Vaya Partners launched Vaya Partners Tailored Plan, an NC Medicaid Managed Care Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plan, in July 2024.
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 (LTSS) under one plan. It includes services available through the NC Innovations Waiver and, when it expands to our region, the state’s TBI Waiver.
Vaya Partners Tailored Plan serves Medicaid beneficiaries who have intensive, specialized behavioral health, I/DD, or TBI needs. Our plan is designed to make decisions easier, improve outcomes, and help members achieve better overall health and well-being through one plan and one point of contact.
Through Tailored Care Management, members have a single designated care manager — supported by a care team — to provide care management that addresses all their needs, including unmet health-related resource needs.
Available Vaya Partners Tailored Plan services
For Medicaid beneficiaries with serious mental illness, serious emotional disturbance, severe substance use disorder, I/DD, and/or TBI:
- Physical healthcare services
- Pharmacy benefits
- Mental health services
- Substance use recovery services
- I/DD services
- NC Innovations Waiver services
- TBI services
- LTSS
- Specialized value-added services
- Tailored Care Management
- Non-Emergency Medical Transportation
For more information:
- Read the North Carolina Department of Health and Human Services Quick Reference Guide and Tailored Plan webpage
- Review the Vaya Partners’ Provider Operations Manual
- Call the ACCESS Provider Services at 1-866-990-9712 (7 a.m. to 6 p.m., Monday – Saturday, including holidays)
- Email Provider.Info@vayapartners.org