The HCBS Provider Self-Assessment must be completed in full on the N.C. Department of Health and Human Services website.
Failure to complete the form and answer all questions could result in a delay of approval. If you have any questions, contact HCBS@vayahealth.com.
Providers of Long-Term Community Support Services
Please download the HCBS Form here, complete and submit to HCBS@vayahealth.com. Failure to complete the form and answer all questions could result in a delay of approval.
For additional support, contact HCBS@vayahealth.com.
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