Guidance OASAS, in collaboration with the Clinical Advisory Panel, has revised outpatient provider guidance on the delivery of peer support services. Family Support Specialists and Youth Support Specialists can bill for services that are part of a The Health Care Authority's (HCA) Peer Support Program trains and qualifies behavioral health consumers as certified peer counselors (CPCs). Please contact her at breplogle@azcompletehealth.com for support. This calendar is updated weekly. certified peer specialist, peer support specialist, recovery coach) is a person who uses his or her lived experience of recovery from mental illness and/or addiction, plus skills learned in formal training, to deliver services in behavioral health settings to promote Peer Support Workers for those in Recovery | SAMHSA Horizon NJ Health shall deny claims for self-help/peer services that do not have an appropriate substance disorder diagnosis code. Each Peer Support Employment Training Program has the authority to develop a unique competency exam. NAMI has red flags in interview materials to help screeners decide if the person is a suitable candidate at that time. Required ACC, ACC-RBHA Provider Types (XLS). -Setting or location where the service was provided -Title of the service or service billing code -Narrative summary of the service provided PDF Peer Services Toolkit - Mental Health America Three years after initial approval and thereafter, the program must resubmit its curriculum for review and re-approval. 2023-2024 Legislative Session. Share sensitive information only on official, secure websites. Training elements in this section must be specific to the Family Support role in the public behavioral health system and instructional for family support interactions. H0038 is a valid 2023 HCPCS code for Self-help/peer services, per 15 minutes or just " Self-help/peer svc per 15min " for short, used in Other medical items or services . The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross Blue Shield Association. In order to effectively meet the requirements of the Arizona Health Care Cost Containment System (AHCCCS), the Health Plan, Arizona Complete Health, must participate in development, implementation and support of trainings for contractors and subcontractors to ensure appropriate training, education, technical assistance, and workforce development. Certified peers must be supervised by an appropriate individual who has completed sixteen hours of online learning and the four hour supervisor training. Individuals certified or credentialed in another state must submit their credential to AHCCCS/OIFA. The Health Plan will ensure through audits that Peer Support Specialists/Recovery Support Specialists meet qualifications and have certification, as described in this provider manual. Alimited-siteis defined as one in which the courses and competencies are set-up according to the standard of the plan with no customization or course development provided. . Programs can guide supporters by helping them understand what could be potentially challenging to them. This includes activating and deactivating users as well as enrollment and disenrollment of courses/events. The Supervision Tool requirements will be tracked in Relias for all employees who facilitate/lead CFTs, In the event the 2 Day CFT training becomes a barrier or hardship for an organization, provider organizations may request aCFT Facilitator Training Hardship Waiver. Example: At Survivors Helping Survivors where breast cancer treatments change rapidly, peer supporters attend continuing education activities. The role of a peer support worker complements, but does not duplicate or replace, the roles of members of a treatment team. In Ohio, certified peer supporters become certified by completing an approved 40-hour training or by having three years of verifiable work experience providing behavioral health peer services. The AWFDA ACC, ACC-RHBA includes the WFD Administatros from ACC, ACC-RBHA, and DCS CHP Contractors. Please contact Advocates@azcompletehealth.com for support. Technical Assistance needs could include: For additional information on the P-WFDP requirement, training plans and the provider forums, or to discuss technical assistance needs, please reach out to our WFDO. Arizona Complete Health requires that all contracted provider types listed on our website complete the AZ Healthcare Workforce Goals and Metrics Assessment annually to fulfill the requirements from ACOM 407 & ACOM 407 Attachment A. This includes the Bureau of Medical Facilities Licensing (BMFL) / Bureau of Residential Facilities Licensing (BRFL), Joint Commission, grant requirements and other entities, as applicable. The Arizona Workforce Development Alliance (AWFDA), under the provider types listed at the link below, ensurethat all employees who work in programs that support, oversee, or are paid by the Health Plan contract have access to Relias and are enrolled in theAzAHPTraining Plans listed below. I am willing to disclose to my colleagues and peers that I have struggled with behavioral health challenges. Horizon NJ Health shall deny claims for self-help/peer services that are not from outpatient drug and alcohol clinics. Regardless of the pathway to certification, individuals must also pass an approved exam, sign and agree to the OhioMHAS Peer Support Services Code of Ethics, and pass their