Trillium Medicaid Transportation. Please note: 1915 (i) services replace many of the previous 1915 (b)

Please note: 1915 (i) services replace many of the previous 1915 (b) (3) services. gov. Some members may be required to pay a copay. Jul 2, 2024 · Non-Emergency Medical Transportation: Tailored Plan members can call Trillium at 1-877-685-2415 for help scheduling transportation to scheduled health appointments. When state Medicaid coverage provisions conflict with the coverage provisions in a Trillium policy, state Medicaid coverage provisions take precedence. How to Get Non-Emergency Transportation: Call ModivCare, Carolina Complete Health's transportation provider, up to 30 days before the appointment to arrange for round-trip transportation. Rides will be arranged with the nearest appropriate provider. They are voluntary items and services provided by Trillium. Services covered and listed below will be either for members, recipients, or both as noted. Jan 8, 2026 · Versión en español Free rides to and from your Medicaid medical and mental health appointments Non-Emergency Medical Transportation (NEMT) services help get you to your Medicaid appointments. Jun 12, 2024 · • Non-Emergency Medical Transportation: Tailored Plan members can call Trillium at 1-877-685-2415 for help scheduling transportation to scheduled health appointments taking place on or after July 1. NC Care 360: Facilitate health care and human service connections to community resources through NC’s statewide network. Travel outside the state is allowed but requires prior authorization and approval by Trillium Health Plan if over Dec 9, 2020 · To help Trillium Medicaid members better connect with their providers and stay healthy, we are including a helpful Benefit Guide with their welcome packets. However, the best way to find You can use non-medical transportation (NMT) when you are traveling to and from a covered Medi-Cal appointment. If you do not get the interpreter help you need from Trillium Community Health Plan, call the state’s Language Access Services Program coordinator at 844-882-7889, TTY 711 or email: Help you get referrals for specialized services if you need them As a Trillium Medicaid member, enrolled in a Tailored Plan, you had an opportunity to choose your own PCP. This new information will help members in selecting a health plan if they are placed on the Standard Plan. Jun 3, 2018 · NC Medicaid Provider Ombudsman: 1-866-304-7062 and Medicaid. Trillium utilizes the Provider Enrollment File and/or the NC Tracks Operations Portal to validate enrollment and credentialing. Visit the member, recipient, and provider information pages for more information. If you have dental-only benefits through the Veteran or COFA Dental Programs, you can get help paying for rides to dental appointments. You can view more information on this service in the brochure. Where are you searching? Enter an address or zip code to search for a provider nearby. Trips to pick up prescr Transportation can be to any covered treatment type within the state of North Carolina. Jul 11, 2024 · Trillium continues to serve members remaining in NC Medicaid Direct or who are uninsured. If you are interested in joining, fill out our questionnaire. A “copay” is a fee you pay when you get certain health care services from a provider or pick up a This service is for people with NC Medicaid to help them get to their medical and mental health appointments. Trillium Community Health Plan Trillium provides healthcare coverage to low-income individuals and families, children, pregnant women, single adults, and seniors throughout Oregon in Lane, western Douglas, and western Linn counties, as well as Clackamas, Multnomah, and Washington counties. Transportation services may include bus tickets and van service. Jul 1, 2024 · The NC Medicaid Enrollment Broker webpage is now live. This service is free to you. Get covered with Trillium Community Health Plan today. Fee Schedule Update and Claim Reprocessing Announcement Trillium Health Resources has published an updated Fee Schedule which reflects the NCDHHS Medicaid Rate Reductions of 3%, 8%, and 10% effective October 1, 2025. This can include children in fos Trillium offers affordable Oregon Medicaid and health insurance. Learn about Oregon health insurance, and Medicaid care plans from Trillium Community Health Plan and enroll today. These services are non-medical behavioral health services, such as supported employment. For people placed on the Tailored Plan, we cover physical health care and pharmacy services, too. Transportation Services Carolina Complete Health can arrange