Medicaid & 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

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.

Promoting Medicaid Benefits (January 2007)
Summary of the TCLN roundtable discussion on this topic

Helping Pregnant Women Quit Smoking: Providing Coverage For Tobacco Treatment Under Medicaid
The National Partnership to Help Pregnant Smokers Quit, in partnership with the Center for Tobacco Cessation, has developed a Medicaid and smoking cessation tool kit.

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 (October 2005)
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.

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.

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.