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.


Electronic Visit Verification (EVV)

HHAExchange logo in a white background

Attention EVV Providers - Electronic Visit Verification (EVV)

The Centers for Medicare & Medicaid Services (CMS) permitted states that anticipated being unable to meet the implementation deadline to submit a request for a Good Faith Effort Exemption (GFEE). A GFEE approval allows states to implement EVV for HHCS after the required deadline of Jan. 1, 2023, without CMS applying a Federal Medical Assistance Percentage legislated penalty. NC Medicaid submitted a GFEE request to CMS and was granted approval.

Timelines for implementation of EVV are noted below for each health plan below:

    Soft launch start Hard launch start
NC Medicaid Direct (HHCS) NCTracks + Providers 4/1/2023 7/1/2023
Tailored Plans (HHCS) EPS + TPs + HHAExchange 7/1/2023 10/1/2023
Tailored Plans (PCS) EPS + TPs + HHAExchange 4/1/2023 7/1/2023

The 21st Century Cures Act (Section 12006a) and The Centers for Medicare & Medicaid Services (CMS) mandate that states begin utilizing an Electronic Visit Verification (EVV) system for Personal Care Services (PCS) that require an in-home visit by January 1, 2021.

More information about this mandate can be found here: 

Trillium has partnered with an external vendor, HHAeXchange, to provide the EVV tools necessary for designated providers to comply and meet this requirement.

If you received a letter and/or email referencing EVV from Trillium, please complete the HHAeXchange Portal Configuration Questionnaire.

General EVV information can also be found on the HHAeXchange North Carolina Provider Information Center.

Below you can have access to important EVV Go Live Webinar and Training Information!

EVV-HHA eXchange Information

Let’s get ready for Go-Live!
Update July 15, 2021

EVV Readiness Checklist!

Interest in Training?

Visit NC LME Provider Information Center

Scroll down and select either “Info Sessions” or “Training”

Under Training, there are links to the Pre-Go Live Training Webinars and the EDI Provider Integration Webinars which were recently held. There is an additional training in the Learning Management System (LMS) which providers can access with their HHAeXchange login.

Need HHA Support?

  • For questions and issues, email HHAeXchange at NCSupport@hhaexchange.com.
  • For questions or issues over the phone, please call at 866-242-2465
  • Live Chat feature also available on the HHA website.  

From the CMS requirement, the EVV service codes that impact Trillium’s compliance are:

(b)(3) Services
T1019 U4 Personal Care/Individual Support
T2013 U4  In-Home Skill Building
T2013 TF HQ U4 Community Living and Supports - Group
T2013 TF U4 Community Living and Supports
T2033 U1 U4 Supported Living - Periodic
Innovations Services
T2013 TF HQ Community Living and Supports - Group
T2013 TF  Community Living and Supports
T2033 U1 Supported Living - Periodic

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If you find any wrong or out of date information on our pages, we want to know. Please email Info@TrilliumNC.org with any corrections.