and pay for member transportation to and from appointments for Medicaid-covered services. Jul 1, 2024 · The healthcare organization says benefits include new benefits for physical and pharmacy services, non-emergency medical transportation, a nurse line, physical health prevention programs, and Medications in tier 1 and tier 2 are found on the PDL Trillium Health Resources utilizes the NC Medicaid Preferred Drug List (PDL), which allows NC Medicaid to obtain better prices for covered outpatient drugs through supplemental rebates. Services must be medically necessary and provided, coordinated or referred by your . The Trillium Tailored Plan will also cover pharmacy services for members in the plan. V A Guide to Regional Transportation GETTING A RIDE For Medicaid Members Only 2025 Medicaid Trillium East Carolina (877) 685-2415 Trillium Advantage: (877) 685-2415 Offers free rides for both medical and nonmedical-related appointments Schedule at least 2 days in advance (910 ) 798-3500 option 7 Admin-only : 1650 Greenfield St. Jul 1, 2024 · Non-Emergency Medical Transportation: Tailored Plan members can call Trillium at 1-877-685-2415 for help scheduling transportation to scheduled health appointments taking place on or after July 1. Dental appointments 3. Mileage Reimbursement Trip Log Instructions Instructions on how to fill out the Mileage Reimbursement trip log. You will not be billed by Trillium or Trillium transportation providers. Tailored Plan Medicaid Members: for those receiving Medicaid who have been placed on the Trillium Tailored Plan. This service takes you to the closest provider for your needs. For members who have Medicaid and Medicare insurance, the ride can be provided to OHP or Medicare covered visits. Assistance is available to all full-Medicaid recipients. It is our intent for this Manual to be a living document that serves as a The Medicaid Waiver allows Trillium to be a Managed Care Organization (MCO) and Tailored Plan, which means we help manage the services and budget for Medicaid in our region. Trillium complies with applicable federal civil rights laws and does not discriminate, exclude or treat people different based on race, color, national origin, age, disability Transforming Lives, One Member at a Time Celebrating Trillium’s First Year as a Tailored Plan Empowering Access to Care through Transportation Since July 1, 2024, over 8,000 members have safely arrived at more than 472,000 doctor appointments, thanks to Trillium’s coordinated transportation services. WITH MEMBERSHIP Your Transportation Benefits As a Trillium member with the Oregon Health Plan, Trillium may pay for you to get to and from medical, dental, and mental health appointments. MTM Health partners with medical facilities throughout Oregon to ensure seamless, successful transportation delivery to Medicaid members. Services and supports are provided in the community rather than institutions – supporting individuals to rema n in the community. How to s chedule NEMT rides NEW! If your NC Medicaid is moving to a Tailored Plan, call your Tailored Plan to request these ride services: Alliance Health: 1-855-759-9600 • Trillium Health: 1-877-685-2425 Jun 28, 2024 · The healthcare organization says benefits include new benefits for physical and pharmacy services, non-emergency medical transportation, a nurse line, physical health prevention programs, and Trillium's hardship process supports our providers when they have reached a financial hardship status for various reasons. This includes people on the TailoredPlan, akind of Medicaid health plan. Examples might be: Access to a warm pool to swim to help with your arthritis and improve your movement A place to stay for a while to heal and get stronger after surgery when you do not have Jun 21, 2024 · NC Medicaid's Tailored Plans Covers Free Rides to Medical and Mental Health Appointments WHO IS ELIGIBLE? People on NC Medicaid, including Tailored Plans, who need transportation assistance to travel to their medical appointments qualify to receive NEMT services. This Provider Manual outlines how to do business with Trillium. The 1915 (b) (3 Trillium requires all providers to be enrolled in NC Tracks and credentialed to provide services to Medicaid beneficiaries. Substance use disorder appointments 5. Medical appointments 2. When children need medical care, services are not limited by Trillium’s coverage policies. Do you think Trillium Community Health Plan (Trillium) has treated you unfairly? NC Medicaid is required to provide transportation to medical appointments for all Medicaid beneficiaries who need and request assistance with