Ohio Department of Medicaid · September 26, 2024 · Primary source
The Ohio Department of Medicaid Introduces Mental Health Peer Support Services New service added to the growing list of behavioral health resources available to Ohioans. September 26, 2024
Summary
Ohio Medicaid expanded coverage of mental health peer support services effective September 2024, making certified peer supporters available to Medicaid members with mental illness or substance use disorders beyond the previously limited SUD-only and program-specific contexts. The new benefit allows OhioMHAS-certified adult, family, and youth peer supporters to bill Ohio Medicaid for services delivered to members seeking support for mental health conditions, not just SUD. Certification requires OhioMHAS-administered training, a background check, and adherence to a peer recovery services code of ethics.
What this may mean
Ohio Medicaid's addition of standalone mental health peer support as a covered benefit creates a new Medicaid billable service category for OhioMHAS-certified peer supporters, expanding provider eligibility and billing pathways beyond the prior SUD-only limitation. BH/SUD treatment facilities and managed care organizations must update their provider networks, credentialing criteria, and benefit coverage policies to reflect the new peer support benefit. The expansion aligns with SAMHSA guidance on peer support and directly extends peer support access across Ohio's seven Medicaid managed care entities, which cover nearly 90% of Ohio Medicaid members.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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