Recovery Support Services (RSS) Questions & Answers

Below are answers to frequently asked questions related to the new recovery support services system. If you would like to recommend additional questions, please email [email protected]

Last updated: September 11, 2025

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Questions and Answers

Which Recovery Support Services will be included as a Medicaid-reimbursable benefit?

Recovery Coaching will be reimbursable at a minimum. The Vermont Department of Health, together with our partners in Medicaid Policy and the Vermont Department of Health Access, are working to define what other services could be reimbursable in the future.

Who needs to provide the services for the benefits to be reimbursable under Medicaid?

Recovery support services need to be provided by Certified Peer Recovery Support Specialist employed by a Vermont Department of Health Certified Recovery Services Organization.

Will technical assistance be provided?

The Department of Health, in coordination with the Vermont Department of Health Access and other partners, will provide technical assistance as the RSS Medicaid benefit is further developed.

What happens if recovery organizations do not get certified by June 30, 2026?

If an organization is not certified by June 30, 2026, they are not eligible to receive federal or state funding from the Vermont Department of Health for the provision of recovery support services.

What will the training requirements be for PRSS certification?

In order to be eligible for PRSS Certification, individuals must obtain the International Certification and Reciprocity Consortium (IC&RC) Certified Recovery Coach credential through Prevention Works!VT which requires the completion of specific training. Please find information about training options through Prevention Works!VT.  

Will the PRSS Code of Ethics be changing?

The Division of Substance Use Recovery Team worked with Recovery Centers and community members to review and update the PRSS Code of Ethics. Please find the revised version here: https://www.healthvermont.gov/sites/default/files/document/certified-prss-code-of-ethics.pdf.  
 

What about currently certified Recovery Coaches?

The International Certification and Reciprocity Consortium’s Peer Recovery certification will act as the Vermont Peer Recovery Support Specialist’s credentialing requirement needed to apply through the Office of Professional Regulation for PRSS Certification. In Vermont, the IC&RC’s Peer Recovery Certification is known as Certified Recovery Coach.  
All those who have a current Certified Recovery Coach (CRC) certification utilizing the International Certification and Reciprocity Consortium (IC&RC) will be eligible for Office of Professional Regulation Peer Recovery Support Specialist certification. Individuals who currently hold the IC&RC Certified Recovery Coach credential are encouraged to review the PRSS Certification process flow for information about next steps: https://www.healthvermont.gov/sites/default/files/document/opr-prss-certification-process-flow.pdf. 
 

Will the state cover the OPR certification fee?

The state will cover the Office of Professional Regulation Peer Recovery Support Specialist certification fee for people employed by or volunteering at one of Vermont’s 12 Recovery Centers through established grants with these organizations.

How will the “appointed advisors” be nominated, as referenced in the draft rule?

Information on being an Advisor can be found here along with the advisor application to apply.  Peer Support Advisors meet at least once per year, as well as partner with the Office of Professional Regulation (OPR) on any topic that may arise regarding the regulation of the profession as needed.

The PRSS Certification application through the Office of Professional Regulation asks applicants whether they hold a current active certification approved by the Vermont Department of Health. Which certification does this refer to?

At this time, the IC&RC Certified Recovery Coach (CRC) Certification through Prevention Works!VT is required to apply for PRSS Certification through the Office of Professional Regulation (OPR) and must be submitted as part of the PRSS application.

Are all Recovery Centers required to become certified as Recovery Services Organizations before a certain date?

The RSO Certification application period is open until October 31st, 2025. RSO Certification will be required to receive funding from the Department of Health for the provision of recovery services beginning in SFY27.

Are all Recovery Centers required to transition to Medicaid billing eventually?

The Department of Health will address this question in upcoming touchpoints with Recovery Centers. 

With the transition to Medicaid expansion funding, will there be any transition period to allow Recovery Centers to establish internal systems for billing while still having funding to support services while that happens?

Recovery Support Services will be eligible under Medicaid no earlier than July 1, 2027. Funding discussions will be forthcoming. 

Will VDH provide financial assistance for Medicaid coding (training, funding to support potential new staff position needed)?

The Department of Health will address this question in upcoming touchpoints with Recovery Centers.

Will the Recovery Data Platform 2.0 meet data needs for Medicaid, or will Recovery Centers need to acquire an additional program?

The Department of Health has described the documentation requirements currently known in touchpoints with Recovery Center Directors and in the RSO Standards. The Department of Health will discuss additional data or documentation requirements in future touchpoints with Recovery Centers.

Where can I go with questions or to find more information?

Questions can be sent to [email protected]

Updates about this work will be reflected on this Q&A page, the Recovery Support Services page, and via the RSS Connect Newsletter 

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If you have additional questions, contact [email protected]

Contact Us

Substance Use Programs (DSU)

Vermont Department of Health
280 State Street
Waterbury, VT 05671-8340

802-651-1550
[email protected]

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