Provider Communication 012

Reminders

Tailored Plan/PIHP Provider Manual

Trillium Health Resources has updated the Tailored Plan/PIHP Provider Manual. The Provider Manual is posted on our website under “For Providers” for your review.  

View the manual

Important Update: Pregnancy Risk Screening Submissions

Trillium Health Resources is updating the process for submitting the Pregnancy Risk Screening (PRS) as part of the upcoming transition from the current Care Management for High-Risk Pregnancies (CMHRP) model to Trillium's future-state maternal health care management model.

Effective October 15, 2026, providers should no longer submit new Pregnancy Risk Screenings to Local Health Departments (LHDs) for Trillium members. Beginning on this date, completed PRS forms should be submitted directly to Trillium Health Resources via secure email at TPPopHealth@TrilliumNC.org.

What is changing?

Under the current CMHRP model, providers may submit the PRS to the LHD for care management services. Beginning October 15, 2026, Trillium will centralize the receipt and coordination of all new PRS submissions for Trillium members.

Upon receipt, Trillium will review the PRS and coordinate linkage to appropriate maternal health care management services. This centralized process will support the transition to Trillium's future-state maternal health care management model and help ensure continuity of care for pregnant members.

What do providers need to do?

Beginning October 15, 2026:

• Continue to complete the PRS when a Trillium member's pregnancy is identified, consistent with applicable requirements.
• Do not submit new PRS referrals to the LHD.
• Submit the completed PRS via secure email to TPPopHealth@TrilliumNC.org.
• Ensure the PRS is complete to support timely review and coordination of maternal health services.

This change applies to new PRS submissions beginning October 15, 2026.

Providers do not need to submit a new PRS solely because a member is currently receiving CMHRP services through an LHD. Trillium is coordinating the transition of members currently engaged in CMHRP to support continuity of care.

Additional information regarding the future-state maternal health care management model, including the updated PRS and additional guidance from the Department, will be shared as it becomes available.

Join Trillium’s Global Quality Improvement Committee

Are you passionate about enhancing healthcare quality and driving meaningful change? Trillium is seeking a dedicated Consumer and Family Advisory Committee (CFAC) representative (North Central region), as well as an Integrated Care Representative to join the Global Quality Improvement Committee (GQIC). The Integrated Care Representative seat is designated for a professional currently working within a primary care setting or an Advanced Medical Home (AMH) who can bring a whole-person, team-based perspective to the committee’s work. An ideal representative actively collaborates across disciplines—behavioral health, physical health, care management, and social supports—to improve outcomes for individuals with complex needs.

The GQIC is a dynamic group of practitioners, providers, specialists, and family representatives working together to improve healthcare quality. By joining, you’ll have the opportunity to:

• Collaborate on impactful quality initiatives.
• Share insights and expertise with peers and Trillium staff.
• Help shape recommendations that guide quality improvement efforts.

If you are interested in joining GQIC, please complete the GQIC Interest Form and submit it to QMInfo@TrilliumNC.org. Visit Trillium Health Resources - Committees or My Learning Campus for more information about GQIC.

Trillium Advantage Program Updates

Did you know that 11,260 Member Incentives and Value-Added services have been provided to members since becoming a Tailored Plan?? 

NEW! Quarterly Budget—What does this mean?

A few of our Value-Added Services—including HOMES, One-Time Move-In Assistance, and Transportation Assistance—are operating on a quarterly budget this year. This means that when the quarterly budget limit is reached, the service will pause receiving new applications until the first day of the next quarter. For example, our HOMES program reached quarterly budget limit in August. It will resume reviewing new applications again on October 1, 2026.

For the most up-to-date application status information, please click on the application link to check status. 

Helpful Tips for Online Shopping with the Trillium Advantage Card 

The key to finding eligible items when members shop on Walmart.com and Amazon.com is to enter their Trillium Advantage card into their “Wallet” for Walmart or “Your Payments” for Amazon so the website knows the member has that payment option available. That prompts the website to show a “Benefits eligible (OTC)” or “OTC Benefits card eligible” tag on the items that are eligible to purchase with their card.

