Vaya Partners contracts with the North Carolina Department of Health and Human Services to manage health plans for Medicaid and State-funded services in our region.
On July 1, 2024, we launched Vaya Partners Tailored Plan, an NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plan, as part of North Carolina’s Medicaid Reform Section 1115 Demonstration. Vaya Partners Tailored Plan integrates Medicaid physical and behavioral healthcare, pharmacy benefits, I/DD services, traumatic brain injury (TBI) services, and Long-Term Services and Supports under a single plan.
As part of Vaya Partners Tailored Plan, we continue to manage NC Innovations Waiver services for individuals with I/DD under North Carolina’s 1915(c) Home- and Community-Based Services (HCBS) Waiver, as well as 1915(i) HCBS services. Learn more on our Tailored Plan webpage.
Vaya Partners also manages an NC Medicaid Direct Prepaid Inpatient Health Plan that covers behavioral health, I/DD, and TBI services. NC Medicaid Direct is North Carolina’s healthcare program for beneficiaries who are not enrolled in NC Medicaid Managed Care. Learn more on our NC Medicaid Direct webpage.
As part of the Tailored Plan, Vaya Partners also manages State-funded (non-Medicaid) services for mental health, substance use disorder, I/DD, and TBI. State-funded services are available to eligible residents of the Vaya Partners region who are uninsured (or underinsured) and cannot afford care. Learn more on our State-funded Services webpage.