May 1, 2024 Edition 10

The monthly Provider Insider Newsletter will differ from the Network Communication Bulletins by offering an avenue to highlight community happenings across our catchment area. We will share information on various projects Trillium is working on within our local communities and introduce new skill development/training opportunities available to providers.

• Provider Spotlight: Youth Villages
• Provider News
• Community Involvement
• Provider Resources
• New Opportunities
• Provider Knowledge
• In Case You Missed It 

Youth Villages is a force for families, providing services for children with serious emotional, behavioral and mental challenges. Youth Villages empowers families by providing critical programs to ensure the well-being of children in the community. Youth Villages is a national nonprofit with services in 26 states and the District of Columbia. For nearly 20 years, Youth Villages has been helping children and families throughout North Carolina.

The Youth Villages mission is to help children and families to live successfully. Offering a range of community-based services throughout the Tar Heel State, Youth Villages works to find solutions using evidence-based treatment models and practices that strengthen the child’s family and support systems and dramatically improve their long-term success.

Programs Offered:

• Multisystemic Therapy® (MST®): For teens 12-17 involved in the juvenile justice system or at-risk of out of home placement.

• LifeSet™: Empowering young people aging out of foster care, juvenile justice or mental health systems transition into adulthood by learning independent living skills.

• Intercept®: A program targeted toward youth and their families involved in the child welfare system that focuses on preventing youth from entering higher levels of care or reunifying them with their families.



• High Fidelity Wraparound: A family-driven program that uses individualized problem-solving for youth and families to help youth remain in the home by building up natural support systems and connecting them with multiple key services.

Counties Served:

• Greenville office - Pitt, Beaufort, Martin, Lenoir, Greene, Wayne, Wilson, Nash, and Edgecombe
• Fayetteville office - Robeson, Moore, Lee, Hoke, and Bladen
• Wilmington office - New Hanover, Brunswick, Pender, Columbus, Craven, Carteret, Duplin, Jones, and Onslow
• Greensboro office - Guilford and Randolph
• Louisburg office - Warren and Nash

Contact Information:

• Greenville, Fayetteville, and Wilmington locations: Kristy Moore - Kristy.Moore@youthvillages.org
• Greensboro and Louisburg locations: Maggie Hunt - Margaret.Hunt@youthvillages.org

Make a referral here and visit Youth Villages' website to learn more information.

If you or a fellow provider are interested in sharing your story, please contact us at info@trilliumnc.org. Thank you for all you do for our members!



Tailored Plans are a new kind of NC Medicaid Managed Care health plan for approximately 210,000 beneficiaries with a serious mental illness, a serious emotional disturbance, a severe substance use disorder, an intellectual/developmental disability or a traumatic brain injury in North Carolina.

They will cover doctor visits, prescription drugs and services for mental health, substance use, I/DD and traumatic brain injury in one plan. Eligible North Carolinians who are covered by NC Medicaid Direct will be covered by a Tailored Plan beginning July 1. The name of their Medicaid plan will change but the services covered remain the same.

A bilingual toolkit with accessible resources is now available for people impacted by the transition to Tailored Plans.

"Tailored Plans have the privilege and responsibility of serving North Carolinians with incredibly complex medical and behavioral needs — ensuring the plan operators are ready to support these members through this transition has been and continues to be our goal," said NC Health and Human Services Secretary Kody H. Kinsley. "Tailored Plans are another innovation to deliver on North Carolina’s investments in behavioral health as foundational to whole person health."

"Tailored Plans are a step forward in improving the quality of life for people in North Carolina with serious mental illness, substance misuse, intellectual or developmental disabilities and traumatic brain injury," said Kelly Crosbie, MSW, LCSW, Director of the NCDHHS Division of Mental Health, Developmental Disabilities, and Substance Use Services. "We are working with consumers, families, providers and the Tailored Plans to ensure the community has the resources they need to understand and manage the transition into Tailored Plans more easily. We created the Tailored Plan toolkit to make this information more accessible."