A step-by-step guide to adding the member’s card to the websites can be requested by sending an email to TrilliumAdvantage@TrilliumNC.org.

 For more information on all the Trillium Advantage programs, please visit our webpage. 

Peer Support Clinical Coverage Policy 8G Change

The updated Peer Support Clinical Coverage Policy 8G promulgated on September 1, 2026. All changes to the policy will need to be in place by October 31, 2026. Trillium shall require prior approval for Peer Support Services provided beyond the unmanaged unit limitation of twenty-four (24) units. A beneficiary is permitted unmanaged units once per episode of care. Refer to Subsection 5.3 in 8G for additional limitations. Trillium may cover up to 176 units of PSS over a 60-calendar-day authorization period, not to exceed 88 units per 30-calendar-day period. Authorization requests for more than 88 units per 30-calendar-day period must be reviewed and reauthorized every 30 calendar days.  Please see all updated changes and rules for authorizations of this service.

2026-2027 National Core Indicators I/DD Survey

Trillium is partnering with NCDHHS to support the annual National Core Indicators (NCI) survey, which evaluates the outcomes of individuals receiving Intellectual and Developmental Disability (I/DD) services. This survey examines critical areas such as employment, community involvement, relationships, health and wellness, safety, and access to services.

Standardized questions allow for comparisons between states and provide valuable insights into service quality. 

How Providers Will Be Involved

Beginning in September 2026, providers serving members with I/DD aged 18 and older may be contacted to assist in the following ways: 

• Obtaining member consent for survey participation. 
• Providing background information for consenting members. 

Survey administration will be handled by the Carolina Institute for Neurodevelopmental Disabilities (CIND), a third-party organization contracted by the State. 

Eligibility Requirements for Survey Participation 

Members must meet the following criteria to participate in the survey:

• Be diagnosed with an intellectual or developmental disability. 
• Receive Medicaid-funded services from an I/DD provider agency. 
• Be at least 18 years old. 

Next Steps for Providers 

If your agency provides services to eligible members, please email Surveys@TrilliumNC.org with contact information for the point of contact for the NCI-IDD survey within your agency as soon as possible. Trillium will send additional details, including the list of members selected to participate, via email.

Guilford County Detention Center RFA

Trillium Health Resources (Trillium) is seeking to identify mission-driven organizations that are interested in providing court ordered mental health assessments and case management services to individuals in Guilford County Detention Center. The selected provider(s) would assist the member by conducting mental health assessments within the actual detention center. These assessments are reviewed by courts for determination in Re-entry Programs and other needs as determined by the court. A Jail Diversion Counselor will attend court hearings and assist with linkage with other community resources, as well as performing case management services as deemed necessary. Trillium has identified an immediate need in the county of Guilford and immediate surrounding areas. One provider will be awarded a contract to ensure coverage of identified area. 

READ THE RFA

Employer of Record (EOR) Compliance

Topic 1: Requirements of EOR Roles and Responsibilities

The IFDS Agreement shall identify the individuals who agree to serve in the Employee of Record (EOR) and/or Representative roles.  This agreement outlines the requirements and expectations of the EOR and/or Representative under the IFDS option.  Paid support staff may not assume the role of the EOR or Representative.

Monitoring activities will require ongoing communication per policy with the EOR and/or Representative and Trillium as required by policy. 

The Employer of Record, or Managing Employer, must be one of the following: 

1. The adult beneficiary, 
2. The parent of a minor beneficiary, or 
3. The guardian of the beneficiary.

The Employer of Record may not provide paid supports to the beneficiary.  The Employer of Record may designate a Representative that accepts responsibility for performing tasks that the Managing Employer is unable to perform or needs assistance with completing.  

