Building specialty provider networks for Medicare Advantage and Medicaid access.
We do two things, and we do them well. We develop behavioral health provider networks that health plans can access, and we measure network adequacy — county by county, specialty by specialty — so plans know where they stand before they submit.
One platform. Two ways we strengthen your network.
We build behavioral health provider networks health plans can access, and we deliver the network adequacy analysis and development support plans need before they submit to CMS or a state Medicaid program.
Behavioral Health Network Access
We develop and organize behavioral health provider networks that health plans can access through negotiated contractual arrangements — recruited, organized, and credentialing-ready.
Psychiatry & Psychology
Board-eligible and certified clinicians prepared for plan access discussions.
Licensed Therapists & Counselors
LCSWs, LMHCs, and counseling providers with telehealth and in-person availability.
Addiction Medicine
MAT-capable providers organized by county and modality.
Tele-Behavioral Health
Multi-state telehealth coverage scaled to underserved counties.
Network Adequacy Services
County-by-county, specialty-by-specialty adequacy analysis and network development support for Medicare Advantage and Medicaid plans — so you know where you stand before you submit.
Gap Analysis
ZIP-level access measurement against CMS contract-year or state Medicaid standards.
Provider Recruitment & Contracting
Market providers identified and targeted to close documented gaps.
HSD Table Preparation
Provider and facility HSD tables prepared for CMS or state Medicaid submission.
Expansion Readiness
Scenario modeling that shows what adding a provider changes before you commit.
Behavioral Health Provider Networks Built for Health Plan Access
We focus on developing organized behavioral health provider networks that health plans may access through negotiated network arrangements, subject to provider participation and applicable contractual and regulatory requirements — a Network-as-a-Service model that can include network leasing as a potential contractual arrangement.
Identify and engage qualified behavioral health professionals in targeted geographic markets.
Maintain provider demographic information, specialties, service locations, participation information, and network records.
Review network composition, provider information, contractual participation, and potential geographic access opportunities.
Work with interested health plans to evaluate appropriate network access arrangements.
Network Adequacy Intelligence That Supports Better Decisions
We help Medicare Advantage and Medicaid health plans analyze provider network access, identify deficiencies, evaluate potential contracting targets, and develop strategies to strengthen network readiness.
Evaluate provider network data and applicable geographic access standards.
Determine which specialties, counties, and populations may have access deficiencies.
Identify potential provider additions and contracting opportunities.
Provide reporting, recommendations, data validation, and agreed network development assistance.
What you receive
- Specialty-level network adequacy reports
- Geographic access maps
- Gap analysis summaries
- Provider recruitment target lists
- Contracting scenario analysis
- Market expansion assessments
- HSD preparation and validation support
- Medicaid state-specific adequacy analysis
Medicare Advantage and Medicaid are not the same. Medicare Advantage analysis reflects applicable CMS MA network adequacy requirements, including contract-year HSD standards. Medicaid analysis recognizes federal requirements and the applicable state's standards — MA HSD tables are not universal Medicaid reporting requirements.
See your network the way a reviewer would.
Every engagement starts with a county-level read of your network: which specialties meet access standards, which are thin, and which have no coverage at all. This is the view that drives the plan.
See how the analysis works| County | Specialty | Providers | Status |
|---|---|---|---|
| Miami-Dade, FL | Psychiatry | 18 | Strong |
| Harris, TX | LCSW | 11 | Moderate |
| Maricopa, AZ | Tele-Behavioral | 24 | Strong |
| Bexar, TX | Addiction Med. | 3 | Low |
| Pinal, AZ | Psychiatry | 0 | Gap |
Illustrative sample values for demonstration only — not actual or contracted provider inventory, and not a CMS network adequacy determination.
Access is the new differentiator.
Member experience, Star ratings, and growth all depend on whether members can actually reach a provider. We're built to support that — county by county, specialty by specialty.
Built by Healthcare Network Leadership. Designed for Health Plan Challenges.
MyQualityCareNetwork combines data-driven geographic network analysis with decades of hands-on managed care executive experience.
Our approach draws on expertise in Medicare Advantage, Medicaid managed care, provider network contracting, geographic expansion, regulatory reporting, and network operations.
Identifying a network deficiency is only the beginning. Our focus is on developing practical strategies that help health plans prioritize contracting opportunities, strengthen provider relationships, and improve network readiness.
Learn more about us
Felix Gonzalez
Founder, MyQualityCareNetwork
- More than 30 years of managed care experience
- Provider network development leadership
- Medicare Advantage network experience
- Medicaid managed care contracting
- Network expansion initiatives
- CMS HSD and adequacy experience
- Provider network operations
- Executive leadership
Get organized. Get visible. Get into network conversations.
Submit your application once. We support credentialing readiness, document tracking, and surface your availability to Medicare Advantage plans exploring network expansion.
Join our provider networkSee coverage, gaps, and expansion opportunity at the county level.
Review aggregate behavioral health network availability across our coverage areas and start a plan access discussion when the profile fits your market.
Explore the networkWhere we work, and how.
Our network development is focused in Florida, Texas, and Arizona, while our adequacy analysis and consulting services are available nationally. A state's appearance here reflects analysis capability, not a complete contracted provider network.
The sample analysis table above uses illustrative values for demonstration and does not represent actual or contracted provider inventory in any market.
Neutral by design. Compliance-aware by default.
MyQualityCareNetwork is not an insurance company, health plan, medical provider, or claims administrator. We support network participation opportunities, credentialing readiness, provider organization, and plan access discussions. All participation is subject to applicable review, approval, and agreement terms.
Build the network before the gap shows up on a CMS report.
Whether you're a behavioral health provider exploring network participation opportunities or a health plan starting plan access discussions, we'd like to hear from you.