Description
Used to see if your youth has a substance use concern. It helps providers know the best way to help them. Results will not impact your youth’s eligibility for services.

• What it is: A conversation with a provider to see if your youth may have a substance use concern.
• Who this may help: Youth who may be experimenting with or affected by alcohol or drugs.
• What to know: Results do not affect eligibility for services.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
Tests to see if your youth’s hair, urine, or saliva shows that there is alcohol or drugs in their body.

• What it is: Tests of hair, urine, or saliva to check for alcohol or drugs.
• Who this may help: Youth in treatment or monitoring programs.
• What to know: Prior authorization is needed after 24 tests in a calendar year.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless your youth has already had 24 units/tests in the calendar year.

Description
Case management is a collaborative process with a trained behavioral health professional. A case manager helps facilitate and advocate for options and services to meet your youth’s needs. They can help your youth access and coordinate care for their physical and mental health. They can also help your youth with community-living needs and connect your family to services.

• What it is: Help from a professional who coordinates care and services.
• Who this may help: Youth with complex mental health or substance use needs.
• What to know: Prior authorization required after 240 units per year.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless your youth has already had 240 units of case management in the calendar year.

Description
The CANS is a functional assessment tool for youth under 18 years old. All IBHP members under 18, both Medicaid members and other eligible members, must have a CANS assessment. The CANS is required to be updated at least every 90 days to track the child’s/youth’s progress. The CANS and the CDA will identify if a youth has serious emotional disturbance (SED). For more information on SED and the CANS, see the Youth Empowerment Services (YES) and Other Help for Youth chapter of this handbook.

• What it is: A required assessment for youth under age 18 that looks at strengths and needs.
• Who this may help: All IBHP youth members.
• What to know: Must be updated at least every 90 days.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
A CFT is a group of people your youth and family choose to help and support you while your youth gets treatment. At a minimum, the team includes the youth, family, and their primary mental health provider. It can also include friends, neighbors, coaches, instructors, religious leaders, and other community members and professionals. For more information about CFTs, see the Youth Empowerment Services (YES) and Other Help for Youth and Care Coordination chapters of this handbook.

• What it is: A team chosen by your youth and family to support treatment.
• Who this may help: Youth who benefit from coordinated, team-based care.
• What to know: Includes family, providers, and trusted community members.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
A CDA helps providers understand your youth’s mental health and substance use concerns and is used to develop a care plan. It includes a review of your youth’s health history and any family-related issues. A CDA needs to be completed every twelve (12) months. It can be updated more often if needed. The CANS and the CDA will identify if a youth has serious emotional disturbance (SED). For more information on SED and the CANS, see the Youth Empowerment Services (YES) and Other Help for Youth chapter of this handbook.

• What it is: A detailed review of your youth’s mental health and substance use needs.
• Who this may help: Youth starting services or whose needs have changed.
• What to know: Required every 12 months and may be updated sooner if needed.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
If your youth is having a behavioral health crisis*, you or they can call 988 or text 988 24 hours a day, 7 days a week to talk to a live person at the Idaho Crisis and Suicide Hotline. You/they can also call your youth’s treatment provider if the provider has after-hours services. This service gives you/your youth immediate help from trained professionals. Staff listen and connect callers to the right levels of care.

*A crisis is when you or someone you know is having sudden and severe mental health concerns, and you are unsure of what to do. See Getting Care chapter for more information.

• What it is: 24/7 phone or text support during a crisis.
• Who this may help: Any youth or family needing immediate help.
• What to know: Available to all Idahoans.

Member Eligibility
Coverage: This service is available to all Idahoans free of charge.

Description
Youth Crisis Centers (YCC) are safe places for youth, ages 12-17, to go to by choice if they are having emotional distress, psychiatric symptoms, substance use challenges, or other life stressors. Each YCC is expanding to include youth ages 5-17; call your local YCC for details. Your youth may stay at a Crisis Center for up to 23 hours and 59 minutes. A list of youth crisis centers can be found at this link.

*A crisis is when you or someone you know is having sudden and severe mental health concerns, and you are unsure of what to do. See Getting Care chapter for more information.

• What it is: Safe, voluntary places for youth in crisis.
• Who this may help: Youth ages 12–17 (some centers serve ages 5–17).
• What to know: Stays up to 23 hours and 59 minutes.

Member Eligibility
Coverage: This service is available to all Idahoans free of charge.

Description
With crisis* intervention services, you or your youth can talk to a behavioral health expert 24 hours a day, 7 days a week. The person will work with you or your youth to manage the crisis and make a plan to improve your youth’s situation.

