title: Level-of-care criteria for peer support services: a best-practice guide.
abstract: Peer support services (PSS) are an expanding part of the continuum of care provided for behavioral health conditions. These services have been deemed an evidence-based reimbursable model of care by the Centers for Medicare and Medicaid Services. States, counties, employers, and health plans are increasingly covering PSS in benefit plans. Controlled and experimental studies are building the evidence base for these services. Medicaid and the states have not developed level-of-care or medical necessity criteria for PSS, even though these criteria are standards for determining coverage and reimbursement. This review of emerging level-of-care criteria for PSS provides a framework for the further development of these resources.
authors.forename: Allen S
authors.initials: AS
authors.lastname: Daniels
authors.forename: Rebecca
authors.initials: R
authors.lastname: Cate
authors.forename: Susan
authors.initials: S
authors.lastname: Bergeson
authors.forename: Sandra
authors.initials: S
authors.lastname: Forquer
authors.forename: Gerard
authors.initials: G
authors.lastname: Niewenhous
authors.forename: Beth
authors.initials: B
authors.lastname: Epps
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S. / Q000592:standards*; D055317:Evidence-Based Practice / Q000592:standards*; D006801:Humans; D010379:Peer Group; D017410:Practice Guidelines as Topic / Q000592:standards*; D012657:Self-Help Groups / Q000592:standards*; D014481:United States