Tailored Plan Launch is Delayed
NC Medicaid will delay Tailored Plan Launch beyond October 2023. A new launch date has not been announced.
More information can be found here. 
Learn about Tailored Plan here

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Medicaid expansion will no longer launch Oct. 1 as the North Carolina General Assembly failed to take needed action to meet that date. A new launch date will be announced following the needed legislative action, but it will not be Oct. 1.
For more information, please view the press release from NCDHHS.

Tailored Plans - Information for Providers

Information for Providers

From NCDHHS; Tailored Care Management Provider Manual (August 29, 2022) 
This document was updated on August 29, 2022 to reflect updates related to care manager and supervising care manager qualifications, extender supervision requirements, and data security. Any questions about Tailored Care Management should be submitted to: Medicaid.TailoredCareMgmt@dhhs.nc.gov.

The Department of Health and Human Services is delaying implementation of the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. Tailored Plan launch was scheduled for Oct. 1, 2023, but will now go forward at a date still to be determined.

Beneficiaries who will be covered by the Tailored Plans will continue to receive behavioral health, I/DD, TBI and physical health care as they do today. 
Please view the NCDHHS release here. Trillium will share more information as it becomes available.

Providers are invited to ask questions from Trillium related to Medicaid Transformation. Our goal is to help providers find answers and resources to help during this transition. Once we have started receiving questions, we will post “Frequently Asked Questions” on this page.

We will be in touch with our provider network (new and existing) over the next year to share about training opportunities, changes to our processes, and organizational updates. Please be sure to sign up to receive Network Communications Bulletins. Our special “Medicaid Transformation Updates” share specific information during this process.

See more information below:

Key Dates for Transitioning Tailored Plan Launch

  • June 15, 2022:Tailored Plan Member Services lines go-live
  • July 16, 2023: Last day for Primary Care Providers (PCPs) to have fully executed contracts with Tailored Plans for inclusion at the start of the Beneficiary Choice Period.
  • July 15, 2023: Tailored Plan Auto-Enrollment begins.
  • July 17, 2023: Beneficiary Choice Period begins; Beneficiaries can choose a PCP by contacting their Tailored Plan.
  • July 24, 2023: Enrollment Broker begins mailing transition notices to beneficiaries.
  • August 15, 2023 – Last day for beneficiaries to choose a PCP before PCP auto-assignment
  • August 17, 2023 – PCP Auto-Assignment (by Tailored Plan) for beneficiaries who have not chosen a PCP.
  • August 25, 2023: Tailored Plans begin mailing welcome packets and ID cards with PCP assignment beneficiaries.   
  • TBD – Tailored Plan launch.

The NC Medicaid Enrollment Broker webpage is now live. This new information will help members in selecting a health plan if they are placed on the Standard Plan.

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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.