February 1, 2024 Edition 7 | |
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: Recovery Journey Services
- Consolidation Updates
- Provider News
- Community Involvement
- Provider Resources
- New Opportunities
- Provider Knowledge
- In Case You Missed It
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Recovery Journey Services | |
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Recovery Journey Services operates two locations:
- 188 Main Street, Winterville, NC 28590
- 105 North First Street, Pinetops, NC 27864
Recovery Journey Services' Winterville location provides in-person:
- Psychosocial Rehabilitation
- Partial Hospitalization
- Outpatient Therapy
Recovery Journey Services' Pinetops location provides in-person:
- Psychosocial Rehabilitation
- Substance Abuse Comprehensive Outpatient Treatment (SACOT)/Substance Abuse Intensive Outpatient Program (SAIOP)
- Outpatient Therapy
DWI & Anger Management assessments and treatment are also offered.
The Psychosocial Rehabilitation programs are offered Monday-Friday from 8:30AM-2:30PM and Partial Hospitalization is offered Monday- Friday 8:30AM-1:30PM.
Insurances accepted are Medicaid and United Healthcare.
Hours of operation are Monday-Friday 8:00AM-5:00PM.
For more information, please call Recovery Journey Services at 252-654-9297, visit their website, or email recoveryjourneyservices@gmail.com.
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!
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Trillium Will Consolidate with Eastpointe and Sandhills Center on February 1, 2024 | |
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Trillium Health Resources looks forward to serving residents in Guilford, Randolph, Montgomery, Moore, Lee, Hoke, Richmond, Anson, Scotland, Robeson, Sampson, Duplin, Wayne, Lenoir, Greene, Wilson, Edgecombe, and Warren counties starting February 1, 2024.
Our team is committed to providing guidance and support for members and recipients, providers, and stakeholders throughout this transition. Trillium's Consolidation page is available with updates, recent communications, resources, documents, and helpful links.
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The map above shows updated Trillium office locations. | |
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Trillium's Provider Office Hours will be focused specifically on Claims Processes and IT-related questions during the February 5 and February 12 forums.
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Trillium Office Hours Dashboard | |
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Trillium's Office Hours Dashboard is updated daily and posted to the Consolidation page on our website. Our team is dedicated to finding resolutions to Consolidation inquiries and answering questions from providers, members/recipients, and stakeholders.
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North Carolina Department of Health and Human Services Consolidation Facts Sheets for Providers and Members/Recipients | |
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On November 1, 2023, The Secretary issued a directive stating that Sandhills Center will be dissolved, and Eastpointe and Trillium Health Resources will be consolidated into one entity. The majority of Sandhills’ counties will be reassigned to Trillium, with the exception of Davidson, Harnett and Rockingham counties. Davidson County will be served by Partners Health Management, Harnett County will be served by Alliance Health, and Rockingham County will be served by Vaya Health.
Trillium Health Resources and Eastpointe Human Services, which was already in the process of merging with Sandhills Center came together in mutual agreement to build on their collective strengths and administer state and Medicaid-funded Mental Health/Substance Use Disorder/Intellectual Developmental Disabilities/Traumatic Brain Injury services and supports in 46 counties in the combined region effective January 1, 2024. For members and providers, the consolidation transition will occur on February 1, 2024. Under the agreement, Trillium was named the surviving entity of consolidation. No later than January 2025, this new consolidated entity will re-brand under a new name.
NCDHHHS has developed Fact Sheets to provide additional information related to the Consolidation for providers and Members/Recipients.
Fact Sheet for Providers
Fact Sheet for Members/Recipients
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Trillium Consolidation for Providers | |
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Access helpful resources, documents, and links related to the Consolidation on Trillium’s website. Consolidation Benefit Plans are also available.
Review Trillium's New Provider Reference Guide to locate important information and commonly used links and documents.
Submit questions regarding Consolidation to be addressed by Trillium leadership here.
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New Medicaid Expansion Enrollment Dashboard, Updated Monthly with Enrollee Data | |
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The North Carolina Department of Health and Human Services launched a dashboard to track monthly enrollment in Medicaid for people eligible through expansion.
More than 600,000 North Carolinians are newly eligible for health coverage through the historic expansion of NC Medicaid. The NC Medicaid Expansion Enrollment Dashboard offers a detailed overview of enrollment trends in newly eligible adults ages 19-64 who can now apply for full health care coverage.
