'; Credentialing | Vaya Health

Credentialing

Vaya operates a closed network for behavioral health, I/DD, and TBI providers, which means Vaya does not have to accept new providers into the plan. Vaya’s Network Services Management Committee will review these requests and make recommendations regarding network contracting decisions.

Vaya operates an open network for all other provider types, including physical health, pharmacy, LTSS, and Non-Emergency Medical Transportation (NEMT) providers. Vaya will enroll and contract with all willing and qualified providers that wish to participate in the Vaya Health Plan.

In lieu of credentialing, the NC Division of Health Benefits (DHB) currently allows the LME/CMOs permission to accept provider enrollment information in NCTracks to determine eligibility for contracting.

To add a clinician to a new or existing contracted agency, you must submit a completed Enrollment Initiation Form (EIF) located on our Provider Enrollment page.

As a reminder, please ensure that your provider information is currently updated in NCTracks prior to applying for participation in Vaya’s Provider Network.