Where lived experience becomes credentialed, billable care.
Holdfast trains, verifies, and deploys peer support specialists — then gives the agencies that hire them one operating system for matching, supervision, and Medicaid billing tied to peer-specific codes.
- States reimbursing peer care
- 15+
- Time to first billable session
- Days, not months
- Documentation compliance
- Audit-ready by default
Audit ledger · live preview
H0038H2015T1016Every row maps to a Medicaid-eligible peer-support billing code, with supervision notes attached.
Lived experience is now a billable specialty. The OS behind it didn't exist — so we built one.
State Medicaid programs are paying peer support specialists for the first time at scale. The certificates exist, the caseloads are real, and the revenue is there — but the operating system handoffs between peer, agency, and payer still happen on paper.
Certify once. Step into a billable caseload.
Holdfast packages state-approved curricula — Academy of Peer Services, CalMHSA-aligned Medi-Cal courses, MHA chapter training, regional behavioral-health departments — then verifies lived-experience, supervision, and continuing-education requirements so new peers don't re-prove what they already proved.
Match peers to clients by shared experience.
One platform to roster peers, slot them into caseloads by lived-experience fit and schedule, and supervise documentation in one place — instead of re-recruiting for every open seat.
Medicaid claims tied to peer-support codes, with audit-ready trails.
Bill against H0038, H2015, and T1016 with supervision notes attached at the session level. Every claim ships with the documentation an audit reviewer expects to see — and lives in the system, not on a clipboard.
From individual certification to a deployable, reimbursed peer workforce.
The combined effect of training, verification, matching, supervision, and peer-aware billing: lived experience becomes a credentialed, deployable, and properly reimbursed specialty. Agencies stop losing Medicaid revenue on open peer slots. Peers stop re-doing paperwork. State programs stop whiteboarding rosters in Excel.
Four steps from certification to a paid claim.
One platform, two sides: peer specialists see it as a credentialing portal; agencies see it as a peer-team operations layer; state programs see it as a roster with audit evidence.
- 01 Step
Certify & verify
Peers complete state-approved curricula. Holdfast verifies lived experience, supervision hours, and continuing education — a credential peers can carry across agencies.
- 02 Step
Match to caseload
Agencies tag peers by lived-experience fit and schedule, then drop them into billable slots without re-interviewing every referral.
- 03 Step
Supervise documentation
Session notes are drafted by the peer and signed off by a supervisor — peer-specific templates, attached to the right claim from the start.
- 04 Step
Bill & audit
Submit H0038 / H2015 / T1016 with the audit trail baked in. State and county reviewers see notes, supervision sign-off, and credential status in one pull.
Three audiences. One workforce, three workflows.
Holdfast serves the three roles that have to agree before a peer-support claim gets paid: the peer, the agency, and the program licensing the peer.
You’ve already earned the credential. Make it count toward a billable caseload.
- Carry one verified credential across agencies — stop re-sitting the same training every time you change employer.
- See your state-approved curricula in one place: Academy of Peer Services, CalMHSA-aligned Medi-Cal courses, MHA chapter training, regional behavioral-health departments.
- Drop into agencies that already know how to deploy peers — they verify you on intake, not on day 90.
Write to us — we’ll match you with partners hiring in your state.
The questions we hear from peer specialists, agencies, and state programs.
If the answer isn’t here, write to us — we read every note at holdfast-3@polsia.app.
Bring lived-experience care into the billable workforce — without rebuilding your roster in a spreadsheet.
Write a short note about your agency, peer team, or program. We’ll show you how Holdfast would slot into the work you’re already doing.