The power of local partnerships
At Vaya Health, we’re inspired by the individuals and communities we serve. Through collaboration with local partners, we helped pioneer a community-based approach that puts people first. We believe that when we work together to make sure everyone can reach their potential, we all benefit.
Every month,
on average, we:
17,000
Manage services for approximately 17,000 individuals
5,200
Answer 5,200 calls to our 24/7 Behavioral Health Crisis Line
1,600 +
Maintain 1,600+ practitioners and agencies in our network
2,300
Support more than 2,300 N.C. Innovations participants
4,300
Provide care coordination services for 4,300 people
We’re stronger together
Vaya has achieved much success in service of individuals across North Carolina, but we haven’t done it alone. In celebration of our 50th anniversary, we offer our sincere thanks to the many providers, partners, stakeholders, and staff who have joined us on this journey. The shared commitment to the communities we serve continues to make a difference in so many lives.
Our history
Looking Back
1965
Smoky Mountain Area Mental Health opens as an outpatient clinic in Jackson County
1972
In response to national legislation, Smoky Mountain Area Mental Health becomes an area program that provides behavioral health and I/DD services in the seven westernmost counties of North Carolina and changes its name to Smoky Mountain Center for Mental Health, Developmental Disabilities, and Substance Abuse Services
1999
Smoky Mountain Center receives a three-year accreditation from the Council on Accreditation of Services for Families and Children
2001
As part of statewide mental health reform, Smoky Mountain Center transitions from an area program providing services to a Local Management Entity (LME) that manages, coordinates, facilitates, and monitors behavioral health and I/DD services
2007-2013
Smoky completes mergers with neighboring LMEs, expanding its reach to 23 counties
2016
To better reflect the geography of its growing catchment area, Smoky rebrands as Vaya Health, a name that embodies an organizational commitment to whole-person care and helping members move forward on their path to stability, recovery, and hope
2021
As part of the state’s transition to Medicaid Managed Care, NCDHHS awards Vaya a Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan contract
2022
Vaya finalizes consolidation of nine counties previously managed by Cardinal Innovations Healthcare, increasing the organization’s footprint to serve 31 counties
Looking ahead
As part of Medicaid Transformation—a statewide commitment to improving health through whole-person care—the N.C. Department of Health and Human Services selected Vaya to operate a Behavioral Health and I/DD Tailored Plan for Medicaid beneficiaries with significant mental health, substance use disorder, I/DD, or traumatic brain injury (TBI) needs. Vaya will also manage non-Medicaid behavioral health, I/DD and TBI services for uninsured and underinsured individuals.
Since our contract award in June 2021, we’ve been working closely with providers and stakeholders throughout our 31 counties to help ensure a smooth transition for the individuals we serve. Vaya’s Tailored Plan launches April 1, 2023 marking another key milestone in our history.
Thank you for being part of this journey. Let’s move forward together.
Keep exploring
Explore the following resources to learn more about Vaya Health.
- Get to Know Us
- Vaya Stories
- Vaya Health News
- Medicaid Transformation
- Member Microenterprises (supporting small business)
- Event Calendar

This page was updated on 10/5/2022 to reflect the NCDHHS timeline update for the Behavioral Health & Intellectual / Developmental Disabilities Tailored Plan launch.