Health-Related Resources Needs

According to the Centers for Disease Control and Prevention (CDC), social determinants of health, also referred to unmet health related resource needs are "Conditions in the places where people live, learn, work, and play [that] affect a wide range of health risks and outcomes."

Trillium has been helping people with unmet health-related resource needs in our communities for years. Where a person lives, learns, works, and plays all have a large impact on their health. We focus on housing, food, transportation, interpersonal violence/toxic stress, and more through our work with other community-based organizations across North Carolina.

Healthy Opportunities Pilot (HOP)

Healthy Opportunities Pilots Service Stop (Effective July 1, 2025)

Due to a lack of funding currently available in the North Carolina General Assembly’s Senate or House budget bills, the state is stopping 1) all new service authorizations and 2) existing service delivery for all Healthy Opportunities Pilots services until further notice. This means that services provided under the Healthy Opportunities Pilots program will no longer be available after this date, including for individuals currently receiving services. Specifically:

No new Healthy Opportunities Pilots services will be authorized after June 9, 2025, to include Passthrough services.
Existing Healthy Opportunities Pilots services will no longer be delivered after July 1, 2025
Other Medicaid benefits and services will not be affected by this change

Our member services team is available to answer your questions and provide guidance on available alternatives. You can contact us by phone at 1-877-685-2415

While services will stop by July 1, our hope is that this will only be a pause, and Healthy Opportunities can resume once additional funds are appropriated by the General Assembly.

North Carolina counties cover by HOP in Trillium Catchment area.

NCDHHS is launching the Healthy Opportunities Pilot, for eligible Medicaid members living in certain counties. The Healthy Opportunities Pilot is testing the impact of providing non-medical resources like housing, food and transportation to Medicaid enrollees. Trillium will work with NCDHHS and other designated entities to:

Help members find the services they need when they need them.
Make sure there is a diverse group of people participating.
Improve number of agencies providing these resources.

Trillium will work with the following Network Leads in the Healthy Opportunities Pilot. Each Network Lead contracts with Human Service Organizations (HSOs) in their pilot region to provide Pilot services to eligible members.

Access East, Inc.

Beaufort, Bertie, Chowan, Edgecombe, Halifax, Hertford, Martin, Northampton, Pitt

Community Care of the Lower Cape Fear

Bladen, Brunswick, Columbus, New Hanover, Onslow, Pender

Who is Eligible for the Healthy Opportunities Services?

Pilot services is available to eligible Trillium Health Resources members. To qualify for pilot services, Medicaid managed care members must live in one of the above the listed pilot counties and have:

At least one Physical/Behavioral Health Criteria: (varies by population)

Adults(e.g., having two or more qualifying chronic conditions)
Pregnant Women (e.g., history of poor birth outcomes such as low birth weight)
Children, ages 0-3 (e.g., neonatal intensive care unit graduate)
Children 0-20 (e.g., experiencing three or more categories of adverse childhood experiences)

AND

At least one Social Risk Factor: