Trillium medicaid nc phone number. See the Carolina Complete Health Member Handbook for more ...

Trillium medicaid nc phone number. See the Carolina Complete Health Member Handbook for more information on coverage out-of-network and out of the North Carolina Medicaid service area. Trillium provides up to $200 per year, per household, typically in the form of voucher towards bus passes, gift cards for ride share agencies, and gift cards for gas depending upon availability in the Trillium catchment area, to help members access the community, obtain food in rural areas, and address their unmet health related resource needs. As part of Trillium Health Resources, we are proud to continue managed care services to North Carolina’s NC Medicaid Direct population. For more information about these agencies, contact us at the Member and Recipient Services at 1-877-685-2415. Jul 1, 2024 · Non-Emergency Medical Transportation: Tailored Plan members can call Trillium at 1-877-685-2415 for help scheduling transportation to scheduled health appointments taking place on or after July 1. A long-term goal of NC Medicaid is to provide a single point of contact – one number – for beneficiaries to call for assistance. The below forms must be sent as the top page with any attachments behind it. . Medicaid Direct Services and State Funded Services: Providers who serve beneficiaries who are excluded or delayed populations from Medicaid managed care, will continue to receive Behavioral Health and I/DD services through Trillium Health Resources. This guide should be used together with Trillium's Provider Manuals, Communication Bulletins, and guidance from the Department of Health Benefits, the Division of Mental Health and NC Medicaid Management Information System (MMIS). org and ask to contract with Trillium. Call the one listed on your health plan ID card or in your health plan welcome letter: Alliance Health, 1-800-510-9132, TTY: 711 or 1-800-735-2962 Partners Health Management, 1-888-235-4673, TTY/English: 1-800-735-2962, TTY/Spanish: 1-888-825-6570 Trillium Health Resources, 1-877-685-2415, TTY: 711 Vaya Health, 1-800-962 NC Medicaid Direct Handbook State-funded Recipient Handbook NC Innovations Waiver Handbook How to Get the Care You Need There are several ways to find and get services for health care. Providers can help you find a provider in Trillium’s network by calling Trillium at 1-877-685-2415 or the NC Medicaid Enrollment Broker at: 1-833-870-5500. Other vendors can call Administrative & Business Matters at 1-866-998-2597 (Toll-Free) for general questions and business matters. A Primary Care Provider can still Nov 20, 2025 · These NC Medicaid health plans offer Tailored Care Management. For information on how to apply for NC Medicaid, see the How to Apply webpage. 1, 2022, for eligible NC Medicaid beneficiaries. Access your secure account information for Trillium Community Health Plan online through our health care portal for members and providers. DHHS). org. NC Medicaid Tailored Alliance Free rides from and to medical Jul 1, 2024 · The Trillium Tailored Plan launched on July 1, 2024. Jun 10, 2022 · Reference Guide: Medicaid Contacts for Beneficiaries With NC Medicaid Managed Care comes the introduction of new points of contact for beneficiaries, such as the Enrollment Broker and health plans. org) Phone: 704-842-6486 Trillium — Online: For Providers | Trillium Health Resources Phone: 855-250-1539 Vaya — Online: Claims | Vaya Providers (vayahealth. Transformation@dhhs. Our primary NC Medicaid is adding this coverage because of the substantial weight loss associated with these medications and the impact on comorbidities. NC Medicaid Direct Members: Call your local DSS office to learn more about transportation services. Our teams take time to listen, answer questions, and help individuals and families understand their options. 1-855-250-1539 or email NetworkServicesSupport@TrilliumNC. Providers should also review the Clinical Coverage Policy for specific details on services and procedures. Trillium Health Resources, 1-877-685-2415, TTY: 711 Vaya Health, 1-800-962-9003, TTY: 711 Don’t see your plan? Tailored Care Management is only available with Tailored Plans or NC Medicaid Direct; it is not available with Standard Plans or Eastern Band of Cherokee Indians (EBCI) Tribal Option. 1259 Transition of Care Member Rights and Responsibilities Reasons Why You May Have to Leave Trillium Advance Directives Concerns about Abuse, Neglect, and Exploitation Important Phone Numbers NC Medicaid Ombudsman Appendix A: Services Covered by NC Medicaid Direct Appendix B: Services Not Covered Appendix C: Copays Mar 2, 2014 · Greenville, NC 27858). About Trillium Health Resources Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. Trillium embraces North Carolina's Crisis Solutions Initiative to ensure people know where to get help quickly and effectively. Prescription obesity management medications are now playing a role in addressing the obesity epidemic, as they may provide additional weight loss benefits compared to lifestyle modifications alone. Trillium now serves 46 counties in the combined region. Call the one listed on your health plan