(1) Peer recovery support services.
(2) Treatment programs for coordination and continuation of care following an overdose.
DHS 72.02 Applicability.
(1) This chapter shall apply to all of the following seeking reimbursement under the medical assistance program for recovery support services:
(a) A publicly or privately operated facility, clinic, or organization providing peer recovery support services, coordination and continuation of care for individuals at high risk for overdose, or both, in response to or following a substance use overdose.
(b) A county department or Tribal nation providing peer recovery support services, coordination of care in substance use overdose, mental health, or substance use treatment services.
(c) A publicly or privately operated service that requests certification by the department.
DHS 72.03 Definitions. In this chapter:
(1) “Behavioral health” means the spectrum encompassing mental health and substance use disorders occurring either independently or simultaneously.
(2) “Certification" means the approval of the service by the department’s division of quality assurance.
(3) “Co-supervision” means a shared model of supervision where a peer recovery coach is supervised by both a competent mental health professional and a peer recovery coach supervisor, either individually or in groups, to ensure that all aspects of peer recovery coaching can be modeled and supervised.
(4)
(a) “Competent mental health professional” means any of the following:
1. A physician who has completed a residence in psychiatry or is certified in addiction medicine.
2. A psychologist or a private practice school psychologist licensed under ch. 455, Stats. 3. A marriage and family therapist licensed under s. 457.10 or 457.11, Stats. 4. A professional counselor licensed under s. 457.12 or 457.13, Stats. 5. An advanced practice social worker granted a certificate under s. 457.08 (2), Stats. 6. An independent social worker granted a certificate under s. 457.08 (3), Stats. 7. A clinical social worker licensed under s. 457.08 (4), Stats. 8. A clinical substance abuse counselor or independent clinical supervisor certified under s. 440.88, Stats. 9. Any of the individuals under subds. 1. to 8. who are practicing under a currently valid training or temporary license or certificate granted under applicable provisions of ch. 457, Stats. (b) “Competent mental health professional" does not include an individual whose license or certificate is suspended, revoked, or voluntarily surrendered, or whose license or certificate is limited or restricted, when practicing in areas prohibited by the limitation or restriction. “
_Hlk150507525(5) “Continuum of behavioral health and peer recovery support services” means an integrated system of care that includes a comprehensive array of behavioral health services spanning all levels of intensity of care including prevention, early intervention, harm reduction, treatment, psychosocial rehabilitation services, continuing care, and recovery services. (6) “County department” means a county department of human services under s. 46.23, Stats., or a county department of community programs established under s. 51.42, Stats., to administer community mental health and alcohol and drug abuse programs on a single-county or multi-county basis. (7) “Department” means the Wisconsin department of health services.
(8) “DSM” means the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (2013), published by the American psychiatric association.
(10) “Mental illness" means a diagnosis meeting the criteria in the DSM.
(11) “Overdose” means the ingestion or application of a drug or other substance in a quantity greater than is recommended that results in serious negative health effects or death.
(12) “Overdose treatment provider” means an entity, including an emergency department of a hospital, that offers treatment or other services to individuals in response to or following a substance use overdose or an individual at high risk for a substance use overdose.
(13) “Peer recovery coach” means an individual who practices in the recovery field and who provides support and assistance to individuals who are in treatment or recovery from mental illness, a substance use disorder, or both.
_Hlk152925401(14) “Peer recovery coach supervisor” means a person who can co-supervise peer recovery coaches with a competent mental health professional if the peer recovery coach supervisor meets all the qualifications of a peer recovery coach in this chapter, has one year experience providing peer recovery coaching, and training in providing peer supervision. (15) “Peer recovery support services” are non-clinical services designed to meet the needs of individuals in or seeking recovery. These services are provided by peer recovery coaches and are designed to engage, educate, support, and assist individuals engaged in the recovery process.
(16) “Recovery” means a process of change through which an individual improves their health and wellness, lives a self-directed life, and strives to reach their full potential.
(17) “Service plan” means identified goals, objectives, and resources agreed upon by the participant and the service provider to be used in facilitation of the participant’s recovery.
(18) “Substance use disorder" means a diagnosis of substance use disorder listed in the DSM.
(19) “Substance use overdose treatment program” is a program certified under this chapter that offers an array of coordinated treatment and services, including peer recovery support services, in an integrated model of care to individuals at risk of or in response to a substance use overdose.
(20) “Supervision” means a professional and collaborative activity between a supervisor and staff which provides guidance and support to assure quality work and promote staff development.
(21) “Tribe" means a federally recognized American Indian tribe or band.
(22) “Treatment” means the planned provision of services that are responsive to a participant’s individual needs to assist them through the process of mental health recovery, substance use recovery, or both.
