Coverage Information

Our health plan covers a wide array of both Medicaid and State-funded services. Through the links below, you can find information about the services, their requirements and reimbursement.

pdf-1  Clinical Practice Guidelines

pdf-1   Vaya Health Care Coordination Referral/Intake Form

Service Definitions

pdf-1   Community Guide

pdf-1   Developmental Therapy

  DMA Clinical Coverage Policies

pdf-1   Individual Support

pdf-1   Long Term Community Supports Service Definition  (10/22/2018)

pdf-1   One-Time Transitional Costs

pdf-1   Peer Support-b3-Waiver Service  (1/2018)

pdf-1   Physician Consultation

pdf-1   Respite (b)(3) Waiver Service

pdf-1   State-Funded MH/SA Enhanced Services (8/1/2015)

pdf-1   State-Funded MH/DD/SA Service Definitions (9/1/2016)

pdf-1   State-Funded Supported Employment Definition

pdf-1   B3 Supported Employment Service Definition  (11/14/2018)

Call 1-800-849-6127 toll free 24/7 to access mental health, substance use and intellectual and/or developmental disability services. Members can request materials in Spanish or English.

Llamar al número gratuito 1-800-849-6127 24/7 para obtener servicios y apoyo a la salud mental, discapacidades de desarrollo y abuso de sustancias. Los miembros pueden solicitar materiales en español o Inglés.