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State Medicaid Coverage for Tobacco-Dependence Treatments


Medicaid coverage of tobacco-dependence treatments has been assessed regularly since 1998 by the University of California, Berkeley. To determine the extent of coverage for evidence-based treatments for nicotine dependency, all 51 Medicaid programs in the U.S. were surveyed. Programs were asked to respond regarding policies in traditional fee-for-service Medicaid, and Medicaid contracts with Managed Care Organizations.

Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health and University of California, Berkeley, Center for Health and Public Policy Studies
Data Years Available: 
Mode of Collection: 
Internet survey sent to States and DC.
Selected Content: 
Data released annually as part of the Morbidity and Mortality Weekly Report (MMWR).
Population Covered: 

Medicaid personnel for the 50 state Medicaid programs and DC. Respondents were asked to complete 45 questions regarding treatment coverage, coverage limitations, outreach activities, and related subjects. Follow-up questions were directed to relevant contacts in each state via telephone or e-mail. The response rate was 100%. To validate survey responses, Medicaid programs were asked to submit documentation of their tobacco-dependence treatment coverage policies. Of the 47 programs that indicated they covered at least one tobacco-dependence treatment, supporting documentation was obtained for 44 (94%) programs. For programs without complete documentation, the information given by the respondent was confirmed with a second respondent within that state before being accepted as accurate.

Response Rates and Sample Size: 

The response rate was 100% in 2009, sample size is all states and DC.

Interpretation Issues: 

State Medicaid Coverage for Tobacco-Dependence Treatments -- United States, 2007. Morbidity and Mortality Weekly Report.58(43);1,199-1,204. 2009.