(3) The department may establish policies and procedures to provide guidance on any of the following:
(a) The provision of medications that reverse an overdose and any other medications or biological products used to treat a substance use disorder.
(b) Continuation of, or referral to, evidence-based treatment services for patients with a substance use disorder who have experienced an overdose, for the purpose of supporting long-term treatment and preventing relapse or future overdoses.
(4) The department shall seek any funding available from the federal government, including grant funding under 42 USC 290dd-4, to establish and maintain the program under sub. (2) or establish the policies and procedures under sub. (3). The department may satisfy the requirement under sub. (2) by encouraging or facilitating or providing funding to programs operated by nongovernmental overdose treatment providers.
122,2
Section
2. 49.45 (30j) of the statutes is created to read:
49.45 (30j) Reimbursement for peer recovery coach services. (a) In this subsection:
1. “Competent mental health professional” means a physician who has completed a residence in psychiatry; a psychologist or a private practice school psychologist licensed under ch. 455; a marriage and family therapist licensed under s. 457.10 or 457.11; a professional counselor licensed under s. 457.12 or 457.13; an advanced practice social worker granted a certificate under s. 457.08 (2); an independent social worker granted a certificate under s. 457.08 (3); a clinical social worker licensed under s. 457.08 (4); a clinical substance abuse counselor or independent clinical supervisor certified under s. 440.88, or any of these individuals practicing under a currently valid training or temporary license or certificate granted under applicable provisions of ch. 457. “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.
2. “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 or a substance use disorder.
(b) The department shall reimburse under the Medical Assistance program under this subchapter any service provided by a peer recovery coach if the service satisfies all of the following conditions:
1. The recipient of the service provided by a peer recovery coach is in treatment for or recovery from mental illness or a substance use disorder.
2. The peer recovery coach provides the service under the supervision of a competent mental health professional who has been trained in all of the following subjects:
a. Understanding the peer role in recovery and supporting clear and meaningful peer roles.
b. Recovery orientation.
c. Model principles of recovery.
d. Training of peer recovery coaches.
e. Professional health system navigation.
f. Applicable laws and policies.
g. Community resources.
h. Quality, strength-based, and person-centered supervision.
i. Identification and evaluation of peer competencies.
j. Confidentiality, ethics, and professional boundaries.
k. Antidiscrimination in employment, staff development, and employment practices.
L. Peer-delivered services advocacy.
3. The peer recovery coach provides the service in coordination with the Medical Assistance recipient's individual treatment plan and in accordance with the recipient's individual treatment goals.
4. The peer recovery coach providing the service has completed all of the following training requirements, as established by the department by rule, after consulting with members of the recovery community:
a. Forty hours of training in advocacy, mentoring and education, recovery and wellness support, and ethical responsibility that includes training of at least 10 hours in advocacy, at least 10 hours in mentoring and education, at least 10 hours in recovery and wellness support, and at least 10 hours in ethical responsibility.
b. Twenty-four 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.
(c) The department shall certify under Medical Assistance peer recovery coaches to provide services in accordance with this subsection.
(d) The department shall request from the federal department of health and human services any waiver of federal Medicaid law, state plan amendment, or other federal approval necessary to implement this subsection and s. 49.46 (2) (b) 14p.
122,3
Section
3. 49.46 (2) (b) 14p. of the statutes is created to read:
49.46 (2) (b) 14p. Subject to s. 49.45 (30j), services provided by a peer recovery coach.
122,4m
Section 4m.
Nonstatutory provisions.
(1) Rules regarding training of peer recovery coaches. The department of health services may promulgate the rules required under s. 49.45 (30j) (b) 4. as emergency rules under s. 227.24. Notwithstanding s. 227.24 (1) (a) and (3), the department of health services is not required to provide evidence that promulgating a rule under this subsection as an emergency rule is necessary for the preservation of the public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection. Notwithstanding s. 227.24 (1) (c) and (2), emergency rules promulgated under this subsection remain in effect until the date the permanent rules take effect.
