Tailored Plans will start October 1, 2023
NC Medicaid changed the start date for Tailored Plans to October 1, 2023. Until October 1, 2023, you will keep getting services the way you do now. 
Information and processes on this page will be changing in the weeks to come. 
Learn about Tailored Plan here

Great news! NC Health Choice will automatically move to NC Medicaid on April 1, 2023. Some benefits will be better; the rest will stay the same. Look for your new Medicaid ID card in March. Questions? Go to NC Health Choice Move to Medicaid or call Member & Recipient Services at 1-877-685-2415.

Tailored Plans - Information for Recipients

Trillium Health Resources will launch our Tailored Plan on October 1, 2023 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

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June 30 Session Members and Recipients
Presentation Recording | Questions & Answers

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.

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Medicaid Transformation Information

For Medicaid Members
For Providers

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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.

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