Federal Bureau of Investigation (FBI) and Bureau of Criminal Investigations (BCI) background checks. Supervision must be appropriate to the services being delivered and the qualifications of the Parent/Family Support Provider as a Behavioral Health Technician, Behavioral Health Professional, or Behavioral Health Paraprofessional. PDF Becoming a Medicaid Provider of Family and Youth Peer Support Employees completing the CALOCUS assessments are required to have training in CALOCUS prior to using the assessment tool with members when assessing for the determination of which children may require high needs case-management. This will ensure consistent alignment with AHCCCS contractual requirements for CALOCUS training, establish a baseline level of CALOCUS understanding for those that administer the tool, and enhance efforts to maintain fidelity to CALOCUS administration.. Peer counselor certification program Education and training for substance use disorder peers Reimbursement for services. A person wanting to become a peer specialists must complete a training program and pass written exams. Family Support Credentialing. H.R. 3520, Veteran Care Improvement Act of 2023; H.R. 3581, COPE Act; H Grief and emotional distress when a peer backslides, becomes more ill, or dies, Positive reinforcement from program leaders and other program staff, Recognition of peer supporters through organizational and other opportunities, Events for peer supporters to talk about their disappointments, worries, and challenges, Ebbing and flowing type of reciprocal support between the peer supporter and the program participant, Mutual support through social gatherings (to promote connection) and social media (private peer supporter page on Facebook), Buddy system: pairing two peer supporters to look out for each other, Psychological support from clinical professionals when needed, Describes Peer Supporter role and responsibilities including limits, defining role boundaries, maintaining privacy and confidentiality, Demonstrates how to initiate and end the support relationship, Describes the role of the program participant, Demonstrates well developed communication skills including active listening, and ability to provide respectful empathetic responses, Applies strategies to stimulate open conversation with a focus on the other person, Uses personal experiences to strengthen relationships and stimulate dialogue, Demonstrates ability to provide constructive feedback, Displays non-judgmental attitudes, stays positive, and provides affirming responses, Identifies how to manage potential or real emergency/crisis situations. Keep peer supporters engaged and interested in the program. Agencies employing Parent/Family Support Providers must provide supervision by individuals qualified as Behavioral Health Technicians or Behavioral Health Professionals. Certification through AHCCCS/OIFA approved Parent/Family Support Employment Training Program is applicable statewide. What have you learned about yourself in your recovery? The Certified Peer Support Professional is an individual living in recovery with a mental health and/or substance use condition. Part of the recruitment process should include screening to ensure the applicant is (or can become) a good peer supporter. Procedure: AHCCCS/OIFA will oversee the approval of all certification materials including curriculum and testing tools. Trainings Offered. PDF Guide to Documenting Peer Support Services have lived experience with a mental health condition, substance use issue, or both, have a high school diploma or General Equivalency Diploma, be willing to appropriately share your recovery story, be able to demonstrate current self-directed recovery, and, pass criminal history and registry checks (link when live). PDF SUBSTANCE USE DISORDER Medicaid Coverage of Peer Support Services for Regardless of which option you choose, you must first reach out to Deerfield and sign their end user license agreement as soon as possible. Five peer organizations have partnered with OhioPRO and OhioMHAS to create technical assistance call centers for peers. Peer specialists use their experience to help others engage in recovery. Peer Support works and there's plenty of evidence to prove it! House Bill (H.B.) The goal for Providers is to hold a 90% (or higher) completion rate for this group of courses, within the specified reporting period. Title 9, Chapter 10. PDF 963 - Peer and Recovery Support Service Provision Requirements People have done it for meit's better to give than to receive., when you listen to others going through the difficult situationsits a win-win situation. This curriculum should include non-verbal, verbal, and physical de-escalation techniques. Understanding individual and family culture; biases; perceptions; systems cultures; The ability to identify, build and connect individuals and families, including families of choice to natural, community and informal supports; Empower family members and other supports to identify their needs, and promote self-reliance, Identify and understand stages of change and, Understanding the stages of grief and loss; and. You are leaving the Horizon NJ Health website. Instilling the belief that recovery is real and possible; The history of the recovery movement and the varied ways that behavioral health issues have been viewed and treated over time and in the