Important Message to all Providers (March 16, 2012)
Effective immediately, the Agency for Health Care Administration (Agency) has halted the roll-out of the Statewide Prepaid Dental Health Program (PDHP) due to the budget proposal passed by the legislature and the accompanying statutory language passed in House Bill 5001. Until further notice, the Statewide PDHP will continue to operate in Area 9 (Indian River, St. Lucie, Martin, Palm Beach and Okeechobee Counties), but will not expand into other Medicaid areas. Stopping select PDHP operations does not affect the Prepaid Dental Pilot Program that is currently operating in Miami-Dade County. The Agency is providing notice of this decision to affected parties and will provide additional information as it becomes available.
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.
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:
- Online through the Provider Portal.
- Electronically through a clearinghouse. (MCNA Payer ID#: 65030)
- 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:
- Online through the Provider Portal.
- Electronically through a clearinghouse. (MCNA Payer ID#: 65030)
- 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:
- Online through the Provider Portal.
- On Paper by standard mail to MCNA.
Mail to:
MCNA Dental Plans
200 West Cypress Creek Road, Suite #500
Fort Lauderdale, Florida 33309
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.