*A crisis is when you or someone you know is having sudden and severe mental health concerns, and you are unsure of what to do. See Getting Care chapter for more information.

• What it is: Immediate help from a behavioral health professional.
• Who this may help: Youth experiencing sudden emotional or behavioral distress.
• What to know: Available 24/7.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
Crisis* psychotherapy is available when your youth has a behavioral health crisis but is not at risk of hurting themselves or others. They talk with a trained therapist to explore and address the issues that led to their crisis. The goal is to help your youth get stabilized quickly.

*A crisis is when you or someone you know is having sudden and severe mental health concerns, and you are unsure of what to do. See Getting Care chapter for more information.

• What it is: Short-term therapy during a crisis.
• Who this may help: Youth who are distressed but not at risk of harm.
• What to know: Focuses on quick stabilization.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
This is an assessment a clinician does for children under age 6 to see if they show signs of mental health concerns.

• What it is: An assessment for children under age 6 to identify early mental health concerns.
• Who this may help: Young children showing emotional or behavioral challenges.
• What to know: Helps support early intervention.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
If your youth starts to have signs of serious mental illness that interferes with their life, they may have ESMI.* The STAR program is for people who:

• Are between 15 and 30 years old
• Have experienced ESMI within the past two (2) years
• Have not received treatment
• Meet the criteria in the most recent version of The Diagnostic and Statistical Manual of Mental Disorders

Services include:

• Assessments
• Treatment plans
• Psychoeducation
• Crisis intervention
• Case management and coordination
• Psychotherapy (individual and group)
• Peer support
• Medication management
• Education and career help

*ESMI is a condition that affects an individual, regardless of their age, and that is a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the current version of The Diagnostic and Statistical Manual of Mental Disorders as published by the American Psychiatric Association (APA). For a significant portion of the time since the onset of the disturbance, the individual has not achieved or is at risk for not achieving the expected level of interpersonal, academic, or occupational functioning. This definition is not intended to include conditions that are attributable to the psychologic effects of a substance, substance use disorder, are attributable to an intellectual developmental disorder or another medical condition. The term ESMI is intended for the initial period of onset of the symptoms.

• What it is: Early treatment for serious mental illness.
• Who this may help: Youth ages 15–18 and then 19-30 with recent symptom onset.
• What to know: Focuses on recovery, education, and work goals.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: Yes

Regional Early Serious Mental Illness (ESMI) Providers

Description
If your youth has serious emotional disturbance (SED), a mental health diagnosis, or a mental health and substance use diagnosis, you can get help from a Certified Family Support Partner (CFSP). CFSPs have experience parenting youth with mental health and substance use concerns. They know what your youth and family are going through, so you feel less alone. CFSPs encourage and empower families to identify and use strengths through the recovery process.

• What it is: Support from a Certified Family Support Partner who has lived experience.
• Who this may help: Families of youth with mental health or substance use concerns.
• What to know: Prior authorization required after 416 units per year.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless your family has already had 416 units of family peer support in the calendar year.

Description
Your youth and family can get information that can help understand your youth’s and family’s needs and strengths. This service is to help you learn about and understand your youth’s concerns, so you all can manage and make decisions in an informed way. Depending on what your youth or family needs help with, your youth can come to sessions with just your family or a group of families that share the same experiences.

• What it is: Education to help families understand mental health needs and strengths.
• Who this may help: Families wanting to better support their youth.
• What to know: May include single-family or multi-family sessions.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
Your youth and family can talk with a behavioral health expert about concerns you all have. Your all will learn coping skills to help manage them. You can meet with a provider with expertise with your youth’s concerns.

• What it is: Therapy involving your youth and family members.
• Who this may help: Families working through mental health challenges together.
• What to know: Focuses on coping and communication skills.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
Functional assessments measure your youth’s ability to do things needed for daily living. It measures your youth’s strengths and needs.

• What it is: An evaluation of how your youth manages daily life activities.
• Who this may help: Youth who struggle with everyday tasks or independence.
• What to know: Helps guide treatment planning.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
If you have a mental health or substance use concern, you can meet with a group of three or more people with similar concerns. You and the other group members will talk and support each other. You may practice coping skills to learn how to manage issues. The group is led by a behavioral health expert who helps you be safe.

• What it is: Therapy with other youth facing similar challenges.
• Who this may help: Youth who benefit from peer interaction and shared learning.
• What to know: Led by a trained provider to ensure safety.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
HBAI takes place in a medical clinic. A provider may complete mental health, substance use, and physical health screenings or tests. These assessments help determine what services and supports your youth may need.