Per Clinical Coverage Policy 8P, the Representative shall not: 

1. Be paid for being the Representative or for providing paid supports to the beneficiary; including providing paid trainings to their beneficiary or the beneficiary’s staff 
2. Provide paid services to the beneficiary, including services provided by employees of agencies providing services to the beneficiary, with the exception of guardianship services; and 
3. Have a history of physical, mental or financial abuse.      

Topic 2: Requirements of Criminal Background Checks

Clinical Coverage Policy 8P establishes a lifetime ban for specific disqualifying convictions. To enforce this requirement, all background checks used for Employer of Record (EOR) hiring must be capable of identifying criminal convictions regardless of when they occurred. Background checks with limited lookback periods cannot verify compliance with the lifetime ban and therefore do not meet the requirements of Clinical Coverage Policy 8P.  
 

NC Innovations Waiver Individual and Family Directed Services (IFDS) – Employer of Record (EOR) Annual Monitoring – Monitoring Tool Update

Trillium Health Resources conducts annual monitoring of all Employers of Record and provides technical assistance, as needed, to ensure compliance with Clinical Coverage Policy 8P Individual and Family Directed Services (IFDS) policies and processes.

The North Carolina Department of Health and Human Services has determined that Tailored Plans shall maintain a standardized approach to the Employer of Record Monitoring Tool.

Effective October 17, 2026, Trillium’s updated Employer of Record Monitoring Tool will be utilized to ensure that, at a minimum, all requirements established by the Department are captured.  Trillium will comply with the required elements, and the following items have been added to the Monitoring Tool:

• Staff Qualification Section]
  • Evidence of orientation for employee
• Financial Review
  • Monthly review of financial report received from FSS provider
  • Ability to access financial report from FSS provider
  • Ability to access and use budget calculator
  • Ability to contact FSS agency with questions regarding the report 
  • Timely notification to the FSS agency and other relevant providers to report deductible status, if the member is required to meet a deductible.

The updated Monitoring Tool is posted on the Provider Documents & Forms webpage in October 2026 for review. 

Questions can be submitted to NetworkMonitoring@TrilliumNC.org.  

Residential Treatment Providers Site Level Changes

In Provider Communication Bulletin 008, it was communicated that Trillium Health Resources will transition all residential treatment provider authorizations to the main provider site in its new software platform beginning October 1, 2026. For NC Medicaid Direct members transitioning will occur on September 1, 2026.

Trillium will end date the site level (where the member resides) locations and associated service codes in Provider Direct on September 1, 2026. Going forward, any Treatment Authorization Requests (TARs) should be completed using the billing/office location only. All existing authorizations for affected services—including AFL, Respite, TFC, IAFT, CLFS, and related supports—will be moved, and new requests must be submitted at the provider’s main site. TFC providers may stop submitting Additional Site Request forms on September 1, while AFL and Respite providers must continue submitting them as usual. As a reminder, Alternative Family Living and Respite providers should continue submitting the Additional Site Request Form as they currently do. This ensures that the required site review can be completed and the Home and Community Based Services assessment can be approved. Effective September 1, 2026, Therapeutic Foster Care (TFC) and Intensive Alternative Family Treatment (IAFT) providers may discontinue submitting the Additional Site Form.

Updated Reminder: Requirements for Research-Based Behavioral Health Treatment Service Delivery – Aug. 31, 2026

This bulletin reflects revised effective dates and applies to all research based behavioral health treatment providers in NC Medicaid Managed Care and NC Medicaid Direct. 

This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care. 

This bulletin clarifies and emphasizes key requirements under the Clinical Coverage Policy (CCP) 8F, Research-Based Behavioral Health Treatment (RH-BHT) Services.

RB-BHT CCP 8F Changes Effective Aug. 1, 2026

NC Medicaid recently published an updated version of CCP 8F, effective Aug. 1, 2026. Providers are encouraged to review the updated policy for awareness of the new policy requirements. 

