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Medicare Coverage for Peer Support Services in Mental Health and Addiction Recovery.

This law expands Medicare coverage to include peer support services for individuals dealing with mental health disorders or substance use disorders, effective January 1, 2025. This means Medicare beneficiaries will gain access to support provided by certified specialists who have personal recovery experience, aiding their integration and self-determination. Medicare will cover 80% of the approved costs for these services provided through specific health centers.
Key points
Medicare will begin paying for peer support services (help provided by individuals with lived recovery experience) for those with mental health or substance use issues.
These services will be available through Federally Qualified Health Centers, rural clinics, and community mental health centers.
The change takes effect on January 1, 2025, significantly improving access to behavioral health treatment for Medicare recipients.
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Additional Information
Promoting Effective and Empowering Recovery Services in Medicare Act of 2023
Print number: S 3498
Sponsor: Sen. Cortez Masto, Catherine [D-NV]
Process start date: 2023-12-13