Tailored Plan Launch is Delayed
NC Medicaid will delay Tailored Plan Launch beyond October 2023. A new launch date has not been announced.
More information can be found 
Learn about Tailored Plan here

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Medicaid expansion will no longer launch Oct. 1 as the North Carolina General Assembly failed to take needed action to meet that date. A new launch date will be announced following the needed legislative action, but it will not be Oct. 1.
For more information, please view the press release from NCDHHS.


Eligibility and Services in TCL

Components of TCLI:

  • In-reach: Certified Peer Specialists will go into facilities and build relationships with individuals to discuss community-based mental health services and potential housing resources.
  • Diversion: Pre-admission Screening and Resident Review (PASRR) is a screening tool used prior to any admission into an adult care home to determine if the candidate has mental illness.
  • Transition planning: Once an individual is identified by In-reach as interested in community-based mental health or housing services, then they are assigned to a Transition Coordinator. The Transition Coordinator helps develop a plan to transition an individual into the community.
  • Available services:
    • Housing slots with financial rental assistance
    • Tenancy Support to help with moving, setting up household supplies and furniture, and explaining what to do in an emergency 
    • Individual Placement and Support-Supported Employment service (for individuals with mental health and substance use disorders) to obtain competitive employment in an integrated work setting
    • Work Incentives Planning and Assistance (WIPA) (for individuals with disabilities who receive Social Security benefits) to help acquire, retain, and increase meaningful employment with the goal of improving financial independence
    • Special Assistance-In Home provides cash supplement to help low-income adults who are at risk of placement in a licensed residential care setting to reside in a private living setting

Potentially Eligible

As part of the DOJ settlement, NC DHHS has determined that the following members are potentially eligible for inclusion in the TCLI. Approval for inclusion in the TCLI program comes from NC DHHS and is not determined by Trillium.

  • Individuals with severe and persistent mental illness (SPMI) who reside in adult care homes that are determined to be Institutes of Mental Disease (IMD)
  • Individuals with SPMI who reside in adult care homes licensed for at least 50 beds, and in which 25% or more of the population has a mental illness
  • Individuals with SPMI who reside in adult care homes licensed for 20-49 beds, and in which 40% or more of the population has a mental illness
  • Individuals with SPMI who are or will be discharged from a State psychiatric hospital, and who are homeless or have unstable housing
  • Individuals diverted from entry into adult care homes pursuant to the preadmission screening and diversion 

For more information, please visit DOJ Settlement - Transitions to Community Living Initiative or call Trillium at 1-866-998-2597.

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