Tailored Plans - Information for Providers
From NCDHHS; Tailored Care Management Provider Manual (August 29, 2022)
This document was updated on August 29, 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.
The Department of Health and Human Services is delaying implementation of the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. Tailored Plan will launch July 1, 2024.
Beneficiaries who will be covered by the Tailored Plans will continue to receive behavioral health, I/DD, TBI and physical health care as they do today.
Please view the NCDHHS release here. Trillium will share more information as it becomes available.
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.
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:
If you have questions for NC DHHS or the Provider Ombudsman, you can email them at:
Key Date for Transitioning Tailored Plan Launch
- July 1, 2024 – 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