Medicaid Reimbursement for Peer Support Services: A Detailed Analysis of Rates, Processes, and Procedures

Finance, Supervision, Workplace Culture, Career DevelopmentPeer Run Organizations
Written By Peer Recovery Center of Excellence

As part of the PR CoE’s supplemental funding provided in 2023 to increase the number of Recovery Community Organizations able to bill insurance and be reimbursed for peer recovery support services, this report was developed to provide a state-by-state analysis of Medicaid reimbursement specifically for peer support services, including peer recovery support services for substance use disorders and mental health peer support services.

This report provides a national overview of:

  • Which states offer Medicaid reimbursement specifically for peer support services

  • Reimbursement rates for one-on-one and group peer support services

  • Funding authority types and selections by each state

  • Billing codes and modifiers used by each state to specify peer support services

  • Recommendations

*Updates to this report have been made on 7/29/2024.

Peer Recovery Center of Excellence
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