Connect your healthcare
Find doctors and treatment services, help with appointments, and coordinate with your care team.
Support that starts with you.
Tailored Care Management, or TCM, pairs eligible NC Medicaid members with a specially trained care manager. Together, you discuss your health, daily needs and goals, then coordinate the services and support that fit your life.
TCM is free and optional for eligible members. You can ask questions, choose whether to participate, and tell your care manager what matters most to you.
What can my care manager do?
Help with the next step.
Make a plan with you
Talk through your needs and goals, identify services, and check on your progress.
Help with everyday needs
Connect you to food, housing, utility, school and employment resources and help with applications.
Help you get to care
Help arrange covered transportation to appointments and explain how to use your plan’s transportation benefit.
Support changes in care
Help coordinate follow-up after a hospital stay and support communication as your needs change.
Explain your options
Help you understand Medicaid services, discuss concerns, and speak up about your needs.
Who may qualify?
Ask your plan about eligibility.
TCM is available to eligible members through Tailored Plans or NC Medicaid Direct. It supports people with complex needs related to mental illness, substance use, intellectual or developmental disabilities, or traumatic brain injury. Some services may overlap with TCM, so your plan should confirm what you can receive.
Look for Trillium, Alliance, Partners or Vaya on your Medicaid information and call your plan to ask. Review the official eligibility guidance ↗
TCM & Trillium · Home and community support
Understanding 1915i services.
1915i, also written 1915(i), is an NC Medicaid program that helps eligible members get support in their homes and communities. Your Tailored Care Manager can help you understand the program and ask for an assessment.
What could it help with?
- Learning or practicing everyday living skills
- Finding and keeping a job
- Moving from an approved setting into a private home
- Providing a break for eligible caregivers through respite
The services available depend on your needs and the rules for each service.
How does my care manager help?
- Talk with you about your needs and complete the 1915(i) assessment.
- Help you find a provider and develop your care plan if eligible.
- Help coordinate any required approvals and the start of services.
An assessment and eligibility review come first. Each requested service has its own requirements. Read Trillium’s program explanation ↗
How do I get started?
Make the first connection.
- Contact your care manager if one has already been assigned.
- Call your health plan if you need to find your care manager or ask about TCM. Trillium members can call 1-877-685-2415.
- Share your priorities. Bring questions and explain the needs you want help with.
Explore related services.
Trillium information
Learn about Trillium benefits and member connections.
Open Trillium →1915(i) services
Learn about home and community supports and how to ask for an assessment. TCM participation alone does not approve 1915(i) services.
Understand 1915(i) →