MEDICAID AND UNINSURED TOBACCO CESSATION BENEFITS

In Vermont, low-income or disabled individuals up to 138 percent of the federal poverty level are covered by Medicaid. As of January 1, 2014, Vermont Medicaid covers tobacco treatment reimbursement for your practice as a preventive service. This includes:

  • 16 face-to-face smoking cessation counseling sessions per year with an authorized health care professional (applies to in-person and telehealth sessions)
  • 4 sessions of 802Quits individual, group and phone counseling
  • All 7 FDA-approved smoking cessation medications including 24 weeks of Chantix® or Zyban®
  • No limit on preferred quit medications including gum, patches and Nicorette® lozenges and up to 16 weeks of non-preferred quit medications at no cost to the member 2 quit attempts per year.
  • No prior authorization for preferred treatments
  • No co-pay
  • Up to $150 for participating

These services are available to eligible Medicaid members of any age who use tobacco, including e-cigarettes. Qualifying patients must be Vermont residents age 18 or older. Eligibility will be determined upon enrollment. Some conditions apply.

REFER YOUR PATIENT

If your patient is ready to get started, they can: Medicaid members and uninsured Vermonters who want to quit tobacco can now earn up to $150 by enrolling in 802Quits. Refer patients for free counseling, quit medication and more.

Or, you can send a referral electronically during the appointment.

MEDICAID CESSATION BENEFITS

Remember, Vermont Medicaid covers up to 16 face-to-face tobacco cessation counseling sessions (including telehealth sessions) per calendar year for eligible members of any age who use tobacco and nicotine products.

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