PacificSource Community Solutions has updated the peer-delivered services policy effective January 1, 2026.
- Clarifying criteria for service eligibility for peer-delivered services, including medical appropriateness criteria.
- Providers billing services of more than 8 units will be required to submit clinical documentation with claims. Claims will be reviewed for medical necessity and appropriateness prior to payment. Claims submitted with more than 8 units without clinical documentation will be denied.
Please see updated peer-delivered services policy at:
Provision of Peer Delivered Services