Provider News Feed

The U.S. Department of Health and Human Services Office of Inspector General (OIG) has released an important notice about a fraud scheme with the potential for large losses. In the scheme identified by OIG, fraudsters diverted Federal and State payments intended for providers participating in the Medicare and Medicaid programs. Please access the full Fraud Survey Report on OIG's website to learn more.

The next issue of MCNA’s provider newsletter, Dental Details, is now available! Check your email or download the latest issue.

In this issue:

• Celebrating National Dentist’s Day and Dental Hygienists’ Week

• Emerging Technologies in Dental Care

• Preparing for Tax Season

• How to Build a Strong Dental Team

• Question of the Quarter

If you are not subscribed to receive the newsletter each quarter, you can easily sign up by clicking “Manage Your Mailing List” in your Provider Portal account. We also recommend that you check your Mailing List periodically to ensure the email addresses for your office are up-to-date.

In October 2024, Louisiana Medicaid began its Provider Enrollment Rebaseline initiative to streamline the enrollment process for new Managed Care Organization (MCO) credentialed providers. Rebaselines for additional providers will occur every two months moving forward. Please read our provider bulletin for more information.

The Louisiana Department of Health (LDH) is hosting an additional stakeholder discussion meeting on February 18, 2025, at 12PM about the new Louisiana Medicaid Dental Incentive Payment Program. MCNA encourages all of our participating general and pediatric dentists to take part in this discussion. To learn more about the session and to join the Zoom meeting, view LDH's webinar flyer.

The next issue of MCNA’s provider newsletter, Dental Details, is now available! Check your email or download the latest issue.

In this issue:

• Using MCNA's Practice Site Performance Summary

• The Importance of Cultural Competency

• New Clinical Practice Guidelines

• Exclusions and Protecting Your Patients

• Question of the Quarter

If you are not subscribed to receive the newsletter each quarter, you can easily sign up by clicking “Manage Your Mailing List” in your Provider Portal account. We also recommend that you check your Mailing List periodically to ensure the email addresses for your office are up-to-date.

Beginning in 2025, Louisiana Medicaid will be implementing a Dental Incentive Payment Program. MCNA encourages all of our participating general and pediatric dentists to join in a stakeholder discussion on this new program hosted by the Louisiana Department of Health (LDH) on November 25, 2024, at 3PM. To learn more about the session and to join the Zoom meeting, view LDH's webinar flyer.

Louisiana Medicaid launched its Medicaid Provider Enrollment Rebaseline on October 25, 2024, and future rebaselines for new providers will occur every two months thereafter. Please read our latest provider bulletin to learn more about what rebaseline means and how it may affect your office.

The Louisiana Department of Health (LDH) has opened a comment period to allow the public to provide feedback on the upcoming competitive procurement for statewide Dental Benefit Program Managers with new contracts beginning January 1, 2026. You have the opportunity to review LDH's goals and provide feedback on areas of interest through November 22, 2024. Please visit the LDH's website to learn more and submit your feedback.

For stakeholders who wish to provide feedback verbally, LDH is hosting an online Stakeholder Engagement Session on November 22, 2024, at 12PM. To learn more about the session and to join the Zoom meeting, view LDH's webinar flyer.

MCNA's Louisiana Provider Manual version 1.25 is now available. Please refer to the Revision History located near the front of the manual for an overview of the changes included in this version. You may download a copy of the Provider Manual directly at https://manuals.mcna.net/louisiana.

We have updated our Clinical Practice Guidelines (CPGs). MCNA's approved CPGs can be found under the "Guides and Tools" section of our website and the "Support and Downloads" page in the Provider Portal.