Letter from Dr. Parks requesting letter of intent to provide PSR services at a higher rate

We have received a number of questions concerning our recommendation of group size no greater than 8 for the enhanced rate. We have further researched this issue. Our original directive of 8 came from the SAMSHA-IMR fidelity scale. WRAP standards indicate that 5-8 is appropriate for the group portions of the program.

We have, however, recognized that Procovery allows 15. There may be other manualized or curriculum based approaches that have different group size guidelines. Thus, in order to give providers greater flexibility, we suggest that you indicate in your proposal what approach you are planning to adopt, including group sizes recommended for the practice. If you are not using an established program, we will expect a limit of 8 persons per group.

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