Attention North Carolina Practice Managers:
If your practice operates within the Trillium Health Resources region, it is time to mark your calendars for July 1, 2026.
The Northwest AHEC Practice Support Team understands that administrative shifts in Medicaid contracting can feel like moving targets. Trillium has announced a significant update: they will soon directly manage their Physical Health and Long-Term Services and Support (LTSS) provider network, moving away from their current partnership with Carolina Complete Health.
Why the Change?
Trillium's goal is to foster more direct relationships with local providers. By moving to a unified claims system for Tailored Plan operations, they aim to:
- Streamline billing and paperwork processes.
- Enhance direct provider support.
- Improve the overall efficiency of Tailored Plan operations.
What Your Practice Needs to Do Now
To ensure there is no disruption in your reimbursement or your ability to serve Trillium members, your practice must take proactive steps:
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Review the New Contract: Trillium is asking providers to sign a new Procurement Contract for Provision of Services. This can be signed quickly via DocuSign.
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Watch for Outreach from Andros: Trillium has partnered with Andros, a network management firm, to facilitate this transition. If you haven't already, expect to hear from them regarding contract amendments.
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Educational Resources: If you want a deeper dive into these changes, we recommend watching the Trillium Essentials - Section 1 video, which provides a walkthrough of these updates.
We Are Here to Support You
Navigating the nuances of Medicaid transformation in North Carolina is what we do best. If you have questions about how this specific transition impacts your workflow or credentialing, don't hesitate to reach out to the Northwest AHEC Practice Support Team.
For direct assistance from the transition team, you can also contact Andros at 1-800-694-3736 or via email at Trillium@Andros.com.
