We warmly welcome you to MCNA Dental's provider network for the State of Utah

A Provider Friendly Program for Utah

MCNA Dental is one of the dental plan organizations for Utah Medicaid. We serve children and adults enrolled throughout Utah to provide the full spectrum of covered dental services on a full-risk basis.

Plan Logo

As a plan led by licensed dentists, we recognize the dedication that dental providers such as you have to the oral health of the patients you treat. We would like to extend an invitation for you to consider joining our provider network to serve our Utah members.

For more information about Utah Medicaid, visit the Utah Department of Health and Human Services website.

Company Information

MCNA Dental is one of the nation's largest dental insurers of state-sponsored Medicaid and CHIP programs.

A National Leader in Dental Insurance

MCNA Logo

MCNA Dental is one of the largest dental insurers of Medicaid and CHIP programs in the nation via direct contracts with state agencies. We were founded by dentists and have been in business for over 30 years. Millions of children and adults trust their smiles to MCNA!

We are committed to providing high-quality services to state agencies and managed care organizations, with the singular mission of improving the health of our members by ensuring access to quality dental care.

MCNA is an active and effective partner to our network providers in the delivery of oral health care and services, and we maintain national accreditations to underscore our commitment to operational quality. MCNA has earned the distinction of becoming the first dental plan in the country to be awarded full URAC Dental Plan Accreditation, and we have also earned NCQA accreditation for Credentialing and Re-Credentialing.

For more information about MCNA, visit our corporate website.

Discover our Focus on the Provider Experience

We are a provider-focused organization, and our high provider satisfaction rates across the country are a testament to the enhanced provider support and services we offer.

Icon User-Friendly Technology

User-Friendly Technology

Take advantage of our free web-based Provider Portal to assist with daily administrative tasks. Easily verify eligibility in real-time, submit your claims and prior authorizations, view patient rosters and patient histories, and much more.

Our in-house team of developers utilizes feedback from our network dentists to continuously update our Provider Portal and add new user-friendly features. We also maintain a collection of online tutorial videos to explain how to get the most out of our Portal's features.

Icon Concierge Provider Support

Concierge Provider Support

Our dedicated Provider Relations Team is ready to connect via telephone and in person to streamline your administrative tasks and reduce time spent on processing. We engage directly with you during initial orientation sessions and through one-on-one site visits upon request.

We also actively assist provider offices with missed and broken appointments through targeted outreach completed by our team of Member Advocate Outreach Specialists.

Icon Informed Clinical Decisions

Informed Clinical Decisions

MCNA enhances operational efficiency by providing a utilization management program that is overseen by dentists. We adopt and utilize nationally accepted, evidence-based clinical guidelines, including the American Academy of Pediatric Dentistry guidelines, and all clinical reviews are performed by licensed dentists.

As part of our clinical review process, we also offer you the option to engage in peer-to-peer discussions with our in-house licensed dentists at any time.

Our state-specific Dental Advisory Committees serve as the voice of the dental community, allowing participating dentists like you to help guide program growth and provide valuable feedback for continuous quality improvement.

Icon World-Class Customer Service

World-Class Customer Service

Our integrated call centers minimize wait times for our members and providers. Our robust training program emphasizes First Call Resolution and Cultural Competency, and our Provider Hotline is staffed with skilled representatives ready to assist with a wide range of provider inquiries.

The majority of MCNA's Call Center Representatives are multilingual. For those languages not spoken in-house, we offer free translation services for nearly 300 languages. We can also coordinate free in-office interpreter services for our members, including American Sign Language.

Network Enrollment

MCNA is currently accepting dental providers who serve enrollees in Utah.

Initial Enrollment Process

We are building a provider network in Utah to serve enrollees in Utah Medicaid. We invite you to consider joining our growing network of general dentists and specialists across the state.

To enroll your dental office in our Utah Medicaid network, please follow the steps listed below. If you are an existing MCNA provider and would like to provide services at an office location that is already in the MCNA network, you can submit an Add Existing Provider to an Existing Location Form and do not need to complete the enrollment steps below.

