06/30/2025
🚨 KENTUCKY PROVIDER ALERT
Humana Medicaid Cuts to Peer Support Services
Joint Statement from Lane13 Consulting & The ARCHway Institute’s National Peer Recovery Alliance (NPRA)
Effective July 5, 2025, Humana is implementing significant cuts to Medicaid-funded behavioral health services in Kentucky, directly impacting individuals in recovery and the peer support workforce that serves them.
📉 Key Change:
🔹 Peer Support Services (H0038) will be limited to 52 hours (208 units) per member (per provider group/TAX ID) annually — down from 200 hours (800 units).
This drastic reduction severely limits access to peer support across Kentucky, undermining one of the most effective tools in the recovery journey.
🛑 Why This Matters:
Peer support isn’t a luxury, it’s essential. These services are a proven lifeline for people facing mental health and substance use challenges. Gutting access puts recovery at risk for thousands and destabilizes the workforce trained to support them.
📢 This information was shared via an official provider communication sent across the state. We strongly urge advocates, providers, and peers to mobilize now. Recovery deserves better.
đź”— Read the full policy update here:
https://assets.humana.com/is/content/humana/462401KY0424-A_KY_MCD_Claim_Coverage_Policies_Booklet_HUMP462401pdf
đź’¬ Alaina Sweasy, CEO, Lane13 Consulting:
“Lane13 has been working to strengthen and stabilize Kentucky’s peer support workforce…
These new cuts from Humana are a major step in the wrong direction…
Peer support is not a luxury or an extra — it is essential. Cutting it puts people’s lives and long-term outcomes at serious risk.”
đź’¬ Matt Brown, CEO, National Peer Recovery Alliance (NPRA) a division of The Archway Institute:
“Peer support is one of the most cost-effective, outcome-driven services in the entire behavioral health system — and it’s being slashed without real stakeholder input.
NPRA stands with every peer, provider, and person impacted by this decision.”