Behavioral Health, I/DD, and TBI Network
Vaya Health maintains a closed network for providers of behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services for the following health plans:
- NC Medicaid Managed Care Behavioral Health and I/DD Tailored Plan), which includes:
- NC Medicaid Direct Prepaid Inpatient Health Plan (PIHP)
Medicaid benefits for both plans include all child and adult behavioral health, I/DD, and TBI services required by the North Carolina 1115 Demonstration Waiver and the NC State Plan for Medical Assistance (Medicaid State Plan). Service types include:
- Crisis and inpatient behavioral health services
- Outpatient mental health services
- Outpatient substance use disorder services
- I/DD services
- TBI services
- Residential services
- Respite services
- In lieu of services (ILOS)
Vaya Total Care also covers the following service types:
- NC Innovations Waiver services through the state’s Medicaid 1915(c) home and community-based services waiver for individuals with I/DD
- NC TBI Waiver services (upon program expansion to the Vaya region)
- Long-Term Services and Supports
State-funded behavioral health, I/DD, and TBI services available through Vaya Total Care are not an entitlement, and availability is dependent on funding from the state of North Carolina.
For a full list of covered services, see Appendix A of Vaya’s Provider Operations Manual. For service definitions and other details, visit our Coverage Information webpage.
All Vaya network providers must be enrolled in NC Medicaid through NCTracks. For more information, visit our Provider Enrollment page.
For more information on network requirements for behavioral health, I/DD, and TBI providers, visit our After-Hours Coverage, Relative as Direct Support Employee, and Hospitals pages.
For more information about our specialty behavioral health programs, visit our Crisis Services Continuum, Opioid Program, and Transitions to Community Living pages.