Standards for private organizations

2020 Edition

Network Administration (NET) 6: Screening

The network management entity promptly and responsively screens applicants to identify and direct them to appropriate services.
2020 Edition

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Purpose

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.
1
The organization's practices fully meet the standard, as indicated by full implementation of the practices outlined in the NET 6 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the NET 6 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the NET 6 Practice standards.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the NET 6 Practice standards.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Screening procedures
No On-Site Evidence
  • Interviews may include:
    1. Clinical management/supervisors
    2. Provider Clinical management/supervisors and independent practitioners
    3. Persons served/community stakeholders
  • Review:
    1. Client records
    2. Utilization management data/reports

 


 

NET 6.01

Applicants are screened and informed about:
  1. how well their request matches the network’s services;
  2. whether they are eligible to receive network services; and
  3. what services will be available and when.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement.
3
Practice requires significant improvement.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 

NET 6.02

Prompt, responsive screening practices:
  1. give priority to urgent needs and emergency situations;
  2. support timely initiation of services; and
  3. provide for placement on a waiting list or referral to appropriate resources when individuals cannot be served or cannot be served promptly.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement.
3
Practice requires significant improvement.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.