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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.

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.