Tailored Plan Information Session
June 30 Session Members and Recipients
Presentation Recording | Questions & Answers
Tailored Plans - Information for Recipients
Stated-Funded Recipients Information
Tailored Plans are specifically designed to serve the complex needs of individuals with significant behavioral health disorders, intellectual and developmental disabilities, and traumatic brain injury — populations Trillium and all other LME/MCOs have long served. The Tailored Plans will also serve uninsured individuals currently receiving state-funded services, regardless of their diagnosis.
What to expect when the Trillium Tailored Plan launches?
With the launch of the Trillium Tailored Plan, we will start exciting new programs and embrace whole-person care. Here are a few changes you will see:
- New terms, including Medicaid members and State-funded recipients; there will be separate handbooks for members and recipients to review appropriate information and requirements.
- Our Member and Recipient Services will be available on Saturdays as well as Monday through Friday.
- The launch of our 24-hour Behavioral Health Crisis Line.
- An updated provider directory that will have a new layout and be easier to use.
- New value-added and in lieu (pronounced “loo”) of services that are created by Trillium and approved by NCDHHS to uniquely meet the needs of our populations.
- New ways to improve your well-being through health promotion materials (such as diabetes resources), population health initiatives, and a tobacco cession program to stop smoking.
- A shift from care coordination to Tailored Care Management where a care manager works with you or other caregivers to consider your unique health-related needs and find the services you need in your community.
Medicaid Transformation Information
The Department of Health and Human Services will launch the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans on July 1, 2024.
Beneficiaries who will be covered by the Tailored Plans will continue to receive behavioral health, I/DD, TBI and physical health care as they do today.
Information for Recipients
State-funded recipients do not need to do anything at this time. We will soon start sharing opportunities for recipients to learn about changes to procedures, new services available, and what to expect. This will include information sessions and opportunities to ask questions.
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