Utah Provider Network Enrollment
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. MCNA was founded by a group of dentists in 1992 and is one of the fastest growing dental networks in the United States. We serve over 4 million children and adults with the singular mission of improving their general health by ensuring access to quality dental care. The key to our success has been our strong relationships with our providers in each state we serve.
The State of Utah's Department of Health, Medicaid Division, has evaluated the Utah Medicaid Dental Program RFP and has announced their intent to award a contract to MCNA Dental. Beginning September 1, 2018 for the Wasatch Front Counties (Davis, Salt Lake, Utah, and Weber Counties), and January 1, 2019 for the entire state, we will be one of two dental plan administrators that will serve the children and adults enrolled in the Utah Medicaid Dental Program. We are now building a network of Medicaid providers to serve them.
We would like to extend an invitation for you to consider joining our network to serve the Utah Medicaid Dental Program.
Need more information? Visit our corporate website at http://www.MCNA.net
Providers May Enroll Now!
Enroll by Fax, Email, or Mail
- 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 complete the IRS W-9 Form.
- Step 6: Download and complete the Payment Method Selection Form.
Step 7: Fax the completed documents to 1-954-397-7441, email them to Network_Development@MCNA.net, or mail them to:
Attn: Utah Network Development
P.O. Box 29008
San Antonio, TX 78229
For More Information or For Questions
Call MCNA's Utah Provider Hotline toll-free at 1-844-902-6262. You may also contact us by email for an online response at Network_Development@MCNA.net.