Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 130 - AMOUNT, DURATION AND SCOPE OF SELECTED SERVICES › Part XX - Addiction and Recovery Treatment Services › Section 12VAC30-130-5160 - Peer support services and family support partners: definitions

Current through Register Vol. 40, No. 24, July 15, 2024
The following words and terms when used in this part shall
					 have the following meanings:
"Behavioral health service" means treatments and services
					 for mental or substance use disorders.
"Caregiver" means the family members, friends, or neighbors
					 who provide unpaid assistance to a Medicaid member with a mental health or
					 substance use disorder or co-occurring mental health and substance use
					 disorder. "Caregiver" does not include individuals who are employed to care for
					 the member.
"Direct supervisor" means the person who provides direct
					 supervision to the peer recovery specialist. The direct supervisor (i) shall
					 have two consecutive years of documented practical experience rendering peer
					 support services or family support services, have certification as a PRS under
					 a certifying body approved by DBHDS, and have documented completion of the
					 DBHDS PRS supervisor training; (ii) shall be a practitioner who has documented
					 completion of the DBHDS PRS supervisor training, meets the definition of
					 "credentialed addiction treatment professional" found in
					 12VAC30-130-5020, and
					 is acting within his scope of practice under state law; or (iii) shall be a
					 certified substance abuse counselor (CSAC) as defined in §
										54.1-3507.1
					 of the Code of Virginia who has documented completion of the DBHDS PRS
					 supervisor training if he is acting under the supervision or direction of a
					 licensed substance use treatment practitioner or licensed mental health
					 professional. If a practitioner referenced in clause (ii) of this definition or
					 a CSAC referenced in clause (iii) of this definition provides services before
					 April 1, 2018, he shall have until April 1, 2018, to complete the DBHDS PRS
					 supervisor training.
"Peer recovery specialist" or "PRS" means a person who has
					 the qualifications, education, and experience established by the Department of
					 Behavioral Health and Developmental Services in 12VAC35-250-10.
"Peer recovery support services" means the same as defined
					 in 12VAC35-250-10.
"Person centered" means a collaborative process where the
					 individual participates in the development of his treatment goals and makes
					 decisions about the services provided.
"Recovery-oriented services" means providing support and
					 assistance to an individual with mental health or substance use disorders or
					 both so that the individual (i) improves his health, recovery, resiliency, and
					 wellness; (ii) lives a self-directed life; and (iii) strives to reach his full
					 potential.
"Recovery, resiliency, and wellness plan" means a written
					 set of goals, strategies, and actions to guide the individual and the health
					 care team to move the individual toward the maximum achievable independence and
					 autonomy in the community. The documented comprehensive wellness plan shall be
					 developed with the LMHP, LMHP-R, LMHP-RP, or LMHP-S who conducted the
					 assessment and made the recommendation, along with the individual or caregiver,
					 as applicable, the PRS, and the direct supervisor within 30 days of the
					 initiation of services and shall describe how the plan for peer support
					 services and activities will meet the individual's needs. This document shall
					 be updated as the needs and progress of the individual change and shall
					 document the individual's or caregiver's, as applicable, request for any
					 changes in peer support services. The recovery, resiliency, and wellness plan
					 is a component of the individual's overall plan of care and shall be maintained
					 by the enrolled provider in the individual's medical record.
"Resiliency" means the ability to respond to stress,
					 anxiety, trauma, crisis, or disaster.
"Self-advocacy" means an empowerment skill that allows the
					 individual to effectively communicate preferences and choice.
"Strength-based" means to emphasize individual strengths,
					 assets, and resiliencies.
"Supervision" means the ongoing process performed by a
					 direct supervisor who monitors the performance of the PRS and provides regular
					 documented consultation and instruction with respect to the skills and
					 competencies of the PRS.
Statutory Authority: §
												32.1-325
						of the Code of Virginia;
						42 USC §
													1396 et
						seq.