Yes, MCNA Dental is happy to plan a specific office webinar or other type of training for one of our suppliers. Please email your request to NebraskaSeminars@mcna.net or call your Provider Relations employee. Improving Program Integrity Policies With the Medicaid Managed Care Rule, CMS has updated the type of information that administered health care providers should include in their health care provider directories. As a company founded and run by dentists, we recognize the commitment of Medicaid service providers like you to the oral health of Nebraska children and adults. We would like to invite you to join our network. Visit UHCCommunityPlan.com/NE for current organization chart information, including membership card examples, vendor lists, dental plans, vision plans and more. It is a free secure repository in which health care providers can easily report the necessary data to Nebraska Total Care themselves. For example, licensure (s), CV, IRS W-9 form, DEA certificates, etc. Most insurance organizations use it as a source of truth and it can be a valuable and time-saving tool for practitioners and institutions to which they are linked. For more information, please visit the CAQH Solutions website. Nebraska DHHS uses a certification form to determine whether a member of the health of the heritage is medically fragile. If you are a healthcare service provider with diagnostic functions in your field of practice and you have a patient who you think meets the fragile health criteria, you must complete the medically fragile form and send it to DHHS with one of the following methods: No, you do not need to complete a specific application to access the provider portal.
Once you have successfully completed the MCNA registration process and are an active provider on our network, you will automatically qualify for a free account in our vendor portal and all associated benefits! All you need to do is visit the mcna provider portal on portal.mcna.net and complete the simple process of validating your information, then you`re ready to go! A: Nebraska Total Care is committed to providing a complete network with the best possible access for members. The provider must register as a Medicaid with the State of Nebraska, the registration department of Medicaid Care Providers – Long Term Care, Maximus. Registration with Nebraska Total Care and Maximus can be done simultaneously, but according to state requirements, Nebraska Total Care cannot pay a supplier that is not registered with Nebraska Medicaid. Information on screening and registration of providers can be found on the Medicaid website and long-term care. MCNA Dental has an online provider portal where suppliers can submit pre-authorization applications. Additional documents such as stories, diagrams or x-rays can be attached and transmitted through the supplier portal. Pre-authorizations can also be submitted through a third-party clearing house (please use Payor 65030) or send to: MCNA Dental, Attn: Utility Management, 200 West Cypress Creek Road, Suite 500, Fort Lauderdale, Florida 33309. If you report a situation that could be considered fraud, do your part to save money for the health care system and prevent personal losses for others. If you suspect that another supplier or member has committed fraud, waste or abuse, you have a responsibility and a right to report it. Unlike existing Medicaid recipients who participate in the Heritage Health program, Heritage Health Adult members have a multi-step benefits system in which all eligible members receive basic or premium benefits. Learn how to join the public health network, check behavioral information in the community plan, or submit demographic changes under Community Plan Behavioral Health.