Provider Outreach to Members

Some providers are encouraging patients to sign up for managed care (i.e. the Standard Plans) and listing the health plans they have contracted with to help patients with health plan selection. We welcome this engagement from our providers, but please note that not all Medicaid members are moving to managed care now. We understand receiving letters or other information from providers to sign up for a health plan is causing some confusion for our members who are not required to sign up at this time.

Members who are not required to sign up include those on the Innovations Waiver or people receiving intensive mental health or substance abuse services.

If you hear from your provider conducting outreach, we encourage you to call the NC Medicaid Enrollment Broker at 833-870-5500 (TTY: 833-870-5588). The enrollment broker can tell you if you are required to sign up for Medicaid Managed Care at this time and can help you with making an informed choice if you are.

Provider Documents & Forms

Provider Direct Update:

On Thursday June 24, 2021, between the hours of 5-8 PM, the Provider Direct platform will be upgraded. There is a possibility of system downtime during the update process, so we ask that you please plan accordingly. At Midnight Saturday Night (June 26, 2021) until approximately 12 p.m. Sunday (June 27 , 2021) the Provider Direct will be update as part of our monthly schedule. There will be System Downtime during the upgrade process, so we ask that you please plan accordingly. This service outage supports IT efforts to provide reliable and consistent service delivery through patching, modifying, and testing updates during off-peak hours. Thank you for your patience while we continuously work to improve all software maintained by Business Systems.

Trillium’s Provider Support Service Line toll free number 1-855-250-1539 


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 links below:

Medicaid Transformation for Providers

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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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