The Value Proposition for Peer Recovery Support Services Delivered through Community-Based Organizations and Recovery Community Organizations examines the critical role that community-based organizations (CBOs) and recovery community organizations (RCOs) play in delivering peer recovery support services (PRSS) and the evolving landscape of funding and regulatory frameworks supporting these essential services. This comprehensive report, developed in collaboration with Unity Recovery, explores how CBOs and RCOs provide culturally sensitive, holistic support rooted in lived experience, while addressing the complex challenges of transitioning from grant-based funding to sustainable third-party reimbursement models including Medicaid. The paper analyzes state-level regulatory approaches across New Hampshire, Pennsylvania, Texas, and Colorado, highlights recent federal guidance expanding supervision options for peer specialists, and provides practical recommendations for both short-term infrastructure investments and long-term value-based contracting strategies that can help CBOs and RCOs scale their impact while maintaining the authentic, community-centered approach that makes peer recovery support so effective in enhancing long-term recovery outcomes.