transportation. You must get the services below from the providers who are in Trillium’s network. Trillium offers: Physical health services Pharmacy services Certain long-term services and supports Medicaid covered behavioral health services, including 1915 (i) services. Member Benefit Plans Trillium coordinates services for Medicaid members in the Trillium Tailored Plan or NC Medicaid Direct, and state-funded recipients. This Provider Manual is intended for Trillium's Provider Network of Tailored Plan, Prepaid Inpatient Health Plan and State-Funded providers. Mental health appointments 4. Starting November 1, 2025, claims submitted for dates of service October 1, 2025 forward at rates higher than the reduced Jul 24, 2025 · Non-Emergency Medical Transportation (NEMT) provides transportation to scheduled medical appointments for Medicaid members on the Tailored Plan. We will not compromise the Oct 16, 2025 · Non-Emergency Medical Transportation (NEMT) is the new name for your transportation benefits under the Tailored Plan. Be a Trillium OHP member Need a ride to a medical appointment covered by the OHP or to a health-related service approved by Trillium. For recipients with I/DD and TBI diagnoses, Trillium provides Care Management. Non-Emergency: Carolina Complete Health can arrange and pay for your transportation to help you get to and from your appointments for Medicaid-covered care. Please begin using these updated rates immediately. Trillium OHP members may qualify for transportation assistance to get to and from medical, dental, and mental health appointments. This covers rides to and from WellCare Value-Added-Benefit programs. Medicaid recipients must complete a transportation assessment form before service can begin. nc. Please include your phone number and any other required information so our staff can double-check the information before updating our files. Recipients can get case management if they cannot receive Medicaid and meet certain criteria. Provides non-emergent medical transportation (NEMT) services. Non-Emergency Medical Transportation (NEMT) 1-877-685-2415 (Tailored Plan Medicaid Members) NEMT provides transportation to scheduled medical appointments. Medicaid Transformation Information For State-funded Recipients For Medicaid Members Nov 7, 2018 · Guardianship Hearing Loss Low-Income Services Medicaid Assistance with Mental Health, Developmental Disabilities, Substance Use and Traumatic Brain Injury Mental Health Crisis Services Nondiscrimination and Accessibility Requirements Jan 24, 2025 · North Carolina Medicaid members with qualifying plans have access Non-Emergency Medical Travel (NEMT) benefits through ModivCare. May 15, 2024 · Assisting eligible members in 15 counties for housing, transportation, food, and interpersonal safety GREENVILLE, NC: Trillium Health Resources will launch the Healthy Opportunities Pilot program in 15 of our counties on May 15, 2024. Trillium has a waitlist for those state-funded recipients who are waiting to receive Care or Case Management. You must call two days in advance to schedule a ride and no more than 30 days before your appointment. NEMT brochure. Trillium Community Health Plan (Trillium) wants to give the best care and services to our members. Medicaid is required to assure transportation to medical appointments for all eligible individuals who need and request assistance with transportation. This handy two-page reference guide shares information about how to search for providers, how to access interpreter services and medical transportation assistance, and much more. ir care through the Trillium Tailored Plan and NC Medicaid Direct. Trillium Community Health Plan is a Coordinated Care Organization (CCO) that coordinates health care services for Medicaid members assigned to its CCO. It includes the processes and procedures we expect from you and tells you what you can expect from us in return. Trillium also serves Medicaid members who remain in NC Medicaid Direct. Oregon Health Plan Transportation Order Authorization: To be filled out by Brokerage staff only If approved, send the completed form to the Provider Services Unit by secure email, fax or mail. Jun 20, 2024 · The Tailored Plans will also serve uninsured individuals currently receiving state-funded services, regardless of their diagnosis, along with those remaining in NC Medicaid Direct. We provide rides free of charge for eligible Medicaid members. Trillium Tailored Plan starts July 1, 2024 s, Trillium will continue to serve Medicaid beneficiaries who are not placed on the Tailored Plan. y receive Medicaid. The packets included