Managed Care of North America Dental (MCNA) was selected as the Dental Benefit Management Program.
The Dental Plan will begin providing services on July 1, 2014.
The credentialing process should be started as soon as possible.
The documents that must be completed and submitted for credentialing are available on the MCNA Dental website, or you may contact the Provider Hotline at 1-855-701-6262.
Yes, providers must be credentialed for the Dental Plan.
All claims with dates of service before July 1, 2014 should be submitted to Molina for processing.
Beginning July 1, 2014, providers are only required to enroll with the Dental Plan. Please submit all credentialing materials to MCNA Dental.
On July 1, 2014, the dental reimbursement rates will change. The rates that were effective January 1, 2013 will become effective. Medicaid Dental rates can be found at www.LAMedicaid.com.
Most but not all Medicaid and LaCHIP recipients will be enrolled in the Dental Plan. Recipients that are enrolled in the Dental Plan do not have the option to continue to receive dental services through legacy Medicaid, while some recipients are excluded from the Dental Plan.
Recipients that reside in an Intermediate Care Facility for Individuals with Developmental Disabilities (ICFDD) are excluded from participating in the Dental Plan.
Participation in the Dental Plan is not voluntary.
Yes. A new card will not be issued. All Medicaid recipients will continue to use their Health Network of Louisiana Medicaid card. If you have misplaced your card you may request a new one here, or by calling the Medicaid Hotline at 1-888-345-6207.
Providers are still required to verify recipient Medicaid eligibility using the Medicaid Eligibility Verification System (MEVS) or the Recipient Eligibility Verification System (REVS). If the recipient is enrolled in the Dental Plan the contractor's contact information will be displayed. If the recipient continues to receive dental benefits from legacy Medicaid, "Dental" will be shown in the Active Coverage section. More information can be obtained about MEVS here, or the provider can contact REVS at 1-800-776-6323 to verify eligibility.
The Dental Plan will offer the same services currently provided in the Medicaid EPSDT Dental and Adult Denture programs.
Yes, the recipient is required to choose a Primary Care Dentist. If the member does not select a primary care dentist and is auto assigned by the Dental Plan, the Dental Plan will allow the member to change his/her primary care dentist.
DHH's Contract with the Dental Plan includes language that Dental Plans can allow members to have a specialist as their PCD if the specialist is willing to perform the responsibilities of a PCD. The recipient should contact member services for the Dental Plan in which they are enrolled to request a specialist be assigned as their PCD.
The Dental Plan is required to have all specialties in their provider network.
Each individual recipient can have a Primary Care Dentist.