WHAT'S NEW

What's New

  • Dental Medicaid Update +

    Dental Advisory Committee Successful in Working with MCNA to Achieve Improvements in Dental Medicaid Guidelines (posted 8/11/17) Dentists representing LDA, LAPD, LSUSD and LSBD serving on the Dental Advisory Committee Read More
  • Online C.E. +

    Need C.E. but don't want to leave your house? LDA has you covered! LDA & Fortress Insurance are teaming up to offer "Treating Challenging Patients" with Richard Small, a 1 Read More
  • LDA Foundation Fishing Rodeo WINNERS +

    LDA Foundation Fishing Rodeo WINNERS announced! Visit www.ladental.org/fishingrodeo for the complete list! Why support the LDA Foundation Fishing Rodeo? The LDA Foundation (a 501(c)(3) charitable organization), together with partners such Read More
  • New Premier Events Partner: Hopes to Lower Your Tax Burden +

    Tax Saving Professionals has just signed an agreement to become the newest Premier Events Partner with the LDA for the next year. They are excited to build relationships with members Read More
  • Amalgam Separators Now Required Nationwide +

    Amalgam Separators Now Required Nationwide: the Environmental Protection Agency (EPA) has reinstated its final rule regarding the recycling of dental amalgam, and it requires most dental offices nationwide to install Read More
  • Disaster Preparedness and Recovery +

    To view a complete listing of resources and lists compiled by the LDA, visit www.ladental.org/members-only/disaster-preparedness-and-recovery Read More
  • 1

Dental Advisory Committee Successful in Working with MCNA to Achieve Improvements in Dental Medicaid Guidelines (posted 8/11/17)

Dentists representing LDA, LAPD, LSUSD and LSBD serving on the Dental Advisory Committee (DAC) regularly present dentists’ concerns about Medicaid at meetings with MCNA executives.  In response, MCNA has adjusted the rules for the age cutoff in conducting behavioral health assessments without an authorization and made adjustments to 3 of the rules impacting annual bitewings.  A table with details of all the changes is attached. All radiograph rule changes have been made retroactive to dates of service 1/1/17.  According to MCNA, any claim denied with a date of service 1/1/17 or after has already been, or is in the process of being adjusted. Your office will not need to contact MCNA or request a reconsideration.


 
MCNA Dental Advisory Committee Meeting Update, June 14, 2017
Following is a synopsis of the issues discussed at the June 14, 2017 meeting of the MCNA Dental Advisory Committee meeting.  Members of the committee representing dentistry are: LDA Executive Director Ward Blackwell, Dr. Claudia Cavallino (LSBD), Dr. Edward “Don” Donaldson (LAPD), Dr. Hugh McKnight (LDA), Dr. Steve Morgan (LDA) and Dr. Janice Townsend (LSUSD).

Issue: Limits on panoramic and bitewing x-rays in the same year – MCNA indicated an understanding that there are some cases in which this restriction should not be applied; say they will take the issue to the Louisiana Department of Health (LDH) to seek a revision to the provider manual.

Issue: Behavior management not reimbursed for patients 6 & up – LDH has affirmed policy of not reimbursing for older kids unless they are disabled; will continue to discuss with LDH.

Issue: very young patients being “auto-assigned” to dentists who don’t treat kids that young – MCNA will review “welcome letter” new Medicaid recipients receive and edit as necessary to ensure parents know they have a choice of dentist.Issue: Frequency limits being “re-set” for claims filed, but denied – MCNA will look into correcting this in their system.

Issue: Partial payment for dentures when patient eligibility changes (only payable if dentures submitted to MCNA and NOT delivered to patient): MCNA will look into updating eligibility on their portal overnight after receiving data from LDH. MCNA will talk to LDH about % of regular fees paid in such cases and allowing payment of % even if dentures have been delivered to patient who is no longer eligible. MCNA has launched a preventive health campaign that will, among other things, increase by $10 the reimbursement for each sealant on first permanent molars for 6-9 year olds and increase by 25% fees for prophies and fluoride for members without record of preventive care over the last twelve months.  Campaign ends 9/30/17.  Details can be found on the MCNA provider portal.
lda logo white

Links with this symbol are password protected for LDA members only.
lda logo white

7833 Office Park Blvd.
Baton Rouge, LA 70809
(225) 926-1986  |  (800) 388-6642
(225) 926-1886  Fax
info@ladental.org

Links with this symbol are password protected for LDA members only.
7833 Office Park Blvd.
Baton Rouge, LA 70809
(225) 926-1986  |  (800) 388-6642
 Fax (225) 926-1886
info@ladental.org