A Provider Friendly Program for Ohio

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 and CHIP members. We serve over 8 million children and adults with the singular mission of improving their general health by ensuring access to quality dental care. For more information, visit our corporate website at http://www.MCNA.net.

We are building a network that will be administered by MCNA to serve Medicaid members in Ohio. As dentists, we recognize the dedication that dental providers such as you have to the oral health of Ohio’s population. We would like to extend an invitation for you to consider joining our network.

Provider Network Enrollment

Your dental office may enroll in our Ohio network now via email or fax:

Step 1: Download and read our Welcome Letter.
Step 2: Download and complete one New Provider Form for each dentist.
Step 3: Download and complete one New Location Form for each physical location.
Step 4: Download and read our Fee Schedule.
Step 5: Download and complete our Dental Provider Agreement.
Step 6: Download and complete the IRS W-9 Form.
Step 7: Download and complete the Payment Method Selection Form.
Step 8: Fax the completed documents to 1-208-298-3844, email them to Network_Development@MCNA.net.

If you use CAQH, you may complete our Online Credentialing Application which includes all required forms.

If you are willing to enter into contract negotiations with MCNA, but would prefer not to submit an executed Dental Provider Agreement at this time, you may instead complete a Letter of Intent form and submit it to us. This letter is not a contract and does not obligate you to ultimately sign a contract with MCNA.

Provider Resources and Documents

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 1-888-782-3292.

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!

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

Please call our dedicated Ohio Provider Hotline at 1-888-782-3292. It is available Monday through Friday, from 8 a.m. to 8 p.m.

Forms

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.

No training sessions 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 Ohio Provider Hotline at:

1-888-782-3292

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.