To support the mission, vision and values of the organization, Trillium is organized into functional areas called Teams. Teams incorporate experienced staff who are content experts and focused on the daily operations within their area. Functional areas consist of Business Management, Human Resources, Information Technology, Member Services, Community Development, Care Coordination, Network Management, Quality Management, and Utilization Management.
The primary purpose of the Business Management Team is the organization of the fiscal and budgetary operations of Trillium. The team is responsible for sound financial planning and for ensuring compliance with all fiscal policies at the local, state and federal levels. The Business Management Team comprises the following areas: general budget and finance, claims processing and physical plant operations and maintenance.
Care Coordination is a person-centered, assessment based interdisciplinary approach to integrating behavioral health services, and/or IDD services/supports, primary health care and natural and community social support services. This function is completed in a cost-effective manner in which an individual’s needs and preferences are assessed, a comprehensive care plan is developed, and services are managed and monitored by a care coordinator.
Care Coordination at Trillium consists of a Child Mental Health / Substance Use Department, an Adult Mental Health/Substance Use Department and an Intellectual /Developmental Disability Department. Care Coordinators include qualified professionals, licensed clinicians, coordinators, and peer support specialists.
Members of the Program Development Team work to build natural resources that maintain sustainable community resources that support the treatment, habilitation and recovery of persons with psychiatric illness, substance use disorders and/or intellectual and developmental disabilities. This is accomplished by educating the community regarding needs of persons with behavioral health issues.
Trillium’s provider network is managed and maintained through efforts of the Network Operations Team. It is the purpose of the Network Operations Team to develop and manage a provider network with the capacity and competency to effectively meet the assessed service needs of our culturally diverse population. The team performs the essential functions of provider contracting, enrollment, monitoring, implementation of corrective actions and/or sanctions, and network performance assessments.
Call Center & Customer Services
The Call Center & Customer Services team is staffed with experienced agents, qualified professionals, and licensed clinicians whose primary purpose is to give enrollees and their families, providers, and other community stakeholders accurate and relative information in regards to Trillium, our network of providers, and the services that are available. The Call Center & Customer Services department is clearly defined as a separate division with clear functions from Utilization Management, Finance, Planning and Collaboration, Quality Management and Network Operations to ensure fair and impartial review of issues and actions. Call Center staff are available Monday - Friday, 8:30 a.m. to 5:00 p.m.
The Quality Management Program is a comprehensive, proactive program that provides the structure, process, resources, and expertise necessary to systematically define, evaluate, monitor and ensure that high-quality, cost-effective care and services are provided to enrollees. Additionally, they ensure that compliance with national accreditation standards is met and ongoing throughout the term of the contractual agreement.
This program includes a continuous, objective, and systematic process that:
monitors and evaluates key indicators of care and services
identifies opportunities for improvement
develops and implements interventions that address the identified opportunities
re-assess to demonstrate the effectiveness of applied program interventions
Utilization Management reviews, manages and monitors the use of mental health, substance use and intellectual/developmental disability services and reviews utilization data to evaluate and ensure that services are being provided appropriately within established benchmarks and clinical guidelines; that services are consistent with the authorization and approved plan. Their goal is to ensure that enrollees receive the right service; at the right time; at the right level; creating the most effective and efficient treatment possible.