Ulysses Arteaga, L.C.S.W.
Volunteer Roles: Commissioner; EPPA; Marine Reviewer; Military Reviewer; Peer Reviewer; Team Leader
The Consuelo Foundation 2012 Peer Reviewer of the Year, Mr. Arteaga conducts two to three site visits a year, often volunteering for visits that require a Spanish speaking peer.
Network services are delivered to a defined population through an integrated network of providers with the goal of ensuring optimal access, quality of care, and consumer satisfaction.
COA’s Network Administration standards apply to network management entities (NME) and address core administrative practices that contribute to the effective management and coordination of an integrated network of service providers.
There are many types of networks and any number of ways that a network can be organized. It could be said that every service-provider network is unique. This is due to many factors that can include: the needs and demographics of the population being served; the availability--both geographically and numerically--of qualified providers and provider organizations; whether the network was formed in response to a legislative or regulatory mandate or was formed voluntarily; its mission and mandates; whether it was formed to realize administrative efficiencies, create a system of care, or compete for managed care contracts; and others.
In all cases, high-functioning service networks provide individuals and families with services that are appropriate to their needs and are provided in a timely manner by qualified providers.
Interpretation: Networks generally are in business to ensure and manage the quality of services provided to covered persons and families.
NA The organization is not a network management entity.
Note: Core administrative practices related to the administration and management of networks are not limited to the Network Administration standards, but are also reflected in each of the Administration and Management and Service Delivery Administration standards sections for Private organizations.
Note: Please see Policies and Procedures Manual - Network for additional assistance with this standard.
Note: Please see NET Reference List for a list of resources that informed the development of these standards.
Network Administration Narrative