Effective July 1, 2026, Trillium Health Resources, a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina, will implement a major enhancement to streamline operations for providers across its Tailored Plan. The organization is transitioning to a unified claims system, designed to simplify processes and improve efficiency for all stakeholders.
Under this new approach, all providers—including those delivering behavioral health, physical health, and long-term services and supports (LTSS)—will submit claims through a single, centralized portal. This change eliminates the need for multiple systems, reducing administrative burden and creating a more seamless experience for providers.
Why This Change Matters
Moving to a unified claims system ensures:
- Consistency in claims processing across all service types.
- Reduced administrative complexity for providers.
- Improved transparency and faster resolution of claims issues.
Provider Support Resources
Trillium offers comprehensive tools and contact points to assist providers during this transition:
- Provider Portals
Access claims submission, eligibility verification, and authorization tools through the secure provider portal.
- Contact Directory
Find dedicated phone numbers and email addresses for provider relations, claims assistance, and technical support in the contact directory.
- Training & Guidance
Explore manuals, FAQs, and step-by-step instructions for portal navigation and claims processes via training and guidance section.
- Specialized Support
Separate contact options for behavioral health, physical health, and LTSS services ensure tailored assistance. Details are available on the contact and information portal.
Actionable Tips for Providers
- Review Current Processes – Identify workflows impacted by the new portal.
- Train Your Staff – Use Trillium’s guides and recorded webinars.
- Set Up Portal Access Early – Complete registration as soon as instructions are released.
- Update Compliance Documentation – Align policies with new requirements.
- Stay Connected – Subscribe to provider bulletins and attend office hours.
Next Steps for Providers
- Mark Your Calendar: The unified claims system goes live on July 1, 2026.
- Attend Training: Watch for announcements about upcoming webinars and office hours.
- Stay Informed: Review provider bulletins and subscribe to Trillium updates.