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Dentists2018-12-20T16:12:08+00:00
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A Provider Friendly Program for Florida

MCNA Dental is a leading dental benefit management company committed to providing high quality services to state agencies and managed care organizations for their Medicaid, Medicare, and CHIP members. We serve over 4 million children and adults with the singular mission of improving their general health by ensuring access to quality dental care.

On June 28, 2018, the Florida Agency for Health Care Administration announced its Intent to Award a Contract to MCNA Dental to administer the Florida Medicaid Dental Health Program. MCNA will be one of the dental plan administrators that will serve the children and adults enrolled throughout the state, beginning with a phased roll out on December 1, 2018.

As a company founded and operated by dentists, we recognize the dedication that Medicaid providers such as you have to the oral health of Florida’s children and adults. We would like to extend an invitation for you to consider joining our network.

Need more information? Visit our corporate website at http://www.MCNA.net

Provider Network Enrollment

Your dental office may enroll in our Florida Medicaid network now via fax, email, or mail.

Provider Resources and Documents

Frequently Asked Questions

How do I sign up with MCNA?

Follow the steps outlined in the above section. If you have questions and would like to speak with an MCNA Dental representative, please call our Provider Hotline at 1-855-698-6262.

What is MCNA Dental’s payor ID for electronic submission of claims and pre-authorization requests using a third-party clearinghouse?

MCNA’s payor ID is 65030.

If a member is in active treatment during the transition to the Florida Medicaid Statewide Dental Health Program, will MCNA honor continuation of their care?

MCNA will allow members who are in active treatment through coverage with other dental insurance carriers under Florida Medicaid to continue care with their current dental provider for up to 180 days for non-orthodontic related services. Continuation of care for orthodontia will be covered until the treatment is completed. Please call MCNA’s Provider Hotline for more information.

  • Providers will be paid. Providers should continue providing any services that were previously authorized, regardless of whether the provider is participating in the plan’s network. Plans must pay for previously authorized services for up to 60 days after the roll-out date in each region, and must pay providers at the rate previously received for up to 30 days.
  • Providers will be paid promptly. During the continuity of care period, plans are required to follow all timely claims payment contractual requirements. The Agency will monitor complaints to ensure that any issues with delays in payment are resolved.

Is there a special application to access MCNA’s Provider Portal?

No, you do not need to complete a special application to access the Provider Portal. Once you have successfully completed MCNA’s credentialing process and are an active provider in our network, you automatically qualify for a free account on our Provider Portal and all of the benefits it entails! All you need to do is visit MCNA’s Provider Portal at http://portal.mcna.net and complete the simple process of validating your information, then you are ready to go!

How do I contact MCNA if I have questions or need help?

Please call our dedicated Florida Provider Hotline at 1-855-698-6262. It is available Monday through Friday, from 8 a.m. to 8 p.m.

Guides

Provider Manual
Quick Reference Guide

Forms

ADA 2012 Claim Form

MCNA’s Provider Portal

MCNA’s free Provider Portal allows you to quickly verify member eligibility, submit claims and prior-authorizations, manage your office, edit your fee schedules, and more! We welcome you to sign up and create your Provider Portal account today!

Create Account

Already have an account? Log in instead.

MCNA’s Provider Portal

MCNA’s free Provider Portal allows you to quickly verify member eligibility, submit claims and prior-authorizations, manage your office, edit your fee schedules, and more! We welcome you to sign up and create your Provider Portal account today!

Create Account

Already have an account? Log in instead.

Provider Training Sessions

MCNA is pleased to present a series of provider orientation seminars about the new Florida Dental Health Program, which is a part of the upcoming phased rollout of the Statewide Medicaid Managed Care (SMMC) program. Click below to view our schedule of events and find out how to sign up for the seminar in your region.

Training Seminars Schedule

We are here to help you!

If you have any questions, please call our toll-free Florida Provider Hotline at:

1-855-698-6262

You can call Monday through Friday, 8 a.m. – 8 p.m. (excluding national holidays).
If calling after hours, please leave a message for our representatives. Your call will be returned on the next business day.