This publication expands upon the importance of incorporating culture into peer recovery support services (PRSS) delivery, as well as best practices for the development and implementation of PRSS for American Indian/Alaska Native (AI/AN) populations. It also highlights the role of peer practitioners in Tribal settings across the Sequential Intercept Model (SIM); provides an alternative conceptualization of the SIM, specific to providing PRSS for Tribal populations; and provides exemplary models of peer support programs currently being implemented and expanded upon throughout the United States. Finally, this publication explores two evidence-based practice models of substance use intervention that include a peer support component, both of which have been validated based on research with AI/AN populations: the White Bison Program and Circle Peacemaking.