{"id":40514,"date":"2024-02-13T16:25:26","date_gmt":"2024-02-13T21:25:26","guid":{"rendered":"https:\/\/www.vayahealth.com\/?page_id=40514"},"modified":"2026-02-26T13:29:51","modified_gmt":"2026-02-26T18:29:51","slug":"ilos-policy","status":"publish","type":"page","link":"https:\/\/www.vayahealth.com\/es\/about\/policies\/ilos-policy\/","title":{"rendered":"Pol\u00edticas de sustituci\u00f3n de servicios"},"content":{"rendered":"<div>\n<div>\n<p>El conjunto de servicios de Medicaid de Vaya Health incluye \"en lugar de servicios\". Estos apoyos adicionales no est\u00e1n incluidos en el Plan Estatal de Medicaid de Carolina del Norte, pero han sido aprobados por el Departamento de Salud y Servicios Humanos de Carolina del Norte para su uso por Vaya como sustituciones m\u00e9dicamente apropiadas y rentables de los servicios del Plan Estatal.<\/p>\n\n\n\n<p>Los afiliados a Vaya tienen derecho a rechazar los servicios sustitutorios y solicitar en su lugar el servicio original. Ofrecemos los siguientes servicios sustitutorios a los afiliados de Medicaid que cumplan los requisitos:<\/p>\n<\/div>\n\n\n\n<div>\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-imd-service-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Servicios de agudos y subagudos prestados en un Instituto de Enfermedades Mentales<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-bh-cai-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Evaluaci\u00f3n e intervenci\u00f3n en caso de crisis de salud mental (BH-CAI)<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-child-act-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Tratamiento comunitario asertivo centrado en el menor (Child ACT)<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-enhanced-crisis-response-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Respuesta reforzada a las crisis<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-fct-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Tratamiento centrado en la familia<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos_fep_act\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Tratamiento comunitario asertivo del primer episodio de psicosis<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-high-fidelity-wraparound-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Envolvente de alta fidelidad<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-in-home-therapy-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Terapia a domicilio<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-ltcs-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Ayudas comunitarias a largo plazo<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-outpatient-plus-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Ambulatorio Plus<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-rapid-care-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Atenci\u00f3n r\u00e1pida<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/providers.vayahealth.com\/resources\/ilos-transitional-youth-services-definition\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Servicios de transici\u00f3n para j\u00f3venes<\/a><\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Vaya Health\u2019s Medicaid service array includes \u201cin lieu of services.\u201d These extra supports are not included in the North Carolina Medicaid State Plan but have been approved by the North [&hellip;]<\/p>\n","protected":false},"author":62,"featured_media":0,"parent":25456,"menu_order":92,"comment_status":"closed","ping_status":"closed","template":"breadcrumbs","meta":{"_tec_requires_first_save":true,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","banner-text":"","banner-text-color":"","button-text":"","button-text-color":"","button-link":"","has-button-icon":"","background-color":"","has-background-icon":"","background-icon-color":"","second-featured-image":"","footnotes":""},"class_list":["post-40514","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta name=\"description\" content=\"Vaya Health&#039;s service array includes \u201cin lieu of\u201d services, also known as ILOS. 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