CONTENT

NC State-Funded Services

Help from Member and Recipient Services

For People with Hearing, Vision or Speech Disabilities

• For People with Hearing Loss
• For People with Vision Loss
• For People with Speech Disabilities
• For People with Multiple Disabilities
• Other Special Aids and Services for People with Disabilities

How Can I Get State-Funded Services?

• 988 Suicide & Crisis Lifeline

What Services Are Available?

Copayments 

Service Authorization and Actions

• What happens after we get your service authorization request

Extra Support To Manage Your Health (Care Management And Case Management)

• Tobacco Cessation

Community Inclusion

Diversion

System Of Care

If You Have Problems With Your Health Plan’s State-Funded Services, You Can File A Complaint

• Resolving Your Complaint

Appeals

• Timelines For Utilization Management Service Appeals
• Decisions On Appeals
• State Non-Medicaid Appeals Panel
• Continuation Of Services During An Appeal

Recipient Rights and Responsibilities

• Your Rights
• Your Responsibilities

Advance Directives

• Living Will 
• Health Care Power of Attorney
• Advance Instruction for Mental Health Treatment
• Forms You Can Use to Make an Advance Directive

Concerns About Abuse,  Neglect and Exploitation 

Fraud, Waste and Abuse

Important Phone Numbers

Keep Us Informed

NC Medicaid Ombudsman

Your Trillium Health Resources Quick Reference Guide

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NC State-Funded Services

This handbook will help you understand the State-Funded Services available to you. You can also call Member and Recipient Services with questions at 1-877-685-2415 or visit TrilliumHealthResources.org. 

State-Funded Services Overview

Trillium manages State-Funded Services for people who live in our coverage area who do not have insurance or who need services that are not available to them in their health plans. State-Funded Services are services for mental health, intellectual or developmental disability (I/DD), traumatic brain injury (TBI) and substance use disorders that are funded by the state or federal government outside of Medicaid. This guide has information to help you get State-Funded Services if you need them. You may be eligible for State-Funded Services if you do not have health insurance or if you have health insurance, including Medicaid, that does not cover all your needs. State-Funded Services are limited by the availability of state funding. 

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Help from Member and Recipient Services

Member and Recipient Services has people to help you. You can call Member and Recipient Services at 1-877-685-2415 or for TTY dial 711. 

• In case of a medical emergency, call 911.
• For help with non-emergency issues and questions, call Member and Recipient Services Monday – Saturday, 7 a.m. to 6 p.m. For calls received after hours, you will have an option to leave a voicemail. Trillium Member and Recipient Services staff will return all calls received after hours on the next business day. 
• You can call Member and Recipient Services to get help when you have a question. Call us to ask about services, eligibility for State-Funded Services, to get help with referrals or ask about any change that might affect you or your family’s benefits.
• If English is not your first language, we can help. Just call us and we will find a way to talk with you in your own language. 

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For People with Hearing, Vision or Speech Disabilities

You have the right to receive information about your health plan, care and services in a format that you can understand and access. Trillium provides free services to help people communicate effectively with us. See below for specific information on some types of accommodations. 

For People with Hearing Loss

If you are deaf, hard of hearing or deaf-blind or you feel that you have difficulty hearing and need help communicating, there are resources available to assist you. 

These include, but are not limited to: 

• Qualified American Sign Language interpreters
• Certified deaf interpreters
• Communication Access Realtime Translation (CART) captioning
• Personal amplification listening devices (ALDs) for your use
• Staff trained to appropriately handle your relay service calls (videophone, captioned phone and TTY)

For People with Vision Loss

If you have vision loss, resources available to help you include, but are not limited to:

• Written materials in accessible formats (such as large print, Braille, audio, accessible electronic format)

For People with Speech Disabilities

If you have a speech disability, some services may include but are not limited to:

• Speech-to-Speech Relay (STS)
• Artificial larynx

For People with Multiple Disabilities

Access needs for people with disabilities vary. Special aids and services are provided free of charge.

Other Special Aids and Services for People with Disabilities

• Help making or getting to appointments.
• Care managers who can help you get the care you need.
• Names and addresses of providers who specialize in your condition.
• If you use a wheelchair, we can tell you if a doctor’s office is wheelchair accessible and assist in making or getting to appointments.
• Easy access to and from services (like ADA accessible, ramps, handrails and other services).

