Provider News Feed

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.

Idaho Medicaid is required to execute provider agreements with managed care providers and enroll them with the State Medicaid Agency Medicaid Enterprise Systems (MES). Participating providers must enroll with Idaho Medicaid MES vendor Gainwell Technologies during the enrollment period from March 3, 2025, through April 30, 2025. Please read our provider bulletin carefully to learn more and take action today.

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.

Idaho Smiles Provider Manual version 1.13 is now available. You will find a summary of the changes in the Revision History located after the Contact Information section near the front of the manual. We encourage you to download a copy of the new Idaho Smiles Provider Manual today at https://manuals.mcna.net/idaho.

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.

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!

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

In this issue:

• Our Case Management Team: Here to Help

• MCNA's Provider Training Webinars

• New Clinical Practice Guidelines

• Drive Traffic and Build Trust with an Email Newsletter

• 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.

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 now offers our Idaho Smiles members access to our After-Hours Hygienist Helpline. The Helpline is staffed by dental hygienists who can evaluate members’ dental issues and refer them to the most appropriate setting for care. Please read our provider bulletin for more information about this new resource.