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Dentists2023-01-19T11:26:04+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

Latest Provider News

Hurricane Ian Disaster Grace Period

Following the landfall of Hurricane Ian, the Federal Emergency Management Agency (FEMA) issued a major disaster declaration for multiple Florida counties affected by the storm (DR-4673-FL). MCNA has implemented a claims exception process and removed prior authorization requirements to ensure our Florida Medicaid members maintain access to the care they need.

2022 Conforming Amendment Effective 10/1/2022

The State of Florida adopted the Freedom First budget for State Fiscal Year (SFY) 2022-2023, which provides specific funding to the Agency for Health Care Administration for the sole purpose of increasing the minimum wage for employees of Medicaid providers to at least fifteen dollars ($15.00) an hour. Please see the 2022 Conforming Amendment describing new requirements. Your fee schedule will be updated to reflect the new increase for this purpose. This 2022 Confirming Amendment is effective as of October 1, 2022. Please reach out to Provider Relations at fl_pr_dept@mcna.net with any questions or concerns.

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 enroll with Florida Medicaid?

The Agency for Health Care Administration offers a 5-minute online presentation that explains full enrollment and limited enrollment.

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.

Provider Manuals

Forms

Quick Reference Guides

Videos and Tutorials

Educational Resources

Miscellaneous

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 Dental hosts regional training sessions and online webinars to discuss our program and other important information. Please RSVP to reserve your seat at one of our upcoming sessions. To RSVP, email PRDepartment@mcna.net with your name, contact information, and desired session date.

No training sessions are currently scheduled. Please check back soon or contact us to schedule one-on-one training.

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.