letters, appropriate handbooks, and a Medicaid ID card (for Medicaid members only). The Trillium Provider Directory lists the languages that providers have identified that one or more of their staff members speak. The purpose of the Letter of Intent (LOI) is to introduce Trillium Health Resources (Trillium) as your potential future partner as we move forward with Medicaid Transformation and the building of Trillium's Behavioral Health I/DD Tailored Plan Provider Network. Durham County residents who have Medicaid and who have no other means of transportation receive free transportation to medical appointments. As of writing this blog, these plans include Alliance, Partners, Carolina Complete, Healthy Blue, AmeriHealth Caritas, Trillium, and UnitedHealthcare Community Plan. Depending on your transportation needs, you could get: • A taxi ride • A ride in a wheelchair-accessible van, or Trillium manages services for: Medicaid members placed on the Trillium Tailored Plan. This includes Standard Plans and Tailored Plans. State-funded Recipients: for those who do not have insurance. The Tailored Plan provides a number of extra health care services you can get in addition to those you can get through other Medicaid health plans. Medicaid Transportation The non-emergency Medicaid Transportation program can help you access medical care, including primary care, specialist, pharmacy, and mental health visits. Trillium provides up to $200 per year, per household, typically in the form of voucher towards bus passes, gift cards for ride share agencies, and gift cards for gas depending upon availability in the Trillium catchment area, to help members access the community, obtain food in rural areas, and address their unmet health related resource needs. You can search for more than one filter, like “Health Plan” and “Specialties” under the Specialties list. The PDL was authorized by the NC General Assembly Session Law 2009-451, Sections 10. Innovations Waiver services link to the individual’s plan and services such as equipment/supplies not covered About Trillium Health Resources Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. Trillium contracts with physicians, facilities and other allied providers to ensure we have an adequate provider network which is essential for the delivery of health-care services to our members. The NC Innovations Waiver (1915c Medicaid Home and Community-Based Services) Non-medical services such as supported If licensed professionals are involved, Medicaid cannot waiver other state licensure laws Medicaid will not be responsible for room, board, or transportation cost Provider Agencies, Employers of Record or Agencies With Choice must assume all liability for their staff while out of state Oregon Health Plan (OHP) Non-Emergency Medical Transportation Map Call your local ride service to ask for rides for health care visits that OHP covers. Early and Periodic Screening, Diagnostic and Treatment (EPSDT): A Medicaid benefit that provides comprehensive and preventive health care services for children under age 21 who receive Medicaid. Mileage Reimbursement Program Instructions Mileage Reimbursement Trip Log Digital Spanish May 15, 2024 · Wednesday, May 15, Trillium Health Resources launched its Healthy Opportunities Pilot program in 15 of its counties to help support various non-medical needs of high-risk NC Medicaid Managed Care members. Thank you again to everyone who attended our Trillium Listening Sessions! Watch for more updates in future issues of this newsletter. NC Medicaid provides benefits or health care services covered by your plan. Find a Provider Search for a doctor, facility, pharmacy and much more using the form below. The 1915i services are for members who want support to live in their home communities. You can ask for help through RideSource. If you are not sure, you can look on your Medicaid ID card to see which plan you have. Trillium NC SNAP Training Eligibility and Registration Forms Non-Covered State Medicaid Plan Services Request Form for Recipients under 21 Years Old Regional Referral Form for Admission to a State Psychiatric Hospital or ADATC Worksheet for Requesting Exceptions to the Diversion Law (SB 859) Transportation to and from providers is a critical component for Medicaid beneficiaries to obtain necessary health care. Trillium mailed welcome packets to Tailored Plan Medicaid members and state-funded recipients starting in May. You will need to get approval for these medical rides, or non-emergency medical transportation (NEMT), before you go to your appointment. Flexible services are not benefits covered by the Oregon Health