Provider News Feed

MCNA invites our network provider offices to join us for an online webinar training session that discusses avoidable denials. This informative webinar is being offered on the following dates and times:

April 8, 2025

• 10:00 - 11:30 a.m. and 2:00 - 3:30 p.m.

April 11, 2025

• 10:00 - 11:30 a.m. and 2:00 - 3:30 p.m.

Please visit our Provider Training Webinars page to RSVP for your chosen session time at least 24 hours in advance to ensure that you receive an invitation. For questions, please contact our Iowa Provider Relations team.

The U.S. Department of Health and Human Services Office of Inspector General (OIG) has released an important notice about a fraud scheme with the potential for large losses. In the scheme identified by OIG, fraudsters diverted Federal and State payments intended for providers participating in the Medicare and Medicaid programs. Please access the full Fraud Survey Report on OIG's website to learn more.

The next issue of MCNA’s provider newsletter, Dental Details, is now available! Check your email or download the latest issue.

In this issue:

• Celebrating National Dentist’s Day and Dental Hygienists’ Week

• Emerging Technologies in Dental Care

• Preparing for Tax Season

• How to Build a Strong Dental Team

• Question of the Quarter

If you are not subscribed to receive the newsletter each quarter, you can easily sign up by clicking “Manage Your Mailing List” in your Provider Portal account. We also recommend that you check your Mailing List periodically to ensure the email addresses for your office are up-to-date.

The MCNA Provider Relations team welcomes our Iowa providers to join us for a monthly morning drop-in opportunity. We invite you to grab a cup of coffee and let us help you navigate through any challenges you or your office might be facing and answer questions as they come up. Please visit our Provider Training Webinars page to RSVP at least 24 hours before any of our scheduled meetings to ensure that you receive an invitation with the correct login information.

Emergency dental services are immediate services that must be provided to relieve a member from pain, an acute infection, swelling, trismus, fever, or trauma. Iowa Medicaid members are always eligible for these services and they are excluded from the member’s Annual Benefit Maximum (ABM). Please read our provider bulletin to learn more and review important reminders about filing claims for these services.

A new version of the Iowa Dental Wellness Plan Provider Manual went into effect on January 1, 2025. Please read our provider bulletin for more information. You can download a copy of the new Provider Manual directly at https://manuals.mcna.net/iowa.

MCNA's Provider Quick Reference Guide containing helpful contact information and tips has been updated to version 1.6. Download your copy today at https://docs.mcna.net/guides/qrg-ia.

The next issue of MCNA’s provider newsletter, Dental Details, is now available! Check your email or download the latest issue.

In this issue:

• Using MCNA's Practice Site Performance Summary

• The Importance of Cultural Competency

• New Clinical Practice Guidelines

• Exclusions and Protecting Your Patients

• Question of the Quarter

If you are not subscribed to receive the newsletter each quarter, you can easily sign up by clicking “Manage Your Mailing List” in your Provider Portal account. We also recommend that you check your Mailing List periodically to ensure the email addresses for your office are up-to-date.

Effective November 15, 2024, MCNA has implemented the use of CDT code D9997 (dental case management – patients with special health care needs) to appropriately identify members with special needs. For more information regarding the use of D9997, please review our latest provider bulletin.

We have updated our Clinical Practice Guidelines (CPGs). MCNA's approved CPGs can be found under the "Guides and Tools" section of our website and the "Support and Downloads" page in the Provider Portal.