Provider Outreach to Members

Some providers are encouraging patients to sign up for managed care (i.e. the Standard Plans) and listing the health plans they have contracted with to help patients with health plan selection. We welcome this engagement from our providers, but please note that not all Medicaid members are moving to managed care now. We understand receiving letters or other information from providers to sign up for a health plan is causing some confusion for our members who are not required to sign up at this time.

Members who are not required to sign up include those on the Innovations Waiver or people receiving intensive mental health or substance abuse services.

If you hear from your provider conducting outreach, we encourage you to call the NC Medicaid Enrollment Broker at 833-870-5500 (TTY: 833-870-5588). The enrollment broker can tell you if you are required to sign up for Medicaid Managed Care at this time and can help you with making an informed choice if you are.

For Providers


Find information about Medicaid Transformation on the links below:

Medicaid Transformation for Providers

TRILLIUM'S PROVIDER NETWORK

picture of the cover of the Provider manual Cover PictureClick the image to access the Provider Manual through Provider.MyLearning.Campus.org 

Partnering to support well-being.

We are proud to work together with a network of incredible health care providers to offer the right, individualized care for the people we serve. Our collective community-based approach focuses on meeting people’s unique needs. Trillium recognizes our success in managing these services depends upon the providers in our network.

We will not compromise the quality of services for mental health, substance use, and intellectual and developmental disabilities. We fully recognize our success in managing these services depends upon you and other providers in our network to ensure access to high-quality, medically necessary care.

The information on these pages is designed to support you with easy access to the tools, information, and resources you need. Note the following quick links:

 

Thank you for being our partner in providing high-quality, medically necessary services.


Permanent Supportive Housing Training Requirements and the Transitions to Community Living Initiative

North Carolina, entering the sixth year of the Transitions to Community Living Initiative (TCLI), coordinates with the Technical Assistance Collaborative (TAC) on the development of comprehensive Permanent Supportive Housing (PSH) training. The PSH training is based on the Substance Abuse Mental Health Services Administration (SAMHSA) Evidence-Based Practices Toolkit and supports the use of best practices in supporting individuals with mental illness in independent, community housing. Effective July 1, 2020, the DHHS Approved Tenancy Supports Training is the PSH training.

The PSH training is required for Community Support Team (CST) staff. Both Assertive Community Treatment (ACT) teams and Transition Management Services (TMS) teams also provide critical housing support to individuals participating in TCLI.

  • Per the current ACT policy and the attached TMS service definition, staff must complete the DHHS Approved Tenancy Supports training.
  • To support North Carolina in successfully placing and supporting individuals in independent, community housing, DHHS is requiring all ACT Housing Specialists and TMS Team Leads to complete the PSH training. All ACT teams and TMS teams must meet this requirement no later than March 1, 2021.

The training must be facilitated by approved trainers to meet the requirements. Qualified trainers include:

If you have questions, please contact Saarah Waleed at 984-236-5060 or saarah.waleed@dhhs.nc.gov.


Network Adequacy & Accessibility Reports (former Gaps & Needs Analysis)

The Network Adequacy & Accessibility Report is an annual study of our catchment area and the people who live there. It also looks at where services are available and how people use them. Ultimately, the analysis serves as a roadmap for determining future growth based on current capacity. and identified needs.


DHHS Provider Satisfaction Survey

The Carolinas Center for Medical Excellence (CCME) was contracted to conduct a satisfaction survey of the providers participating in the 1915(b)/(c) Medicaid Waiver program. This survey allows the State and the health plans to measure how well they are meeting providers’ expectations and needs. The purpose of the survey is to assess provider perceptions of the eight LME/MCOs in North Carolina.

The results from this survey allow DMA to assess the LME/MCOs’ ability in the following three areas:

  1. Interacting with their network providers
  2. Providing training and support to their providers
  3. Providing Medicaid Waiver materials to help their providers strengthen their practice

2019 Provider Satisfaction Survey Report


Trillium requires priority admission to all women who are pregnant and injecting drugs, pregnant and using substances and other individuals who are injecting drugs.

 

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