[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-283547-105":53,"doc-detail-283547-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","vaya-health-provider-operations-manual-2-provider-operations-manual","Vaya Health Provider Operations Manual - 2 - Provider Operations Manual","","Vaya Health Provider Operations Manual provides essential guidance for Vaya Network Providers supporting individuals with mental health needs, substance use disorders, and intellectual or developmental disabilities. It emphasizes provider partnerships and shared commitments to advancing a vision of communities where people receive the help they need to live chosen lives. The manual includes mission, vision, and core values, and outlines key operational areas such as network participation, credentialing and contracting, access to care, billing and reimbursement, benefit plans, authorizations, and member rights.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":16,"@type":70,"position":76},"https://docshare.wps.com/template/resumes/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/vaya-health-provider-operations-manual-2-provider-operations-manual/283547/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/vaya-health-provider-operations-manual-2-provider-operations-manual/283547.png","ImageObject",442,249,{"name":88,"@type":89},"Theodore","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-10","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who is the Provider Operations Manual intended for?","Question",{"text":109,"@type":110},"It is intended for Vaya Network Providers serving individuals with mental health, substance use disorders, and intellectual and/or developmental disabilities.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What core values does Vaya Health emphasize?",{"text":114,"@type":110},"Vaya emphasizes person-centeredness, integration, commitment, and integrity, guiding both the provider network approach and how Network Providers deliver services.",{"name":116,"@type":107,"acceptedAnswer":117},"Where can providers get help with operational and compliance issues?",{"text":118,"@type":110},"Providers can contact the Provider Help Line, the 24/7 Compliance Hotline, and specialized teams for areas such as claims and reimbursement, credentialing, utilization management, member appeals, and MIS/HelpDesk support.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},283547,1790491855,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":15,"category_name":16,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},7971461740886,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Vaya Health  \n200 Ridgefield Court, Suite 206 Asheville, NC 28806  \nBusiness calls: 1-800-893-6246  \n24-Hour Access to Care: 1-800-849-6127  \n[www.vayahealth.com](www.vayahealth.com)  \nIMPORTANT CONTACTS  \n\n| Vaya Health Provider Help Line\u003Cbr>General questions\u003Cbr>Technical assistance\u003Cbr>Requests to add a site or service | 1-866-990-9712\u003Cbr>[ProviderInfo@vayahealth.com](ProviderInfo@vayahealth.com) |\n| --- | --- |\n| 24/7 Compliance Hotline | 1-866-916-4255 |\n| Report fraud, waste or abuse\u003Cbr>Report suspicious billing | [LegalandCompliance@vayahealth.com](LegalandCompliance@vayahealth.com) |\n| Claims and Reimbursement | 1-800-893-6246, ext. 2455 |\n| Billing and reimbursement | [Claims@vayahealth.com](Claims@vayahealth.com) |\n| RAs, credit memos and service codes |  |\n| Eligibility and Enrollment | 1-800-893-6246, ext. 2355 |\n| Health plan eligibility and enrollment\u003Cbr>Client updates | [EandE@vayahealth.com](EandE@vayahealth.com) |\n| Credentialing Hotline\u003Cbr>Credentialing and re-credentialing\u003Cbr>Update or change information\u003Cbr>Add new practitioners to agency roster | 1-855-432-9139\u003Cbr>[CredentialingTeam@vayahealth.com](CredentialingTeam@vayahealth.com) |\n| Utilization Management | 1-800-893-6246, ext. 1513 |\n| Service definitions | [UM@vayahealth.com](UM@vayahealth.com) |\n| Prior and retrospective authorizations |  |\n| Member Appeals | 1-800-893-6246, ext. 1400 |\n| Peer-to-peer discussions | [Member.Appeals@Vayahealth.com](Member.Appeals@Vayahealth.com) |\n| Reconsideration of authorization decisions |  |\n| HelpDesk/Management Info. Services (MIS) | 1-800-893-6246, ext. 1500 |\n| AlphaMCS system issues\u003Cbr>Electronic billing (837/835) | [HelpDesk@vayahealth.com](HelpDesk@vayahealth.com) |\n| 24/7 Access to Care Line | 1-800-849-6127 |\n| Help for appointments and referrals\u003Cbr>Link to Mobile Crisis Management | [HelpDesk@vayahealth.com](HelpDesk@vayahealth.com) |\n| Complaints and Grievances\u003Cbr>Report a compliment, complaint or concern | 1-800-893-6246, ext. 1600\u003Cbr>[Resolution@vayahealth.com](Resolution@vayahealth.com) |\n\nOn behalf of all of us at Vaya Health, I am pleased to present to you this latest edition of our Provider Operations Manual. This manual contains vital information for Vaya Network Providers serving individuals with needs related to mental health, substance use disorders and intellectual and/or developmental disabilities.  \nAt Vaya, we take partnerships with providers very seriously. You enable us to move toward our organization’s vision of creating “communities where people get the help they need to live the life they choose.”  \nWorking together, Vaya and our contracted providers, alongside our Provider Advisory Council, are developing a strong network of community-based and  \nspecialty services and supports for some of our region’s most vulnerable residents. Providers such as you enable residents of western North Carolina to access quality services and supports in or near their home communities, including in many of our more rural counties.  \nWe remain committed to meeting your needs, standardizing business functions and strengthening our relationships with contracted providers. These partnerships are critical as we evolve in a rapidly changing healthcare landscape with an increased focus on whole-person, integrated care.  \nVaya’s core values embrace person-centeredness, integration, commitment and integrity. Likewise, these values guide our approach in developing our provider network and the approach that Network Providers take in delivering services to those in need.  \nWe commend you, and our provider network overall, for your dedication to the people we mutually serve. Together, weare making a positive impact on western North Carolina not only today, but also for generations to come.  \nAs always, we remain grateful for your support. Thank you.  \nBrian Ingraham CEO, Vaya Health  \nMISSION, VISION AND VALUES  \nMISSION  \nWho We Are  \nVaya Health is a public manager of care for individuals facing challenges with menta","cbCaisAf7tCBltAh","https://ap.wps.com/l/cbCaisAf7tCBltAh","pdf",1334967,156,"English","# IMPORTANT CONTACTS\n## Provider Help Line and Technical Support\n## 24/7 Compliance Hotline\n## Claims and Reimbursement\n## Eligibility and Enrollment\n## Credentialing Hotline\n## Utilization Management\n## Member Appeals\n## HelpDesk/Management Info. Services (MIS)\n## 24/7 Access to Care Line\n## Complaints and Grievances\n# MISSION, VISION AND VALUES\n## MISSION\n## VISION\n## VALUES\n# WHAT’S INSIDE\n## SECTION 1 | About Vaya Health\n## SECTION 2 | Network Participation\n## SECTION 3 | Credentialing and Contracting\n## SECTION 4 | Access to Care\n## SECTION 5 | Billing and Reimbursement\n## SECTION 6 | Benefit Plans and Authorization\n## SECTION 7 | Member Rights and Empowerment","[{\"question\":\"Who is the Provider Operations Manual intended for?\",\"answer\":\"It is intended for Vaya Network Providers serving individuals with mental health, substance use disorders, and intellectual and/or developmental disabilities.\"},{\"question\":\"What core values does Vaya Health emphasize?\",\"answer\":\"Vaya emphasizes person-centeredness, integration, commitment, and integrity, guiding both the provider network approach and how Network Providers deliver services.\"},{\"question\":\"Where can providers get help with operational and compliance issues?\",\"answer\":\"Providers can contact the Provider Help Line, the 24/7 Compliance Hotline, and specialized teams for areas such as claims and reimbursement, credentialing, utilization management, member appeals, and MIS/HelpDesk support.\"}]","Vaya Health Provider Operations Manual - 2 - Provider Operations Manual | PDF",1789612110,55]