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Dentists2022-11-28T17:02:35+00:00
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A Provider Friendly Program for Nebraska

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 5 million children and adults with the singular mission of improving their general health by ensuring access to quality dental care.

We are very pleased to announce that MCNA Dental was selected by the Nebraska Department of Health and Human Services (DHHS) to administer its Nebraska Medicaid Dental Program statewide.

As a company founded and operated by dentists, we recognize the dedication that Medicaid providers such as you have to the oral health of Nebraska’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 Nebraska Medicaid network now via fax, email, or mail.

Provider Resources and Documents

Announcements from MCNA

Updates to MCNA’s Provider Manual

A new version of the Nebraska Provider Manual is available as of August 25, 2022. You can download a copy using the link located in the column to the right under Provider Manuals.

Exceeding the Annual Benefit Maximum

Adult members in Nebraska are allowed $750 per plan year (July 1 – June 30). For any service that will exceed this amount, providers may submit an authorization request based on medical necessity. Please read our provider bulletin to learn more.

Extended Coverage of PPE

MCNA is extending our coverage of Personal Protective Equipment (PPE) through December 31, 2022. Please click here to read more.

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 1-844-353-6262.

How are requests for pre-authorization accepted?

MCNA Dental has an online Provider Portal where providers can submit requests for pre-authorization. Any supplemental materials such as narratives, charting, or x-rays can be attached and submitted via the Provider Portal. Pre-authorizations may also by submitted through a third-party clearinghouse (please use payor ID 65030), or mailed to MCNA at: MCNA Dental, Attn: Utilization Management, 200 West Cypress Creek Road, Suite 500, Fort Lauderdale, Florida 33309.

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.

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!

I see that MCNA Dental provides training webinars and seminars for its credentialed providers. If I cannot attend a scheduled webinar or seminar, can I still receive training?

Yes, MCNA Dental will be happy to schedule either an office-specific webinar or other type of training event for any of our credentialed providers. Please email your request to NebraskaSeminars@mcna.net, or call your Provider Relations Representative.

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

Please call our dedicated Nebraska Provider Hotline at 1-844-353-6262. It is available Monday through Friday, from 7 a.m. to 7 p.m.

Provider Manuals

Quick Reference Guides

Forms

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 NebraskaSeminars@mcna.net with your name, contact information, and desired session date.

November and December 2022: Over the Annual Benefit Limit and Medical Necessity

Please click here to see the available sessions and learn how to RSVP for these important webinars.

You may view a Recording of our Provider Orientation Webinar via our YouTube channel.

We are here to help you!

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

1-844-353-6262

You can call Monday through Friday, 7 a.m. – 7 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.