Becoming a Medicaid Provider of Family and Youth Peer

“The Affordable Care Act (ACA) provides a critical opportunity for family run organizations to expand their scope, achieve sustainable funding, and become established Medicaid providers. An informational bulletin issued by the Centers for Medicare & Medicaid Services (CMS) and the Substance Abuse and Mental Health Services Administration (SAMHSA) in May 2013 provided states guidance in designing benefits for children with behavioral health needs. The bulletin identifies parent and youth peer support as a service that significantly enhances positive outcomes for children and youth. In addition nearly all of the Psychiatric Residential Treatment Facility waiver demonstration states and many state and local system of care initiatives funded by the federal Comprehensive Community Mental Health Services for Children and Their Families Program have included peer‐to‐peer support services for youth with mental health conditions and their parents, guardians, or caregivers. Family run organizations are now ideally positioned to become Medicaid providers that are reimbursed for family and youth peer support services.”

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