Clinical Communication Bulletins

Clinical Communication Bulletin 93

• Changes in timelines to process TARs beginning January 1, 2026

Clinical Communication Bulletin 92

• Update/Changes to benefit plans for Tailored Plan and Medicaid Direct members  

Clinical Communication Bulletin 91

• Individual Enrollment Required for Case Manager/Care Coordinators Offering Community Alternatives Program services and NC Medicaid RSV Guidelines.

Clinical Communication Bulletin 90

• Correction of Modifier Codes for State – Funded Service Definition 

Clinical Communication Bulletin 89

• Update Coverage Psychiatric Collaborative Code 99494

Clinical Communication Bulletin 88

• Changes in timelines to process TARs beginning January 1, 2026

Clinical Communication Bulletin 87

• Comprehensive Clinical Assessment Requirements (CCA) 

Clinical Communication Bulletin 86

• Flexibilities to Ensure Continuity of Care and Ease Provider Administrative Burden at Children and Families Specialty Plan Launch

Clinical Communication Bulletin 85

• Quality Reviews  

Clinical Communication Bulletin 84

• Changes in timelines to process TARs beginning January 1, 2026

Clinical Communication Bulletin 83

• NC Medicaid Temporary Flexibilities Due to Hurricane Humberto and Tropical Storm Invest 94L (Potential Imelda) Flexibilities effective Sept. 26, 2025, for NC Medicaid beneficiaries due to Hurricane Humberto and Tropical Storm Invest 94L (Potential Imelda)

Clinical Communication Bulletin 82

• Changes in timelines to process TARs beginning January 1, 2026

Clinical Communication Bulletin 81

• Non – covered Services Reminder 

Clinical Communication Bulletin 80

• 1915 I updates – New assessment tool and service clarifications

Clinical Communication Bulletin 79

• Changes in authorization requirements for RB-BHT  

Clinical Communication Bulletin 78

• NC Medicaid Temporary Flexibilities Due to Hurricane Erin

Clinical Communication Bulletin 77

• Innovations Authorizations

Clinical Communication Bulletin 76

• Non-Covered State Medicaid Requests

Clinical Communication Bulletin 75

• Innovations Authorizations

Clinical Communication Bulletin 74

• Update to Clinical Communication Bulletin 70

Clinical Communication Bulletin 73

• Clinical coverage updates to 10A and 10B 

Clinical Communication Bulletin 72

• Updated CPT codes.

Clinical Communication Bulletin 71 - Update #70

• Mental Health Parity updates, flexibilities ending and authorization changes needed.

Clinical Communication Bulletin 70

• Mental Health Parity updates, flexibilities ending and authorization changes needed.

Clinical Communication Bulletin 69

• Hurricane Helene Policy Flexibilities to Support Providers and Members

Clinical Communication Bulletin 68

• Hurricane Helene available Waivers 

Clinical Communication Bulletin 67

• NC Medicaid Temporary Flexibilities Due to Hurricane Helene

Clinical Communication Bulletin 66

• Tailored Plan (TP) Launch Flexibilities Extended for TP Medicaid and Medicaid Direct

Clinical Communication Bulletin 65

• Tailored Plan Launch Flexibilities Extended for TP Medicaid and Medicaid Directs

Clinical Communication Bulletin 64

• 1115 Substance Use Disorder Demonstration Waiver Medicaid withdrawal management policies

Clinical Communication Bulletin 63

• NCDHHS blog post on 1915(i) Updates for Providers 

Clinical Communication Bulletin 62

• Medicaid Direct B3 services ending December 31, 2024 Update to Clinical Communication Bulletin 61

Clinical Communication Bulletin 61

• Transtition to Tailored Plan - What happens with 1915(i) and B3 services for Tailored Plan and Medicaid Direct Members

Clinical Communication Bulletin 60

• Changes to State Funded IDD Supported Employment codes and benefits 

Clinical Communication Bulletin 59

• Residential Supports and/or any per diem service and Meal Delivery

Clinical Communication Bulletin 58

• Authorizations and Claims submission for Tailored Plan launch on July 1, 2024

Clinical Communication Bulletin 57

• Prior authorization needed for state funded benefits for July 1, 2024 update to Clinical Communication #55

