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Trillium Health Resources outlines local behavioral-health services, mobile crisis and reentry care

Lee County Board of Commissioners · July 21, 2026
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Summary

Cecilia Pierce, Trillium regional vice president, told the Lee County board Trillium covers four plan types across a 46-county catchment and described mobile crisis services, reentry care expansion to jails and a local Thrive program. Pierce offered contact information and urged collaboration with county partners.

Cecilia Pierce, regional vice president for TrilliumSouthern Region, presented the health plan's annual update to the Lee County Board of Commissioners on July 13, describing coverage, programs and recent service expansions.

"As your local public health plan, we consider ourselves a partner with Lee County," Pierce said, describing Trillium's role coordinating behavioral and physical health services through four distinct plan offerings: Trillium Whole Health (physical + behavioral), Trillium Direct (Medicaid direct for enhanced behavioral services), Trillium Access (state-funded plan for uninsured/underinsured behavioral care) and Thrive Local (a community partnership plan supported by county investment).

Pierce said Trillium serves 46 counties in eastern and central North Carolina (a catchment population of roughly 3.1 million) and that last fiscal year roughly 92,000 members received whole-person care, about 200,000 received behavioral-health-only services and Trillium processed about $1.7 billion in claims across the catchment. In Lee County specifically she said roughly 1,500 unduplicated individuals received services through Trillium last fiscal year.

Pierce highlighted three operational improvements of direct relevance to Lee County: (1) mobile crisis services provided by Southeastern Integrated Care, which field on-scene crisis response and telephone triage for behavioral-health emergencies; (2) an expanded reentry care-management team that will begin working with jail staff up to 90 days before release and provide transitional supports on reentry; and (3) Thrive Local investments including funding for a community opportunity center in Sanford and digital-health tools to augment local capacity.

Pierce also described governance and local engagement structures (regional advisory boards, consumer and family advisory committees) and noted a county-appointed commissioner representative on the regional board. She identified Yaniras Ramos as Trillium's community liaison for Lee County and provided member lines and crisis hotlines (including the national 988 number) for residents seeking services.

Commissioners asked about statutory authority (local management entities and managed care organizations under state law), target populations and whether services cost members directly. Pierce replied that assignment to a tailored plan occurs when someone demonstrates enhanced behavioral-health needs, that qualifying members incur no direct cost for covered Medicaid services, and that the plan works with local partners to connect members to care.

The presentation concluded without formal board action. The board thanked Trillium for the update and invited further follow-up on community engagement and the September 30 emergency-preparedness simulation Pierce mentioned.