us-wi/statute/49.45/30j — Reimbursement for peer recovery coach services.

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us-wi/statute/49.45/30j — Reimbursement for peer recovery coach services. · Axiom

In this subsection: 1. “Competent mental health professional” means a physician who has completed a residence in psychiatry; a psychologist; a private practice school psychologist who is licensed under ch. 455; a marriage and family therapist who is licensed under s. 457.10 or 457.11; a professional counselor, as defined in s. 457.01 (7), in this state; an advanced practice social worker, as defined in s. 457.01 (1c); an independent social worker, as defined in s. 457.01 (2g); a clinical social worker, as defined in s. 457.01 (1r); a clinical substance abuse counselor or independent clinical supervisor who is certified under s. 440.88, or any of these individuals who is practicing under a currently valid training or temporary license or certificate granted under applicable provisions of ch. 457. “Competent mental health professional” does not include an individual whose license, certificate, or privilege is suspended, revoked, or voluntarily surrendered, or whose license, certificate, or privilege is limited or restricted, when practicing in areas prohibited by the limitation or restriction. 2. “Peer recovery coach” means an individual who practices in the recovery field and who provides support and assistance to individuals who are in treatment or recovery from mental illness or a substance use disorder.

(a)(1)#

“Competent mental health professional” means a physician who has completed a residence in psychiatry; a psychologist; a private practice school psychologist who is licensed under ch. 455; a marriage and family therapist who is licensed under s. 457.10 or 457.11; a professional counselor, as defined in s. 457.01 (7), in this state; an advanced practice social worker, as defined in s. 457.01 (1c); an independent social worker, as defined in s. 457.01 (2g); a clinical social worker, as defined in s. 457.01 (1r); a clinical substance abuse counselor or independent clinical supervisor who is certified under s. 440.88, or any of these individuals who is practicing under a currently valid training or temporary license or certificate granted under applicable provisions of ch. 457. “Competent mental health professional” does not include an individual whose license, certificate, or privilege is suspended, revoked, or voluntarily surrendered, or whose license, certificate, or privilege is limited or restricted, when practicing in areas prohibited by the limitation or restriction.

(a)(2)#

“Peer recovery coach” means an individual who practices in the recovery field and who provides support and assistance to individuals who are in treatment or recovery from mental illness or a substance use disorder.

(b)#

The department shall reimburse under the Medical Assistance program under this subchapter any service provided by a peer recovery coach if the service satisfies all of the following conditions: 1. The recipient of the service provided by a peer recovery coach is in treatment for or recovery from mental illness or a substance use disorder. 2. The peer recovery coach provides the service under the supervision of a competent mental health professional who has been trained in all of the following subjects: a. Understanding the peer role in recovery and supporting clear and meaningful peer roles. b. Recovery orientation. c. Model principles of recovery. d. Training of peer recovery coaches. e. Professional health system navigation. f. Applicable laws and policies. g. Community resources. h. Quality, strength-based, and person-centered supervision. i. Identification and evaluation of peer competencies. j. Confidentiality, ethics, and professional boundaries. k. Antidiscrimination in employment, staff development, and employment practices. L. Peer-delivered services advocacy. 3. The peer recovery coach provides the service in coordination with the Medical Assistance recipient’s individual treatment plan and in accordance with the recipient’s individual treatment goals. 4. The peer recovery coach providing the service has completed all of the following training requirements, as established by the department by rule, after consulting with members of the recovery community: a. Forty hours of training in advocacy, mentoring and education, recovery and wellness support, and ethical responsibility that includes training of at least 10 hours in advocacy, at least 10 hours in mentoring and education, at least 10 hours in recovery and wellness support, and at least 10 hours in ethical responsibility. b. Twenty-four hours of supervised volunteer or paid work experience involving advocacy, mentoring and education, recovery and wellness support, ethical responsibility, or a combination of those areas.

(b)(1)#

The recipient of the service provided by a peer recovery coach is in treatment for or recovery from mental illness or a substance use disorder.

(b)(2)#

The peer recovery coach provides the service under the supervision of a competent mental health professional who has been trained in all of the following subjects: a. Understanding the peer role in recovery and supporting clear and meaningful peer roles. b. Recovery orientation. c. Model principles of recovery. d. Training of peer recovery coaches. e. Professional health system navigation. f. Applicable laws and policies. g. Community resources. h. Quality, strength-based, and person-centered supervision. i. Identification and evaluation of peer competencies. j. Confidentiality, ethics, and professional boundaries. k. Antidiscrimination in employment, staff development, and employment practices. L. Peer-delivered services advocacy.

(b)(2)(a)#

Understanding the peer role in recovery and supporting clear and meaningful peer roles.

(b)(2)(b)#

Recovery orientation.

(b)(2)(c)#

Model principles of recovery.

(b)(2)(d)#

Training of peer recovery coaches.

(b)(2)(e)#

Professional health system navigation.

(b)(2)(f)#

Applicable laws and policies.

(b)(2)(g)#

Community resources.

(b)(2)(h)#

Quality, strength-based, and person-centered supervision.

(b)(2)(i)#

Identification and evaluation of peer competencies.

(b)(2)(j)#

Confidentiality, ethics, and professional boundaries.

(b)(2)(k)#

Antidiscrimination in employment, staff development, and employment practices.

(b)(2)(l)#

Peer-delivered services advocacy.

(b)(3)#

The peer recovery coach provides the service in coordination with the Medical Assistance recipient’s individual treatment plan and in accordance with the recipient’s individual treatment goals.

(b)(4)#

The peer recovery coach providing the service has completed all of the following training requirements, as established by the department by rule, after consulting with members of the recovery community: a. Forty hours of training in advocacy, mentoring and education, recovery and wellness support, and ethical responsibility that includes training of at least 10 hours in advocacy, at least 10 hours in mentoring and education, at least 10 hours in recovery and wellness support, and at least 10 hours in ethical responsibility. b. Twenty-four hours of supervised volunteer or paid work experience involving advocacy, mentoring and education, recovery and wellness support, ethical responsibility, or a combination of those areas.

(b)(4)(a)#

Forty hours of training in advocacy, mentoring and education, recovery and wellness support, and ethical responsibility that includes training of at least 10 hours in advocacy, at least 10 hours in mentoring and education, at least 10 hours in recovery and wellness support, and at least 10 hours in ethical responsibility.

(b)(4)(b)#

Twenty-four hours of supervised volunteer or paid work experience involving advocacy, mentoring and education, recovery and wellness support, ethical responsibility, or a combination of those areas.