Physical Health Network
Vaya Health maintains an open network of physical health care providers to deliver services to Medicaid beneficiaries enrolled in Vaya Total Care, our NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plan.
Vaya Total Care’s Medicaid benefit package includes all health services required by the North Carolina 1115 Demonstration Waiver and the NC State Plan for Medical Assistance (Medicaid State Plan). An integrated, whole-person health plan, Vaya Total Care includes the following physical health service types for Medicaid beneficiaries:
- Primary care
- Urgent care
- Emergency care
- Hospital care
- Children’s screenings
- Women’s health care
- Maternity care
- Family planning
- Specialty care
- Personal care services
- Home health services
- Nursing home services
- Hospice care
- Vision care
- Local health department services
- Value-added services for unmet health-related resource needs
For a full list of covered services, see Appendix A of Vaya’s Provider Operations Manual.
All Vaya network providers must be enrolled in NC Medicaid through NCTracks. Vaya contracts with third-party care administrators to manage pharmacy, vision, and other select specialty services. For more information, visit our Provider Enrollment page. Please note that some Medicaid services available to Vaya Total Care members are managed by the North Carolina Department of Health and Human Services (NCDHHS) through the NC Medicaid Direct program. These include dental care, fabrication of eyeglasses, and certain services provided and billed by local education or children’s developmental agencies.