Sunny Skies ABA accepts Trillium Health Resources across eastern NC — including New Hanover, Brunswick, and Nash counties. Free benefits verification in 24 hours.
Trillium Health Resources is one of four NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plan operators in North Carolina. Headquartered in Greenville, Trillium serves Medicaid members across 28 counties in eastern North Carolina — from the Outer Banks to the Cape Fear region — making it the largest Tailored Plan by geography.
For families with children diagnosed with autism, Trillium covers Applied Behavior Analysis therapy as a core behavioral health benefit. Coverage flows through the federal EPSDT benefit, which guarantees medically necessary services for Medicaid-enrolled members under 21. There is no hard hour cap or annual dollar limit on ABA — coverage is driven by clinical recommendation and documented progress under Trillium's medical necessity criteria.
Sunny Skies ABA is in-network with Trillium Health Resources and serves families in three Trillium counties from our service area: New Hanover (Wilmington), Brunswick (Oak Island), and Nash (Sharpsburg). Our intake team has working relationships with Trillium care coordinators and submits all authorizations on your behalf.
Once medical necessity is documented and prior authorization is approved, Trillium typically covers:
Because Trillium is a Tailored Plan, your child may have additional benefits beyond ABA — including I/DD waiver services, residential supports, or other behavioral health services — that we coordinate alongside ABA when appropriate.
Your child must be enrolled in Trillium Health Resources — either through the Tailored Plan, Trillium's Medicaid Direct services, or Trillium's state-funded services for non-Medicaid eligible members. Enrollment depends on home county. We can confirm enrollment status during verification.
Trillium requires a current DSM-5 diagnosis of Autism Spectrum Disorder with ICD-10 code F84.0 from a licensed psychologist, psychiatrist, developmental pediatrician, neurologist, MD, or DO. We refer you to local diagnosticians if your child does not yet have a formal diagnosis.
Most Trillium pathways require a referral from your child's primary care provider before ABA begins. This referral is part of the authorization packet we submit on your behalf.
Trillium requires prior authorization before ABA services start. We submit a complete clinical packet — diagnosis, assessments, BCBA-developed treatment plan, and authorization forms. Reauthorization is required approximately every six months.
Free, no-obligation verification in 24 hours.
Complete our online benefits verification form with a photo of your Trillium member card and your child's information. Call (919) 502-1112 or email info@sunnyskiesaba.com.
Within 24 hours our intake team confirms Trillium enrollment, your county's coverage status, and the documentation needed to start your child's authorization.
We email a written summary of your Trillium coverage and book a free consultation to discuss next steps and begin the BCBA assessment.
Medicaid managed care for members with significant BH or I/DD needs across 28 eastern NC counties.
For members not yet transitioned to the Tailored Plan but receiving Trillium-coordinated services.
For NC residents without Medicaid who still meet clinical eligibility for behavioral health services.
For members with additional I/DD waiver services we coordinate alongside ABA.
Trillium Health Resources' Tailored Plan covers 28 counties across eastern NC. Within these counties, Sunny Skies ABA serves the following cities:
Trillium also covers Beaufort, Bertie, Bladen, Camden, Carteret, Chowan, Columbus, Craven, Currituck, Dare, Gates, Halifax, Hertford, Hyde, Jones, Martin, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Tyrrell, and Washington counties. If your home county is served by Trillium but not listed above, contact us to check service availability.
Eastern NC families with Trillium need a provider who understands Tailored Plan complexity. Here's what Sunny Skies delivers:
Free benefits verification in 24 hours. No commitment.
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