The Trillium Tailored Plan launches on April 1, 2023.
NC Medicaid changed the start date for Tailored Plans. The new start date is April 1, 2023. Until April 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

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Trillium has launched our Emergency Operations in preparation for Hurricane Ian. Trillium’s Member and Recipient Services will remain active and will switch to only operating that number (1-877-685-2415) if required due to power outages. If conditions worsen, we encourage everyone to use staff emails to keep Member & Recipient Services open. In all areas, 911 should be used for TRUE MEDICAL EMERGENCIES. Trillium staff are not first responders and will not be able to physically attend to emergencies in the community.


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Tailored Plans - Information for Providers

INFORMATION FOR PROVIDERS

From NCDHHS; Tailored Care Management Provider Manual (August 25, 2022) 
This document was updated on August 25, 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.

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:

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 a “Frequently Asked Questions” in 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.

    Working together through Medicaid transformation:

    How can we support you?

    If you have questions for NC DHHS or the Provider Ombudsman, you can email them at:

    INFORMATION FOR PROVIDERS

    Key Dates for Tailored Plan launch

    • June 15, 2022 – Tailored Plan marketing can begin; Enrollment Broker to start updating provider directory to include Tailored Plan providers
    • July 16, 2022 – Last day for providers to have fully executed contracts with PHPs for inclusion in the first day of the beneficiary choice period
    • August 1, 2022 – Beneficiaries will be assessed to confirm qualification for Tailored Plan. Beneficiaries that no longer qualify will receive a notice from the Enrollment Broker about their choices 
    • August 15, 2022 – Beneficiary Choice Period begins; Beneficiaries can choose a Primary Care Provider (PCP) by contacting their Tailored Plan 
    • August 15, 2022 – Tailored Plan Auto-Enrollment begins. Enrollment Broker begins mailing Enrollment Packets to beneficiaries 
    • September 15, 2022 – Last day for PCPs to have fully executed contracts with PHPs for inclusion in PCP Auto Assignment
    • September 30, 2022 – Last day for Tailored Care Management providers to have fully executed contracts with PHPs for inclusion in Tailored Care Management Auto-Assignment
    • October 14, 2022 – Last day for beneficiaries to choose a PCP before PCP auto-assignment
    • October 15, 2022 – PCP Auto-Assignment (by Tailored Plan) for beneficiaries who have not chosen a PCP
    • April1, 2023 – 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.

    Medicaid Transformation Information

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    See something that needs to be updated?

    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.