The Trillium Tailored Plan launches on April 1, 2023.
NC Medicaid changed the start date for Tailored Plans. The new start date is April 1, 2023. Until April 1, 2023, you will keep getting services the way you do now.
Information and processes on this page will be changing in the weeks to come. 
Learn about Tailored Plan here

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Trillium has launched our Emergency Operations in preparation for Hurricane Ian. Trillium’s Member and Recipient Services will remain active and will switch to only operating that number (1-877-685-2415) if required due to power outages. If conditions worsen, we encourage everyone to use staff emails to keep Member & Recipient Services open. In all areas, 911 should be used for TRUE MEDICAL EMERGENCIES. Trillium staff are not first responders and will not be able to physically attend to emergencies in the community.


Breadcrumb

Member & Recipient Portal

Welcome to the Trillium Member and Recipient Portal!

Here you can let us know if something has gone wrong, that you want to change your primary care provider (PCP), and more.

Below you will see three sections. If you are not sure, you can look on your Medicaid ID card to see which plan you are in.

Any information shared in the links below will be secured and safe for sending to Trillium. You will need a free program called Adobe Acrobat Reader to complete and submit the forms. If you are at a shared computer or do not want to do this, please call your care manager or Trillium at 1-877-685-2415.

Tailored Plan Medicaid Member

Member:

  1. If you need to request a new primary care provider (PCP) or Tailored Care Management (TCM) provider, please use the forms below:
  2. If you need to ask for a new Medicaid ID card or update your contact information, click the link below. Please include your phone number so our staff can double-check the information before updating our files:
  3. Please visit the links below if you want to start getting text or email messages:
  4. Available after November 1: If you want to check the status of a claim that has been filed for any services received, please follow the instructions below:
    • Register with Edifecs. This is a page outside the Trillium website, but it is safe to visit and enter your information: https://www.MyTrillium.org.
    • You will then need to select a “Smart App” to view your health information. You can visit the app store on your cell phone or computer (i.e., Google Play or App Store for Apple/iPhones). You will need to search for terms such as “my health history,” “my claims history,” or “get my records. Please visit our Benefits Plans | Service Definitions webpage to view all the Medicaid services available.
  5. If you want to send a grievance to let us know if something has gone wrong, please call 1-877-685-2415 or click the Complaint / Grievance submission form.
  6. Available after November 1: If you want to send an appeal for a decision notice on your services, please follow the instructions included in the letter. You can also file an appeal by clicking our Appeals Submission Form. If you did not receive a letter, please complete the form and submit as instructed. If you have follow-up questions, please call Trillium at 1-877-685-2415.

State-Funded Recipients:

Recipient

  1. If you need to request a change to your state-funded services provider, please click the link below:
  2. If you need to update your contact information, please type in below:
  3. Please visit the links below if you want to start getting text or email messages:
  4. Available after November 1: If you want to check the status of a claim that has been filed for any services received, please follow the instructions below:
    • Register with Edifecs. This is a page outside the Trillium website, but it is safe to visit and enter your information: https://www.MyTrillium.org.
    • You will then need to select a “Smart App” to view your health information. You can visit the app store on your cell phone or computer (i.e., Google Play or App Store for Apple/iPhones). You will need to search for terms such as “my health history,” “my claims history,” or “get my records.
  5. Please visit our Benefits Plans | Service Definitions webpage to view all the Stated-funded services available.
  6. If you want to send a complaint to let us know if something has gone wrong, please call 1-877-685-2415 or click the  Complaint / Grievance submission form.

NC Medicaid Direct:

Member:

  1. If you need to request a new Tailored Care Management (TCM) provider, please use the form below:
  2. If you need to update your contact information, please type in below:
  3. Please visit the links below if you want to start getting text or email message:
  4. If you need a new NC Medicaid ID card, please contact your local Department of Social Services.
  5. Available After November 1: If you want to check the status of a claim that has been filed for any services received, please follow the instructions below:
    • Register with Edifecs. This is a page outside the Trillium website, but it is safe to visit and enter your information: https://www.MyTrillium.org.
    • You will then need to select a “Smart App” to view your health information. You can visit the app store on your cell phone or computer (i.e., Google Play or App Store for Apple/iPhones). You will need to search for terms such as “my health history,” “my claims history,” or “get my records.
  6. Please visit our Benefits Plans | Service Definitions webpage to view all the Medicaid services available.
  7. If you want to send a grievance to let us know if something has gone wrong, please call 1-877-685-2415 or click the Complaint / Grievance submission form.
  8. Available After November 1: If you want to send an appeal for a decision notice on your services, please follow the instructions included in the letter. You can also file an appeal by clicking our  Appeals Submission Form. If you did not receive a letter, please complete the form and submit as instructed. If you have follow-up questions, please call Trillium at 1-877-685-2415.

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