Comunicación para el Proveedor 006

Reminders

Mandatory Closed Network for Peer Support and RB-BHT Services

We want to let you know about an important update affecting North Carolina Medicaid behavioral health services. Effective July 2, 2026, North Carolina Senate Bill 257 (the Current Operations Appropriations Act of 2026) requires each Prepaid Health Plan (PHP) to establish a mandatory closed network for the two service categories below, with the authority to determine which providers participate: 

1. Peer Support Services
2. Research-Based Behavioral Health Treatment (RB-BHT) Services 

In line with this requirement, Trillium will be maintaining a closed network for both services. We appreciate the work you do for the individuals and families we serve.

Preparing for the Unified Claims System Launch on October 1: FAQ and Reminder for Next Information Session

Thank you to all our attendees at the first information session on June 23. Trillium received some thoughtful questions and has updated the frequently asked questions (FAQs) posted on our website. We encourage all impacted providers to visit the FAQs and continue to submit questions for us to cover in the next information session on July 28.

Register Here   Read the FAQ

To see the slides from the previous session, visit the Trillium website.

Updated Link: PCP/Provider Request for Care Manager Name or Assignment Referral Form

Trillium has updated the link to the PCP/Provider Request for Care Manager Name or Assignment Referral Form. The new link is active and available for use. Providers who have bookmarked the previous link are encouraged to update their records accordingly.

Public Comment Open for Updated Peer Support Services Definition

The North Carolina Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS) is seeking the advice and feedback of individuals, families, service providers, and other organization/stakeholders in developing new or amended State-funded service definition policies. All comments are considered. The Department has delegated to the Division of Mental Health, Developmental Disabilities, and Substance Use Services the authority to make the final decisions regarding behavioral health, I/DD and TBI state-funded service definition policy content and implementation.

Providers, peers, advocates, and other stakeholders are encouraged to review the proposed service definition and submit feedback during the 30-day public comment period. Comments will be accepted through July 31, 2026. 

Review the proposed State-Funded Peer Support Services definition and public comment information: Submit comments by July 31, 2026, to DHHS-DMH-CO-State-fundedServiceDefinitionFeedback@dhhs.nc.gov.

MORES: Youth and Families Now Have Access to Stabilization and Follow-Up Support After a Crisis

Sometimes, youth and families need more than a crisis response. What if a team could walk with a family for up to eight weeks after a crisis to help them find resources and services? This is the Mobile Outreach Response, Engagement and Stabilization (MORES) pilot program. 

MORES is a team-based crisis response intervention for children and adolescents aged 3-21 years experiencing escalating emotional and/or behavioral needs. MORES provides up to eight weeks of follow-up care after a crisis to assist the family and youth in obtaining services and supports including access to a licensed clinician trained in child and adolescent interventions, a qualified mental health professional, and a Family Support Partner (an individual with lived experience of caring for a child with behavioral health challenges) who provides support and access to psychiatric consultation and care management to provide connection to needed resources. 

• Click here for more information - MORES Brochure 

Trillium has partnered with Easterseals PORT Health to provide MORES in Wayne, Wilson, Lenoir, and Duplin counties, and with Integrated Family Services to provide MORES in Pitt County.

Learn more about MORES in Wayne, Wilson, Lenoir, and Duplin counties on the Easterseals PORT Health website.

For additional information, send an email to LaKisha King at Easterseals PORT Health, or call 866-241-7245. 

Learn more about MORES in Pitt County on the Integrated Family Services website.

For additional information, send an email to Hunter Moseley at Integrated Family Services.

Submit a Referral

Please share and help spread the word about MORES: Youth and Families have access to stabilization and follow-up support after a crisis! 

Join Trillium’s Global Quality Improvement Committee (GQIC)

Are you passionate about enhancing healthcare quality and driving meaningful change? Trillium is seeking a dedicated CFAC representative (North Central region) as well as an Integrated Care Representative (working in primary care or an Advanced Medical Home) to join the Global Quality Improvement Committee (GQIC).

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 our Committees webpage or  My Learning Campus for more information about GQIC. 

Roadmap 2 Ready July 2026

Each month we highlight a topic from the Centers for Medicare & Medicaid Services Emergency Preparedness Rule. 
With dangerously hot heat waves impacting our state and a severe drought, we wish to provide you all with information on backup energy plans. 

•  If your facility is required to have a generator, be sure that you run monthly tests to ensure it runs smoothly and handle the energy capacity. 
• If your facility is not required to have a generator, facilities such as Home Health, outpatient providers, FQHCs, etc., ensure your plan includes evacuation and closing procedures should there be a power outage during dangerous heat waves. 
• If you provide in-home services, talk with your members about what their plans are if they lose power during dangerous heat waves. 

Below are resources for all these scenarios. Should you have any questions or need any more information on improving your plans for heat-related or power outage emergency plans, please visit CDC or Heat.gov. 

• Heat Action Plan Toolkit: NCDEQ Toolkit & Resources
• Generator resources: Generator maintenance and usage tip sheet
• Extreme Heat Resources for Providers: Resources for working with members, screening and planning

If you have not already submitted your Disaster plans by May 1 to the 2026 Disaster Plan Submission, please do so as soon as possible. To confirm your disaster plan was received, just check the "send me a copy of my responses" option at the end of the form.

Disaster Plan Submission

Home and Community-Based Services Technical Assistance Training

The North Carolina Department of Health and Human Services (NCDHHS) Home and Community-Based Services (HCBS) Internal Team and Trillium have been working on HCBS Database Enhancements, Priority 1A (database updates) and Priority 1B (provider yearly HCBS attestations). 

This communication provides notification to HCBS providers of an upcoming training opportunity. As the HCBS database updates for contact/demographic information have been in process, the next step is provider training on the yearly attestation. This attestation is an opportunity for the provider to acknowledge and attest that the site remains in compliance with the HCBS Final Settings rule. This training is considered a high priority for the provider to adhere to the HCBS Database Enhancements. The yearly attestation will be required for each service site for an agency to continue providing HCBS services at the location. 

Trillium has published an online recorded training on My Learning Campus. To understand the upcoming expectations of the HCBS yearly attestation, it is highly recommended that you view this training. You will receive a certificate of completion. 

Please note: The yearly attestation does not replace the provider’s initial provider self-assessment, which must be found in compliance with the HCBS Final Settings rule prior to the site rendering any HCBS services.

Provider My Learning Campus Reminder

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