Press Release



Investment in Strengthening North Carolina's Behavioral Health Crisis Response System

As part of an ongoing commitment to improve behavioral health and resilience in North Carolina, the NC Department of Health and Human Services is investing in transforming the state’s behavioral crisis response system to ensure people experiencing a behavioral health emergency have alternatives to emergency departments when seeking the care they need. On April 8, NCDHHS announced a two-year plan to invest approximately $15 million in nine behavioral health urgent care centers across North Carolina. This investment will increase the state’s capacity to provide behavioral health urgent care by nearly 50%.

"Behavioral health is essential to health. We’re building from the ground-up a behavioral health system that gives every North Carolinian someone to call, someone to respond, and somewhere to go for care," said NC Secretary for Health and Human Services Kody H. Kinsley. "These new behavioral health urgent cares are an important part of ensuring people have more options for timely, effective and trauma-informed crisis care."

Over the next two years, NCDHHS will partner with the state’s Local Management Entity/Managed Care Organizations (LME/MCOs) to expand nine behavioral health urgent care facilities in Alamance, Buncombe, Caldwell, Haywood, Onslow, Pitt, Rockingham, Rowan and Vance counties. These locations were chosen based on several criteria, including regional data on the number of individuals waiting for behavioral health care in emergency departments, proximity to crisis services and partnerships with preexisting community services.

The new facilities will join a current network of behavioral health urgent care centers in Cumberland, Durham, Forsyth, Guilford, Mecklenburg, Randolph, Richmond and Wake counties.

Press Release



Trillium Hosts Native American Health SUMMIT Event

On Saturday April 20, 2024 Trillium hosted a Native American Health Summit in Pembroke NC at the Boys and Girls Club at the Lumbee Tribal Center. Information was shared about Diabetes, Mental Health and Alcohol/Substance use Awareness.

The presenters were impactful as they shared from their cultural perspectives. Speakers included:

• Joy Hunt, Registered Dietician (RDN) and Licensed Dietician (LDN), specializing in kidney health
• Tonia Deese, MSW, LCSW, Clinical Assistant Professor at UNC-Chapel Hill School of Social Work, and owner of Full Circle Wellness, PLLC
• Nanci Agostinello, RN, Executive Director - Southeastern Integrated Care
• Brooke Grooms, MPA, FNP, Director of Practice Management - Southeastern Integrated Care
• Linda Massey, Community Volunteer and member of Trillium's Health Equity Council

“Trillium worked with representatives from different tribal communities to develop this agenda,” shared Sheena Richardson, Trillium’s Tribal Liaison. “These collaborations are important for Trillium in delivering the most impactful education to help improve access and health in our communities.”

Trillium is honored to continue to hold these summits as a way to increase health equity for all.

Stay tuned for events throughout the year and in various locations to meet as many of our providers, members, and community stakeholders as possible. The tentative SUMMIT calendar includes events that focus on intellectual/developmental disabilities, substance use recovery, and more.

Events and In-Person Trainings



Provider Resources

Trillium Health Resources offers Tailored Plan resources and helpful information for providers on our website. Here, providers can access the Tailored Plan Quick Reference Guide, Tailored Plan trainings, important dates, reminders, and more.



National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Toolkit

Administration for Community Living (ACL) is pleased to announce the release of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Toolkit. The toolkit is intended to be used as an educational resource for stakeholders who may benefit from learning about NIDILRR and its resources and as a communication tool for stakeholders who want to inform others about NIDILRR’s work and resources. 

Access Toolkit



Tailored Plans are a new kind of NC Medicaid Managed Care health plan for beneficiaries with a serious mental illness, a serious emotional disturbance, a severe substance use disorder, an intellectual/developmental disability or a traumatic brain injury. DHHS recently launched a bilingual toolkit with accessible resources for people who will be impacted by the transition to Tailored Plans on July 1.

The toolkit includes:

• Essentials deck: This presentation communicates key information, answers to FAQs, what to expect ahead of the Tailored Plans Launch, and resources to help North Carolinians navigate the process. Download the file in English and Spanish.
• One-page flyer (bilingual): Let people know what actions they need to take before Tailored Plans launch.
• Social media posts: Content and graphics to post on your social and digital channels. Download the file in English and Spanish.
• Tailored Plans landing page: Visit the new Tailored Plan webpage to learn more about key dates and download bilingual resources.

