Provider News Feed

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

• Oral Evaluations During Pregnancy

• Clinical Documentation Tips That Support Prior Authorizations

• Make the Most of MCNA's Provider Portal

• Updated Clinical Practice Guidelines (CPGs)

• MCNA’s Performance in Recent Member Experience Surveys

Our goal is to keep our providers informed about the dental program and engaged with all things MCNA. If you have any questions or would like to provide feedback about Dental Details, please reach out to your dedicated Provider Relations team. You can find their contact information inside each issue.

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.

The Idaho Department of Health & Welfare (IDHW) has released a notice informing providers about the requirement to enroll and remain active with the State Medicaid Agency through Gainwell Technologies. All dental providers must enroll with Idaho Medicaid’s vendor Gainwell Technologies to continue to provide services to Medicaid members. Please read the IDHW's Information Release MA26-17 for full details.

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

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

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.