You may call our Provider Hotline at 1-844-902-6262 if you have any questions or would like assistance with the enrollment process. We look forward to working with you to serve the Utah Medicaid population. Together we can make a difference, one smile at a time!

Complete Credentialing Materials

You may complete your Credentialing Application via one of the following methods:

Option 1: CAQH ProView
Preferred Method

If you participate with CAQH, please log in to the CAQH ProView® Portal and authorize MCNA Dental to access your application.

Option 2: MCNA Credentialing Forms

Please download and complete one New Provider Form for each dentist enrolling in the network. Please also complete one Office Location/Information Form for each physical office location that is not already active in MCNA's network.

Complete Contracting Materials

Submit Materials to MCNA

News and Resources

Access provider news, documents, forms, guides, and helpful resources.

Provider Manuals

Your Provider Manual includes detailed information about Utah Medicaid, including covered services, submission requirements for claims and prior authorizations, dental guidelines, provider responsibilities, and contact information. You may download your Provider Manual below.

  • Utah Provider Manual

State and Federal Resources

The following resources and information are available from state and federal agencies related to the provision of dental services for Utah Medicaid.

Additional Resources

Below are additional resources and information for our network providers.

News Feed

Read the latest news and information from MCNA for our Utah Medicaid providers.

Dental Details Newsletter: Winter 2024

Posted: December 12, 2024

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.

View News Article

Clinical Practice Guidelines Updated October 2024

Posted: October 23, 2024

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.

Join MCNA at SmileCon 2024

Posted: October 9, 2024

ADA members, get ready for SmileCon 2024! Come visit the MCNA team on October 18-19 at booth #543 to snap some pictures at our selfie studio and register for our iPad raffle. Looking forward to seeing our Dental Superheroes in New Orleans!

Dental Details Newsletter: Fall 2024

Posted: September 30, 2024

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

In this issue:

  • Our Case Management Team: Here to Help

  • MCNA's Provider Training Webinars

  • New Clinical Practice Guidelines

  • Drive Traffic and Build Trust with an Email Newsletter

  • 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.

Resolving Overpayments

Posted: September 16, 2024

As a committed partner in combatting fraud, waste, and abuse in the Medicaid Program, MCNA works to prevent and recover overpayments paid to providers. Please refer to our latest Provider Bulletin to learn more about your office's role in identifying and recovering overpayments.

View All News

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 create your Provider Portal account today!

Create AccountLog In

Provider Training Webinars

We host online webinars to discuss our program and other important information. Please reserve your seat at one of our upcoming sessions.

Contact MCNA

Our representatives are ready to assist your office with the enrollment process and help you find answers to any questions you may have.

Call our Provider Hotline

If you have any questions, the easiest way to contact MCNA is to call our toll-free Provider Hotline at 1-844-902-6262. You can call Monday through Friday, from 6am through 6pm, MST, excluding national holidays.

If you call after regular business hours, you can leave a message on our secure voice mailbox. We will return your call the next business day.

Email Provider Relations

You may contact our Provider Relations team using our email form or by sending an email directly to UtahPR@mcna.net.

Send Email

Send Postal Mail

We recommend submitting any materials to MCNA electronically for the fastest service. If you need to send hard copy materials to us, you may use the mailing addresses below.

Paper Claims

Send paper claims via postal mail to MCNA at:

MCNA Dental

P.O. Box 23920

Oakland Park, FL 33307-3920

All Other Mail

Send all other postal mail to MCNA at:

MCNA Dental

P.O. Box 740370

Atlanta, GA 30374-0370

Social Media

Stay connected with our latest news and events, oral health tips, videos, and more when you follow our social media profiles.

  • Icon facebook

    Facebook

    @MCNADental

  • Icon x

    X (formerly Twitter)

    @MCNADental

  • Icon instagram

    Instagram

    @MCNADental

  • Icon youtube