To join Vaya Health’s network, you must meet credentialing criteria. You must be recredentialed every three years, at a minimum, to continue delivering services to our members and be reimbursed. At least six months in advance of this date, we will email you a recredentialing application at the provider email address you previously submitted to Vaya.
All other credentialing requests must be initiated by submitting the appropriate form as indicated below. Instructions for submission are included on each of the forms.
I WANT TO … Request initial credentialing with Vaya
| I AM A(N) … | I SHOULD … |
|
Provider not contracted with Vaya |
Visit our Provider Enrollment page. |
|
Practitioner not contracted with Vaya |
Submit the Credentialing Initiation Form (CIF) |
| Become familiar with the Council for Affordable Quality Healthcare (CAQH) |
I WANT TO … Register or remove licensed practitioners with Vaya (hospitals/health systems only)
| I AM A(N) … | I SHOULD … |
|
Hospital/health system |
Visit our Hospital Enrollment page |
I WANT TO … Request updates or changes to my information
(E.g., remove sites or services; update ownership, certifications or licensure information; change practitioner name, contact information, NPIs, taxonomy codes or entity type)
| I AM A(N) … | I SHOULD … |
|
Network provider agency |
Submit the Provider Change Request Form. If indicated on the form, submit the Authorization and Release for Background Checks. |
I WANT TO … Add or remove a licensed practitioner currently credentialed with Vaya and affiliated with me
| I AM A(N) … | I SHOULD … |
| Network provider agency LP employed by a network agency or contracted as a network LIP |
Submit the Provider Change Request Form |
IMPORTANT: All notices are sent to the primary/credentialing contact identified by the applicant. If this or any other information is incorrect, your application could be processed late or could be denied.
You must be enrolled with NC Medicaid and with NCTracks before we consider your application to be complete for review. Documents and forms must be submitted via email to credentialingteam@vayahealth.com, by fax to 828-225-2796 or by mail to:
Credentialing Team
Vaya Health
200 Ridgefield Court
Asheville, NC 28806
Questions about the credentialing process should be directed to 855-432-9139 or credentialingteam@vayahealth.com.
Review the Insurance Requirements
Enroll with NCTracks
Contracting
If you meet credentialing criteria, you will receive an email through DocuSign® with a network provider contract to sign. This process is legal and administratively efficient and eliminates the need to print or mail a copy of the contract, reducing the costs required to execute the contract for both you and Vaya. Before signing the contract, you should review all information for accuracy, including the name of the provider, phone number, address and tax ID.
Once the contract is signed by you and Vaya, you will receive a fully executed copy via email. Failure to timely sign the contract may result in a denial of claims for reimbursement for services delivered.
There is no right of renewal of a contract or right to be a network provider following the expiration or termination of a contract. Vaya determines eligibility for retention as a network provider in accordance with our written selection and retention policy specified in our Provider Operations Manual.