medicaid Statewide Dental Program

Important changes are coming to Florida's Medicaid Statewide dental program. As a result of a decision made by the 2011 State Legislature, all health care services (including dental) will be integrated under managed care health plans. These changes will affect certain aspects of MCNA's program. Our goal is to make the transition from the existing dental program to the new Statewide Managed Medical Assistance (MMA) program as seamless as possible for your practice.

We are pleased to provide a quick reference guide containing key information about the rollout of the new program. Click here to view MCNA's guide.

If you are a contracted provider with MCNA, find further information and educational resources on our Provider Portal by clicking here.

How to Contract with MCNA Dental Plans

The Florida Medicaid Dental Program has over 1,000,000 enrollees throughout the state. 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 box below to download the respective form. Adobe Reader may be required to view these PDF files.

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

Please contact our Provider Relations Department to obtain the Provider Contract and Fee Schedules.

For More Information or for Questions about Credentialing

Call MCNA's Credentialing Department toll-free at 1-800-494-6262, option 5. The fax number is 954-628-3329.

Contacting MCNA Provider Relations

If you have any questions or would like to contact us, you may call the MCNA Provider Relations Department directly at 1-855-698-6262.

How to Manage Your Facility and Members

MCNA Dental Plans offers an online Provider Portal that allows you to verify member eligibility, manage your facility, edit your office fee schedules, view a history of your activity with MCNA, and much more. You can also quickly submit claims, pre-authorizations, and referrals for members enrolled with MCNA Dental Plans. Forms and documents such as your Provider Manual are also available for download in the portal.

The Provider Portal is a great all-in-one tool, and we recommend all of our Providers take advantage of its features. Once you have received your credentialing letter from MCNA, you will be able to quickly and easily create an account to access the portal at http://portal.mcna.net.

We offer online video tutorials that guide you through some of the most common functions of the Provider Portal. You can view these videos by clicking here.

How Submit Claims, Pre-Authorizations, and Referrals

Claims can be submitted in any of the following three ways:

  1. Online through the Provider Portal.
  2. Electronically through a clearinghouse. (MCNA Payer ID#: 65030)
  3. On Paper by standard mail to MCNA. (Use 2006 or newer ADA Claim Form)

    Mail to:
    MCNA Dental Plans
    200 West Cypress Creek Road, Suite #500
    Fort Lauderdale, Florida 33309

Note that we do not accept faxed claims.

Pre-Authorizations can be submitted in any of the following three ways:

  1. Online through the Provider Portal.
  2. Electronically through a clearinghouse. (MCNA Payer ID#: 65030)
  3. On Paper by standard mail to MCNA. (Use 2006 or newer ADA Claim Form and ensure the "Request for Pre-Determination" box is checked)

    Mail to:
    MCNA Dental Plans
    200 West Cypress Creek Road, Suite #500
    Fort Lauderdale, Florida 33309

Referrals can be submitted in either of the following two ways:

  1. Online through the Provider Portal.
  2. On Paper by standard mail to MCNA.

    Mail to:
    MCNA Dental Plans
    200 West Cypress Creek Road, Suite #500
    Fort Lauderdale, Florida 33309

Provider Manual and Additional Resources

To download the Provider Manual for the Florida Medicaid Statewide Prepaid Dental Program, log in to the Provider Portal or click here to download it directly.

There are additional documents and resources available for your office to download, including forms, guides, and more. Log in to the Provider Portal to learn more.

How to Stay Current with MCNA News and Announcements

To stay up-to-date with all MCNA news and announcements, you can periodically check our main News page on MCNA.net.

Important news and announcements exclusive to our Providers (including MCNA procedure changes, changes in Medicaid/CHIP dental rules, etc) will be posted on the main page of the Provider Portal once you login.