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


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Mental Health & Substance Use

Person-Centered | Medically Necessary

son leaning on father shoulderMental health conditions are very common. Nearly one in five adults have experienced some kind of mental illness in the United States.* While most conditions are minor, some individuals have serious mental illness (SMI).

Trillium helps for adults and children address serious mental health and substance use (MH/SU) conditions. We hire clinically-trained and licensed staff to manage and approve those services to help people get the care they need in a timely manner


Trillium requires priority admission to all women who are pregnant and injecting drugs, pregnant and using substances and other individuals who are injecting drugs.


Tailored Care Management

Tailored Care management is a major function at Trillium. It is person-centered, integrated approach that combines behavioral health services, I/DD, primary health care, and natural and community support services. We find the right care for each person we serve.


    Utilization Management (UM)

    Trillium's Utilization Management (UM) Care Managers, review Treatment Authorization Requests (TARs) for medical necessity. This means the service is needed to diagnose or treat an illness or condition. In most cases, this is done prior to the provider delivering a service to a member. During the review process, our UM Care Managers follow guidelines set forth by state governing agencies and Trillium.

    Resources our Care Managers use include:   

    Sources:
    National Institute of Mental Health

     

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    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    If you find any wrong or out of date information on our pages, we want to know.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