• What it is: Health and behavior assessments completed in a medical setting.
• Who this may help: Youth who may need mental health, substance use, or physical health services.
• What to know: Assessments help identify your youth’s needs and guide next steps in care.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless your youth has already used 60 units of HBAI during the calendar year

Description
Idaho WInS is a family-driven program for youth with serious emotional problems. It also helps youth who are returning home from or at risk of needing out-of-home placement. It is a structured, evidence-based, high-fidelity form of Intensive Care Coordination delivered by providers. Idaho WInS allows your youth to get services at home and in the community. The services are "wrapped around" your family to keep your youth at home and your family intact. Idaho WInS is part of the YES system of care and is the Idaho model of Wraparound. For more information about ICC, see the Care Management chapter of this handbook.

Just like other youth services, youth on Medicaid can get this benefit through the month of their 21st birthday with the Early and Periodic Screening, Diagnostic, and Testing (EPSDT) benefit.

• What it is: A family-driven, wraparound program for youth with serious emotional needs.
• Who this may help: Youth at risk of out-of-home placement or returning home.
• What to know: Part of the YES System of Care.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless youth gets service through EPSDT
• About Wraparound Flyer (PDF)

Regional Idaho Wraparound Intensive Services (WInS) Providers

Description
Your youth can talk with a trained therapist to explore and address emotional, mental, and behavioral concerns. Therapy provides a safe space for your youth to understand feelings and develop coping strategies to improve overall wellbeing. They can meet with a provider with expertise with their concerns.

• What it is: One-on-one therapy with a trained provider.
• Who this may help: Youth with emotional, mental health, or substance use concerns.
• What to know: Providers can match expertise to your youth’s needs.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
A trained clinician and a skills builder work with your youth and family to create a personalized treatment plan. The approach focuses on your youth’s strengths and helps them meet goals.

• What it is: A personalized plan focused on strengths and goals.
• Who this may help: Youth who need help building daily life skills.
• What to know: Created with a clinician and skills builder.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
If your youth has mental health concerns (with or without a co-occurring substance use concerns), and their thoughts, mood, perception, or behavior is substantially impaired, they may need to be admitted to the hospital for inpatient services. Your youth will get covered services in a hospital and stay there overnight.

If your youth does not have Medicaid, other state funds will cover inpatient care only if your youth is involuntarily admitted.

• What it is: Hospital care with overnight stays.
• Who this may help: Youth whose symptoms severely affect safety or functioning.
• What to know: Other State Funds only cover involuntary admissions.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered for involuntary admissions
• Pre-Auth Required: Yes

Description
If your youth has substance use concerns and needs medically managed withdrawal treatment and related care, they may need to be admitted to the hospital for inpatient services. Your youth will get covered services in a hospital and stay there overnight for at least one day.

• What it is: Hospital care for medically managed withdrawal.
• Who this may help: Youth needing medical detox support.
• What to know: Requires pre-authorization.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Not covered
• Pre-Auth Required: Yes

Description
Your youth may get IHCBS if they:

• Are at risk of out-of-home placement
• Are transitioning back to live with their families
• Have significant behavioral health needs

Services can include therapy, behavior modification, and parent education and training.

• What it is: Intensive services delivered at home or in the community.
• Who this may help: Youth at risk of out-of-home placement.
• What to know: Requires prior authorization.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: Yes

Description
This is a structured program for your youth if they have mental health or substance use symptoms that can be managed in a level of care that is less intensive than partial hospitalization but higher than regular outpatient treatment.
Services include:

• Assessment and treatment planning
• Psychotherapy and/or psychoeducation
• Skill-building activities
• 24-hour crisis services
• Psychiatric evaluation
• Medication management
• Substance use screening and monitoring, and drug testing (as appropriate)
• Physical exam completed within the first week of treatment
• Care coordination/transition management/discharge planning
• For eating disorders:
  • Health assessment and monitoring
  • Dietary and nutrition services

Your youth can get these services outside the program:

• Separate case management
• Respite
• Peer support 
• Recovery coaching
• Psychological/neuropsychological testing
   
• What it is: Structured treatment while living at home.
• Who this may help: Youth needing more than weekly therapy.
• What to know: Includes therapy, medication support, and coordination.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
If English is not your youth’s or your primary language, or they/you are hearing impaired, they/you can get free oral translation or American Sign Language services when they/you are speaking to Magellan or providers. To get services, please call Magellan at 1-855-202-0973 (TTY 711).

