PA HB1721

Requires Pennsylvania Medicaid to cover peer recovery support services for individuals with mental health or substance use disorders, with services reimbursable as a primary service requiring no preauthorization or additional diagnosis

Extends coverage eligibility to family members of Medicaid beneficiaries and allows services to be delivered in-person, by phone, video, or virtually in individual or group settings (maximum 10 individuals per specialist)

Creates a certification process for peer recovery support services providers, requiring them to be 501(c)(3) nonprofits with boards composed of at least 51% individuals with lived mental health or substance use experience

Requires peer recovery support specialists to have personal lived experience with mental health or substance use disorders and be trained and certified by an approved Pennsylvania certifying body

Takes effect 90 days after enactment, with regulations required to provide transition time for existing providers and ensure no interruption in care for current Medicaid recipients