To ask for services, call Member and Recipient Services at 1-877-685-2415 or for TTY dial 711.

Trillium complies with federal civil rights laws and does not leave out or treat people differently because of race, color, national origin, age, disability or sex. If you believe that Trillium failed to provide these services, you can file a complaint. To file a complaint or to learn more, call Member and Recipient Services at 1-877-685-2415 or for TTY dial 711. If you have issues that you have been unable to resolve with Trillium, you may contact the NC Medicaid Ombudsman at 1-877-201-3750 ncmedicaidombudsman.org at 1-877-201-3750.

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How Can I Get State-Funded Services?

You can call Member and Recipient Services at 1-877-685-2415 to find out whether you are eligible to get State-Funded Services, get connected to a State-Funded Services provider or obtain answers to any other questions you may have. You can also get translation services in your native language or an interpreter. 

If you have thoughts of hurting yourself or others, or  have severe distress or anxiety, call the Behavioral Health Crisis Line at 1-888-302-0738 any time, 24 hours a day, 7 days a week. If you are in danger or need immediate medical attention, call 911.

988 Suicide & Crisis Lifeline

You can call, text or chat 988 at anytime for yourself or a loved one who may need crisis support.

The 988 Lifeline provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week. Anyone who is depressed, going through a hard time, needs to talk or is thinking about suicide can access crisis services. Individuals will be connected to a skilled crisis counselor who will listen, provide support and share resources. The 988 Lifeline is available to everyone. 

If you are Deaf or Hard of Hearing, you can chat with a 988 Lifeline crisis counselor via:

• 988 ASL Videophone
• Online chat at chat.988lifeline.org
• Send any message to 988 to start a text conversation
• For TTY users, use your preferred relay service or dial 711 then 988

All people living in Trillium’s coverage area are eligible to receive crisis services listed under “What Services are Available?” 

Trillium uses the state’s criteria for determining if a person is eligible to receive State-Funded Services. 
For Behavioral Health (BH) services:

1. Recipient’s income is less than or equal to 300% of the federal poverty level.
2. Recipient is uninsured or underinsured (has third-party insurance, including Medicaid) that:
   1. Does not cover the state-funded service and has no alternative, clinically appropriate service available under the third-party or Medicaid coverage; or
   2. Covers the state-funded Substance Use Disorder (SUD) service, but associated cost-sharing is unaffordable thus preventing the recipient from engaging in treatment.
3. Recipient utilizing state funds are encouraged to apply for North Carolina Medicaid coverage. 

For Intellectual and Developmental Disabilities (I/DD) and Traumatic Brain Injury (TBI) Services:

1. No specified income limitation.
2. Recipient is uninsured or underinsured (has third-party insurance including Medicaid) that does not cover the state-funded service and there is no alternative, clinically appropriate service available under the third-party or Medicaid coverage.
3. Recipient has applied for North Carolina Medicaid coverage.

Eligibility criteria is not applicable to Behavioral Health crisis services and detoxification as reflected in Department of Health and Human Services (DHHS) guidelines.

Eligibility criteria may be waived at the instruction of DHHS to support the state’s coordinated response to a disaster or state of emergency.
North Carolina Medicaid beneficiaries that are members of Standard Plans are not eligible to utilize State-Funded Services.

If at any time Trillium decides to propose its own eligibility criteria for state funded services, Trillium will solicit feedback and approval from their Consumer and Family Advisory Committee (CFAC) at their regularly scheduled meeting and DHHS.

State-Funded Services are not an entitlement and funding is limited. This means that even if you are eligible to receive services, you may not be able to get services if there are not enough funds. If this happens, you may be put on a waiting list by the Trillium until additional funds are available. If you are pregnant and using drugs or alcohol, or are a person who injects drugs, you may be able to get help while you wait for services. Please contact your care manager or Member and Recipient Services at 1-877-685-2415 to let them know about any pregnancy and/or substance use. 

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What Services Are Available?

 Trillium covers services for adults and children with mental health, substance use disorder (SUD), intellectual or developmental disabilities (I/DD) and/or traumatic brain injury (TBI) needs subject to available funding. 

If you are not getting the care you need within the time limits described above, call Member and Recipient Services at 1-877-685-2415.

