Provider Tailored Plan Contracting Reminders

Tailored Plan Provider Contract

Trillium began issuing the NC Department of Health and Human Services–approved Tailored Plan Procurement Contract (“TP Provider Contract”) to its fully contracted providers in June 2022. During the beneficiary choice period for Tailored Plan launch, beneficiaries were given the opportunity to select a Primary Care Provider (PCP) by contacting their Tailored Plan. Those who did not make a selection were automatically assigned a PCP.  

Per NCDHHS, there is a 90-day Opt-Out period from when you receive the new Tailored Plan contract. 

Rejecting participation in any program shall not have any impact a provider’s ability to continue participation under other programs.

Please forward any questions regarding the TP Provider Contract or the contracting process to the Provider Support Services Line at 1-855-250-1539.

Trillium has a robust integrated network of providers and maintains an open network for all physical health providers. To join the Trillium network for physical health services, please visit our Physical Health Contracts.

Trillium maintains an open network for most BH/IDD for services. In accordance with NC GS 108D-23, Trillium maintains a closed network for the following services:  

• Assertive Community Treatment (ACT);  
• Multi-Systemic Therapy (MST);  
• Community Support Team (CST);  
• Intensive In-Home Services;  
• Child and Adolescent Day Treatment;  
• SUD Residential Treatment Services (ASAM 3.1, 3.3, 3.5, 3.7);  
• Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IDD);  
• All 1915(c) Home and Community-Based Innovations Waiver services;
• All 1915(c) Home and Community-Based TBI Waiver services.
• All 1915(i) Home and Community-Based Waiver services

To request to join the Trillium network for BH/IDD services, please visit our Network Participation webpage for current network openings OR email NetworkServicesSupport@TrilliumNC.org