Non Medicaid: Peer Support and Peer Support Transition

• State Funded Peer Support Services (PSS)
• ASD AH Peer Support Transition YA344

Submission Requirements

Peer Support (H0038, H0038 HQ)
Initial:

• Service Authorization Request (SAR)
• Person Centered Plan (PCP)
• Comprehensive Clinical Assessment (CCA)

Concurrent:

• Service Authorization Request (SAR)
• Person Centered Plan (PCP) Update

Peer Support Transition (YA344)
Initial:

• Service Authorization Request (SAR)
• Person Centered Plan (PCP)

Concurrent:

• Service Authorization Request (SAR)
• Person Centered Plan (PCP) Update

Authorization Duration and Limits

Mecklenburg and Orange Counties only

Peer Support (H0038, H0038 HQ)
No Prior Approval required for first 6 hours/24 units
Initial:

• Authorization can be up to 270 units/90 days
• Can request 6 month authorization if requesting less than 22 hours/month

Concurrent:

• Without additional treatment services – 5 hours/month
• Additional hours if clinically supported
• With additional treatment services – 270 units/90 days

Peer Support Transition (YA344)
No Prior Approval required for first 5 hours/20 units
Initial:

• Up to 20 hours/week for 90 days

Concurrent:

• Up to 15 hours/week for 90 days