# MCNA Texas timely filing limit

Answer: The initial dental filing window for MCNA Dental — Texas Medicaid & CHIP is 95 days — “Providers must file claims within 95 days of date of service (DOS). If your claim is not received within 95 days from the date of service, it will be denied for late submission.” (MCNA Texas Provider Manual v1.31, effective March 1, 2026, §VII). Corrected claims: 365 days — the cap on MCNA's enumerated late-filing exceptions — COB (the clock starts at the primary EOB/RA date), wrong-plan filing, clearinghouse failure, and circumstances beyond the provider's control — all still capped at 365 days from the date of service; deficient claims get 30 calendar days to supply missing x-rays or narratives. Reconsideration: 120 days for main-dental-home, timely-filing, no-prior-authorization, duplicate, and eligibility denials. Provider contracts and plan documents override published manuals — the contract number controls. Last verified 2026-08-30.

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Answer intent ID: `mcna-texas-timely-filing-limit`
Cluster: Practice operations
Last verified: 2026-08-30
Reviewer: none — owner-published, verified against the primary sources cited here and not reviewed by a credentialed specialist.

## Direct answer

The initial dental filing window for MCNA Dental — Texas Medicaid & CHIP is 95 days — “Providers must file claims within 95 days of date of service (DOS). If your claim is not received within 95 days from the date of service, it will be denied for late submission.” (MCNA Texas Provider Manual v1.31, effective March 1, 2026, §VII). Corrected claims: 365 days — the cap on MCNA's enumerated late-filing exceptions — COB (the clock starts at the primary EOB/RA date), wrong-plan filing, clearinghouse failure, and circumstances beyond the provider's control — all still capped at 365 days from the date of service; deficient claims get 30 calendar days to supply missing x-rays or narratives. Reconsideration: 120 days for main-dental-home, timely-filing, no-prior-authorization, duplicate, and eligibility denials. Provider contracts and plan documents override published manuals — the contract number controls. Last verified 2026-08-30.

## Query patterns

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Source citations:
- `TIMELYFILING-MCNA-TEXAS-1` MCNA Dental — Texas Provider Manual v1.31 (manuals.mcna.net). <https://manuals.mcna.net/texas>

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## Review state

Dentovio is an independent publisher — not a payer, the American Dental Association, or any government agency, and it is unaffiliated with the insurers named here. This page was drafted with AI assistance and verified against the primary sources linked here. It has not been reviewed by a credentialed dental billing specialist or attorney. These pages record filing, correction, appeal, records, and recoupment windows as read in each payer's published documents on the last-verified date — and record honestly where no public number exists. Provider contracts override published manuals, editions change, and several payers set different rules per state, network, or program. Educational reference only, not billing or legal advice; confirm the controlling number in your participation contract and the payer's current provider manual before relying on it.

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