Forms
Looking for a form or document? You can view a list of forms and documents by clicking below or using the search in the upper right of this site.
Please refer to the following forms, tools, and other resources to help you perform your functions as a network provider. For additional assistance, call 1-866-990-9712 or email provider.info@vayahealth.com.
Alphabetical list of documents and forms
External links
Related to payment and billing
N.C. DHHS/DHB/DMH Resources
» N.C. Division of Mental Health, Developmental Disabilities and Substance Abuse Services
» N.C. DHHS Person-Centered Planning forms
» Medicaid Clinical Coverage Policies
» N.C. Division of Health Benefits Clinical Coverage Policy No: 8P
» NC-SNAP (NC Support Needs Assessment Profile)
Network participation
Performance and quality
» Incident Response Improvement System
» N.C. Department of Health and Human Services (DHHS)
» N.C. DHHS Agency Monitoring Tools for Providers
» N.C. DHHS Consumer Perceptions of Care reports
» N.C. DHHS Monitoring Changes FAQ
» N.C. DHHS Home and Community Based Settings (HCBS) Self Assessment (Paper Version)
» N.C. DHHS New Unlicensed Site Review Tool for Providers
» N.C. DHHS Review Tool for LIPs/ Group Practices and Agencies Billing Outpatient Services Only
» N.C. DHHS Unlicensed AFL Review Tool for Provider