The Trillium Tailored Plan launches on April 1, 2023.
NC Medicaid changed the start date for Tailored Plans. The new start date is April 1, 2023. Until April 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


Mental Health & Substance Use

son leaning on father shoulderPERSON-CENTERED | MEDICALLY NECESSARY

Just as building a strong house requires a variety of materials, building well-being requires community resources, social relationships, and opportunities to thrive. Well-being needs a sturdy foundation at the start to prevent issues and keep it standing through all kinds of weather.

Trillium coordinates services for adults and children to address serious mental health and substance use (MH/SU) challenges.  We employ clinically-trained and licensed staff to manage and authorize those services to ensure people receive the services 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.

Care Management

Care management is a major function at Trillium.  It is a proactive, person-centered, assessment-based approach to integrating medically necessary behavioral health services, primary health care and natural and community social support services. We prioritize finding the right individualized care for the people we serve.

Our Care Management Department includes three regional teams with integrated staff serving members with serious mental health, substance use, and intellectual/developmental disabilities. Rather than separate groups focused on individual populations, the new arrangement allows for a cohesive structure to facilitate communication around a variety of issues and identify any barriers to a successful recovery.

Individuals who need intensive services are assigned to a Care Manager.  This includes individuals recently hospitalized with MH/SU diagnoses and children at risk of or placed out-of-home. Most Care Coordination functions occur over the phone. Our team of Care Managers assists individuals and families in the following ways:

  • Provide education regarding MH/SU, including recovery-oriented supports and natural or community supports;
  • Ensure members receive a quality, comprehensive assessment that identifies symptoms and diagnosis, how those symptoms affect daily life, and the person’s strengths and treatment needs;
  • Link to community and natural supports;
  • Monitor the Person-Centered Plan or Treatment Plan;
  • Request and monitor the Crisis Plan developed between the provider and the member;
  • Assist in the discharge planning process for individuals hospitalized for behavioral health reasons to ensure success in their recovery;
  • Link the member to needed psychological, behavioral, educational, and integrated health care services;
  • Assist with coordination of all Medicaid benefits, including primary care engagement;
  • Monitor the treatment provided ensuring the health and safety of the member, the person’s satisfaction with care and services, and that services are delivered as specified in the plan;
  • Collaborate to address obstacles to successful recovery

Types of services our Care Managers assist individuals and families with include:

  • Assertive Community Treatment Team
  • Day Treatment
  • Detoxification Services
  • Diagnostic Assessment
  • Facility-Based Crisis Services
  • Intensive Alternative Family Treatment
  • Intensive In-Home Services
  • Mobile Crisis Management
  • Medication Management
  • Multi-Systemic Therapy
  • Outpatient Opioid Treatment
  • Partial Hospitalization
  • Psychosocial Rehabilitation
  • Substance Abuse Comprehensive Outpatient Treatment Program
  • Substance Abuse Intensive Outpatient Program
  • Outpatient services
  • Peer Support Specialist Services
  • Community Support Team
  • Supportive Employment

    Utilization Management (UM)

    We have a team of Master’s level licensed clinicians, called UM Care Managers, who review Treatment Authorization Requests (TARs) for medical necessity. 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:   

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    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