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NAQC Newsroom: Research

State Medicaid Coverage for Tobacco-Dependence Treatments --- United States, 2009.

Tuesday, November 9, 2010  
Posted by: Natalia Gromov
Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report (MMWR). October 22, 2010;59(41):1340-1343.
This study surveyed Medicaid programs in the 50 states and Washington DC to document their 2009 tobacco-dependence treatment coverage. 47 programs offered coverage. Only eight programs offered coverage for all recommended medication and counseling for all Medicaid enrollees, and 16 programs reported coverage for fee-for-service enrollees that differed from that provided for Medicaid managed-care enrollees. Only five states (Indiana, Massachusetts, Minnesota, Montana, and Pennsylvania) reported having policies that require coverage of all recommended pharmacotherapies and individual and group counseling for all Medicaid enrollees. Four states (Connecticut, Georgia, Missouri, and Tennessee) offered no coverage for tobacco dependence treatment. The Affordable Care Act mandates Medicaid coverage of tobacco-dependence treatments for pregnant women beginning October 1, 2010. Coverage of cessation medications for all Medicaid enrollees will be expanded by January 2014 when states can no longer exclude cessation medications from covered benefits.

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