Clinical Communication Bulletin 56

• Frequently asked questions for 1915i 

Clinical Communication Bulletin 55

• Prior authorization needed for all state funded benefits for July 1, 2024

Clinical Communication Bulletin 54

• Postponed Implementation of New and Amended State-Funded Withdrawal Management (Detoxification) Services, State-Funded Substance Abuse Intensive Outpatient Program (SAIOP) & State-Funded Substance Abuse Comprehensive Outpatient Treatment (SACOT) UPDATE to Clinical Communication Bulletin 50

Clinical Communication Bulletin 53

• NC Medicaid Direct and NC Medicaid Managed Care Withdrawal Management Policies Delayed 
  UPDATE to Clinical Communication Bulletin 50

Clinical Communication Bulletin 52

• Tailored Plan Authorization Plans

Clinical Communication Bulletin 51

• Changes in ADVP for State-Funded IDD Members

Clinical Communication Bulletin 50

• 1115 Substance Use Disorder Demonstration Waiver Medicaid withdrawal management policies 

Clinical Communication Bulletin 49

• Transition from B3 to 1915i services

Clinical Consolidation Communication 16

• FAQ for transition from B3 to 1915i services

Clinical Communication 48

• Guidance of Sunsetting of Innovations Waiver Appendix K Flexibilities

Clinical Consolidation Communication 15

• Locus and Calocus in Trillium Business System (TBS) 

Clinical Consolidation Communication 14

• Legacy Eastpointe and Sandhills Providers Invoices 

Clinical Consolidation Communication 13

• Provider Office Hours Extended for Limited Time

Clinical Consolidation Communication 12

• Consolidation Rates and Contracting

Clinical Consolidation Communication 11

• Registry of Unmet Needs
• Relative/Legal Guardian Direct Support Employee (RDSE)

Clinical Consolidation Communication 10

• Electronic Visit Verification (EVV) Diagnosis Code Updates

Clinical Consolidation Communication 09

• Update from Consolidation Bulletin 8 in reference to EPSDT

Clinical Consolidation Communication 08

• Update from Consolidation Bulletin 5 in reference to EPSDT
• 837 File Submission Requirements

Clinical Consolidation Communication 07

• Consolidation Benefit Plan

Clinical Consolidation Communication 06

• Consolidation Billing
• Paper Claims and Enrollment/Eligibility

Clinical Consolidation Communication 05

• Consolidation Communication Bulletin update from Consolidation Bulletin 4 in reference to EPSDT

Clinical Consolidation Communication 04

• Action Needed for Sandhills Center and Eastpointe Providers
• Consolidation Authorization Plans – update to Consolidation Bulletin 01
• Electronic Visit Verification (EVV)
• NCDHHS Overview of the LME/MCO Consolidation

Clinical Communication Bulleting 047

• Changes for authorization requirements for Research Based -Behavioral Health Treatment (RB-BHT)

Clinical Consolidation Communication 03

• Important Guidance on Provider Forms, Training Portal, and Provider Direct

Clinical Consolidation Communication 02

• Providers Contracts and Rates

Clinical Consolidation Communication 01

• Consolidation Authorization Plans

Clinical Communication Bulletin 046

• Changes in state funded respite codes and rates

Clinical Communication Bulletin 045

• Innovations Flexibilities updates

Clinical Communication Bulletin 044

• Opioid Treatment changes

Clinical Communication Bulletin 043

• Innovations Flexibilities Updates

Clinical Communication Bulletin 042

• Fact sheet for B3 to i services

Clinical Communication Bulletin 041

• Sun Setting of state funded codes and closing of new admissions to some state benefits

Clinical Communication Bulletin 040

• 1915i waiver services and new B3 codes

Clinical Communication Bulletin 039

• Hurricane Idalia Flexibilities

Clinical Communication Bulletin 038

• Prior authorization changes to Medicaid B services

Clinical Communication Bulletin 037

• 1915(i) waiver services and new B3 codes

Clinical Communication Bulletin 036

• Changes for authorization requirements for Opioid Treatment

Clinical Communication Bulletin 035

• Person-Centered Planning Template Update

Clinical Communication Bulletin 034

• Changes in billing for Opioid Take Home Medication Billing

Clinical Communication Bulletin 033

• Ending of Public Health Emergency and Medicaid Authorizations during crossover to Medicaid Direct