Key changes implemented in the policy which impact RB-BHT providers are:

• Requirements for existing and new paraprofessionals providing RB-BHT services to obtain at least one qualifying certification in order for services provided to Medicaid beneficiaries to be reimbursed.
  • Qualifying certifications are:
    • The Registered Behavior Technician (RBT) certification from the Behavior Analyst Certification Board (BACB); or 
    • The Applied Behavior Analysis Technician (ABAT) certification from the Qualified Applied Behavior Analysis Credentialing Board (QABA).
  • For existing paraprofessionals without a qualifying certification, the 120-day grace period starts on Aug. 1, 2026.
  • New paraprofessionals will be required to obtain a qualifying certification within 120 days of hire.
    • In order for services to be reimbursable, Paraprofessionals without a qualifying certification (RBT or ABAT) must receive supervision from a Licensed Qualified Autism Service Provider (LQASP) when services are provided during the grace period described in S.L. 2026-1 Section 3C.18.(a)(8). This supervision requirement for uncertified paraprofessionals shall remain in effect until the paraprofessional is fully certified. Ongoing supervision of paraprofessionals shall follow guidance per the accrediting body and CCP 8F. The LQASP assumes full professional responsibility for the paraprofessional’s work, including ensuring the quality of interventions, the safety of the client, and ongoing technician competency, as well as providing corrective guidance whenever errors occur. 
    • Claims billed for services delivered by non-certified paraprofessionals will not be reimbursed after the uncertified paraprofessional's 120-day grace period expires. Only fully certified staff may provide Medicaid-reimbursable RB-BHT services once the grace period expires.
    • Please note: Incidental supervision and training of the paraprofessional are not reimbursable. Also note, to bill 97155 all Clinical Coverage Policy and CPT code elements of 97155 must be met, including medical necessity for use of that code.
• Removal of telehealth for paraprofessional RB-BHT services (Current Procedural Terminology [CPT] codes 97152-97154).
• Requirements for RB-BHT treatment plans involving more than 16 hours of services per week to be reauthorized every three months. 
  • Providers do not need to take any action on existing authorizations; no actions will be taken to reduce the existing prior authorization (PA) duration. 
  • The new requirements for treatment plan durations will be enforced upon reauthorization.
  • All RB-BHT services count towards the 16 hours of services per week when determining the duration of an RB-BHT authorization.
• Requirements for service hour ratios for LQASP to Paraprofessional-delivered services, when paraprofessionals provided more than 200 hours of RB-BHT services over a six-month period.
• Requirements that at least 10% of all RB-BHT services provided by a paraprofessional involve the observation and direction of the paraprofessional by a LQASP.
• Updated requirements for treatment plans, diagnosis, and service documentation.

Covered RB-BHT Activities and Treatments

The RB-BHT benefit covers a range of autism spectrum disorder (ASD) treatment and intervention models, including but not limited to Applied Behavioral Analysis (ABA). Covered treatment and intervention models must be supported by credible scientific or clinical evidence as appropriate for preventing and minimizing disabilities and behavior challenges associated with ASD. In addition to ABA, examples of covered models include:

• Early Start Denver Model (ESDM)
• Play and Language for Autistic Youngsters (PLAY) Project
• Early Social Interaction (ESI) 
• Pivotal Response Training (PRT)
• Improving Parents as Communication Teachers (ImPACT)
• Joint Attention Symbolic Play Engagement and Regulation (JASPER)
• Enhanced Milieu Teaching (EMT)
• TEACCH/Structured Teaching

Activities and Treatments That Are Not Covered Under RB-BHT

The RB-BHT benefit does not cover treatments and interventions that are not supported by credible scientific or clinical evidence as being appropriate for ASD. Specific activities that are not covered by Medicaid under RB-BHT include:

• attending or participating in recreational activities, unless the activity is tied to a specific, medically necessary, therapeutic goal in an authorized treatment plan;
• nap time, break time or transportation to or from the RB-BHT site of service; 
• childcare services or services provided as a substitute for the parent or other individuals responsible for providing care and supervision to the beneficiary; 
• custodial, respite or personal care services; 
• teaching academic subjects or as a substitute for educational support personnel (e.g., teacher, teacher’s aide, paraprofessional/aide, academic tutor);
• services available through the Individuals with Disabilities Education Act (IDEA) or other educational programs that are duplicative of or supplant services identified in the beneficiary’s authorized treatment plan;
• staff-only meetings and training; or 
• administrative tasks and documentation.

Diagnosis Requirements

Beneficiaries receiving RB-BHT services must have received an ASD diagnosis from a licensed qualified provider as defined in the CCP. Diagnoses must be completed using clinically appropriate, scientifically validated tools. Diagnosing ASD must be within a provider’s license, training and experience, including being appropriately trained on the diagnostic tool(s) the provider uses. A provisional diagnosis is acceptable for beneficiaries younger than age 3. However, a final (non-provisional) diagnosis must be received within six months of the provisional diagnosis to maintain eligibility for RB-BHT.

Assessment Requirements

All beneficiaries must receive a behavioral, adaptive or functional assessment that is informed by the beneficiary’s developmental and medical history as well as all available and relevant supplementary information (e.g., interviews, chart reviews). Assessments should be completed using documented, clinically appropriate, scientifically validated tools. Please refer to CCP 8F for assessment tools which can be used.

Treatment Planning

All treatment plans must be based on an assessment that meets the assessment standards as defined in the CCP. All treatment plans must be person-centered, developmentally appropriate and individualized to the beneficiary’s strengths, functional impairments, adaptive skill levels and developmental profile. 

Treatment intensity (i.e., total weekly or monthly hours requested) must be individualized, medically necessary, and at a level that is scientifically demonstrated to be clinically effective at promoting adaptive functioning and preventing and minimizing disabilities associated with ASD. Treatment intensity and duration must not be in excess of the beneficiary’s needs.]

Treatment intensity should take into account all Medicaid-covered and non-Medicaid covered services the beneficiary receives or will receive on a regular/ongoing basis, not limited to services and supports for ASD and ASD-related symptoms (e.g., RB-BHT, school and school-based services, respite, occupational, physical and speech-language therapy, social skills training).

Excessive intensity and duration may be indicated by a beneficiary falling asleep during service delivery interventions. Reports of waking beneficiaries who have fallen asleep during treatment or forcing beneficiaries to stay awake in order to receive treatment may be interpreted as patient harm and prompt a provider investigation.

Provider Standards

All Licensed Qualified Autism Service Providers (LQASPs) and Certified Qualified Professionals (C-QPs), including Board Certified Behavior Analysts and Board Certified Assistant Behavior Analysts, seeking to enroll in the NC Medicaid program must do so as an in-state provider (S.L. 2026-1, 3C.18.(c)). This requirement is effective Aug. 2, 2026. 

Additionally, all RB-BHT services must be delivered by providers that meet the minimum standards described in the CCP as well as all relevant state licensure, certification, supervision and scope of practice standards. Paraprofessionals must carry out treatment interventions and activities in accordance with the beneficiary’s authorized treatment plan and under the supervision of a Licensed Qualified Autism Service Provider (LQASP) or Certified Qualified Professional (C-QP). Eligible providers (LQASP or C-QP) must directly observe paraprofessionals at a clinically appropriate frequency while they are providing direct treatment to ensure fidelity to treatment protocols in the treatment plan.

Administrative activities and incidental supervision completed to ensure the paraprofessional is adhering to the policies and procedures of their employer and certification standards are not billable.

Use of Telehealth

Reminder: The updated CCP 8F removes telehealth for paraprofessional RB-BHT services (CPT codes 97152-97154).