On day one, there were nearly 273,000 people enrolled and covered by Medicaid expansion, most of which were part of the family planning population who were automatically moved to full coverage. The platform provides a look at enrollee characteristics that include age, race, ethnicity and other demographics. Information on percentage of eligible adults newly enrolled in Medicaid by county and type of health plan, as well as specifically within rural areas of the state, is also shared.
Read More Here
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NCDHHS Committed to Improving Children’s Behavioral Health, Announces Details of New Children and Families Specialty Health Plan | |
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The North Carolina Department of Health and Human Services is committed to improving youth behavioral health in North Carolina and is leveraging the historic investment from the NC General Assembly to ensure everyone receives the care they need when and where they need it.
One of the key initiatives is the Children and Families Specialty Plan — a first of its kind statewide health plan to ensure access to comprehensive physical and behavioral health services for Medicaid-enrolled children, youth and families served by the child welfare system. NCDHHS released an updated policy paper about the plan, as NCDHHS prepares to launch the plan later this year.
"Too many children are struggling to access the mental health care and support they need to thrive — stuck in cycles of conflict at school, in emergency rooms without access to necessary care and sleeping in child welfare offices," said Health and Human Services Secretary Kody H. Kinsley. "The Children and Family Specialty Plan is a first-of-its-kind innovation and part of our broader strategy to improve youth behavioral health and secure a healthy future for generations of North Carolinians."
Press Release
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Trillium's mission is transforming lives and building community well-being through partnership and proven solutions.
We transform lives in so many ways, such as working with our providers to make sure individuals have the services they need, offering training opportunities with local agencies, and sponsoring grants to provide families with technology so they can communicate in new ways for the first time.
To learn more about the programs included in One Community Together and the individuals these programs impact, click here.
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The Trudge 5K Celebrating The Healing Place of New Hanover County | |
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Celebrate The Healing Place of New Hanover County's (THPNC) one-year anniversary by run/walking in their first 5K on Saturday, February 3rd.
The 5K is called "The Trudge" to commemorate the 3 miles that clients walk every day in their recovery journey.
The Trudge 5K starts and finishes at The Healing Place of New Hanover County. The course takes participants to Greenfield Lake for a scenic out and back on the Greenfield Lake multi-use trail.
This course is stroller friendly.
After your 5K, stay for the big one year celebration which includes free food, community vendors, and more.
The Healing Place is truly is where hope is found. THPNC provides food, shelter, clothing, and recovery services at no cost to the client. All a person has to have is a desire to get sober. THPNC opened February 1, 2023 and has helped nearly 1,000 people withdraw from drugs and alcohol and admitted nearly 800 people into their long-term residential recovery program. Every dollar raised by THPNC impacts a person either struggling with homelessness or active addiction.
Register Here
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EthicsPoint is a secure and confidential system available 24 hours a day, 7 days a week for anyone to report suspected violations of potential fraud, waste and abuse, or confidentiality incidents. You can access EthicsPoint through website submission at EthicsPoint—Trillium Health Resources or by calling toll free 1-855-659-7660.
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Trillium To Feature Black History Month Art Tour | |
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Black History Month is observed during the month of February. This year's theme is "African Americans and the Arts."
To commemorate the many impacts Black Americans have had on visual arts, cultural movements, and more, Trillium will be featuring an online Black History Month Art Tour available on social media.
| February is American Heart Month | |
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February is American Heart Month. This national awareness month brings attention to heart health and highlights the importance of making time for self-care to keep your heart healthy.
Check out additional Heart Month resources and information here.
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Important Claims Information
As of November 1, 2023, per the DHHS guidelines the attending NPI cannot be the billing NPI on UB04 and 837 institutional claims. Please note that the attending provider does not need to be employed by the facility but is the individual who has responsibility for the medical care/treatment of this beneficiary.
If you have questions, please contact the Provider Support
Service Line at
1-855-250-1539.
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Trillium Receives Innovation Award from I2I
Trillium Health Resources, The Healing Place of New Hanover County, and New Hanover County received the "Individual and Family Initiatives" Award from the Center for Integrative Health (also known as I2I). The Innovation Awards honor innovative services and programs that aim to enhance comprehensive approaches to care by employing cutting-edge methods, tools, and partnerships.
Read More Here
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Re-verification Requirement
You should have received a Re-verification Notification from NCTracks. If you have not responded, please act now. If you do not submit the re-verification application and pay the application fee by the due date, your Medicaid claims will not be paid.
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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!
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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. | | | | |
