In an effort to continue to improve access and the quality of oral health services, the Louisiana Department of Health (LDH) has contracted with Managed Care of North America (MCNA) Dental to provide dental benefits for qualified Medicaid enrollees. MCNA Dental is accountable to LDH and the state of Louisiana. Their contract requires adherence to detailed grievance and appeals requirements. Members have the right to appeal denied services, first to MCNA, then to the State. There are also strict marketing guidelines that must adhere to with mandatory prior approval of marketing materials. LDH will monitor all complaints, grievances and appeals to assure that MCNA is accountable to the enrollees and the state. Complaints and any questions can be submitted by email to firstname.lastname@example.org and the appropriate staff will address any issues or concerns.
Medicaid Post Authorizations
Medicaid will no longer accept post authorization requests for services rendered prior to July 1, 2014. Standard timely filing requirements still apply. The appropriate dental program policy for that date of service will apply to all submitted claims with dates of service prior to July 1, 2014. Providers are required to submit the requests for prior authorization to the address below:
LDH MEDICAID DENTAL PROGRAM
P.O. BOX 91030
BATON ROUGE, LA 70821-9030
If you have any questions regarding post authorization requests rendered before July 1, 2014, you may contact the Medicaid Dental Program at 225-342-4182. Providers can submit questions by email to email@example.com and the appropriate staff will address any issues or concerns.
|Call MCNA Dental: 1-855-702-6262 (Monday - Friday, 7 a.m. - 7 p.m.)|
|TTY (Hearing Impaired): 1-800-955-8771|
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- State Fair Hearing Companion Guide
- Dental Benefit Program Manager Systems Companion Guide (Updated July 1, 2015)
Medicaid is an assistance program that provides medical coverage to low-income people who meet certain eligibility qualifications. Currently in Louisiana, more than 1.2 million people are enrolled in Medicaid. If you wish to apply for Louisiana Medicaid or need information on the current system of care (services covered, providers, etc.), click here.
Medicaid Program Links