Members who are hearing impaired can also use Idaho Relay Services at TTY 711 or: 

• Voice: 1-800-377-1363 
• Speech-to-Speech: 1-888-791-3004
• Visually Assisted Speech-to-Speech (VA STS): 1-800-855-9400
• Spanish: 1-866-252-0684

Written materials can be translated to another language and provided in alternate formats such as audio, large print, or Braille. For help with written materials, please call Magellan at 1-855-202-0973 (TTY 711).

• What it is: Free language and accessibility support.
• Who this may help: Families who need interpretation or alternate formats.
• What to know: Call Magellan for help.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
A doctor or nurse meets with your youth to discuss the medicines they take and order new ones they might need.

• What it is: Visits to review and manage medications.
• Who this may help: Youth taking mental health or substance use medications.
• What to know: Helps ensure medications are safe and effective.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
Mobile response is a brief face-to-face community-based intervention to help your youth wherever they are if they are in crisis. Teams identify your youth’s stressors and focus on their strengths and natural supports to de-escalate the crisis and prevent future crises. Mobile response is delivered in the community. Teams are dispatched by calling 988 or texting 988 - the Idaho Crisis and Suicide Hotline. This is available for all Idahoans.

• What it is: Crisis help delivered in the community.
• Who this may help: People who need in-person crisis support where they are.
• What to know: Helps prevent hospitalization.

Member Eligibility
Coverage: This service is available to all Idahoans free of charge.

Description
If your youth has mental health concerns, your youth and family can meet with other families who face similar challenges. In a group setting with a trained professional, your family discusses and works on emotional concerns with other families. The goal is to help your youth and family grow, handle your emotions better, and improve daily life skills.

• What it is: Therapy with several families at the same time.
• Who this may help: Families facing similar mental health concerns.
• What to know: Helps improve emotional regulation and daily life skills.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Not covered
• Pre-Auth Required: No

Description
Formal sets of tests that help detect brain damage, injuries or other issues. They can reveal challenges in how the brain functions. These tests are given by a psychologist.

Maximum of 14 units of neuropsychological testing per member per calendar year

• What it is: Testing to understand how your youth’s brain is functioning.
• Who this may help: Youth with brain injuries, learning concerns, or complex needs.
• What to know: Limited to 14 units per calendar year.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, until 14 hour threshold is met. 

Description
If your youth is aged 10 through 17* and has a serious emotional disturbance or substance use disorder diagnosis, this program can help your family. PLL helps parents re-establish adult authority with consistent limits. It helps families reclaim loving relationships. It combines individual and group therapy and lets families meet other families with the same needs. 

Youth who have Medicaid can get PLL services through the EPSDT program through the end of the month of their 21st birthday. 

• What it is: A family therapy program for youth ages 10–17.
• Who this may help: Families managing serious emotional or substance use concerns.
• What to know: Prior authorization required after 12 weeks.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, until 12 week threshold, per calendar year, is met. 

Regional Parenting with Love and Limits Providers

Description
If your youth has mental health or substance use concerns that can be managed in a level of care that is less intensive than inpatient hospitalization but higher than intensive outpatient, they may be able to attend a PHP for 20 or more hours a week. Your youth’s provider will determine if your youth’s age and concerns are appropriate for PHP. Your youth will not spend the night in the hospital. Services include:

• Assessment and treatment planning
• Psychotherapy and/or psychoeducation
• Skill-building activities
• 24-hour crisis services
• Psychiatric evaluation
• Medication management
• Substance use screening and monitoring, and drug testing (as appropriate)
• Physical exam
• Care coordination/transition management/discharge planning
• For eating disorders:
  • Health assessment and monitoring
  • Dietary and nutrition services
     
• What it is: Daytime treatment without overnight stays.
• Who this may help: Youth needing intensive support but not hospitalization.
• What to know: Requires prior authorization.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: Yes

Description
Formal sets of written, visual or verbal tests that are given by a psychologist. They help providers understand how your youth thinks, feels, and behaves. They can also help determine your youth’s strengths, challenges, personality and how they handle situations.

Maximum of 14 hours of psychological testing per member per calendar year

• What it is: Tests to understand how your youth thinks, feels, and behaves.
• Who this may help: Youth needing diagnostic clarity or learning support.
• What to know: Limited to 14 hours per calendar year.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, until 14 hour threshold is met. 

