In reading the information that states PRS is ancillary, I believe that in certain instances it can be utilized as a primary service. For those who go to drop in centers etc, that is strictly peer run, for instance. I personally have received referrals for those who are transitioning out of institutions, who are not on probation but need assistance and support from peers. And during the intake process has been assessed to meet the criteria of "medical necessity."Additionally, some people self-refer as noted in the manual, and they are not utilizing any other services within the agency.

I understand that texting is not billable, however, there should be some verbiage providing understanding that it can be utilized in a progress note. With the times of people who strictly text, it is still a form of communication in which they prefer. I believe in the future a percentage needs to be allocated for billing.