ID card or in your health plan welcome letter: Alliance Health, 1-800-510-9132, TTY: 711 or 1-800-735-2962 Partners Health Management, 1-888-235-4673, TTY: 711 Trillium Health Resources, 1-877-685-2415, TTY: 711 Vaya Health, 1-800-962-9003 Jun 14, 2021 · Contact Information NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501 NC Medicaid Contact Center Phone: 888-245-0179 Monday-Friday 8 a. Your NC Medicaid ID card includes important information: Your name and NC Medicaid ID number Your primary care provider’s (PCP) name, address and phone number Trillium’s service line phone numbers Pharmacy benefit information We are designated by the NC Department of Health & Human Services to oversee state and federally funded services for 28 counties in eastern North Carolina. Dec 11, 2025 · This page provides a listing of NC Medicaid provider health plan contacts and resources. Call 1-919-881-2320. Welcome to NCTracks, the multi-payer Medicaid Management Information System for the N. Feb 19, 2026 · Versión en español Free rides to and from your Medicaid medical and mental health appointments Non-Emergency Medical Transportation (NEMT) services help get you to your Medicaid appointments. Eligibility can be verified through the secure Provider Portal or Availity Essentials. When a member presents for service, use NCTracks to verify member eligibility and determine which Tailored Plan they are assigned. Jun 3, 2018 · How We Can Help You?Provider Phone Numbers and Emails:Provider Support Services: 1-855-250-1539. PCPs should also verify that a member is assigned to them. Tag #growwithwix to get featured. Trillium can arrange and pay for your transportation to help you get to and from your appointments for Medicaid-covered care. com), Phone: 828-225-2785 ext. If you have questions, call Trillium Member Services for more information at 1-877-685-2415 (TTY users should call 711). " At Trillium Health Resources, we help people find and get the care and services they need. For dates of service beginning 7/1/24, instead of submitting physical health claims to Medicaid Direct for Trillium Tailored Plan members, providers should submit using the methods outlined in the Trillium Claims Provider Training. C. 1, 2022 Tailored Care Management (TCM) is a new care management model that began Dec. Providers are responsible for verifying eligibility every time a member is seen in the office. We suggest calling the number listed for an agency or service provider to check prior to going to the location. For now, please try to direct beneficiaries to the appropriate Phone: 855-759-9700 Partners — Online: Claims and Rates Information - Partners Health Management - Provider Knowledge Base (partnersbhm. m. While NC Medicaid encourages establishing care with a medical home, coverage without a prescription allows Medicaid beneficiaries easy access to the product and reduces barriers such as having to make an appointment to get a prescription, needing transportation to the appointment, or even a lack of health care providers in the community. To check on a specific physical health service or procedure for Trillium Tailored Plan members, use the Pre-Auth Tool. TRILLIUM WELCOMES YOU As part of Trillium Health Resources, we are proud to continue managed care services to North Carolina’s NC Medicaid Direct population. ir care through the Trillium Tailored Plan and NC Medicaid Direct. Trillium is responsible for providing access to and oversight of services for individuals who receive Medicaid or state funding for their care. The search options below can be used to find a Medicaid Provider near you. 864K Followers, 200 Following, 2,566 Posts - Wix (@wix) on Instagram: "The all-in-one website builder for businesses, entrepreneurs and creatives. Click on the drop-down arrow beside the name of each health plan for contact information and resources specific to each plan. See contact information for all Medicaid health NC Medicaid Direct NC Medicaid Direct is North Carolina’s health care program for NC Medicaid beneficiaries who are not enrolled in Standard Plans, Tailored Plans or EBCI Tribal Option. Trillium complies with applicable Federal civil rights laws and does not discriminate on the These NC Medicaid health plans offer 1915 (i) services. Department of Health and Human Services (N. Need help? These NC Medicaid health plans offer Tailored Care Management. nc. If my provider is out of Trillium's network, what can my provider do to help me? LME/MCO Directory LME/MCOs, or Local Management Entity/Managed Care Organizations: manage NC Medicaid Tailored Plans coordinate certain services for NC Medicaid Direct beneficiaries coordinate certain services for EBCI Tribal Option members There is one LME/MCO for each county. Phone: 855-759-9700 Partners — Online: Claims and Rates Information - Partners Health Management - Provider Knowledge Base (partnersbhm. Members in NC Medicaid Direct should continue calling their local Departments of Social Services. Refer to the Prior Approval Criteria for specific drug criteria. Here you will find pharmacy address, phone number (s) and a link to the pharmacy website if available. You may do a basic search based on