Member & Recipient Portal
Not Sure Which Plan You Have?
If you are not sure, you can look on your Medicaid ID card to see which plan you have.
- Tailored Plan Medicaid Members: for those receiving Medicaid who have been placed on the Tailored Plan.
- State-funded Recipients: for those who do not have insurance. State-funded recipients do not have ID cards.
- NC Medicaid Direct: for those who are on Medicaid but are not in the Tailored Plan.
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Any information shared in the links below will be secured and safe for sending to Trillium. You will need a free program called Adobe Acrobat Reader to complete and submit the forms. For the best results, please save the Adobe PDF form to a local drive on your computer before completing the form.
If you are at a shared computer or do not want to do this, please call your care manager or Trillium at 1-877-685-2415.
Download Adobe Acrobat ReaderBenefits Plans & Service Definitions
View all Medicaid Direct, Tailored Plan, and State-funded Services
Tell Us If Something Is Wrong
If you want to send a grievance to let us know if something has gone wrong, please call 1-877-685-2415 or click the link below.
Complaint / Grievance Submission FormConnect with Trillium
Get texts or emails, and follow us on social media.
Tailored Plan Medicaid Member
If you need to request a new primary care provider (PCP) or Tailored Care Management (TCM) provider, please use the forms below:
If you need to ask for a new Medicaid ID card or update your contact information, click the link below. Please include your phone number so our staff can double-check the information before updating our files
This page is outside the Trillium website, but it is safe to visit. You will then need to select a “Smart App” to view your health information. You can visit the app store on your cell phone or computer (i.e., Google Play or App Store for Apple/iPhones). You will need to search for terms such as “my health history,” “my claims history,” or “get my records.
Please note: Edifecs is currently under maintenance. We will share when members can login again.
If you want to send an appeal for a decision notice on your services, please follow the instructions included in the letter. You can also file an appeal by clicking our Appeals Submission Form. Please complete the form and submit it as instructed if you did not receive a letter. If you have follow-up questions, please call Trillium at 1-877-685-2415.
NC Medicaid Direct Member
If you need to request a Tailored Care Management (TCM) provider, please user the forms below:
TCM Change Request Form Stop Getting TCM
Please call your local Department of Social Services if you need to change your primary care provider.
If you need to update your contact information, click the link below. Please include your phone number so our staff can double-check the information before updating our files
Member and Recipient Portal Requests
If you need a new NC Medicaid ID card, please contact your local Department of Social Services.
This page is outside the Trillium website, but it is safe to visit. You will then need to select a “Smart App” to view your health information. You can visit the app store on your cell phone or computer (i.e., Google Play or App Store for Apple/iPhones). You will need to search for terms such as “my health history,” “my claims history,” or “get my records.
Please note: Edifecs is currently under maintenance. We will share when members can login again.
If you want to send an appeal for a decision notice on your services, please follow the instructions included in the letter. You can also file an appeal by clicking our Appeals Submission Form. Please complete the form and submit it as instructed if you did not receive a letter. If you have follow-up questions, please call Trillium at 1-877-685-2415.
State-Funded Recipients
If you need to update your contact information, click the link below. Please include your phone number so our staff can double-check the information before updating our files
This page is outside the Trillium website, but it is safe to visit. You will then need to select a “Smart App” to view your health information. You can visit the app store on your cell phone or computer (i.e., Google Play or App Store for Apple/iPhones). You will need to search for terms such as “my health history,” “my claims history,” or “get my records.
If you want to send an appeal for a decision notice on your services, please follow the instructions included in the letter. You can also file an appeal by clicking our Appeals Submission Form. Please complete the form and submit it as instructed if you did not receive a letter. If you have follow-up questions, please call Trillium at 1-877-685-2415.
If you need to request a change to your state-funded services provider, please click the link below:
Member & Recipient Portal Tutorial
