MedicaidCoverageMedium impact
Provider Letter 2021-09: ITU Peer Recovery Support Specialist Services Revisions
Oklahoma SoonerCare·OK · Psychiatry·Provider Letter
Effective date
Sep 1, 2021
We identified it
Jun 20, 2026
Summary
Oklahoma Medicaid will begin covering and reimbursing peer recovery support specialist services in Indian Health Services, Tribal Programs, and Urban Indian Clinics at encounter rates. This adds a new covered service category for substance use disorder treatment support.
Action Required
By September 1, 2021: Billing teams at I/T/U facilities must update billing systems to include peer recovery support specialist services as a billable encounter. Review OAC 317:30-5-1094 for specific billing requirements and encounter rate reimbursement procedures. Contact OHCA provider helpline at 800-522-0114 for billing code clarification.