(23)“Variance" means an alternate means of meeting a requirement in this chapter.
(24) “Waiver" means an exemption from a requirement of this chapter.
_Hlk170474049Subchapter II – Peer Recovery Support Services Standards (1) Peer recovery coaches may provide peer recovery support services in accordance with this subchapter to individuals with mental health or substance use challenges in any of the following:
(a) Substance use overdose treatment program certified under subch. III.
(b) A behavioral health program certified under ch. DHS 34,35, 36, 63, 75, or 124. _Hlk158382372(2) Peer recovery coaches shall do all of the following: (a) Possess personal lived experience with mental health challenges, substance use challenges, or both. This may include experience as a parent or as an adult family member of an individual who has experienced mental health or substance use challenges.
(b) Use their lived experience and recovery, combined with training and supervision, to support participants with mental health or substance use challenges in their recovery.
(c) Provide services in coordination with the participant’s individual treatment goals noted on the service plan.
(d) Guide the recovery process and support the participant’s recovery choices, goals, and decisions.
(e) Provide trauma informed, person-centered, and strength-based peer recovery support services.
(3) If indicated in a participant’s treatment goals noted on the service plan, peer recovery coaches may provide any of the following services:
(a) Peer recovery support services in a variety of settings to assist the participant in positively engaging in their community.
(b) Coaching participants to increase their needed skills and assist them on accomplishing tasks and goals noted on the service plan.
(c) Connecting a participant to needed resources, services, and supports that will assist participants to enhance their recovery.
(d) Mentoring the participant and using their lived experience to provide mutual support and inspire hope.
(e) Planning, developing, and facilitating groups using peer recovery supports or peer recovery support activities to enhance recovery.
(f) Assisting in the development of formal and informal supports, serve as an advocate, mentor, or facilitator for the resolution of challenges.
(g) Performing a range of peer support tasks to assist the parents/legal guardians of youth participants during the recovery process.
(h) Assisting participants to engage in behavioral health or to address barriers to their recovery.
(i) Supporting the participant’s use of harm reduction strategies and a variety of pathways to recovery.
(j) Engaging other supports that facilitate the participant’s engagement and active participation in their own recovery.
DHS 72.05 Training, orientation, and continuing education requirements.
(1) General requirements. Training, orientation, and continuing education is required for all peer recovery coaches. All programs covered under s. DHS 72.04 (1) are required to provide orientation to peer recovery coaches. Written verification of training, orientation, and continuing education shall be maintained in the employee’s file and made available to the department upon request. (2) Required training for peer recovery coaches. Prior to providing recovery support services, a peer recovery coach shall complete training that will provide a basic set of competencies necessary to perform the peer support function. Prior to providing recovery support services, a peer recovery coach shall complete and document completion of 40 hours of peer recovery coach training that includes all of the following:
(a) 10 hours of training in advocacy related to the population served.
(b) 10 hours of training in mentoring and education related to the population served.
(c) 10 hours of training in recovery and wellness support related to the population served.
(d) 10 hours of training in ethical responsibility related to the population served.
(3) Required relevant volunteer or paid experience. In addition to the training specified in sub. (2), and prior to providing recovery support services, a peer recovery coach shall complete 24 hours of supervised volunteer or paid work experience involving advocacy, mentoring and education, recovery and wellness support, ethical responsibility, or a combination of those areas. This experience may be part of new employee orientation or prior work or volunteer experience.
(4) Continuing education. Peer recovery coaches shall receive 8 hours of annual training pertinent to the services they provide.
DHS 72.06 Supervision of peer recovery coaches.
(1) General supervision requirement. A peer recovery coach shall provide peer recovery support services under the supervision of a competent mental health professional. Supervision may be provided in an individual session between the competent mental health professional and peer recovery coach, or in a group session involving one competent mental health professional and more than one peer recovery coach. Supervision should support peer recovery coaches' competent and appropriate contribution to treatment via services that are complementary to but distinct from treatment professionals.
(2) Minimum amount of supervision required. When individual supervision is provided, a peer recovery coach shall receive a minimum of one hour of supervision by a competent mental health professional for every 30 hours of face-to-face peer recovery support services the peer recovery coach provides.
(3) Competent mental health professional training or experience requirements. The supervising competent mental health professional shall be trained or have documented experience, in all of the subjects listed in s. 49.45 (30j) (b) 2. a. to L., Stats., in addition to their formal education and licensure. _Hlk187822437(4) Co-supervision by a peer recovery coach supervisor. (a) A peer recovery coach may also be co-supervised by a peer recovery coach supervisor and a competent mental health professional.
