Provider News Feed

The next issue of MCNA’s provider newsletter, Dental Details, is now available for download. In this issue:

• Supporting the First Dental Visit by Age One

• MCNA in the News

• Dental Diversity Celebration

• Avoid Claims Denials Due to Third Party Liability

• Question of the Quarter

If you are not subscribed to receive important information from the team at MCNA via email, 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.

The deadline for Medicaid dental provider enrollment with Gainwell Technologies, the Idaho Medicaid Enterprise System vendor, was March 31, 2026. MCNA would like to encourage your office to review your enrollment and verify that all key steps were completed. Please read our provider bulletin, which contains a short guide to assist you in verifying and, if necessary, completing your enrollment with Gainwell Technologies.

MCNA now offers several resources from the American Dental Association and the American Academy of Pediatric Dentistry to provide your office with important information and guidance. They are available permanently under Guides and Tools in the News and Resources section of our website. You can also access them through the links listed below:

• AAPD Reference Manual of Pediatric Dentistry

• ADA Clinical Practice Guidelines and Dental Evidence

• ADA Guide to Reporting D1354: Interim Caries Arresting Medicament Application

• ADA Guide to Reporting D1355: Caries Preventive Medicament Application

The next issue of MCNA’s provider newsletter, Dental Details, is now available for download. In this issue:

• What Patients Look for When Choosing a Dentist

• Clinical Documentation Tips for Your Practice

• Updated Provider Manuals and Clinical Practice Guidelines

• Dental License Renewals by State

• Showing Appreciation for our Network Dentists and Hygienists

• Question of the Quarter

If you are not subscribed to receive important information from the team at MCNA via email, 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.

MCNA's has updated our Clinical Practice Guidelines (CPGs) and they are are now available for your office. Our approved CPGs can be downloaded from the Support and Downloads page in the Provider Portal and from MCNA's website under Guides and Tools.

A new version of the Idaho Smiles Provider Manual is now available with an effective date of January 1, 2026. You will find a summary of the changes in the Revision History located after the Contact Information section in the manual. You can download your copy of version 1.14 of the provider manual at https://manuals.mcna.net/idaho.

The American Dental Association (ADA) has released the 2026 version of the Current Dental Terminology (CDT) dental procedure code manual. Please read our provider bulletin for the full list of the dental services benefit changes that have been made to support updates applicable to the Idaho Smiles Medicaid Dental program.

Your office may have received a previous notification concerning a change to the Idaho Smiles Program effective January 1, 2026. MCNA would like your office to disregard that notice. There will be no Adult Benefit Maximum for Idaho Smiles members. Please contact our Provider Hotline if you have a question.

The next issue of MCNA’s provider newsletter, Dental Details, is now available for download. In this issue:

• Happy Holidays from MCNA Dental

• Our Update Clinical Practice Guidelines

• Effective Strategies for Reducing No-Shows and Cancellations

• Go Green with MCNA Dental

• Question of the Quarter

If you are not subscribed to receive important information from the team at MCNA via email, 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.

MCNA has added the American Dental Association Guide to Claims Submission: Scaling and Root Planing to the provider resources listed under the News and Resources section of our website. This helpful tool provides guidance to your team and detailed instructions for accurate claim documentation, including:

• How to record attachment loss

• Sample charts

• Common reasons for claim denials

• Guiding values for treating dentists

• Examples of good and poor radiographs

MCNA's team is available to assist with any questions related to specific benefit limitations and plan submission requirements. You can get in touch with our representatives using one of the methods listed under Contact MCNA.