The Trillium Tailored Plan launches on December 1, 2022. Information and processes on this page will be changing in the months to come. Learn about Tailored Plan here


Breadcrumb

Tailored Plans - Information for Recipients

Trillium Health Resources will launch our Tailored Plan on December 1 to serve recipients in our catchment area. The Trillium Tailored Plan will help improve health outcomes and ease access for individuals we serve.

STATED-FUNDED RECIPIENTS INFORMATION

Tailored Plans are specifically designed to serve the complex needs of individuals with significant behavioral health disorders, intellectual and developmental disabilities, and traumatic brain injury — populations Trillium and all other LME/MCOs have long served. The Tailored Plans will also serve uninsured individuals currently receiving state-funded services, regardless of their diagnosis.

Tailored Plan Information Session

decoration
Live, Virtual Information Session for Members & Recipients
Register for the Webinar
June 30, 10 a.m.
Target audience: Medicaid members, state-funded recipients, and their guardians/caregivers/families

Upcoming Sessions

For Recipients & Members

  • July 28: Changes in Tailored Care Management
  • August 11: What is the NC Medicaid Ombudsman Program? Will my rights change? 
  • September 15: Trillium Advantage and Value-Added Services*, Health Promotion and Prevention Programs
  • October 6: Choosing a PCP, How to change PCP, and Auto-enrollment
  • October 27: Requesting a new Medicaid card or other materials; How to receive information
  • November 3: What new providers are joining Trillium’s network for Medicaid? What new services will be available for people with Medicaid coverage?
  • November 10: Open Question & Answer
  • November 17: Open Question & Answer

What to expect when the Trillium Tailored Plan launches?

With the launch of the Trillium Tailored Plan, we will start exciting new programs and embrace whole-person care. Here are a few changes you will see: 

  • New terms, including Medicaid members and State-funded recipients; there will be separate handbooks for members and recipients to review appropriate information and requirements.
  • Our Member and Recipient Services will be available on Saturdays as well as Monday through Friday.
  • The launch of our 24-hour Behavioral Health Crisis Line.
  • An updated provider directory that will have a new layout and be easier to use.
  • New value-added and in lieu (pronounced “loo”) of services that are created by Trillium and approved by NCDHHS to uniquely meet the needs of our populations.
  • New ways to improve your well-being through health promotion materials (such as diabetes resources), population health initiatives, and a tobacco cession program to stop smoking.
  • A shift from care coordination to Tailored Care Management where a care manager works with you or other caregivers to consider your unique health-related needs and find the services you need in your community. 
     

INFORMATION FOR RECIPIENTS

State-funded recipients do not need to do anything at this time. We will soon start sharing opportunities for recipients to learn about changes to procedures, new services available, and what to expect. This will include information sessions and opportunities to ask questions.

Please follow these pages, sign up to receive our emails, and opt-in to receive text messages.
 

Medicaid Transformation Information

Page last verified on

See something that needs to be updated?

If you find any wrong or out of date information on our pages, we want to know. Please email Info@TrilliumNC.org with any corrections.


Help Stop Fraud & Abuse

You can help keep fraud, waste, abuse, unethical, or illegal activity out of our workplace. If you are uncomfortable communicating a concern in person, report it anonymously by calling the toll-free hotline number, 1.855.659.7660, or report it online at EthicsPoint and follow the instructions on the screen