Provider News Feed

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.

ADA members, get ready for SmileCon 2024! Come visit the MCNA team on October 18-19 at booth #543 to snap some pictures at our selfie studio and register for our iPad raffle. Looking forward to seeing our Dental Superheroes in New Orleans!

We would like to inform your office about updated billing requirements for CDT code D9999. Please read our Provider Bulletin to learn more about these requirements and avoid unnecessary claim denials.

As a committed partner in combatting fraud, waste, and abuse in the Medicaid Program, MCNA works to prevent and recover overpayments paid to providers. Please refer to our latest Provider Bulletin to learn more about your office's role in identifying and recovering overpayments.

MCNA is hosting the following online webinar training sessions:

Tuesday, October 22, 2024

• 10:00am-11:30am or 2:00pm-3:30pm: Portal Administration and Practice Changes

Friday, October 25, 2024

• 10:00am-11:30am: Portal Administration and Practice Changes

Please visit our Provider Training Webinars page to RSVP at least 24 hours before the scheduled webinar to ensure that you receive an invite. For questions, please contact the MCNA Provider Hotline at 1-855-856-6262.

We would like to remind you that Iowa Medicaid providers must complete enrollment revalidation every five years to remain compliant with federal regulations. Please read our provider bulletin to learn more and link to the Informational Letter on this topic from Iowa Department of Health and Human Services published July 25, 2024.

A new version of the Iowa Dental Wellness Plan Provider Manual is now available. A list of the changes included in this version is available in the Revision History located near the front of the manual. An updated Fee Schedule effective January 1, 2024, is also available. Please read our provider bulletin for more information.

MCNA is excited to announce a new feature added to our website and Provider Portal. Now you can use our Provider Relations (PR) Territory Map to see which of our skilled PR team members is dedicated to your office and find other important contact information.

If you are a provider who has been displaced due to flooding and are unable to provide services from the location at which you are currently enrolled with Iowa Medicaid, there is no need to enroll a temporary location. Instead, you may continue to utilize your enrollment information, including location address, that is currently on file with Iowa Medicaid. If services are being rendered at a temporary location due to flooding, please indicate this on your patients’ charts. Please refer to the Informational Letter No. 2615-MC-FFS-D from HHS for more.