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Trillium (LMEMCO) outlines Medicaid transformation, tailored plan and county services in annual update
Summary
A Trillium representative briefed commissioners on behavioral health managed care across 46 counties, local enrollment in Sampson County and service offerings including crisis lines, Naloxone distribution and the new tailored plan.
A Trillium representative gave an annual overview of the regional managed-care organization's services, enrollment and recent program changes.
Ms. Jackson said Trillium serves 46 counties as one of four local management entities and contracts with the state to manage behavioral health services for people with the most severe needs and for some Medicaid populations. She said Trillium's —tailored plan—, launched a year earlier, manages behavioral and physical health, pharmacy, non-emergency medical transportation and long-term supports for eligible Medicaid members; the organization also retains a Medicaid-direct plan for behavioral health.
Trillium reported serving about 3.1 million people in its catchment and just over 50,000 members in the tailored plan across the region; in Sampson County specifically Trillium reported serving 1,192 members in the July–December 2024 reporting period. Ms. Jackson said spending across the 46 counties during that period exceeded $802 million and that Trillium contracts with roughly 1,600 providers.
She summarized local programs offered in Sampson County: school-based substance-use prevention (including fentanyl awareness), distribution of Naloxone, provision of fentanyl and xylazine test strips, a free recovery-support app in partnership with the state CHESS program with 24/7 peer support, small-business funding supports for members, and a technology program for people with intellectual and developmental disabilities (Tula). Ms. Jackson said Trillium is working with the state to transition a portion of member populations to Healthy Blue Care Together (a foster-care plan) and is managing that transition to avoid service interruptions.
Commissioner Lee and other board members thanked Trillium for local representation on regional advisory boards and asked about crisis bed capacity; Ms. Jackson said the state is planning additional crisis services and that Trillium has helped providers build crisis and urgent-care capacity in rural counties with state funding support.
Ending: The board heard the update with no formal action. Ms. Jackson offered to answer follow-up questions and noted local community liaisons and advisory representation for Sampson County.