COPAYMENTS

A “copay” is a fee you pay when you get certain health care services from a provider. Eligible Trillium recipients receiving State-Funded Services may not have to pay a copay to their provider
 

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Service Authorization and Action

Trillium will need to approve most state-funded treatments and services before you receive them. This is called preauthorization. Trillium may also need to approve some treatments or services for you to continue receiving them.  

Asking for approval of a treatment or service is called a service authorization request. The list of treatments or services that need a service authorization may change over time. A current list of these services can be found on the Trillium website on the Benefit Plans Service Definitions webpage. To get approval for these treatments or services you need to:

Work with your provider to submit an electronic Service Authorization Request (SAR) through Provider Direct, the Trillium Business Platform (TBS). If your provider is unable to access TBS, providers can fax SAR’s to Trillium Health Resources at 252-215-6875; email SAR’s to UM@TrilliumNC.org or mail SAR’s to Trillium Health Resources, 201 W 1st Street, Greenville, NC 27858. 

What happens after we get your service authorization request?

You must get the services that need a service authorization from providers who are in Trillium’s State-Funded Services network. Call Recipient Services at 1-877-685-2415 if you have questions or need help. Trillium uses a group of qualified health care professionals for reviews. Their job is to be sure that the service you ask for is covered by our plan and that it will help with your condition. Trillium’s nurses, doctors and behavioral health clinicians will review your provider’s request.

Trillium uses policies and guidelines approved by the North Carolina Department of Health and Human Services (NCDHHS) to see if the service is medically necessary. Trillium will let you know within 14 days of your request if one of the above services is approved. You can also request a faster review, called an expedited review, in which case Trillium will let you know within 3 days.

Sometimes Trillium may deny or limit a request your provider makes. This decision is called “utilization management review decision.” 
If you receive a denial, reduction, suspension or termination of services and you do not agree with our decision, you may ask for an “appeal.” You must submit an appeal in writing for State-Funded Services. See the appeals section for more information on appeals. 

There are some treatments and services that do not require preauthorization. Crisis services usually do not require preauthorization. The list of services that do not require a service authorization can change. 

A current list of services that do not require preauthorization can be found on the Trillium website on the Benefit Plans Service Definitions webpage. 

• Opioid Treatment
• Evaluation and Management
• Diagnostic Assessment
• Assertive Engagement
• Child First 
• Developmental Day

The following state-funded services do not require preauthorization before you receive the service; however, preauthorization is required to continue the service: 

• Halfway House
• SACOT
• SAIOP
• Facility Based Crisis (FBC)
• Outpatient Therapy
• Partial Hospitalization    
• Mobile Crisis Management 
• Peer Support
• Supported Employment

Traumatic Brain Injury (TBI) State-Funded Services

The Traumatic Brain Injury (TBI) State-Funded Services program providers’ services and supports to individuals with TBI. Services include, but are not limited to, residential supports, day programs, transportation, therapy, respite, assistive technology and home modifications. For more information please contact Member and Recipient Services at 1-877-685-2415.
 

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Extra Support To Manage Your Health
(Care Management and Case Management)

Managing your health care alone can be hard, especially if you are dealing with many health problems at the same time. If you need extra support to get and stay healthy, we can help. 

• Case Management for Adults and Children with Behavioral Health Needs. Some adults and children who have mental health and substance use disorder needs, but do not have Medicaid, may be eligible to get case management services. A case manager is a specially trained behavioral health care worker who helps you and your health care providers to make sure you get the right care when and where you need it. The case manager knows what resources are available in your community and will work with local providers to get you the help you need.
• Care Management for Adults and Children with I/DD and TBI. Some adults and children who have I/DD and TBI conditions, but do not have Medicaid, may be eligible to have a care manager who works for Trillium. If you qualify, Trillium will match you to a care manager that has specialized training to meet your needs. 

If you are eligible to receive case management or care management services, you may not be able to get services if funding has been used. If this happens, you may be put on a waiting list by the Trillium until additional funds are available. 

Your case manager or care manager can:

• Help arrange your appointments and share resources on public transportation to and from your provider.
• Support you in reaching your goals to better manage your ongoing behavioral health, I/DD or TBI conditions.
• Answer questions about what your medicines do and how to take them.
• Follow up with your providers about your care. 
• Connect you to helpful resources in your community.
• Help address any concerns with services received. 
• Provide referrals, information and help in getting low-cost or free medical services federally qualified health centers and rural health centers, community-based resources and social support services).

