Provider-based care management promotes integrated care and offers Trillium members choice in how they receive care management.
Through Tailored Care Management (TCM), Trillium Medicaid members will have a single designated care manager supported by a multidisciplinary care team. They will provide whole-person care management that addresses all of their needs: physical health, behavioral health, intellectual and developmental disabilities (I/DD), traumatic brain injuries (TBI), pharmacy, long-term services and supports (LTSS), and unmet health-related resource needs.
Effective, integrated and well-coordinated care management depends on care team members having the ability to efficiently exchange member health information and use that information to monitor and respond to medical and nonmedical issues that could impact beneficiaries.
- Dec. 1, 2022 - TCM Soft Launch for Medicaid Direct
- Apr. 1, 2023 - TCM Launches for Tailored Plan Members
There are three types of TCM entities that can provide TCM to Trillium members:
- Advanced Medical Home Plus (AMH+)
- Care Management Agencies (CMA)
- Trillium Health Resources Care Management Team
|Provider Name and Contact||Type of TCM Provider||Counties Served|
910-595-5515 Annette Gibbs
or Cynthia Jackson
|CMA||Carteret, Onslow, Jones, Pender|
|Carolina Family Health Centers Inc.
David A. Peterson, LCSW .
Can be reached at 252-243-9800 ext. 252
|Coastal Horizons Center Inc.
910-515-0837 Julie Quisenberry 910-800-9047
|CMA/AMH+||Brunswick, New Hanover, Pender|
|Coastal Southeastern United Care
252-999-2891 Keischa Pruden
|CMA||Brunswick, Columbus, Bladen, New Hanover, Carteret, Craven, Onslow|
|VOCA Corporation of NC dba Stepstone Family and Youth Services
980-443-7980 Brenda Marrow
|CMA||Beaufort, Craven, Halifax, Martin, Nash, Pitt|
|Dixon Social Interactive Services Inc.
252-353-0100 Amy Moore
|CMA||Beaufort, Nash, Pitt|
|Easter Seals UCP North Carolina and Virginia Inc.
910-604-1894 Shirley Coates
|CMA||New Hanover, Pitt, Craven, Onslow|
| East Carolina University
252-847-6809 Gina Stepps,
RN at 252-917-1202 OR
Angela Pelt RN at 252-766-1019
|AMH+||Beaufort, Bertie, Craven, Hertford, Jones, Martin, Northhampton, Pitt, Onslow, Washington|
|Genesis Project 1 Inc.
704-596-0505 Mrs. Grier
|CMA||Beaufort, Bertie, Bladen, Columbus, Halifax, Martin, Nash, Northampton, Pitt|
|Integrated Family Services PLLC.
252-999-2891 Keischa Pruden
|CMA||Nash Halifax, Hertford, Onslow, Pasquotank, Pitt|
|LeChris Health Systems of Greenville||CMA||Pitt, Beaufort, Martin, Nash, Craven, Jones, Pamlico, Carteret|
252-353-8452 Thomas Langley
or Christie Chandler
Other Offices -
|New Hanover Community Health Center Inc.
(dba MedNorth Health Center)
910-202-8630 Taquicia Carr
|AMH+||New Hanover, Pender, Brunswick|
|One to One with Youth Inc.
919-731-2119 Minnie Allen
|Optimal Behavioral PLLC.
984-422-7291 M. Wiggins
|CMA||Halifax, Nash, Pitt, Beaufort, Martin, Northampton, Bertie|
|Pathways Human Services of North Carolina LLC.
(dba Access Family Services)
984-297-3148 Suzanne Dibuono
|CMA||Brunswick, New Hanover, Pender, Onslow, Carteret, Craven, Pitt|
|Pinnacle Family Services of NC LLC.
919-790-8580 Katherine Mitchell
or Haley Huff
|CMA||Beaufort, Bladen, Brunswick, Carteret, Columbus, Craven, Halifax, Jones, Nash, New Hanover, Onslow, Pamlico, Pender, Pitt|
|PORT Health Services
252-814-3919 Crystal Burts
|CMA||Onslow, New Hanover, Pitt|
|Primary Health Choice Inc.
910-865-3500 Lakeesha Jones
Primary Health Choice, Inc.
910-865-3500 ext. 102
|CMA||Bladen, Columbus, Nash, Pitt|
|RHA Behavioral Health NC LLC
704-718-5790 Heather Lockey
Halifax, Craven, New Hanover BH adult/child
919-418-1644 Larry Lindsay BH adult/child – Columbus, Bladen
980-382-5460 Darren Monaco
New Hanover IDD
|CMA||Halifax, Craven, New Hanover, Carteret, Bladen, Columbus|
|The ARC of North Carolina Inc.
910-791-9022 Regina Johnson
|CMA||New Hanover, Brunswick, Columbus, Bladen Pender, Craven, Onslow, Carteret, Jones, Beaufort, Pitt, Nash, Bertie, Martin, Halifax|
|Stephen’s Outreach Center Inc.
910-738-7865 Alicia Moore
|CMA||Columbus, New Hanover, Bladen|
TCM Provider Forms
- SFTP Agreement Form
- Trading Partner Agreement Form
- TCM Monthly Spend Report
- TCM Provider Panel Size Report
TCM Training Resources and Links
To ensure provider success, TCM Providers contracted with Trillium can access TCM specific trainings and support tools at their convenience. The Provider My Learning Campus, Trillium’s web-based training platform, houses TCM specific trainings offered by Trillium and the Mountain Area Health Education Center (MAHEC).
Contracted Providers can request access to the Provider My Learning Campus:
- Step 1: Provider - My Learning Campus User Agreement Form
- Step 2: Provider - My Learning Campus
- Step 3: TCM providers can find pertinent trainings in the “Tailored Care Management Tailored Plan” category, as well as All TCM Provider Forum recordings in the “Network Trainings” category.
Accessing trainings through MAHEC
NC MAHEC hosts a helpful web portal which contains a wealth of resources for TCM providers, including slideshows used in past Learning Collaborative meetings:
- NCDHHS NC Medicaid Division of Health Benefits Tailored Care Management Webpage
- NCDHHS Tailored Care Management Providers Fact Sheet
- Frequently Asked Questions for Providers
- Tailored Care Management Provider Manual
- Medicaid and NC Health Choice Provider and Health Plan Lookup Tool
- Tailored Care Management Conflict-Free Care Management Guidance
- TCM Billing Guidance
- Access to Care Questions/Concern
All provider questions related to Tailored Care Management should be emailed to TCM@TrilliumNC.org
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