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   Vaya Clinical Practice Guidelines

pdf-1   Vaya Health Care Coordination Referral/Intake Form


Service Definitions

  DMA Clinical Coverage Policies

pdf-1   State-Funded MH/SA Enhanced Services – UPDATED 8/1/2015

pdf-1   State-Funded MH/DD/SA Service Definitions, revised 9/1/2016

pdf-1   State-Funded Supported Employment Definition

pdf-1   Community Guide

pdf-1   Individual Support

pdf-1   One-Time Transitional Costs

pdf-1   Peer Support

pdf-1   Physician Consultation

pdf-1   Respite

pdf-1   Supported Employment

Call 1-800-849-6127 toll free 24/7 to obtain services and support for mental health, developmental disabilities and substance abuse. 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.