To help you manage your behavioral health, I/DD or TBI care needs, your case manager or care manager will ask about your concerns and create a plan with your input that lists your specific goals and ways to reach them. The plan will also list services in the community that can help you reach your health goals.

To learn more about how you get can extra support to manage your health, call Member and Recipient Services at 1-877-685-2415.

Tobacco Cessation

Cigarette smoking is the leading cause of preventable death in the United States for this reason Trillium is committed to assisting recipients with Tobacco Cessation. Trillium will be offering a Tobacco Cessation Program that will identify recipients who are tobacco users and will implement educational resources, targeted care planning activities and treatment plans for recipients most at risk and with other specialized needs.  The Trillium care management team supports recipients to enroll in the tobacco cessation program by explaining the benefits of the program, offering an assessment, and identifying the appropriate Tobacco Cessation options for the recipient.  Trillium has partnered with the Quitline NC to assist with outreach activities for recipients.
 

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Diversion

Trillium will provide diversion interventions to eligible members who are at risk of requiring supports in an institutional setting or adult care home (ACH). We will work with you to provide information on and access to community-based services. For those who choose to remain in the community, we will work with you to create a Community Integration Plan (CIP) to ensure this decision was based on informed choice, and to provide services and support, including permanent supported housing as needed.   

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If You Have Problems With Your Health Plan’s State-Funded Services, You Can File A Complaint

We hope Trillium serves you well. If you are unhappy or have a complaint with any of your state-funded behavioral health, intellectual or developmental disability (I/DD) or traumatic brain injury (TBI) State-Funded Services, case manager, Trillium or your service provider, you may call Member and Recipient at 1-877-685-2415 or write to 201 West First St, Greenville, NC 27858.

Contacting us with a complaint means that you are unhappy with Trillium your provider or your services. Most problems like this can be solved right away. Whether we solve your problem right away or need to do some work, we will record your call, your concern and our solution. We will inform you that we have received your complaint in writing. We will also send you a written notice when we have finished working on your complaint. 

You can ask a family member, friend, your provider or a legal representative to help you with your complaint. If you need our help because of a hearing or vision impairment, or if you need translation services or help filing out any forms, we can help you. 

You can contact us by phone, electronically or in writing:

• PHONE: Call Member and Recipient Services at 1-877-685-2415, Monday – Saturday, 7:00 a.m. – 6:00 p.m. After business hours, you may leave a message. 
• MAIL: You can write us with your complaint to 201 West First St., Greenville, NC 27858.
• ELECTRONICALLY: You may submit a complaint online on Member Recipient Portal

Resolving Your Complaint

We will let you know in writing that we got your complaint within 5 business days of receiving it. Our letter will also let you know whether we will address the complaint informally or by conducting an investigation.  If you do not agree with the resolution of the complaint, you may file an appeal.  

• Informal Resolution Process: If we address the complaint informally, we will review your complaint and tell you in writing how we resolved it within 15 business days from receiving your complaint. If you do not agree with the resolution/outcome of the complaint, you may file an appeal with Trillium within 15 working days from the date of the informal resolution letter.
• Investigation Process: If we do an investigation of your complaint, we will complete the investigation with 30 days from receiving your complaint and tell you in writing how we resolved it within 15 days of completing the investigation. If you do not agree with the investigation report, you may file an appeal if the investigation report within 21 calendar days. The appeal for an investigation is limited to items identified in the original complaint record and the investigation report.

The Health Plan will convene a review committee to review the appeal and Trillium will issue a written decision based on the appeal committee's decision to uphold or overturn the findings of the investigation. 

You can ask a family member, a friend, your provider or a legal representative to help you with your appeal. The decision letter shall be dated within 28 calendar days from receipt of the appeal for an investigation or within 20 working days from receipt of the appeal of an informal decision.  

You may also contact the Customer Service and Community Rights (CSCR) Team of the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) toll-free at 855-262-1946, by phone at 984-236-5300 or email at dmh.advocacy@dhhs.nc.gov. The CSCR team will work with you and the Health Plan for any possible options for services.

