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New Coverage for Peer Recovery Support Services

Effective April 1, 2026, ForwardHealth covers peer recovery support (PRS) services, which are non-clinical services that complement behavioral health treatment services and promote recovery.

ForwardHealth reimburses two types of agencies providing PRS services:

  • Agencies certified under Wis. Admin. Code chs. DHS 343536637275, or 124 that provide PRS services consistent with Wis. Admin. Code ch. DHS 72, subchapter II.
  • Overdose treatment provider agencies certified under Wis. Admin. Code ch. DHS 72.

An overdose treatment provider agency must enroll as a new provider with Wisconsin Medicaid. Existing provider agencies must submit an attestation in the demographic maintenance tool on the ForwardHealth Portal (the Portal) before submitting claims for PRS services.

Resources

Refer to these resources for more information on PRS services:

 
 
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