Plan. The Healthy Opportunities Pilot is testing the impact of providing non-medical resources like housing, food and transportation to Medicaid enrollees. The pilot will cover a select set of non-medical, evidence-based services for high-risk health plan members. We are designated by the NC Department of Health & Human Services to oversee state and federally funded services for 28 counties in eastern North Carolina. Medicaid members placed in NC Medicaid Direct. You can also ask them to approve and pay you back for your medical transportation costs, if you cannot pay yourself. Feb 19, 2025 · NC-DHHS - Healthy Opportunities Pilot: *Timing for Pilot launch at AMH+/CMAs TBD* non-medical interventions related to housing, food, transportation and interpersonal safety and toxic stress to high-needs Medicaid enrollees. Trillium sends ID cards to members in the Trillium Tailored Plan. As a member of Trillium, you have all of the standard Medicaid benefits, plus additional behavioral health, I/DD and TBI services to help keep you healthy available to you. NCDHHS is launching the Healthy Opportunities Pilot, for eligible Medicaid members living in certain counties. Trillium's Provider Network We are proud to work together with a network of incredible health care providers to offer the right, individualized care for the people we serve. Through Tailored Care Management (TCM), Trillium Medicaid members will have a single designated care manager supported by a multidisciplinary care team. This benefit applies to: 1. ent will also need to contact Trillium for transportation scheduling. 66 (a)- (d). Transportation will be available if the recipient receives a Medicaid covered service provided by a qualified Medicaid provider (enrolled as a NC Medicaid provider). Jun 25, 2023 · Enhanced coordination of service: We are developing a plan to improve communication, trip timeliness, and accuracy for members requiring transportation when discharging from the hospital. What is changing with the launch of the Trillium Tailored Plan? With the launch of the Trillium Tailored Plan, we have broader capabilities to serve members including physical health care and pharmacy needs. Learn more about non-emergency transportation services available to North Carolina Medicaid members through Healthy Blue Extras. Adult services are available from age 21 and older. Read to learn more. NC Medicaid Tailored Alliance Free rides from and to medical We would like to show you a description here but the site won’t allow us. Preferred Drug List (PDF) - A printable list of covered prescription drugs Preferred Drug List (PDF) (Spanish) Una lista imprimible de medicamentos recetados Tailored Care Management for Providers Provider-based care management promotes integrated care and offers Trillium members choice in how they receive care management. In Lane County, RideSource provides this service. Depending on your needs, you MTM Health manages non-emergency medical transportation (NEMT) services for the state of Oregon. Tired of waiting for someone to help on the phone? You can manage many requests via self service in the chat or connect to a live agent. Accessible rides are available for members with mobility disabilities. To qualify, you must have no other way to get to the appointment. Transportation NEMT Members Non-Emergency Medical Transportation (NEMT): Trillium has contracted with Modivcare to provide non-emergency medical transportation to help you get to and from your appointments for Medicaid-covered care. It pairs you with a specially trained health care worker who knows the health care system, a Tailored Care Manager. Non-Emergency Medical Transportation (NEMT) services consist of arranging and/or paying for transportation. Use my current location If you suspect a doctor, clinic, hospital, home health service or any other kind of health provider is committing Medicaid fraud, report it. People on the Oregon Health Plan (OHP or Medicaid) get help paying for rides to medical appointments. Flexible services are items and services that can help improve your health. Trillium recognizes that our success in managing these services depends upon the providers in our network. Trillium's process supports providers from start to finish through the process. If you need to ask for a new Medicaid ID card or update your contact information, click the link below. People without insurance or who are underinsured with state-funded behavioral health services. Call 1-919-881-2320. Before getting NMT, you need to request the service through your doctor. Also send a copy of the completed form to the requesting