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Local parents say Vaya Health delays and unclear spending are denying promised waiver supports
Summary
Two family members told commissioners that after Vaya Health took over services their daughter’s approved home modifications and supports were delayed or denied, and urged clearer accountability and outreach for families on the waiver waiting list.
Two residents identified in the public-comment roll called on Stokes County commissioners to press Vaya Health and state administrators to fix what they described as repeated delays in delivering approved innovations-waiver services. One speaker said her daughter had been approved for home modifications but “hasn't used a dime of it” and asked “Where's it going?” when referring to allocated dollars.
Vaya Health’s community relations director, Kara Doner, attended the meeting and responded by describing Vaya’s role as a regional managed-care organization and offering to follow up with affected families. Doner said Vaya serves multiple counties and that the innovations waiver is intended to keep people at home rather than in institutions. She told the board the county has 66 people on the innovations waiver and 53 currently waiting for slots, acknowledged long waits and encouraged families to provide documented appeals so Vaya staff can trace case histories.
Commissioners and staff agreed to explore better local outreach, to ask Vaya for follow-up visits with more detailed staff available, and to collect specific case contacts so Vaya can investigate patterns in appeals and approvals. Several commissioners emphasized the county does not control state funding or slot allocation but said they would press state representatives for additional slots or clarity where possible.
