Billing Codes & Rates | Check Write Schedule
Watch this page for updates and new information
Please be advised that Trillium has added double asterisks (**) next to the services that have unified rates across all legacy LME/MCOs. This change is intended to help you quickly identify standardized services rates and reflects Trillium's ongoing efforts to work towards rate alignment across the organization.
We appreciate your continued partnership and commitment to members. If you have any questions or need further clarification, please do not hesitate to reach out at RatesFinance@TrilliumNC.org.
Fee Schedule Update and Claim Reprocessing Announcement
Trillium Health Resources has published an updated Fee Schedule which reflects the NCDHHS Medicaid Rate Reductions of 3%, 8%, and 10% effective October 1, 2025. Please begin using these updated rates immediately.
Starting November 1, 2025, claims submitted for dates of service October 1, 2025 forward at rates higher than the reduced Medicaid fee schedules will be reprocessed to align with the updated fee schedule.
Please note:
- The rate reductions have been applied to each provider’s rates in effect as of September 30, 2025.
- The rate changes also apply to all ILOS services, member-specific rates, and provider-specific rates.
- Impacted Medicaid reimbursement claims submitted above Trillium’s published rates after October 1, 2025 will be reprocessed retroactively. There is no action needed by the provider at this time.
- Updated claims will be reflected in your Remittance Advice once processed.
Additional details regarding the services impacted and the base rate assumptions can be found here: NC Medicaid Rate Reductions.
For questions regarding these rate adjustments, please contact the Rates Team at: RatesFinance@TrilliumNC.org.