A Provider Friendly Program for Washington

MCNA Dental is a leading dental benefit management company committed to providing high quality services to state agencies and managed care organizations for their Medicaid, Medicare, and CHIP members. We serve over 5 million children and adults with the singular mission of improving their general health by ensuring access to quality dental care. For more information, visit our corporate website at http://www.MCNA.net

MCNA Dental was selected by the Washington Health Care Authority as an “Apparently Successful Bidder” for the Medicaid Dental Managed Care Request for Proposal. We were excited about this opportunity to increase dental care access for Washingtonians, however the program shift has been halted due to legislation. For additional information, please click the following link to the Health Care Authority’s announcement: https://www.hca.wa.gov/about-hca/apple-health-medicaid/apple-health-dental-moving-managed-care

As a company founded and operated by dentists, we recognize the dedication that Medicaid providers such as you have to the oral health of Washington’s children and adults, and we are continuing our recruitment efforts for Washington. Please continue to submit your contracts and credentialing materials.

Provider Network Enrollment

Your dental office may enroll in our Washington Medicaid network now via any one of the below methods:

Method 1: Fax, Email, or Mail to MCNA

Step 1: Download and read our Welcome Letter.
Step 2: Download and complete one New Provider Form for each dentist.
Step 3: Download and complete one New Location Form for each physical location.
Step 4: Download and complete our Dental Provider Agreement.
Step 5: Download and read our Provider Fee Schedule.
Step 6: Download and complete the IRS W-9 Form.
Step 7: Download and complete the Payment Method Selection Form.
Step 8: Fax the completed documents to MCNA at 1-208-298-3844, email them to Network_Development@MCNA.net, or mail them to:
- MCNA Dental
  Attn: Washington Network Development
  P.O. Box 29008
  San Antonio, TX 78229

Method 2: Online Credentialing Portal / CAQH

Step 1: Download and read our Welcome Letter.
Step 2: Complete our Online Credentialing Application which includes all required forms.
Step 3: All the documents will be submitted electronically to MCNA via the link above.

Method 3: Washington Universal Application

Step 1: Download and read our Welcome Letter.
Step 2: Download and complete all required forms listed on the Washington Credentialing Standardization Group website.
Step 3: Download and complete our Dental Provider Agreement.
Step 4: Download and read our Provider Fee Schedule.
Step 5: Download and complete the IRS W-9 Form.
Step 6: Download and complete the Payment Method Selection Form.
Step 7: Fax the completed documents to MCNA at 1-208-298-3844, email them to Network_Development@MCNA.net, or mail them to:
- MCNA Dental
  Attn: Washington Network Development
  P.O. Box 29008
  San Antonio, TX 78229

Method 4: One Health Port

Step 1: Download and read our Welcome Letter.
Step 2: Log in to your One Health Port account and submit your application to MCNA Dental.
Step 3: Download and complete our Dental Provider Agreement.
Step 4: Download and read our Provider Fee Schedule.
Step 5: Download and complete the IRS W-9 Form.
Step 6: Download and complete the Payment Method Selection Form.
Step 7: Fax the completed documents to MCNA at 1-208-298-3844, email them to Network_Development@MCNA.net, or mail them to:
- MCNA Dental
  Attn: Washington Network Development
  P.O. Box 29008
  San Antonio, TX 78229

Provider Resources and Documents

Frequently Asked Questions

How do I sign up with MCNA?

Follow the steps outlined in the above section. If you have questions and would like to speak with an MCNA Dental representative, please call our Provider Hotline at 1-844-903-6262.

What is MCNA Dental’s payor ID for electronic submission of claims and pre-authorization requests using a third-party clearinghouse?

MCNA’s payor ID is 65030.

Is there a special application to access MCNA’s Provider Portal?

No, you do not need to complete a special application to access the Provider Portal. Once you have successfully completed MCNA’s credentialing process and are an active provider in our network, you automatically qualify for a free account on our Provider Portal and all of the benefits it entails! All you need to do is visit MCNA’s Provider Portal at http://portal.mcna.net and complete the simple process of validating your information, then you are ready to go!

How do I contact MCNA if I have questions or need help?

Please call our dedicated Washington Provider Hotline at 1-844-903-6262. It is available Monday through Friday, from 5 a.m. to 5 p.m.

Provider Manuals

Washington Medicaid Provider Manual

Forms

MCNA’s Provider Portal

MCNA’s free Provider Portal allows you to quickly verify member eligibility, submit claims and prior-authorizations, manage your office, edit your fee schedules, and more! We welcome you to sign up and create your Provider Portal account today!

Create Account

Already have an account? Log in instead.

Provider Training Sessions

MCNA Dental hosts regional training sessions and online webinars to discuss our program and other important information. Please RSVP to reserve your seat at one of our upcoming sessions. To RSVP, email WashingtonPR@mcna.net with your name, contact information, and desired session date.

No training sessions currently scheduled. Please check back soon or contact us to schedule one-on-one training.

We are here to help you!

If you have any questions, please call our toll-free Washington Provider Hotline at:

1-844-903-6262

You can call Monday through Friday, 5 a.m. – 5 p.m. (excluding national holidays).
If calling after hours, please leave a message for our representatives. Your call will be returned on the next business day.