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Breadcrumb

For Providers

RFI for Care Management Agency:

The North Carolina Department of Health and Human Services (DHHS) is transitioning Medicaid and NC Health Choice programs to Medicaid Managed Care to improve the health of North Carolinians. There will be many changes to come through an innovative, whole-person centered, and well-coordinated system of care which addresses both medical and non-medical drivers of health. Trillium is proactively completing the steps necessary to become a BH IDD Tailored Plan. Within the BH IDD Tailored Plan, care management will be a function that will be provided by the BH IDD Tailored Plan, Advanced Medical Home Plus, and Care Management Agencies. Trillium seeks to identify Care Management Agency partners through a Request for Information (RFI) that will assess capacity of our current providers to provide this function and assess the needs of our future network. If you are interested in working with Trillium to develop this capacity, please contact Megan Roberson by June 28 to complete a Non-Disclosure Agreement as the first step in this process. Upon receipt of the completed Non-Disclosure Agreement, we will forward the necessary links to paperwork to complete our RFI. 

Provider manual Cover PicturePROVIDER PORTAL

You provide services. Here’s where we provide information to help you do so.  

Trillium’s Provider Network helps us fulfill our responsibility in ensuring access to high quality, medically necessary care for the individuals we serve. Trillium recognizes our success in managing these services depends upon the providers in our network.

We will not compromise the quality of services for mental health, substance use, and intellectual and developmental disabilities. We fully recognize our success in managing these services depends upon you and other providers in our network. 

This web page—your Trillium Provider Portal —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.


Network Adequacy Accessibility Report (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.

Network Adequacy Accessibility Report (former Gaps & Needs Analysis)

2016 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

2016 Full 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.

Provider Quality Improvement Project - CHANGES:

As written in Trillium’s Provider Manual, Trillium requires all providers to demonstrate a Continuous Quality Improvement (CQI) process by identifying and implementing Quality Improvement Projects. A Quality Improvement Project (QIP) is an initiative to measure and improve the services and/or care provided by the organization.

Trillium has required a minimum of three (3) QIP’s per fiscal year (July-June) be submitted by all state contracted providers by July 31 of each year. Effective immediately, Trillium will no longer require submission of those three projects to the Quality Management Department. Although these projects will no longer be submitted to Trillium, it is important to remember Trillium may at any time throughout the fiscal year, contact a provider to request submission of current Quality Improvement Projects for review/feedback related to overall provider quality/service delivery improvement. As an alternative, Trillium’s Global Quality Improvement Committee will continue to offer a blinded peer review, if requested by the provider through contacting the Trillium QM staff at QMinfo@TrilliumNC.org.

Questions about this change should be directed to QMinfo@TrilliumNC.org.