Peer support billing library
Peer support billing, organized from setup to payment.
Find the right guide for the task in front of you—from Medicaid enrollment and H0038 to documentation, units, denials, and state-specific rules.
17 free guides and tools · 51 jurisdiction guides
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The library is grouped around the work: getting started, coding and claims, documentation, then review tools.
Start billing
Build the pathway from covered benefit and enrollment through source-backed rules, testing, and day-to-day operations.
Codes and claims
Work through H0038, modifiers, units, telehealth, billable activities, service settings, and claim denials.
Which Peer Support Activities Are Billable?
Compare commonly billable and non-billable peer support activities, with a state-specific decision test for every encounter.
Open resourceHow Does Individual vs. Group Billing Work?
Compare individual and group peer support billing, including H0038, HQ, state-specific codes, units, rates, and documentation.
Open resourceWhat Is H0038 for Peer Support Billing?
Understand H0038 peer support billing: the current code descriptor, claim fields, units, modifiers, POS codes, and state-specific rules.
Open resourceWhich Modifiers Go With H0038?
Understand H0038 modifiers including HQ, HF, HE, U4, GT, and KX, and why current state and payer instructions control their use.
Open resourceWhy Was an H0038 Claim Denied?
Diagnose H0038 rejections and denials by enrollment, eligibility, authorization, coding, units, POS, duplication, and documentation.
Open resourceCan Peer Support Be Billed by Telehealth?
Learn when Medicaid peer support may be billed by audio-video or audio-only telehealth and how POS, modifiers, consent, and state rules differ.
Open resourceDocumentation and templates
Create recovery-oriented notes that preserve participant voice and support complete, consistent documentation.
What Belongs in a Peer Support Progress Note?
Use a free peer support progress note template, completed example, format comparison, and review checklist built around participant goals.
Open resourceHow Do Peers Write a SOAP Note?
Use a peer support SOAP note template and example that preserve participant voice, recovery goals, and the boundaries of the peer role.
Open resourceHow Do Peers Write a HOPE Note?
Use Peerakeet’s transparent HOPE note framework to document participant goals, peer support, response, progress, and next steps.
Open resourceWhat Must Peer Support Documentation Include?
Build a peer support documentation checklist covering service facts, goals, interventions, participant response, signatures, and billing review.
Open resourceHow to Write a Peer Support DAP Note
Use a section-by-section DAP guide, fictional example, quality checklist, and free copy-ready template.
Open resourceTools and reference
Use checklists, calculators, plain-English definitions, and 51-jurisdiction research to review the details faster.
How Do You Calculate H0038 Units?
Calculate H0038 15-minute units and learn how rounding, partial units, limits, overlaps, and documentation vary by payer.
Open resourceWhat Should a Peer Claim Checklist Include?
Download a free peer support pre-claim checklist covering eligibility, enrollment, authorization, documentation, coding, units, and filing.
Open resourceHow Does Peer Support Billing Vary by State?
Research peer support Medicaid billing across all 50 states and Washington, DC, with links to current state-specific guides and sources.
Open resourceWhat Do Peer Support Billing Terms Mean?
Plain-English definitions for H0038, NPI, taxonomy, modifiers, units, POS, 837P, 835 ERA, CARC, RARC, denials, and more.
Open resourceWhat Could Peer Support Billing Generate?
Estimate monthly peer support units, submitted charges, and initially accepted charges using your capacity, utilization, rate, and denial assumptions.
Open resourceRelated resources
Put billing in context.
Review the state pathway and the program foundations that support consistent services.