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Appeals

Sometimes Trillium may decide to deny, suspend, reduce or terminate a request your provider makes for you for State-Funded Services offered by our plan. You will receive a letter from Trillium notifying you of any decision to deny, suspend, reduce or terminate a service request your provider makes. The letter will include information regarding the reason for the decision and any available options while the appeal is under review. State-Funded Services recipients have the right to appeal decisions to deny, suspend, reduce or terminate their services. Trillium must receive the recipient’s appeal in writing within 15 working days from the date on the notification letter. 

When you ask for an appeal, Trillium has 7 working days to give you an answer. You can ask a family member, a friend, your provider or a legal representative to help you with your appeal. You or your legal guardian can ask for an appeal. You can call Trillium at 1-877-685-2415 or visit trilliumhealthresources.org/for-individuals-families/appeals-grievances if you need help with your appeal request. It’s easy to ask for an appeal by using one of the options below: 

• MAIL: Fill out and sign the appeal request in the notice you receive about our decision. Mail it to the address listed on the form. We must receive your form no later than 15 working days after the date on the notification letter.
• FAX: Fill out, sign and fax the Appeal Request Form in the notice you receive about our decision. You will find the fax number listed on the form. We must receive your form no later than 15 working days after the date on the notification letter.
• EMAIL: Fill out, sign, and email the Appeal Request Form in the notice you receive about our decision. You will find the email listed on the form. We must receive your form no later than 15 working days after the date on the notification letter.

To appeal the reduction, suspension, termination or denial of Non-Medicaid benefits, you must complete and return the Non-Medicaid Services Appeal Form (included in the notice of decision mailed to you) to any of the following within 15 business days of the date of your notice of decision. Your provider cannot file the appeal for you. Trillium allows recipients to submit information related to their appeal requests, including any documents, records, written comments, or other comments that may be helpful in processing the appeal. 

Send the form:

• By fax:    
  252-215-6879
• By mail:    
  Trillium Health Resources, 
  Attn: Appeals Coordinator
  201 West First Street, Greenville, NC 27858

Timelines for Utilization Management Service Appeals

Trillium will make a decision on your appeal within 7 business days from the day we get your appeal request. We will mail you a letter to tell you about our decision. 

Decisions on Appeals

If you do not agree with our decision, you can ask for an appeal with the State Non-Medicaid Appeals Panel. The “State Non-Medicaid Appeals Panel” is part of the NC Department of Health and Human Services (NCDHHS) Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS). The request for an NCDHHS-level appeal must be received within 11 calendar days from the date on the letter from Trillium.

State Non-Medicaid Appeals Panel

The State Non-Medicaid Appeals Panel will review your request and will issue their findings and decisions. The Director from Trillium will issue a final written decision on your request based on the State Non-Medicaid Appeals Panel’s findings. We make a final decision within 10 days receiving the Panel’s findings. 

If you disagree with the appeal decision, you may file an appeal with the N.C. Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) to request a Non-Medicaid appeal hearing within 11calendar days of the appeal decision letter date. To file an appeal with DMH/DD/SAS, you must mail or fax a completed Non-Medicaid Appeal Request Form:

• By mail: DMH/DD/SAS Hearing Office
  c/o Customer Service and Community Rights
  Mail Service Center 3001
  Raleigh, NC 27699-3009
• Phone number: 984-236-5300
• By fax: 919-733-4962

The State Non-Medicaid Appeal Request Form is included in the decision letter. Remember: DMH/DD/SAS must receive the request form no later than 11 days from the date of the Trillium appeal decision letter. Appeals are heard by a DMH/DD/SAS hearing officer. If you have questions about the DMH appeal process, please call DMH/DD/SAS at 984-236-5300. 

Upon receipt of an appeal request, DMH/DD/SAS will:

• Review the appeal to determine your eligibility to appeal
• Accept or deny the appeal. If the appeal is accepted, the office will contact you to schedule a State Non-Medicaid appeal hearing (with at least 15 days notice of the date of the hearing)
• Request documentation from Trillium used in the initial decision and appeal 

The State Non-Medicaid appeal hearing:

• Is conducted by a DMH/DD/SAS hearing officer 
• Is conducted in person 
• Is scheduled for 2 hours
• Is attended by the appellant (recipient who filed the appeal) and/or his or her representatives
• Is attended by one or more Trillium representatives

Within 60 days of the written request for appeal, the Hearing Officer will issue a written decision that includes findings to you or your legal representative and the Trillium Chief Executive Officer. Within 10 calendar days of receipt of the hearing officer’s findings, Trillium will issue and send a written final decision to you or your legal representative.

