Trillium Health Resources Timely Filing Limit

Coverage: North Carolina Trillium Tailored Plan, NC Medicaid Direct and state-funded services; authorization portals and filing terms differ by program.

Trillium Health Resources filing guidance from the reviewed sources: Medicaid facility claims: 365 days from discharge. Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

• The claims page makes the provider contract controlling; it gives a separate Medicaid facility period.

Initial claim filing limits

• Medicaid facility claims: 365 days from discharge.

Corrected claim filing limits

• Not clearly published in the researched sources.

Appeal and reconsideration deadlines

• Not clearly published in the researched sources.

Trigger basis and caveats

• Do not apply the Medicaid facility period to every professional or state-funded claim. Corrected claim and appeal periods were not separately established.
• Use the filing period in the applicable provider contract, measured from date of service.

Provider resources

• Official policy source (official)
• Official policy source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Verified official authorization instructions, authorization resources and billing guidance. Kept the contract rule separate from the Medicaid facility discharge rule.
• Public guidance does not establish a universal corrected claim period or provider-specific contract terms.