• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

Vaya Health

Vaya Health Provider Central

  • Provider Learning Lab
    • Provider Manual
    • Forms
      • PA Request Forms
    • Communication Bulletins Archive
      • Sign up for Provider Communication Bulletins
    • 2021 Provider and Learning Summit
    • Provider Touchpoint
    • Provider Trainings
    • Provider Events
    • Zixmail
  • Authorization & Billing
    • Eligibility & Enrollment
    • Coverage Information
    • Authorization info
      • Authorization Guidelines
      • EPSDT
      • Peer Review
      • SAR Process
    • Appeals
    • AlphaMCS
    • Grievances
    • Claims
      • Claims Adjudication
      • Claims Denial – Reconsideration
      • Claims Submission
      • Rate and Checkwrite Schedules
    • PA Submission
  • Network Participation
    • Provider Enrollment
    • Credentialing
    • Relative as Direct Support Employee
    • After-Hours Coverage
    • Crisis Services Continuum
    • Hospital Information
      • Hospital Enrollment
      • Peer Bridgers
      • Billing for Emergency Services
    • Opioid Program
  • Program Integrity
    • Fraud, Waste and Abuse
    • Monitoring and Post-Payment Review
      • AFL Update Form
    • Incident Reporting
    • Performance and Quality
    • UM Program Policy
    • ILOS Policy
    • Emergency & Disaster
  • Population Health
    • Integrated Care
    • Vaya Total Care
    • Transitions to Community Living
      • TCLI Member Stories
  • VAYAHEALTH.COM
  • Show Search
Hide Search
Rate and Checkwrite Schedules

Rate and Checkwrite Schedules

All network providers are reimbursed at the lesser of the Vaya Health published rates for the service being provided or your usual and customary charge for the services, unless otherwise stated in your contract or identified in AlphaMCS. In general, Vaya follows the NC Medicaid fee schedule for Medicaid services.

Rate changes will be announced at least 30 days in advance unless they result from a change imposed by the General Assembly, NC Medicaid or the N.C. Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS). You can submit claims for more than the published rates, but only the published or contracted
rate will be paid.

If you submit a claim for less than the published or contracted rate, the lower rate will be paid. It is the provider’s responsibility to monitor the publishing of rates and to make the necessary changes to their billing systems.

  • Standard Rate Schedule: Medicaid 1915(b) and (b)(3) Non-Clinician-Based (07/01/2022)
  • Standard Rate Schedule: Medicaid 1915(b) and (b)(3) Clinician-Based (07/01/2022)
  • Standard Rate Schedule: Medicaid 1915(c) (07/01/2022)
  • Standard Rate Schedule: Non-Medicaid Non-Clinician Based (07/01/2022)
  • Standard Rate Schedule: Non-Medicaid Clinician-Based (07/01/2022)

Archived Rate Schedules

  • Standard Rate Schedule: Medicaid 1915(b) and (b)(3) Non-Clinician-Based (06/08/2022)
  • Standard Rate Schedule: Medicaid 1915(b) and (b)(3) Clinician-Based (04/01/2022)
  • Standard Rate Schedule: Medicaid 1915(c) (06/08/2022)
  • Standard Rate Schedule: Non-Medicaid Non-Clinician Based (05/12/2022)
  • Standard Rate Schedule: Non-Medicaid Clinician-Based (04/01/2022)


Checkwrite Schedule

Vaya adheres to the standardized LME/MCO checkwrite schedule, which is based on a 5 p.m. Tuesday cutoff. Claims received before this cutoff date will be paid the following week according to the checkwrite schedule. The schedule  accommodates for state and federal holidays occurring during the work week. 

Vaya Health 2021 Checkwrite Schedule

Vaya Health 2022 Checkwrite Schedule

Primary Sidebar

  • Vaya Health
  • Learning Lab
  • Events
  • Contact
  • Authorization & Billing
    • Coverage Information
    • Authorization info
    • Eligibility & Enrollment
    • Provider Appeals
    • AlphaMCS
    • Prior Authorization Submission
    • Claims
      • Claims Adjudication
      • Claims Denial – Reconsideration
      • Claims Submission
      • Rate and Checkwrite Schedules
    • Provider Grievances
Facebook Twitter Linkedin

Contact us

  • Email Us
  • Provider Help Line
    828-225-2785 ext. 1512
  • 200 Ridgefield Court Asheville, NC 28806

Learning Lab

  • Forms (Downloadable Documents)
  • Provider Events
  • Provider Trainings
  • Provider Manual
  • Provider Emails

Quicklinks

  • Authorization Info
  • Claims (Billing)
  • AlphaMCS
  • AFL Update Form
  • Provider Enrollment
  • Vayahealth.com

Accreditation

.

Copyright © · Vaya Health · All rights reserved

Twitter Facebook-f Linkedin