location and provider type, or click 'More Options' to enter detailed Medicaid Provider criteria. to 5 p. This Resource Guide is Provided by the Columbus County Community Collaborative Download this Resource Guide in PDF While we have worked diligently to resolve any errors in this resource guide, service information is subject to change without notice. Trillium Health Resources (Trillium) Billing Guide will provide information to support your claim processes. You may be able to get rides if you have a Medicaid Standard Plan, a Tailored Plan, the EBCI Tribal Option or the NC Medicaid Direct program (See “How to Schedule a Ride” below for a complete list May 22, 2024 · Tailored Care Management (TCM) launched Dec. You can visit a provider in our network before contacting Trillium. With TCM, eligible beneficiaries have a single designated care manager, supported by a multidisciplinary team, to provide integrated care management to address the beneficiary’s whole-person health needs. Providers should attach any supporting documentation when required. Call the number listed on your health plan ID card (or health plan welcome letter) and ask for a 1915 (i) assessment: Alliance Health, 1-800-510-9132, TTY: 711 or 1-800-735-2962 Partners Health Management, 1-888-235-4673, TTY: 711 Trillium Health Resources, 1-877-685-2415, TTY: 711 Apr 1, 2020 · Contact Information NC Medicaid, Division of Health Benefits 2501 Mail Service Center Raleigh, NC 27699-2501 NC Medicaid Contact Center Phone: 888-245-0179 Monday-Friday 8 a. Provider Office Hours Trillium hosted provider office hours for contracted providers. All such services determined by North Carolina Medicaid to be medically necessary shall constitute a Carolina Complete Health covered service. 1259 Feb 6, 2026 · Pharmacy Prior Authorization Prior approval (PA) is required for certain drugs prescribed to NC Medicaid Tailored Plan recipients. For Members: Member Services and Nurse Line: 1-877-685-2415 (TTY 711) Behavioral Health Crisis Number: 1-888-302-0738 Member Pharmacy: 1-866-245-4954 If you suspect a doctor, clinic, hospital, home health service or any other kind of health provider is committing Medicaid fraud, report it. For those on the Trillium Tailored Plan, we cover physical health care and pharmacy services as well. See if you qualify. Trillium complies with applicable federal civil rights laws and does not discriminate, exclude or treat people different based on race, color, national origin, age, disability Prior authorization is not required for MCD BH Services rendered to Medicare/Medicaid dual eligible members or members with 3rd-party insurance because MCD is the payer of last resort. See the DHB Clinical Coverage Policy Website for additional information. PROVIDERS - Click on the Providers tab above to enter the Provider Portal. For Vincent, this work is about helping people get answers and move forward with the right support. V A Guide to Regional Transportation GETTING A RIDE For Medicaid Members Only 2025 Medicaid Trillium East Carolina (877) 685-2415 Trillium Advantage: (877) 685-2415 Offers free rides for both medical and nonmedical-related appointments Schedule at least 2 days in advance (910 ) 798-3500 option 7 Admin-only : 1650 Greenfield St. gov NOTE: Please do not submit NC Medicaid applications to this email. If you have Medicaid or are Expansion More people can get health coverage through Medicaid. For more information on provider appeals, please refer to the Provider Manual, or contact Trillium's Appeals Coordinator (1-855-250-1539). Email Provider Support: NetworkServicesSupport@TrilliumNC. The consolidation prioritizes doing what is best for members and providers, focuses on whole-person care, and promotes continued investment in the communities we serve. Services are available for Medicaid members and state-funded recipients. Feb 6, 2026 · Pharmacy Prior Authorization Prior approval (PA) is required for certain drugs prescribed to NC Medicaid Tailored Plan recipients. To learn more about the Medicaid Waiver in North Carolina, visit NC Medicaid. Welcome to NCTracks - Find a Provider. Please note that information may have been updated since the date of the presentations. Oct 6, 2022 · CARTERET COUNTY HEALTH DEPARTMENT 3820 A Bridges Street Morehead City, NC 28557 Phone (252) 728-8550 Fax (252) 222-7739 Prior Approval Requests The recommended method for submitting a PA request is to key it directly into the secure Provider Portal. If you must mail or fax a PA request, use the form below that pertains to the service being requested. Specialized staff can assist with your questions, or will contact the appropriate department to answer all inquiries. Achieve your vision with Wix. Trillium prioritizes treatment in the most inclusive setting, attention to the whole person, and concentration on an individual's strengths. Trillium works with agencies that specifically serve people who are deaf or hard of hearing. Feb 17, 2026 · Phone: 800-688-6696 Medicaid General Mailing Address 2501 Mail Service Center Raleigh NC 27699-2501 Medicaid Transition to NC Medicaid Managed Care Questions: Medicaid. mwsdxw oqpowvgs wyg odwaws sbi pefco pemk nqi pjgun kso