present; Knowing and sharing ones story of a recovery journey and how ones story can assist others in many ways; Mind- Body-Spirit connection and holistic approach to recovery; and. The AWFDA DCS CHP includes the WFD Administrators from AHCCCS, DCS, and Mercy Care. Become a clinical or community entity that bills Medicaid services by contacting your state Medicaid agency. Any Independent Contractor (IC) is required to complete applicable training at the discretion of the Provider. Substance Use Disorder: Medicaid Coverage of Peer Support Services for Limitations and Exclusions: All agencies that recruit and license professional foster home providers must provide and credibly document the following training to each contracted provider: The provider deliveringTFC services must complete the above training prior to delivering services. If a program makes substantial changes (meaning change to content, classroom time, etc.) In the event of such changes, the Policy will continue to be in force, albeit applied to the new or amended coding so issued until such time as the Policy is reviewed and updated to reflect the new or amended coding. Arizona Association of Health Plans (AzAHP)unites the companies that provide health care services to the almost two million people that are members of AHCCCS. A peer provider (e.g. The individual must demonstrate their states credentialing standards meet those of AHCCCS prior to recognition of their credential. Some agencies may wish to employ individuals prior to the completion of certification through a Peer Support Employment Training Program. The CFT Supervisor Training course will be required for all new, The CFT Supervisor TtT session will be approximately 2.5 hours in length and will be delivered via virtual instructor-led training. Peers serve an important role as providers, and AHCCCS and AzCH-CCP expects consistency and quality in peer-delivered services and support for peer-delivered services statewide. Promote a consistent practice philosophy, provide voice and empowerment to staff and members. For a list of all required CSA-specific training, see the AMPM Policy 961-C Community Service Agencies. It is expected that provider agencies be prepared to train this course in-house, which enables providing complimentary agency-specific processes, procedures, and protocols, thus creating a robust learner-centric experience for attendees and future CFT facilitators. Provider agencies that expand to 20 or more users will be required to purchase full site privileges to Relias Learning immediately upon expansion. Reciprocal benefit: The act of giving practical and emotional support to a person can also benefit the peer supporter. Peer support roles may also extend to the following: Providing services and/or training. This fact sheet explains how certified behavioral health provider organizations and primary care clinics can be reimbursed for Peer Support Specialist (PSS) and Peer Wellness Specialist (PWS) services provided to Oregon Health Plan (OHP) members. Per AHCCCS communication on 10/8/21: Due to discussions between AHCCCS, the Arizona Complete Health (WFD) Administrator, members of the American Academy of Child and Adolescent Psychiatry (AACAP) and American Association of Community Psychiatrists, it has been determined that individuals who have previously taken the CASII training, will also need to complete the CALOCUS training. PEERS - Taxes and Your Benefit - PSRS/PEERS This training is required before staff may use the assessment tool with members. Three years after initial approval and thereafter, the program must resubmit their curriculum for review and re-approval. Together, the Coalition ensures initiatives across the state of Arizona align with all lines of business. Fully Integrated Dual Eligible (FIDE)-SNP, Managed Long-Term Services and Supports (MLTSS), Division of Developmentally Disabled (DDD). Mental Health Services - Certified Peer Specialist Services May be a danger to self or a danger to others; Behaves in an aggressive or destructive manner; Reading and implementing a person's treatment plan; and. Self-care skills and coping practices for helping professionals; the importance of ongoing supports for overcoming stress in the workplace; resources to promote personal resilience; and, understanding burnout and using self-awareness to prevent compassion fatigue, vicarious trauma and secondary traumatic stress. Peer Support 101 | SC SHARE To review previous forums, you may access the recordings at theAzAHP website. In accordance with AHCCCS AMPM 963 section H3, the Health Plan has designated our Administrator of Individual and Family Affairs as SME regarding Peer Support Employment Training. The Administrator of Individual and Family Affairs is authorized to request a review of any contracted providers curriculum they are using to credential their Peer/Recovery Supports. AS Workforce Development Coalition (AWFDC) is organized by the WFD Department at AHCCCS, the AzAHP and includes members from the MCOs. The plan will be submitted to the Workforce Development Team at. AHCCCS/Office of Individual and Family Affairs has developed training requirements and certification standards for Family Support roles providing Family Support Services, as described in the AHCCCS Covered Behavioral Health Services Guide. R6-5-5850, Special Provisions for a Professional Foster Home. Failure