Provider Central

Welcome to Vaya Partners!

Vaya Health and Partners Health Management are now Vaya Partners, bringing together our experience, resources, and reach to better serve members, families, and communities across North Carolina. 

Together with you – our provider network – we’re building a stronger organization focused on making it easier for members to access the care, services, and resources they need. While our name has changed, our commitment to the people and communities we serve remains at the center of everything we do. 

Learn more

Important Announcements

Merger Prior Authorization Flexibilities

Prior authorization is not required for physical health services between Oct. 1-Dec. 30, 2026. The exception is Personal Care Services (PCS), which requires authorization due to HHAeXchange.

For assistance, call ACCESS Provider Services at 1-866-990-9712 or email Provider.Info@VayaPartners.org.

Need technical support?

Use our Provider Service Desk Request Form to get help with Vaya Partners IT systems and provider applications. You can also continue to submit requests to ServiceDesk@VayaPartners.org or call 1-800-893-6246, ext. 1500.

Submit a request

Provider Resources

Forms and Resources

Get forms and tools needed to do business with us and support Vaya Partners members and recipients.

View Forms

Provider Communication Bulletins

Stay on top of the latest news, updates, and announcements for Vaya Partners network providers.

Communication Bulletins 

Provider Touchpoint 

Catch up on the latest informational webinars for Vaya Partners network providers.

Provider Touchpoint

Provider Operations Manual

Reference our Provider Operations Manual for network participation requirements.

Provider Operations Manual
welcome icon
Contact Us

ACCESS Provider Services:
1-866-990-9712

Pharmacy Service Line:
1-800-540-6083

7 a.m. to 6 p.m., Monday – Saturday, including holidays

provider.info@vayapartners.org

email icon
Sign Up for Communication Bulletins

Subscribe to our weekly Provider Communication Bulletins for the latest announcements.

Subscribe Now
phone icon
Report Fraud, Waste, or Abuse

Call our 24-hour Confidential Compliance hotline.

1-866-916-4255

Claims

Submit claims and review claims status through our secure ProviderCONNECT Portal. Vaya Partners also accepts claims submissions via SFTP, electronic data interchange (EDI) files, or paper submission (in limited circumstances only).

Claims

Prior Authorization

Providers are responsible for requesting service authorization, supplying required documentation, and demonstrating medical necessity. To request prior authorization, submit a service authorization request through our ProviderCONNECT Portal. If you do not have access to the portal, visit our Prior Authorization webpage for alternate submission methods.

Prior Authorization

Authorization Guidelines 

Familiarize yourself with the authorization guidelines for services covered under Vaya Partners’ Medicaid and State-funded benefit plans. Authorization decisions are based on medical necessity and made in accordance with individual needs, Medicaid waiver and clinical coverage policy requirements, federal regulations, clinical practice guidelines, and applicable federal and state rules and regulations. Not all services require prior authorization.

Authorization Guidelines

Whole-Person Care in North Carolina 

We know many things can affect health—from medical conditions or mental health concerns to housing, food, and transportation. Our Care Managers work with physical and behavioral healthcare providers and link Vaya Partners members and recipients to community resources to help them get or stay well. Learn more about the Vaya Partners Tailored Plan, our approach to whole-person care.

Vaya Partners Tailored Plan
A woman holding a paper bag full of fruits and vegetables while talking to a woman in a wheelchair.