AFL Update Form

Regarding HCBS self assessments

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.