to submit your completed annual P-WFDP deliverable by the annual due date may result in corrective action and/or sanctions (including suspension, fines, or termination of contract). In order to be reimbursed, the claim must include an applicable substance disorder diagnosis code. Topics are chosen partly based on debriefing forms completed by peer supporters after a peer support group. Peer support workers engage in a wide range of activities. Each program will have to adapt these materials to include information that is specific to their program to ensure their peer supporters are prepared to handle specific issues for program participants. Transition Aged Youth: Role changes when bridging the Adult System of Care (ASOC) and Childrens System of Care (CSOC) at transition for an enrolled member, family and Team. This service shall only be reimbursed for members 18 years of age or older. Another key part of the peer supporter role is to provide practical information that health care professionals may not offer as part of formal treatment services or clinical practice. 2768, PFC Joseph P. Dwyer Peer Support Program Act (Rep. LaLota) H.R. ), Number of Users (# of employees at the agency who need Relias access), List of Health Plans provider is contracted with (if known), Welcome to Relias(Due within 7 days ofhire date), *AHCCCS NEO Rehabilitation Employment (0.5hrs), *AzAHPClient Rights, Grievances and Appeals (1.25hrs), *AzAHPCultural Competency in Health Care (1.0hrs), Corporate Compliance: The Basics (0.5hrs), Ethical Decision Making: The Basics (0.5hrs), Integrating Primary Care with Behavioral Healthcare (1.25hrs), Personalized Learning: Understanding the HIPAA RegulationsDue: January 31, Ethical Decisions Making: The Basics (0.5hrs)Due: March 31, Abuse and Neglect: What to LookForand How to Respond (1.5hrs) Due: April 30, Corporate Compliance: The Basics (0.5hrs) Due: May 31, *AzAHPCultural Competency in Health Care (1.0hrs) Due: June 30, *AHCCCS Health Plan Fraud (0.75hrs) Due: October 31, *AzAHPQuality of Care Concern (1.0hr)Due: December 31, 01/01-03/31 AWFDA will run this report on 4/30, 04/01-06/30 AWFDA will run this report on 7/31, 07/01-09/30 AWFDA will run this report on 10/31, 10/01-12/31 AWFDA will run this report on 1/31. download bill text pdf. Peer services are supported on a statewide and national level. 18 hours of pre-service training utilizing theTFC Curriculum. The AzCH-CCP Family Support Advisor is authorized to request a review of any contracted providers curriculum they are using to credential their Family Supports. CalMHSA is accepting applications for the Medi-Cal Peer Support Specialist Certification. Supervision provides an opportunity for growth within the agency and encouragement of recovery efforts. Are you considering becoming certified to provide peer support services in Medicaid? As of April 7, 2022 all certifications and renewals for peer support are processed online thru the eLicense portal ( https://elicense.ohio.gov ). DLS agencies must be aware of all training requirements to be completed and documented based on all additional licensing or accrediting licensing agencies. Are they at a place in their journey with the underlying issue/health problem that they can devote the time and energy to provide support to others? Another approach to recruit peer supporters is to reach out to people who have received services from your program. For example a program may have experienced supporters perform a role play at a training session. Approval of curriculum is binding for no longer than three years. This policy provides reimbursement guidelines for billing self-help and peer support services. Peer Support Specialist billing G0177 | Medical Billing and - AAPC Peer Support. However, required trainings must be completed prior to delivering services. 3520, Veteran Care Improvement Act of 2023 (Rep. Miller-Meeks) Amendment in the Nature of a Substitute to H.R. Individuals seeking certification and employment as a Peer Support Specialist/Recovery Support Specialist must complete and pass a competency exam with a minimum score of 80% upon completion of required training. Of particular note are health care-based programs that serve people with sensitive or severe illnesses or conditions. PDF Behavioral Health Coaching and Peer Support Services - Cigna Individuals seeking certification and employment as a Parent/Family Support Provider must complete and pass a competency exam with a minimum score of 80% upon completion of required training. (Example question: Why do you want to become a peer supporter? All rights reserved. PDF Peer Based Recovery Support Services Provider Billing Manual April 2021 Individuals credentialed in another state must submit their credential to AHCCCS/Office of Individual and Family Affairs. This person will attend the monthly Arizona Association of Health Plans (AzAHP)Provider Forum webinar held the 2. PRSS can be provided in a variety of settings including hospitals, drop-in centers, and prisons. Agencies employing Parent/Family Support Providers who are providing family support services are required to ensure that their employees are competently trained to work with their population. I can listen to others stories and feel empathy for their experience, even when it parallels painful experiences from my past.
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