transportation provider. Trillium Community Health Plan, Wellcare and Health Net Oregon Announce Medicaid, Medicare and Commercial Provider Contract with PeaceHealth 03/11/24 Trillium, Wellcare By Health Net, Wellcare By Trillium Advantage, and Health Net Oregon announced that they have contracted with PeaceHealth as part of their provider networks. Member and Recipient Services: 1-877-685-2415 Provider Support Service Line: 1-855-250-1539 Mileage Reimbursement Trip Log This Mileage Reimbursement Form is used for the following: United Healthcare Community Plan, Carolina Complete Health, AmeriHealth Caritas, and Healthy Blue. We are seeking transportation providers to join our Oregon non-emergency medical transportation (NEMT) network. Partners Health Management can arrange and pay for your transportation to help you get to and from your appointments for Medicaid-covered care. (8 days ago) Free rides to and from your medical appointments, covered by Medicaid Non-Emergency Medical Transportation (NEMT) services are covered with your NC Medicaid Tailored Plan. The Division of Health Benefits (DHB) has created a Provider Ombudsman to represent the interests of the provider community by receiving and responding to inquiries and complaints regarding primary health providers (PHPs). Find answers to FAQs, contact information, important forms and documents, and any other resources you may need as members of MTM Health in Oregon. If you clicked something by mistake, click the item again to unselect it. Members in NC Medicaid Direct should continue calling their local Departments of Social Services. Trillium is preparing to become a Tailored Plan in July 2021. If you’re covered by a Medi-Cal plan, your benefits include free transportation to and fromhealth care appointments. For those on the Trillium Tailored Plan, we cover physical health care and pharmacy services as well. Trillium is responsible for providing access to and oversight of services for individuals who receive Medicaid or state funding for their care. Trillium Community Health Plan provides affordable health insurance plans for Lane County, Oregon. Benefits and Services The Preferred Drug Lists below is for Lane/Douglas/Linn county Trillium OHP service area, and the Multnomah/Washington/Clackamas county Trillium OHP service area. At the time of reservation, the parent informs Trillium of child #1’s medi appointment with Vaya (so coordination between the two can Oregon Health Plan (OHP) Non-Emergency Medical Transportation Map Call your local ride service to ask for rides for health care visits that OHP covers. They are provided at a member’s home or residence or community, and are not for members living in an institution. Trillium offers affordable Oregon Medicaid and health insurance. Trillium will work with NCDHHS and other designated entities to: Trillium offers affordable Oregon Medicaid and health insurance. May 12, 2023 · Your Transportation Benefits If you are a member of the Oregon Health Plan (OHP and Medicaid), you can get help paying for rides to medical, dental, and behaviorial health appointments. Free rides to and from your medical appointments, covered by Medicaid Non-Emergency Medical Transportation (NEMT) services are covered with your NC Medicaid Tailored Plan. Call our Member and Recipient Service line at 1-877-685-2415. Helpful Links for Transportaton help: Transportation Services Lane County (PDF) We can help you get transportation to both Trillium and non-Trillium appointments, which include: Medical appointments Nutrition & health education services Social services Support groups Mental health services Substance abuse programs Dental services and more! Transportation is not provided for running personal errands or travel to non-scheduled appointments. Eligibility: OHP members enrolled with Trillium/PacificSource or enrolled in OHP Plus (BMM, BMH, BMD, CWX) benefits Hours: Supplemental Transportation Supplemental Transportation provides transportation for members to get to certain services and programs that aren’t covered as part of their core NEMT benefits. Our collective community-based approach focuses on meeting people’s unique needs. Trillium complies with applicable Federal civil rights laws and does not discriminate on the Nov 20, 2025 · Tailored Care Management (TCM) is a free service from NC Medicaid. ProviderOmbudsman@dhhs. Standard Plans and Tailored Plans may use transportation brokers to arrange and provide transportation or contract directly with transportation providers. Care for your family with a plan from Trillium.

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