Dental

How to Get Credentialed with MCNA Dental in Minnesota

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

Minnesota-Specific Requirements

MCNA Dental: Medicaid managed dental care network. MCNA does not currently hold a primary Medicaid dental managed care contract in this state. Provider enrollment may still be available for commercial or supplemental dental plans. Apply via MCNA provider portal (mcna.net). Uses CAQH ProView. Processing typically 30-60 days. State licensing: Minnesota Board of Dentistry issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts CDCA, ADEX, or WREB clinical exam. Advanced dental hygiene practitioner designation available. Requires cultural competency CE. Managed Care of North America — one of the largest Medicaid dental managed care organizations. Providers must be enrolled in state Medicaid first. Active contracts in FL, TX, LA, ID, NE, IA, and additional states. Fee schedules follow state Medicaid dental rates.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Minnesota.

2

Prepare Your Application

Complete MCNA Dental's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to MCNA Dental.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

Work history and education

DEA License

Conditional

Required if performing sedation or prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active dental license required

NPI Certificate

Active NPI number required

Enrollment Forms

MCNA Provider Application

Provider application for MCNA Dental Medicaid managed care programs.

Required
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