When allowed under the CCP, delivery of RB-BHT services via telehealth must be delivered safely, effectively and with consideration for the beneficiary’s and caregiver’s ability to participate. Telehealth may not be used solely for the convenience of the provider, beneficiary or the beneficiary’s caregiver. 

In addition, all services delivered via telehealth must be done in accordance with the guidelines in the CCP 1H: Telehealth, Virtual Patient Communications, and Remote Patient Monitoring, which can be found on the NC Medicaid Program Specific Policy page, including the following: 

• Providers must ensure that services can be safely and effectively delivered using telehealth, virtual communications or remote patient monitoring.
• Providers must consider a beneficiary’s behavioral, physical and cognitive abilities to participate in services provided using telehealth, virtual communications or remote patient monitoring.
• The beneficiary’s safety must be carefully considered for the complexity of the services provided.
• Beneficiaries are not required to seek services through telehealth, virtual communications or remote patient monitoring, and must be allowed access to in-person services if the beneficiary requests.
• Providers must ensure that beneficiary privacy and confidentiality is protected to the best of their ability.

Service Setting

Treatment must be provided in the setting most appropriate to the beneficiary’s individual treatment goals. Decisions regarding treatment setting(s) should be made on an individualized basis, in collaboration with the beneficiary’s family, and may include clinic-based, home-based, school-based or community settings, or any combination.

Transitions of Care

• Treatment plans should contemplate appropriate reduction in service intensity and generalization of skills across settings; and transition to natural and other paid supports (as needed, including any needed training). Additionally, if a provider is no longer able to provide services under NC Medicaid, they must, per provider contracts with NC Medicaid Managed Care, inform health plans and develop a transition plan for each impacted beneficiary.

Caregiver Involvement

Caregivers should be involved in assessment, treatment planning and treatment delivery (unless clinically contraindicated). Providers should contemplate caregiver participation needs to achieve the beneficiary’s goals and objectives.

State Monitoring and Investigations into Inappropriate Billing and Other Potential Indicators of Fraud, Waste or Abuse
NC Medicaid is continuing to monitor service delivery to ensure RB-BHT services meet all state coverage policy requirements as well as all applicable state and federal rules and guidelines. Monitoring efforts will include random onsite visits as well as desk reviews of medical records. NC Medicaid will investigate any suspected instances of inappropriate billing and other activities that may indicate fraud, waste or abuse. Such activities include but are not limited to:

• Inappropriate use of concurrent billing. 
• Billing practices that appear to be clinically unlikely or medically unnecessary. This could be indicated by caseload size, service utilization patterns or supervision hours that are inconsistent with expected clinical practice and provider operations.
• Excessive or exclusive use of telehealth to deliver services.
• Services delivered by providers that are not located near the beneficiary.
• Treatment planning that appears to be non-individualized or lack variability in treatment intensity across the provider’s practice.
• Lapsed provider credentials.
• A lack of discharges, service intensity titration and/or care transitions across the provider’s practice.

Thank you for your attention to this communication. All questions related to this Clinical Communication Bulletin can be sent to UM@TrilliumNC.org. Questions will be answered as quickly as possible

Updated 1915(i) Assessment and Companion Guide Now Available

This bulletin applies to NC Medicaid Managed Care and NC Medicaid Direct.

The revised NC Medicaid 1915(i) assessment must be used starting Oct. 1, 2026, and includes a new companion guide.

The NC 1915(i) Assessment Tool, available on NC Medicaid’s website, identifies a beneficiary’s needed services and supports and informs the independent evaluation of 1915(i) eligibility determination and development of the Care Plan or Individual Support Plan. The updated assessment tool includes new fields that capture more detailed information. A new NC Medicaid 1915(i) Companion Guide has been created to accompany the updated 1915(i) assessment tool. 

