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Trillium reports regional expansion, tailored plan rollout and service numbers to Nash County commissioners
Summary
Trillium Health Resources told the Nash County Board it now covers 46 counties after state consolidation, reported enrollment and service counts for Nash County and described local outreach, training and programs including naloxone distribution and mobile clinic operations.
Dave Peterson, senior regional vice president for Trillium Health Resources, told the Nash County Board of Commissioners Sept. 8 that Trillium has expanded to cover 46 counties following a state-directed consolidation of managed care organizations. Peterson said Trillium serves high-need populations with severe mental illness, substance use disorder, intellectual and developmental disabilities, and — recently added by the state — traumatic brain injury.
Peterson said Trillium’s tailored plan now integrates physical health for the highest-need members, a change that went live in July 2024. He reported statewide numbers for the 46-county footprint and then presented Nash County-specific data for July–December 2024: Trillium served 2,271 Nash County members; primary diagnoses included 1,601 mental health, 484 substance use, and 475 intellectual and developmental disability cases (individuals may have multiple diagnoses).
Peterson reviewed local programs and supports Trillium provides or funds: naloxone kit distribution in Nash County, town halls with transition-of-care flexibilities, reentry simulations for people leaving jail, a mobile clinic that rotates among counties, ChestHealth text-based engagement for substance use support, and summer empowerment camps. He said Trillium plans more training and community engagement in Nash County and encouraged the board to learn about the other managed-care plans that serve lower-acuity Medicaid populations in the county (Healthy Blue, UnitedHealthcare, WellCare, AmeriHealth, Carolina Complete).
Commissioners asked about funding equity across regions, whether high totals reflected greater awareness or real prevalence, and about coordination with military and veteran populations; Peterson said funding is distributed on a per-member basis and attributed higher identification in part to greater awareness and outreach. Commissioners and county staff followed with procedural questions about providers, town-hall follow-up and training plans.
Peterson said some county-level populations (for instance, Medicaid-direct foster children) will transition to a single statewide plan (Healthy Blue) on Dec. 1, 2025, per state direction, and he offered to coordinate more local training sessions and provider outreach. The presentation was for information only; no action was required.
