Provider Manual

To download the Provider Manual for the Idaho Smiles Medicaid program, log in to MCNA Dental's online Provider Portal, or click here to download it directly.

Clinical Practice Guidelines

MCNA adopts Clinical Practice Guidelines that are based on the best available evidence that suits the enrolled membership. These guidelines dictate the provision of acute, chronic, and complex dental care services to assist our network providers and members in making appropriate decisions that improve quality of care.

Download our Clinical Practice Guidelines for your office to learn more.

Provider Quick Reference Guide

Download our Quick Reference Guide for fast access to important information.

Provider Newsletters

MCNA Dental sends monthly newsletters to all of our providers, delivered right to their email inboxes! These newsletters include the latest updates from MCNA Dental, information about upcoming changes, dental industry news, and much more. To sign up for these email newsletters, log in to MCNA Dental's online Provider Portal and add your email address to the mailing list.

Forms and More

There are additional documents and resources available for your office to download, including forms, stickers, training resources, and more. Log in to MCNA Dental's online Provider Portal to access them.

Below are some common forms and resources for providers:

• ADA Claim Form Completion Instructions
• Dental Anesthesia Prior Authorization Form
• HHS Cultural Competency Educational Program
• Index of Orthodontic Treatment Need (IOTN)
• Non-Covered Services Form
• Overpayment/Recoupment Form