For additional information about Tailored Plan services, visit: medicaid.nc.gov/tailored-plans.



Updated Claims Support Resource for Trillium Providers

Trillium’s Claims Department can receive provider questions through the KACE ticket system. The email address to assist providers with their claims-related questions or issues is Claimssupport@TrilliumNC.Org. Please remember as with any email submitted with PHI to submit the data securely.

This link is also available on Trillium’s website under For Providers.

Thank you for your attention to this matter.



New Opportunities

Trillium Health Resources has published a request for information (RFI) on our website for school-based therapy services. These clinicians will offer outpatient therapy for children experiencing mental health issues, intellectual or developmental disabilities, or substance use disorders in each designated school district. They will provide assessments, group and individual therapy, and family supports. Services will be provided to Medicaid members (in NC Medicaid Direct or the Trillium Tailored Plan launching July 1) in Trillium. 

Interested agencies will have until June 30, 2024 to respond to the RFI. Agencies must be available to offer services in at least one of the following counties: Guilford, Randolph, Montgomery, Moore, Lee, Hoke, Richmond, Anson, Scotland, Robeson, Sampson, Duplin, Wayne, Lenoir, Greene, Wilson, Edgecombe, and Warren.

“Trillium recognizes the value of placing clinicians in schools—their proximity to the children allows for more immediate treatment and contact with teachers and families,” stated Joy Futrell, Trillium’s Chief Executive Officer. “Trillium has been listening to stakeholders in our new counties and understands the needs of the schools in our region to support this critical gap.”  

Read More Here



NAMIWalks is about people who think nothing of giving everything - their time, their stories, their heartfelt dedication to the cause: Mental Health for All.

Join NAMIWalks on this year's Spring United Day of Hope, May 18, to support NAMI and their commitment to free local programs and support, community building, advocacy, and awareness.

• Event Date: May 18, 2024
• Event Location: Perimeter Park - 3015 Carrington Mill Boulevard, Morrisville, NC 27560
• Event Time: 9:00AM - 11:30AM ET
• Event Route: 2 routes - 1 mile and 2 miles
• Event Contact:

Dale Bodenheimer

919-235-4750

dbodenheimer@naminc.org

NAMI North Carolina

309 W. Millbrook Rd. Ste. 121

Raleigh, NC 27609

Register Here



Provider Knowledge

May is Mental Health Awareness Month. Since its inception in 1949, Mental Health Awareness Month has been a cornerstone of addressing the challenges faced by millions of Americans living with mental health conditions.

Visit the National Alliance on Mental Illness (NAMI) website for additional information, toolkits, and resources.



Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) is the federal law that says Medicaid must provide all medically necessary health care services to Medicaid-eligible children. Even if a service is not covered under the North Carolina Medicaid State Plan, it can be covered for members under age 21 if the service is listed at 1905(a) of the Social Security Act and if all EPSDT criteria are met.

Trillium is committed to providing preventive health screenings and improving the overall health of children enrolled in our health plans. Trillium will cover services, products, or procedures for a Medicaid member under age 21 if the service is medically necessary to correct or ameliorate a defect, physical or mental illness, or a condition or health problem identified through a screening examination.

Visit Trillium's website for more information and EPSDT resources.



Network Communication Bulletins 2023

Click above for more information.

Have Questions/Need Support?

If you have questions, need additional information, or require technical assistance, please contact our Network Management Department at NetworkServicesSupport@TrilliumNC.org or call Provider Support Services at 1-855-250-1539 during the hours of 7 a.m.–6 p.m. EST, Monday–Saturday. 

We appreciate your commitment to helping us achieve this mission by meeting the needs of members!

Provider Insider is a newsletter for the Trillium Health Resources provider community. Please send comments and suggestions about this publication and its contents to NetworkServicesSupport@TrilliumNC.org.