Effective Oct. 1, 2026, the revised NC Medicaid 1915(i) Assessment Tool must be completed for: 

• Beneficiaries requesting a 1915(i) service; and 
• Eligibility reassessments for beneficiaries receiving 1915(i) services. 
  Previous versions of the NC Medicaid 1915(i) Assessment published prior to Aug. 3, 2026, will not be processed and will be returned marked as “Unable to Process.”

Updated Guidance on Birth Month Alignment for 1915(i) | NC Medicaid

Network Providers: Monitoring NCTracks Communication

Encouraging network providers to regularly monitor all communications from NCTracks. NCTracks sends timely notifications regarding changes to the provider's profile, and providers staying informed will be essential to maintaining active network status.

Trillium Health Resources encourages network providers to regularly monitor all communications from NCTracks. NCTracks sends timely notifications regarding suspensions, terminations, and status updates related to NPIs, taxonomy codes, licensure, and other details related to provider profiles. Staying informed on these notices is essential to maintaining active network status. To avoid any disruptions in claims or services, network providers must regularly review all NCTracks notifications. 

Trillium Health Resources thanks the Provider network for maintaining proper oversight of NCTracks communication along with the quality services provided to members. If there are any questions regarding communication and notifications received from NCTracks. Please do not hesitate to contact NCTracks to address any concerns. NC Tracks can be contacted at 1-800-688-6696, and for your convenience. 

Authorization Requirement Changes to In Lieu of Service (ILOS)—Family Navigator, High Fidelity Wrap Around, and Family Centered Treatment

Beginning September 1, 2026, Family Navigator, High Fidelity Wrap Around and Family Centered Treatment will move to all pass-through services. This means no authorization initial or concurrent is needed to access this benefit. The expectation remains that records will continue to contain clinical documentation to support initial needs and ongoing needs and medical necessity as defined by ILOS policy. Thank you for your attention to this communication. All questions related to this Clinical Communication Bulletin can be sent to UM@TrilliumNC.org. Questions will be answered as quickly as possible.

All Residential Treatment Providers Authorization Changes

Trillium Health Resources will transition to a new software platform for all Tailored Plan members beginning October 1, 2026. All Residential Treatment providers currently authorized at the site level (where the member resides) will be moved to the main provider site in the new software platform. Existing authorizations will be moved for each provider and member. 
The following services are affected:

• Innovations Waiver (IW) Residential Supports- Unlicensed Alternative Family Living H2016 CG (Level 1) T2014 CG (Level 2) T2020 CG (Level 3) H2016 HI CG (Level 4)
• Respite (IW and 1915i)- Unlicensed Respite Sites S5150 H0045 U4
• Therapeutic Foster Care (TFC)- S5145
• Intensive Alternative Family Treatment (IAFT)- S5145 HK
• Individual/Transition Support- T1019 U4 
• Community Living Facilities and Supports (CLFS) Level 3- T2016U5U3 

For Medicaid Direct members, authorizations are currently at the site level in Trillium’s Business System and will move to the provider site beginning September 1, 2026. Trillium will revise existing authorizations, but all new requests need to be made at the main provider site beginning September 1, 2026. 

Therapeutic Foster Care providers may discontinue submitting the Additional Site form effective September 1, 2026. However, Alternative Family Living and Respite providers should continue submitting the Additional Site form as they currently do.

Roadmap 2 Ready - September 2026

Trillium advises providers to continue monitoring tropical activity through November 30, know your risk for hurricanes, and get a kit. The time to put an emergency kit together is before a disaster. It's important to include enough water, food, and supplies in your kit for three to seven days for each person and pet. Being ready for an emergency helps you and your family and allows police, firefighters, and emergency medical workers to focus on helping others who may need it most. 

Review North Carolina Emergency Management emergency kit recommendations for basic supplies, unique needs, and first aid by visiting ReadyNC.gov.

Provider My Learning Campus Reminder

To find updated and current Provider Trainings, please visit: Provider My Learning Campus or this list of provider trainings.