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.

Electronic Visit Verification (EVV)

NC Medicaid implementation of Electronic Visit Verification (EVV) for the Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs has been moved to June 30, 2021. This new date is to allow for additional testing and provider training. Providers should continue to work with the applicable LME-MCOs to prepare for the June 30, 2021, EVV implementation date for Innovations Waiver, TBI Waiver and (b)(3) services administered by the LME-MCOs.

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Attention EVV Providers - Electronic Visit Verification (EVV)

The 21st Century Cures Act (Section 12006a) and The Center for Medicare & Medicaid Services (CMS) mandate that states begin utilizing an Electronic Visit Verification (EVV) system for Personal Care Services (PCS) that require an in-home visit by January 1, 2021.

More information about this mandate can be found here: 

Trillium has partnered with an external vendor, HHAeXchange, to provide the EVV tools necessary for designated providers to comply and meet this requirement.

If you received a letter and/or email referencing EVV from Trillium, please complete the HHAeXchange Portal Configuration Questionnaire.

General EVV information can also be found on the HHAeXchange North Carolina Provider Information Center.

Below you can have access to important EVV Go Live Webinar and Training Information!

EVV-HHA eXchange Information

Let’s get ready for Go-Live!

Interest in Training?

Visit NC LME Provider Information Center

Scroll down and select either “Info Sessions” or “Training”

Under Training, there are links to the Pre-Go Live Training Webinars and the EDI Provider Integration Webinars which were recently held. There is an additional training in the Learning Management System (LMS) which providers can access with their HHAeXchange login. If providers have any questions, please use the “live chat” feature on the website or contact HHA at 855-400-4429 or support@hhaexchange.com

From the CMS requirement, the EVV service codes that impact Trillium’s compliance are:

CODE DESCRIPTION
(b)(3) Services
T1019 U4 Personal Care/Individual Support
H2022 U4 Transitional Living Skills
T2013 U4  In Home Skill Building
T2013 TF HQ U4 Community Living and Supports - Group
T2013 TF U4 Community Living and Supports
T2033 U1 U4 Supported Living - Periodic
Innovations Services 
T2013 TF HQ Community Living and Supports - Group
T2013 TF  Community Living and Supports
T2033 U1 Supported Living - Periodic

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