Vaya Health Prior Authorization

Coverage: North Carolina legacy Vaya Health record; official provider resources now describe the shared Vaya Partners operation. Identify the member’s program and date of service. Vaya Health and Partners Health Management merged on October 1, 2026.

Start with the reviewed Vaya Health resources below. Confirm the member's current plan, the payer's operating status, and the requested service before scheduling care or submitting a request.

At a glance

• Use ProviderCONNECT and the current Vaya Partners requirements. A limited physical-health authorization waiver is active.
• The published physical-health waiver runs October 1 through December 30, 2026, except Personal Care Services because of HHAeXchange. Do not extend this waiver to all behavioral-health services or dates outside that window.

Where to verify prior authorization requirements

• Verification resource 1

How to submit prior authorization requests

• ProviderCONNECT authorization requests and clinical documentation.

• No direct topic-specific link was captured in the current research set.

Information commonly required

• Not clearly published in the researched sources.

Turnaround notes and caveats

• The published physical-health waiver runs October 1 through December 30, 2026, except Personal Care Services because of HHAeXchange. Do not extend this waiver to all behavioral-health services or dates outside that window.

Provider resources

• Official policy source (official)
• Official merger announcement (official)

Sources

Update notes

Last updated: 2026-10-30.

• Vaya Health and Partners Health Management merged on October 1, 2026. This guide identifies the shared Vaya Partners operation; it does not count both predecessors as separate current payers.
• Confirm legacy contracts and date-of-service transition rules. Public sources do not resolve all filing or login-only details.