Clinical Communication Bulletin 032

• CHANGE IN Ending of the NC State of Emergency Flexibilities for both Medicaid and State Providers

Clinical Communication Bulletin 031

• Ending of NC State of Emergency Flexibilities for both Medicaid AND State Providers

Clinical Communication Bulletin 030

• Ending of NC State of Emergency Flexibilities for both Medicaid AND State Providers

Clinical Communication Bulletin 029

• Ending of NC State of Emergency Flexibilities for both Medicaid AND State Providers

Clinical Communication Bulletin 028

• Change in State-Funded Benefit Plan

Clinical Communication Bulletin 027

• State-Funded Benefit Plan

Clinical Communication Bulletin 026

• Change in State-Funded Benefit Plan

Clinical Communication Bulletin 025

• Bladen County Authorization process

Clinical Communication Bulletin 024

• Increased access to residential treatment for children with medically necessary behavioral health treatment needs

Clinical Communication Bulletin 023

• Halifax County Authorization process

Clinical Communication Bulletin 022

• Change in State-Funded Benefit Plan

Clinical Communication Bulletin 021

• JCB #J396 - Change in State-Funded Benefit Plan for Providers of Day Supports Services

Clinical Communication Bulletin 020

• Change in State-Funded Benefit Plan

Frequently Asked Questions Clinical Communication #020 Posted June 24, 2021

Frequently Asked Questions Clinical Communication #020Posted June 03, 2021

Clinical Communication Bulletin 019

• ICD 10 diagnosis

Clinical Communication Bulletin 018

• Day Treatment Service Expansion Notice to Providers

Clinical Communication Bulletin 017

• CPT Transition code information on Research Based Behavioral Health Treatment (RB-BHT)

Clinical Communication Bulletin 016

• Psychological Testing codes

Clinical Communication Bulletin 015

• Changes to the State Benefit Plan

Clinical Communication Bulletin 014

• LME-MCO Communication Bulletin #J307: NC Innovations Waiver Flexibility Due to Hurricane Florence and flexibility related to other funding streams.

Clinical Communication Bulletin 013

• Soft Start on Authorizations in Columbus County

Clinical Communication Bulletin 012

• Changes to the State Benefit Plan

Clinical Communication Bulletin 011

• Intermediate Care Facilities (ICF) Authorization Guideline Update

Clinical Communication Bulletin 010

• Nash County Authorization Process
  (All questions related to this Clinical Communication Bulletin can be sent to UM@TrilliumNC.org. Questions will be responded to as quickly as possible)

Clinical Communication Bulletin 009

• Trillium Benefit Plan Updates

Clinical Communication Bulletin 008 

• Programs to Serve Children with Medicaid using Applied Behavior Analysis

Clinical Communication Bulletin 007

• Medicaid Funded Services Plan benefit changes
• State Funded Services Plan benefit changes
• Innovations Waiver update, Medicaid (b)(3)
• Services Plan benefit changes
• Scope of practice for offering Functional Behavior Assessments

Frequently Asked Questions for Clinical Communication #007

Clinical Communication Bulletin 006

• Updates related to Medicaid (B) (3) and State Plan Benefits and Service Orders

Clinical Communication Bulletin 005

• Third Party Liability for Mental Health and Substance Use Services

Clinical Communication Bulletin 004

• State and B3 Benefit Plan updates

Clinical Communication Bulletin 003

• Updates related to service orders, expectations for crisis plans, B3 denials, and DSM-5

Clinical Communication Bulletin 002

• Short Range Goals, Quarterly Progress Summaries, Provider Submission of Treatment Authorization Requests (TARs)

Clinical Communication Bulletin 001

• Trillium Benefit Plan - Medicaid B, Medicaid C, 
  Medicaid (b)(3), and State

Frequently Asked Questions for Clinical Communication # 001