Background & Services


Managed Care of North America, Inc. (MCNA) 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 Children’s Health Insurance Program (CHIP) members. MCNA serves approximately 2 million children and adults including some of the most vulnerable members in society with the singular mission of improving their general health by ensuring quality dental care.

MCNA also offers dental plans for private employers, individuals and families. MCNA is dedicated to becoming a true partner in the management of your dental program. We are committed to working with you to achieve all of your quality, operational and financial goals for your dental program. We encourage and invite you to contact us to learn more about how we can become true partners.

 

  • MCNA will contract with state Medicaid agencies or managed care organizations in the following ways:
    • Dental HMO contracts where MCNA assumes full risk for dental services based on a negotiated, capitated rate
    • Administrative Services Organization (ASO) contracts where MCNA provides a selected range of administrative services, including claims processing
    • Third Party Administrator (TPA) services contracts where MCNA provides claims processing services and a limited number of related services may also be selected
    • Consulting Services contracts for state agencies or health plans wishing to retain the services of MCNA to develop a dental program management strategy, or to enhance the quality or operational results of their current dental program
  • MCNA offers a comprehensive set of services to clients. All of our programs operate in a continuous quality improvement framework, which means we are focused on delivering ever-increasing value to our customers:
    • Primary and Specialty Care Dental Networks
    • Dental Network Management (including Provider Profiling)
    • NCQA-compliant Credentialing Services
    • Member Services and Education
    • Provider Relations and Education
    • Claims Processing
    • Quality Improvement
    • Dental Home Program Option
    • Utilization Management
    • Compliance Programs, including Fraud, Waste and Abuse Identification
    • Enrollment
    • Reporting and Business Intelligence (available 24/7)

For a more detailed explanation of any of these services, please contact us.