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Vaya Total Care (Tailored Plan) 

On July 1, 2024, Vaya Health is launching Vaya Total Care, an NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plan.

Vaya Total Care integrates Medicaid physical and behavioral health care, pharmacy benefits, I/DD services, traumatic brain injury (TBI) services, and Long-term Services and Supports (LTSS) under one plan. It includes services available through the NC Innovations Waiver and, when it expands to our region, the state’s TBI Waiver.

Vaya Total Care serves Medicaid beneficiaries who have intensive, specialized behavioral health, I/DD, or TBI needs. Our plan is designed to make decisions easier, improve outcomes, and help members achieve better overall health and well-being through one plan and one point of contact.

Through Tailored Care Management , members have a single designated care manager — supported by a care team — to provide care management that addresses all their needs, including unmet health-related resource needs.

Vaya Total Care (Tailored Plan) Services for Medicaid Members

For Medicaid beneficiaries with serious mental illness, serious emotional disturbance, severe substance use disorder, I/DD, and/or TBI:

  • Physical health care services
  • Pharmacy benefits
  • Mental health services
  • Substance use recovery services
  • I/DD services
  • NC Innovations Waiver services
  • TBI services
  • LTSS
  • Specialized value-added services
  • Tailored Care Management
  • Non-emergency medical transportation

For more information:

Need Help?

For information or technical assistance, call Vaya Health’s Provider Support Service Line at
1-866-990-9712
(Monday-Saturday, 7 a.m.- 6 p.m.).