# Peer Support HOPE Note Template

HOPE is Peerakeet's original educational structure for recovery-oriented peer
documentation. It is not a CMS-defined acronym, universal Medicaid form, or
proof that a service is billable. Map it to every current state, payer, benefit,
provider, service-date, supervision, privacy, and documentation rule before use.

## Service facts

- Participant name or approved identifier:
- Service:
- Date, start time, end time, and eligible duration:
- Location and modality:
- Individual or group:
- Peer support specialist and required credential:
- Applicable plan goal, referral, order, or authorization:

## H: Hope or goal

What matters to the participant? What recovery goal, need, choice, or barrier
did this encounter address?

## O: Offered peer support

What specific recovery-oriented support did the peer provide? Describe the
action: coaching, skill practice, navigation, advocacy, connection, planning,
reflection, or purposeful lived-experience-informed support when appropriate.

## P: Participant voice and progress

What did the participant say, choose, practice, complete, decline, or identify
as a strength, progress, or barrier?

## E: Expected next step

What did the participant and peer agree will happen next, who owns each action,
and when will follow-up occur?

## Completion

- Peer signature:
- Role or credential:
- Date and time signed:
- Supervisor review, if required:
- Amendment reason, author, and timestamp, if applicable:

Source page: https://peerakeet.com/billing-resources/hope-note-template