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.

Medicaid Transformation

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The 1115 Waiver seeks to transition Medicaid services in North Carolina from fee-for-service to managed care. Services will be offered through two distinct products: Standard Plans and Behavioral Health (BH) and Intellectual/Developmental Disabilities (I/DD) Tailored Plans. Standard Plans will serve most Medicaid and NC Health Choice members, including all adults and children and those with mild to moderate behavioral health needs. 

While the State will distribute and share information directly with members, providers, and stakeholders, Trillium and other MCOs will also personalize information as needed to send out. Please visit the pages below to learn more.

Did you receive a letter of intent?

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Trillium mailed introduction letters to potential partners as NC Medicaid undergoes multiple systematic changes. Although these changes are necessary to improve the lives of our Medicaid members and to provide whole-person care, Trillium’s desire is to ensure our members’ services and delivery of care are not disrupted during this time of transition. We are dedicated to working in collaboration with providers, identifying barriers that may hinder a member’s access to care, and finding viable solutions to these issues.  

While Trillium currently coordinates services for behavioral health and intellectual/developmental disability needs, with the launch of Standard and Tailored Plans we will have broader capabilities to serve members. We plan to contract with a variety of new providers including dentists, optometrists, freestanding radiology offices, and more.  

Trillium asks for interested provider participation in this partnership by completing, signing, and returning the Letter of Intent (LOI) and data sheet that were mailed to you. These documents are NON-BINDING and providers will not be obligated to enter into a contract by signing them. If you have further questions, please email NetworkServicesSupport@TrilliumNC.org.
 

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If you find any wrong or out of date information on our pages, we want to know. Please email Info@TrilliumNC.org with any corrections.