• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

Vaya Health

Vaya Health Provider Central

  • Provider Learning Lab
    • Provider Manual
    • Forms
      • PA Request Forms
    • Communication Bulletins Archive
      • Sign up for Provider Communication Bulletins
    • 2021 Provider and Learning Summit
    • Provider Touchpoint
    • Provider Trainings
    • Provider Events
    • Zixmail
  • Authorization & Billing
    • Eligibility & Enrollment
    • Coverage Information
    • Authorization info
      • Authorization Guidelines
      • EPSDT
      • Peer Review
      • SAR Process
    • Appeals
    • AlphaMCS
    • Grievances
    • Claims
      • Claims Adjudication
      • Claims Denial – Reconsideration
      • Claims Submission
      • Rate and Checkwrite Schedules
    • PA Submission
  • Network Participation
    • Provider Enrollment
    • Credentialing
    • Relative as Direct Support Employee
    • After-Hours Coverage
    • Crisis Services Continuum
    • Hospital Information
      • Hospital Enrollment
      • Peer Bridgers
      • Billing for Emergency Services
    • Opioid Program
  • Program Integrity
    • Fraud, Waste and Abuse
    • Monitoring and Post-Payment Review
      • AFL Update Form
    • Incident Reporting
    • Performance and Quality
    • UM Program Policy
    • ILOS Policy
    • Emergency & Disaster
  • Population Health
    • Integrated Care
    • Vaya Total Care
    • Transitions to Community Living
      • TCLI Member Stories
  • VAYAHEALTH.COM
  • Show Search
Hide Search

Hospital Enrollment

All requests for network enrollment by a hospital/health system for inpatient and/or basic outpatient services must be sent to Vaya Health’s Provider Network Operations Department.

  • Providers of emergency department and/or related ED physician services can be enrolled with the information provided on the paper claim submitted for behavioral health when accompanied by a copy of the billing facility or physician group entity’s Federal W-9 form. For more information, visit our Billing for Emergency Services page.
  • To apply to contract for psychiatric inpatient facility and associated psychiatric group services, or to enroll for payment of behavioral health-related emergency department facility and/or emergency physician group services, complete the Hospital Data Form (Excel). This form can also be used to add or remove affiliated licensed practitioners from a previously enrolled hospital health system or emergency department physician group’s roster.

If emergency behavioral health services resulted in a psychiatric inpatient admission, contact Vaya’s Utilization Management (UM) Department at 1-800-893-6246, ext. 1513, to request authorization and initiate the inpatient out-of-network agreement process.

To add enhanced outpatient services to your contract at a new or existing contracted location, see our Provider Enrollment page for more information. 

To decrease the administrative burden on hospitals directly enrolled with NC Medicaid, we are permitted (but not required) to accept and rely upon NC Medicaid’s credentialing of North Carolina-licensed hospitals. This may include all facilities and sites affiliated with the hospital seeking to be credentialed, to the extent such facilities and sites are enrolled with NC Medicaid and affiliated with the hospital in NCTracks.

Any required information not submitted to or verified by NC Medicaid must be submitted to Vaya for verification. This includes, but is not limited to, Social Security numbers and dates of birth for all owners, directors, members of the Board of Directors and managing employees.

Federal statutory law and regulations expressly prohibit us from making any payment for Medicaid services to anyone other than the contracted provider of services, except in certain limited circumstances.

Primary Sidebar

  • Vaya Health
  • Learning Lab
  • Events
  • Contact
  • Network Participation
    • Credentialing
    • Provider Enrollment
    • After-Hours Coverage
    • Relative as Direct Support Employee
    • Crisis Services Continuum
    • Hospital Information
      • Billing for Emergency Services
      • Hospital Enrollment
      • Peer Bridgers
    • Opioid Program
    • Welcome Cardinal Providers
Facebook Twitter Linkedin

Contact us

  • Email Us
  • Provider Help Line
    828-225-2785 ext. 1512
  • 200 Ridgefield Court Asheville, NC 28806

Learning Lab

  • Forms (Downloadable Documents)
  • Provider Events
  • Provider Trainings
  • Provider Manual
  • Provider Emails

Quicklinks

  • Authorization Info
  • Claims (Billing)
  • AlphaMCS
  • AFL Update Form
  • Provider Enrollment
  • Vayahealth.com

Accreditation

.

Copyright © · Vaya Health · All rights reserved

Twitter Facebook-f Linkedin