Trillium outlines Medicaid changes, provider pressures and local services to Wayne County commissioners

Victoria Jackson, regional vice president for Trillium Health Resources, told the Wayne County Board of Commissioners on Aug. 19 that the behavioral-health managed-care landscape is changing and that those changes are affecting local provider capacity and funding.

"We are considered the largest geographically because we have 46 counties that we're covering," Jackson said, describing Trillium's coverage area and its role as one of North Carolina's LME-MCOs (local management entity–managed care organizations). She said Trillium manages multiple plans and that membership numbers fluctuate: roughly 51,000 in the Tailored Plan, about 163,000 in the Medicaid direct behavioral-health plan, and about 287,000 under the state health plan, figures she said are fluid.

Jackson said Trillium is preparing for reductions announced at the federal and state level. "The department had put out a message that providers are going to take a cut," she said, estimating that the reductions…