For Providers

Provider Direct Update

The Trillium Health Resources IT staff would like to notify you that Midnight Saturday Night (November 27, 2021) until approximately 3:00 p.m. Sunday (November 28, 2021) the Provider Direct System will be updated as part of our monthly schedule. There will be System Downtime during the update process, so we ask that you please plan accordingly. Thank you for your patience while we continuously work to improve and develop Provider Direct.
Starting July 1, 2021, DHHS will incorporate new fields into the IRIS system. As we prepare for Medicaid Transformation, these changes will improve data collection and analysis as well as opportunities for trending of data. Providers will see the following changes that will allow providers to select options for Pre-paid Health Plans in order to route reports appropriately.

Find information about Medicaid Transformation on the link below

Medicaid Transformation for Providers


Partnering to support well-being.

We are proud to work together with a network of incredible health care providers to offer the right, individualized care for the people we serve. Our collective community-based approach focuses on meeting people’s unique needs. Trillium recognizes our success in managing these services depends upon the providers in our network.

We will not compromise the quality of services for serious mental health, substance use, and intellectual/developmental disabilities. We fully recognize our success in managing these services depends upon you and other providers in our network to ensure access to high-quality, medically necessary care.

The information on these pages is designed to support you with easy access to the tools, information, and resources you need. Note the following quick links:


Thank you for being our partner in providing high-quality, medically necessary services.

Permanent Supportive Housing Training Requirements and the Transitions to Community Living Initiative

North Carolina, entering the sixth year of the Transitions to Community Living Initiative (TCLI), coordinates with the Technical Assistance Collaborative (TAC) on the development of comprehensive Permanent Supportive Housing (PSH) training. The PSH training is based on the Substance Abuse Mental Health Services Administration (SAMHSA) Evidence-Based Practices Toolkit and supports the use of best practices in supporting individuals with mental illness in independent, community housing. Effective July 1, 2020, the DHHS-approved Tenancy Supports Training is the PSH training.

The PSH training is required for Community Support Team (CST) staff. Both Assertive Community Treatment (ACT) teams and Transition Management Services (TMS) teams also provide critical housing support to individuals participating in TCLI.

  • Per the current ACT policy and the attached TMS service definition, staff must complete the DHHS-approved Tenancy Supports training.
  • To support North Carolina in successfully placing and supporting individuals in independent, community housing, DHHS is requiring all ACT Housing Specialists and TMS Team Leads to complete the PSH training. All ACT teams and TMS teams must meet this requirement no later than March 1, 2021.

The training must be facilitated by approved trainers to meet the requirements. Qualified trainers include:

If you have questions, please contact Saarah Waleed at 984-236-5060 or

Network Adequacy & Accessibility Reports (former Gaps & Needs Analysis)

The Network Adequacy & Accessibility Report is an annual study of our catchment area and the people who live there. It also looks at where services are available and how people use them. Ultimately, the analysis serves as a roadmap for determining future growth based on current capacity. and identified needs.

DHHS Provider Satisfaction Survey

The Carolinas Center for Medical Excellence (CCME) was contracted to conduct a satisfaction survey of the providers participating in the 1915(b)/(c) Medicaid Waiver program. This survey allows the State and the health plans to measure how well they are meeting providers’ expectations and needs. The purpose of the survey is to assess provider perceptions of the eight LME/MCOs in North Carolina.

The results from this survey allow DMA to assess the LME/MCOs’ ability in the following three areas:

  1. Interacting with their network providers
  2. Providing training and support to their providers
  3. Providing Medicaid Waiver materials to help their providers strengthen their practice

2019 Provider Satisfaction Survey Report

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


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