PD-5.4.9.0
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Health Plans (PHPs) under the NC Medicaid Managed Care Standard Plans Option will be Operational on July 1st, 2021.

Starting on July 1st, 2021, members enrolled in a PHP will no longer receive services through Trillium Health Resources and will not appear in Provider Direct.

Next Steps:
  • If a member's name does not appear, please confirm the member's managed care status.
  • If the member is now enrolled in a PHP, please contact the appropriate PHP for authorization request instructions.
  • For guidance on identifying the member's managed care status and how to request the member's PHP, please visit NC Medicaid Transformation Provider webpage at https://medicaid.ncdhhs.gov/providers.
  • Please note: Retroactive requests can only be submitted for dates of service (DOS) occurring prior to the member's managed care effective date.

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