Medicaid pays for any FDA approved tobacco cessation medication for two 90-day sessions each year.
In order to obtain this benefit for your patients, you should:
- Provide the patient with a prescription for a tobacco cessation product. All FDA approved prescription medications and over the counter tobacco cessation products are available through Medicaid for a maximum of two 90-day sessions per year.
- Submit the Medicaid Prior Authorization Form by fax to the Prior Authorization Help Desk at 1-800-424-5881 or call 1-800-424-5725 to receive approval.
- Go to the Fax-to-Quit section of the Colorado Health Providers website and fax the Fax Referral Form to the Colorado QuitLine at 1-800-261-6259.
- Have your patients call 800-QUIT-NOW (800-784-8669) to enroll in the program.
Until your patient is ready to quit, you can advise them to protect their children by always stepping outside their home and car to smoke. Secondhand smoke contains more than 4000 chemicals, including 50 cancer-causing poisons. Children who breathe secondhand smoke are more likely to develop ear infections, allergies, bronchitis, pneumonia and asthma. It can even lead to Sudden Infant Death Syndrome (SIDS).
For more information about resources please go to coquitline.org and Tobacco Free Colorado. For additional information about helping your patients to quit smoking and how to bill Medicaid for these services, please read the Provider Fact Sheet, and Benefits Summary.
Additional information for clients is available on the Quit Smoking page.