In Lieu of Services (ILOS)


Trillium offers services and settings that are cost effective alternatives to services covered by NC Medicaid. These are called “in lieu of” services (pronounced in “loo” of). Members always have the right to refuse these alternative services and receive the original service instead. Trillium offers the following in lieu of services:

Name of Service Definition Service Replaced by ILOS
Behavioral Health-Crisis Assessment and Intervention (BH-CAI)

BH-CAI provides assessments and evaluations by Licensed Professionals and Physicians in a Behavioral Health Urgent Care setting.

Behavioral Health Urgent Care (BHUC) settings must be able to provide certain services including Involuntary Commitment (IVC) First Evaluations, medical screenings, and clinical evaluations.

Licensed professionals and physicians can provide this help to members. Law enforcement officers are also on site to meet first responders for an IVC.

Emergency Room
Community Living Facilities and Supports (CLFS)

Community Living Facilities and Supports (CLFS) help adults with Intellectual and/or developmental disabilities who want to live independently in their community.

Individuals receive the following information and supports through CLFS:

  • Affordable housing options and residential supports if needed
  • Support with navigating their services and supports including financial help such as Supplementary Security Income (SSI),
  • Oversight of their healthcare and long-term service needs, and
  • Meaningful day services of their choice
Intermediate Care Facilities - ICF-IID
Family Centered Treatment (FCT)

FCT is an alternative to hospitalization. FCT treats youth with severe emotional challenges and mental health diagnoses. They also may have histories of delinquent behavior.

FCT helps children or adolescents to remain at their home. FCT treats the youth and their family through customized interventions.

High Fidelity Wrap Around (HFW)

HFW treats youth and young adults involved in more than one system, such as child welfare or juvenile justice. These youth/young adults may have the following conditions:

  • serious emotional or behavioral difficulties
  • more than one behavioral health diagnosis (such as a mental health condition and substance use disorder)
  • more than one physical health condition
  • likely to be placed in a therapeutic residential or other institutional settings
  • have experienced more than one crisis event.

Providers also offer HFW to serve high-risk youth involved with many agencies. These youth may have used crisis services or have had psychiatric hospitalizations.

*Member may NOT receive both HFW and Tailored Care Management services at the same time.

Level II
Family Navigator

Family Navigators have experience to help members and families with intellectual/developmental disabilities or traumatic brain injury. They can answer questions on services and supports that are available. Peer support staff already help people living with behavioral health conditions in our state.

Family Navigator works with children, youth, and young adults with intellectual/developmental disabilities (I/DD) or traumatic brain injury (TBI). diagnosis. They may find it hard to know which office to call or paperwork to complete. Family Navigator meets member’s particular needs wherever they are living (whether at home, in a hospital, jail, shelters, or on the streets).

Intermediate Care Facilities (ICF)-IID
Child First

Child First is an early childhood intervention program. Licensed professionals work with families to help lessen serious behavioral issues and learning problems. Child First helps reduce abuse and neglect among young children and their families.

A Child First team meets with the family in their home.

Child First serves children from birth to aged 6 who meet recent conditions for the service.

Child First helps improve social skills and language development. It also strengthens the child-parent relationship.

Therapeutic Foster Care and/or
Multi-Systemic Therapy
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