Medicaid & Medicare
Medicaid
Medicaid Resources
MMWR State Medicaid Coverage for Tobacco-Dependence Treatments—United States, 2006
State Tobacco Cessation Coverage Database
The database contains information on Medicaid coverage, state employee health plan coverage, insurance mandates for cessation, quitlines, and ALA programs for each state. These data include details of coverage, like barriers to accessing treatment, as well as the sources for each data point.
Guide to Community Preventive Services: Tobacco Use Prevention and Control
Contains the U.S. Preventive Services Task Force (USPSTF) recommendations on the use of screening, counseling, and other preventive services that are typically delivered in primary care settings. The USPSTF, an independent panel of experts supported by the Agency for Healthcare Research and Quality (AHRQ), makes recommendations based on systematic reviews of the evidence related to the benefits and potential harms of clinical preventive services.
Helping Smokers Quit: State Cessation Coverage (2008)
A State Policy Trend Report from the American Lung Association.
State Medicaid Coverage of Tobacco Cessation Services for Pregnant Women Factsheet (March 20, 2008)
A fact sheet from the Campaign for Tobacco-Free Kids.
NAQC’s 2006 Medicaid Information Survey (March 2007)
The NAQC 2006 Medicaid Information Survey was fielded in September of 2006, to document the scope of efforts undertaken by U.S. quitline administrators with state Medicaid agencies.
Working with Medicaid: What Quitlines Have Learned (2007)
Background materials and information assembled by the North American Quitline Consortium for the conference call series held in 2007, “Establishing Best Practices for Quitline Operations: Back to Basics”.
Saving Lives, Saving Money II: Tobacco-Free States Spend Less on Medicaid (2007)
A report from the American Legacy Foundation shows the positive impact effective smoking cessation programs can have on state Medicaid expenditures.
Promoting Medicaid Benefits (January 2007)
Summary of the TCLN roundtable discussion.
Toolkit: Invest In A Healthy State: Covering Tobacco Cessation Services Under Medicaid
The Center for Tobacco Cessation, in partnership with the National Partnership to Help Pregnant Smokers Quit, has developed a Medicaid and smoking cessation information packet.
Sample Purchasing Specifications Related to Tobacco-Use Prevalence and Cessation (October 2002)
Prepared by the George Washington University Center for Health Services Research and Policy in conjunction with officials from the Centers for Disease Control and Prevention.
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Publications
Halpin HA, Bellows NM and McMenamin SB. Update State Report: Medicaid Coverage of Tobacco Dependence Treatments. Health Affairs, March/April 2006; 25(2): 550-556.
Miller LS, Zhang X, Novotny T; et al. State estimates of Medicaid expenditures attributable to cigarette smoking, fiscal year 1993. Public Health Rep. 1998;113(2):140-151.
Maciosek MV, Coffield AB, Edwards NM, Flottemesch TJ, Goodman MJ, Solberg LI. Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prev Med. 2006;31(1):52-61.
Petersen, R, et. al. Medicaid reimbursement for prenatal smoking intervention influences quitting and cessation. Tob Control 2006;15(1):30-4. Click to view publication.
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State Specific Tools: Benefit Charts and Fact Sheets
New York Fact Sheet: Medicaid Coverage For Stop Smoking Medications – Health Provider
New York Fact Sheet: Medicaid Coverage For Stop Smoking Medications – Recipient
New York NYS Medicaid Smoking Cessation: Coverage Highlights.
Utah Benefit Matrix: Tobacco Cessation Benefits for Medicaid and Primary Care Network Patients
Wisconsin Medicaid Fact Sheet: Tobacco Cessation Products and Services Covered Under BadgerCare Plus and Wisconsin Medicaid
Wisconsin Medicaid Fact Sheet: Wisconsin Medicaid, BadgerCare & SeniorCare Cover Treatments to Quit Tobacco
Wisconsin: UW-CTRI’s webpage, Medicaid Covers Quit-Smoking Treatment, contains fact sheets and other materials to promote Medicaid coverage for tobacco treatments and to assist Wisconsin providers help qualifying beneficiaries to quit.
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Medicaid Promotion
Oklahoma’s, “Help is Here” campaign. A promotional brochure for patients.
Oregon’s, “Help is Here” campaign. A promotional brochure for patients. Brochures are available in English, Spanish, Russian and Vietnamese.
Utah’s “Do You Want to Quit”. A 2009 quitline promotional mailer in English and Spanish.
Wisconsin’s, “You can afford to quit smoking” campaign. Promotional brochure for patients.
Wisconsin’s, “You can afford to quit smoking” campaign. Presentation for TCLN Rountable Discussion.
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Websites
Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (Department of Health and Human Services) website provides information about Medicaid.
The Kaiser Family Foundation’s Commission on Medicaid and the Uninsured
Provides Medicaid fact sheets and tools and permits customizing state Medicaid fact sheets. Includes a Medicaid benefits database.
North American Quitline Consortium (NAQC)
The NAQC website provides information about quitline services available in all 50 states, the District of Columbia, Canada, and Mexico.
ClearWay MinnesotaSM
New York Tobacco Control Program (NYTCP)
New York Medicaid Program
Oklahoma State Department of Health and the Tobacco Settlement Endowment Trust Fund (TSETF)
Oklahoma Tobacco Use Prevention Service (TUPS)
Oregon Division of Medical Assistance Programs (DMAP)
Oregon Tobacco Prevention and Education Program (TPEP)
Utah Medicaid Program
Utah Tobacco Prevention and Control Program (TPCP)
University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI)
Wisconsin Tobacco Prevention and Control Program (WTPCP)
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Medicare
Centers for Medicare and Medicaid Services
Smoking Cessation section provides information about Medicare coverage for tobacco cessation services.
- Medlearn Matters: Information for Medicare Providers
Provides information about the Medicare coverage of smoking cessation counseling
- Smoking and Tobacco Use Cessation Counseling
Details of coverage
- Smoking and Tobacco-Use Cessation Counseling Services
Provides billing/coding details
- Smoking and Tobacco-Use Cessation Counseling Services
Brochure for physicians, providers, suppliers and other health care professionals.
Smoking and Tobacco Use Cessation Counseling Billing Code Update(February 2008)
The 2008 Medicare Physician Fee Database (MPFSDB) includes two CPT codes for Smoking and Tobacco Use Cessation Counseling.
Medicare and Medicaid Costs & Savings From Covering Tobacco Cessation (2002)
A factsheet from the Campaign for Tobacco Free Kids.
MedQIC Tools: Smoking Cessation Package
Includes downloadable files for poster, chart sticker, pocket card, mailer and more. Available on the Medicare Quality Improvement Community website (click "Browse by Topic", "Tobacco Use" and then click on "Tools").
Frequently Asked Questions about the New Medicare Benefit For Tobacco Counseling (Reviewed June 2008)
Created by ATTUD (Association for the Treatment of Tobacco Use and Dependence) to help provide some answers to common questions that have risen due to the recent decision by the Center for Medicare Services to cover counseling for tobacco.
Interventions to Promote Smoking Cessation in the Medicare Population
This evidence report is a systematic review examining the scientific literature to identify what interventions are most effective for encouraging older smokers to quit.
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