Trillium Health Resources plans to transform its healthcare services from July 1, 2024. Patients and providers will benefit from a simpler process as prior authorization requirements get waived through February 28, 2025.
New authorization rules will come into effect for outpatient procedures after the transition period ends. These rules will apply to CT scans, MRIs, and other diagnostic tests.
Our team provides detailed mental health, developmental disabilities, and substance abuse services. We know you might want to ask about these changes and their impact on your care.
Let us help you understand Trillium’s services better. You can reach their 24-hour access line at (877) 685-2415 to learn about coverage options and available programs.
Current patients and those thinking about Trillium’s services will find guidance here to direct them through these upcoming changes.
What is Trillium Health Resources
Trillium Health Resources serves as a Local Management Entity/Managed Care Organization (LME/MCO) designated by the NC Department of Health & Human Services.
We manage mental health, substance use, and intellectual/developmental disability services in eastern North Carolina.
Trillium Health Resources: Overview of services
Rather than providing direct care, we team up with licensed therapists and agencies in our Provider Network to deliver services close to where patients live.
We also work with local non-profits, medical providers, and hospitals to build a complete system of patient care.
Our Tailored Plan and NC Medicaid Direct programs help patients get the right services. Tailored Plan members can also access physical health care and pharmacy services.
Member and Recipient Services provide free interpreter services and materials in different formats if you have a language preference other than English.
Coverage areas in NC
Our service network includes 24 counties in eastern North Carolina:
- Beaufort, Bertie, Brunswick, Camden, Carteret, Chowan, Craven, Currituck
- Dare, Gates, Hertford, Hyde, Jones, Martin, New Hanover, Northampton
- Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Tyrrell, Washington
We follow the ‘No Wrong Door’ principle in these regions. This means you can go directly to network providers for treatment without contacting us first. Our mission focuses on connecting people and families with vital care right when they need it most.
Key Mental Health Services
Trillium Health Resources offers a wide range of mental health support options. We help people through immediate crisis situations and provide long-term care that meets their mental health needs.
24/7 crisis support
Mobile Crisis Management provides emergency mental health support around the clock. Our team steps in with immediate evaluation and crisis stabilization to reduce symptoms and prevent harm.
Patients who need more intensive care can access our Facility-Based Crisis service, which provides short-term medical supervision in a secure environment.
Trillium Health Resources: Outpatient programs
We designed our outpatient therapy programs to help people manage their psychiatric and behavioral symptoms better. These services include:
- Individual psychotherapy sessions
- Group counseling opportunities
- Family therapy programs
- Crisis-specific psychotherapy
- Trauma-focused Cognitive Behavioral Therapy
Substance abuse treatment
The substance use treatment team at Trillium understands and cares. Life pressures can lead people to use alcohol or drugs as ways to cope.
We work with trusted substance use programs to deliver quality treatment right where you are. Patients who need close monitoring can access our 24-hour hospital treatment with psychiatric supervision.
Your treatment plan matches your specific needs, whether you need immediate or ongoing care. Our substance abuse programs combine medical supervision with therapy support to create a clear path to recovery.
The counseling team helps address your specific concerns and connects you with extra resources when needed.
How to Access Trillium Services
Starting your care with Trillium Health Resources is simple. A screening process matches you with the right care services.
Trillium Health Resources: Original screening process
Your screening experience begins with a verification process that spans 180 days. Trillium reviews your eligibility and connects you with providers that fit your needs. The screening helps find the best care options based on your situation.
Trillium works with contracted specialists in different counties to handle specialized care needs. The organization’s strategic collaborations with healthcare providers of all types ensure complete coverage for members.
Required documentation
You need to submit several key documents to start receiving services. Here’s what you’ll need:
- Proof of current state medical license
- Evidence of adequate education and training
- Valid insurance coverage documentation
- Unencumbered Drug Enforcement Agency (DEA) certificate, if applicable
- Disclosure of ownership form
Trillium carefully reviews all submitted materials. The organization has strict compliance standards and checks each application against federal, state, and local regulations.
Regular updates help Trillium manage ongoing care effectively. The organization follows specific policies to document services and protect patient information. Their Provider Network ensures all documentation meets quality standards while keeping patient data confidential.
Trillium’s support team is ready to help with documentation or questions about the screening process. They guide you through each step of the application to make sure you understand all requirements.
Understanding Your Benefits
Money should never stop anyone from getting quality healthcare. Trillium Health Resources believes everyone should get the care they need, whatever their financial situation.
Medicaid coverage options
Our Tailored Plan and NC Medicaid Direct programs give you detailed coverage for mental health, substance use, and intellectual/developmental disability services. Members get physical health care and pharmacy services through our network of providers.
Trillium Health Resources: Payment assistance programs
We have several ways to help make care available to you. Our sliding-scale discount program helps remove money barriers based on your family’s size and income. Here’s what you get:
- Sliding fee discounts that match your financial needs
- Free eligibility assessment and enrollment support
- Charity care program when you need extra financial help
- Help manage prescription drug costs
Insurance coordination
Our Eligibility & Enrollment Specialists make the insurance process easier. They answer your insurance questions, help you apply for discounts, and create payment plans that fit your situation.
We go beyond simple coverage. We help with prescription drug costs and can get health insurance for you and your family – even if you’re not a Trillium patient yet. Our specialists work to create green payment solutions that fit your budget.
Your information stays private, and our team stays caring throughout your financial planning trip. We know medical costs and insurance can feel overwhelming.
That’s why our specialists guide you every step of the way. We want to remove any money barriers so you get the care you need.
Conclusion
Residents of eastern North Carolina can now get better healthcare through Trillium Health Resources’ services. The authorization requirements will change on February 28, 2025, yet our dedication to quality care stays strong.
Trillium’s network serves 24 counties and provides vital mental health, substance abuse, and developmental disability services. Licensed providers and medical facilities work with us to deliver appropriate care near patients’ homes.
No one should miss treatment because of healthcare costs. We provide multiple payment options with sliding-scale fees and assistance programs. Our team helps guide you through insurance coverage, documentation needs, and choosing the right provider.
The access line at (877) 685-2415 offers crisis support around the clock. Trillium Health Resources remains your trusted healthcare partner whether you need immediate help or long-term care solutions.
