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.


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Benefit Plans | Service Definitions

Benefit Plan Information

Service Definitions 

In Lieu of Services (ILOS) and Alternative Services

Service Definitions

Services for Medicaid–Eligible Children: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Medicaid covers a broad array of health and dental services for those under age 21. A federal law requires Medicaid to provide all medically necessary health care services to Medicaid-eligible children. This is called Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), which is known in North Carolina as "Health Check." The services are required even if the services are not normally covered by the children's Medicaid.

For more information about Health Check and EPSDT in North Carolina, visit our page Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

 

 

Trillium welcomes feedback regarding the current Benefit Plans and Service Definitions. Feedback and recommendations will be taken into consideration and can be sent to QMinfo@TrilliumNC.org.

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