Announcements
Hurricane Erin
Information for Impacted Counties
State of Emergency - Hurricane Erin Flexibilities - Effective August 19th, 2025, through September 2nd, 2025.
Governor Stein has declared a State of Emergency along with NCDHHS effective 08/19/2025 - 09/02/2025. In compliance with the executive order linked below, Trillium will provide temporary flexibilities to support members. Initial flexibilities are to authorize early refills for scripts and waive PA for RX only.
Pharmacy Prior Authorization:
- NC Medicaid enrolled pharmacy providers have been approved to override prior approval requirements during the state of emergency.
- Pharmacy providers should submit these claims with “09” (Emergency Preparedness) in the PA Type Code field to override a denial for prior approval required.
Early Refills:
- Enrolled pharmacy providers should submit these claims with “09” (Emergency Preparedness) in the PA Type Code field and a valid value for an E.R. override in the Reason for Service, Professional Service and Result of Service fields to override a denial for an early refill.
- Add additional messaging to claims submitted with 09: “Processed under Emergency Rules.” If there is more than one Active Disaster edit or Disaster Edits with overlapping dates, the claim will process (if criteria is met) with the Disaster Edit created first, only.
August 18, 2025
NC Emergency Management has announced evacuation orders for Hyde, Dare, Currituck, and potentially other counties ahead of Hurricane Erin. Please follow all instructions shared by your local government officials. While Trillium staff are not considered first responders, we do assist providers and members once any immediate danger has passed. In all areas, 911 should be used for TRUE PHYSICAL HEALTH EMERGENCIES. Trillium staff are not first responders and will not be able to physically attend to emergencies in the community. Trillium’s Member and Recipient Service Line and Behavioral Health Crisis Line will remain active during Emergency Operations. For business needs, please use staff email instead where appropriate.