Description
If you have a mental health and/or substance use concern and your psychiatric, behavioral, or cognitive problems are severe that you need 24-hour care, you could go to a residential treatment center. A residential treatment center is not a hospital.
Services include:

• Psychiatric care
• Psychological care
• Therapeutic and behavior modification
• Psychotherapy 
• Nursing care
• Family visits
• Psychoeducation
   
• What it is: 24-hour care in a non-hospital setting.
• Who this may help: People with severe mental health or substance use needs.
• What to know: Includes therapy, medical care, and education.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: Yes

Description
Respite is only available to families with youth who have been evaluated through the independent assessment process, diagnosed with Serious Emotional Disturbance and enrolled in the Medicaid YES Program. Respite care is short-term or temporary care for your youth so you can take a break from caregiving. It can last up to 72 consecutive hours when not delivered in a community setting. It can last up to 10 consecutive hours when delivered in a community setting. Respite is not to be used in place of childcare. Only IBHP network providers who have completed Magellan's Respite training can provide this service. 

Youth get a maximum of 300 hours per year of respite.

Respite may be available to youth who are not enrolled in the YES Program via the vouchered respite program. Information about the program can be found at bpahealth.com/respite-care.

• What it is: Short-term care so caregivers can take a break
• Who this may help: Families of youth enrolled in the Medicaid YES Program.
• What to know: Up to 300 hours per year.

Medicaid Eligibility

• Medicaid: Covered
• Other State Funds: Not covered. For information about the Vouchered Respite program, covered by BPA Health, visit: https://www.bpahealth.com/respite-care/.
• Pre-Auth Required: No

Description
If your youth has mental health concerns that make it hard for them to do everyday tasks, this service can help. Your youth will work in a group to learn important daily living skills.

• What it is: Group-based skill building for daily living tasks.
• Who this may help: Youth who struggle with everyday activities.
• What to know: Focuses on practical, functional skills.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
If your youth has mental health concerns, they might be able to get CBRS at home or in the community. Providers use special techniques to help your youth improve behavior, social skills, communication, and daily living skills. It can help boost your youth’s abilities and confidence and reduce mental health symptoms.

• What it is: Skill development services delivered at home or in the community.
• Who this may help: Youth whose mental health affects daily functioning.
• What to know: Prior authorization required after 308 units per year.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless youth has already had 308 units of CBRS in a calendar year

Description
TASSP is a range of therapeutic, recreational, and social activities for youth. TASSP helps them with social, communication, behavior, and basic living skills. Youth also get help with psychosocial and problem-solving skills. TASSP helps youth improve functioning at home, school, and in their community. Services are provided after school, on school breaks, and in the summer and can include you and your youth’s family. 

Youth who have Medicaid can get TASSP services through the EPSDT program through the end of the month of their 21st birthday.

• What it is: Therapeutic activities outside school hours.
• Who this may help: Youth needing help with social, emotional, or behavioral skills.
• What to know: Available after school, during breaks, and in summer.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless youth gets service through EPSDT

Description
A doctor or nurse may give your youth medicine they need in a shot form. Injections may help people with long-term mental health conditions. They can lead to better results and consistent use. Sometimes injections are the best way to get certain medicines.

• What it is: Medication given by injection.
• Who this may help: Youth needing long-acting medications.
• What to know: Often improves consistency.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No

Description
Day treatment is a program where youth with serious emotional disturbance get one-on-one or group treatment. Services can include assessments, therapy, medication management and skill building. Youth spend three (3) to five (5) hours per day, four (4) to five (5) days a week in day treatment.

• What it is: Structured daytime treatment several days per week.
• Who this may help: Youth with serious emotional disturbance.
• What to know: Includes therapy, medication support, and skill building.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: Yes

Description
If your youth has serious emotional disturbance (SED), a mental health diagnosis, or a mental health and substance use diagnosis, they can get youth peer support. It is provided by a Certified Peer Support Specialist (CPSS) who has had Youth Peer Support Training. Specialists have personal experience with recovery from mental health and/or substance use concerns. Your youth can get one-on-one support or meet with a group. Youth support helps your youth:

• Know they are not alone
• Get involved in their treatment
• Set recovery goals
• Amplify their voice in decision making

If your youth is under age 12, see the Family Peer Support benefit.

• What it is: Support from a trained peer with lived recovery experience.
• Who this may help: Youth ages 12–17 with SED, mental health, or substance use needs.
• What to know: Helps youth build confidence, voice, and resilience.

Member Eligibility

• Medicaid: Covered
• Other State Funds: Covered
• Pre-Auth Required: No, unless youth has already had 416 units of peer support in the calendar year