Onboarding
Training and IT steps required to access the new unified claims system
Effective October 1, 2026, Trillium will transition to a unified claims system for Tailored Plan operations only called iTransact. All Tailored Plan Contracted providers of behavioral health, physical health, and long-term services and supports (LTSS) will submit claims through a single portal.
This adjustment will not affect providers who hold an NC Medicaid Direct or State-funded only contract with Trillium.
Currently, physical health and LTSS providers who deliver services to Trillium Tailored Plan members submit claims to Carolina Complete Health for payment. Beginning October 1, 2026, all claims for these services must be submitted to Trillium. This transition will enhance administrative efficiency, transparency, and accountability in claims processing and payment. At this time, the primary change for providers is the way claims will be submitted
To ensure that your organization can continue serving Trillium Tailored Plan members without any disruption in payment, providers with a Trillium Tailored Plan contract, for physical health, behavioral health or both, will follow the steps below:
Providers are encouraged to complete these steps by September 22 in anticipation of the October 1 launch.
Training and IT steps required to access the new unified claims system
Instructions for processing claims and updated forms
Instructions for processing authorizations
Finance forms that require updates
The process will remain the same! Complete the online forms:
Review presentations from past sessions, register for upcoming webinars, and read email communications
Sign Up for Providers Communications.
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We will regularly update the FAQ below.