Trillium to restore rates for Medicaid providers

Trillium Health Resources to restore rates for Medicaid providers
Rates were cut due to gap for Medicaid funding from NCGA

GREENVILLE, N.C. –Trillium Health Resources is pleased to announce that Governor Stein will restore rates for Medicaid providers back to September 30 rates. The statement came at a press conference held on December 10. Rates for many behavioral health and physical services were cut between three to 10% as of October 1 due to what NCDHHS estimates to be a significant gap in Medicaid funding.

Trillium members and providers disproportionally experienced the impact of these rate cuts. Many of our members live in rural areas where accessing health care services can be more difficult. For providers who were already operating on slim budget margins, the cuts were not sustainable for their business practices.

“North Carolina is now restoring provider rates to their September 30 levels, the rates before the cuts were enacted, so that patients can continue to receive the care that they need and deserve,” stated Governor Stein. “Without additional funds [from the General Assembly], Medicaid will run out of money in the spring, which would be absolutely devastating, not only to Medicaid patients, but to the entirety of our healthcare system … I urge the General Assembly to do the right thing and that is to fully fund Medicaid.”

NCDHHS Secretary Sangvai added, “Medicaid contributes more than $30 billion to the North Carolina economy. It helps keep rural hospitals open and strengthens the financial stability of providers across the state. North Carolina has worked hard for years to build a fiscally responsible, high-performing Medicaid program, one that is the envy of every state in the nation, and everyone agrees that more funding is needed to keep it whole.”

Trillium contracted providers do not need to take any action at this time. Trillium will restore rates in our business systems back to the September 30, 2025, levels as instructed by Governor Stein. More information will be shared with providers soon.

“Trillium is thankful that Governor Stein and Dr. Sangvai found a solution while we await the finalized budget,” stated Joy Futrell, Trillium CEO. “Many of the members in our population are medically fragile or experiencing crisis situations. Ensuring our providers have the adequate support and funding to serve these members is crucial to their health and long-term outcomes.”
 

ABOUT TRILLIUM HEALTH RESOURCES

Trillium Health Resources is an innovative health plan for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in 46 counties in North Carolina. Through contracts with NCDHHS, we serve Medicaid members on the Tailored Plan and NC Medicaid Direct, state-funded recipients who are uninsured, and members on the Innovations Waiver. Trillium’s mission is transforming lives and building community well-being through partnership and proven solutions. We take an integrated approach to health and wellbeing, coordinating care across multiple systems to achieve improved health outcomes, quality of care and efficient use of resources. Trillium is dedicated to meeting the unique needs of the individuals and communities we serve, and remains focused on delivering the right services, in the right amount, at the right time.