Trillium ensures recipients are not discouraged, coerced (forced) or misinformed (given wrong information) regarding the type, amount and duration (length) of services they may request. In addition, Trillium does not discourage, coerce (force) or misinform (give wrong information) to members about the right to appeal the denial, reduction, or termination (stopping) of a service. 

Continuation of Services During an Appeal

Sometimes Trillium’s decision reduces or stops a health care service you are already getting. You can ask to continue this service without changes until your appeal is finished. Trillium is not required to continue this service. If you want to receive interim Non-Medicaid services during the appeal process, you may request the interim services with your appeal.

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Recipient Rights and Responsibilities

As a Trillium recipient of State-Funded Services, you have certain rights. Trillium will respect your rights and make sure that no one working for our plan, or any of our providers, will prevent you from using your rights. Also, we will make sure that you are aware of your responsibilities as a Trillium recipient of State-Funded Services. For a full list of your rights and responsibilities as a recipient of Trillium visit our website Members and Recipients Rights Privacy webpage or call Member and Recipient Services at 1-877-685-2415 to get a copy.

Your Rights

As a Trillium recipient of State-Funded Services, you have a right to:

• Be cared for with respect, without regard for health status, sex, race, color, religion, national origin, age, marital status, sexual orientation or gender identity.
• Discuss any concerns about services without fear of retaliation.
• Have your plan of care fully explained to you.
• Give your approval for any treatment or plan of care.
• Be told of your options when getting services so you or your guardian can make an informed choice.
• Refuse care and be told what you may risk if you do, except for emergency situations including any involuntary commitment.
• Receive information on available treatment options.
• Ask, if needed, that your medical record be amended or corrected.
• Be sure your medical record is private and will not be shared with anyone except as required by law, contract or with your approval.
• Receive considerate and respectful care in a clean and safe environment free of unnecessary restraints.

Your Responsibilities

As a Trillium recipient of State-Funded Services, you agree to:

• Treat health care staff with respect.
• Tell us if you have problems/concerns with any health care staff by calling Member and Recipient Services at 1-877-685-2415.
• Keep your appointments. If you must cancel, call as soon as you can.

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Concerns About Abuse, Neglect and Exploitation

Your health and safety are very important. You should be able to lead your life without fear of abuse or neglect by others or someone taking advantage of them (exploitation). Anyone who suspects any allegations of abuse, neglect or exploitation of a child (age 17 or under) or disabled adult must be report these concerns to the local Department of Social Services (DSS). The local DSS can be found at Local DSS Directory. There are also rules that no one will be punished for making a report when the reporter is concerned about the health and safety of an individual.

Providers are required to report any concerns of abuse, neglect or exploitation of a child or disabled adult receiving mental health, substance use disorder, intellectual/developmental disability services (I/DD) or traumatic brain injury (TBI) services from an unlicensed staff to the local Department of Social Services (DSS) and the Healthcare Personnel Registry Section of the North Carolina Division of Health Service Regulation for a possible investigation. Here is the link to the Healthcare Personnel Registry Section. The provider will also take steps to ensure the health and safety of individuals receiving services. 

For additional information on how to report concerns, contact your care manager or Member and Recipient Services at 1-877-685-2415 or for TTY dial 711 or 1-800-735-2962. 

Fraud, Waste and Abuse

If you suspect that someone is committing fraud associated with State-Funded Services, report it. For example, a provider or a clinic billing for services that were not provided or were not medically necessary is committing fraud. 

You can report suspected fraud and abuse:

• Call the State Auditor’s Waste Line at 800-730-TIPS (800-730-8477).

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Important Phone Numbers

• Trillium Toll-free Member and Recipient Services line: 1-877-685-2415 available Monday-Saturday 7 a.m-6 p.m.
• Trillium Behavioral Health Crisis line: 1-888-302-0738 available 24/7/365.
• Trillium Provider Support Service line: 1-855-250-1539 available Monday-Saturday 7 a.m.-6 p.m.
• Legal Aid of North Carolina: 1-866-219-LANC (5262)
• File a complaint: 1-877-685-2415
• Advance Health Care Directive Registry: 919-814-5400
• State Auditor Waste: 1-800-730-TIPS (1-800-730-8477).

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