Learning Objectives: Recognize the benefits and challenges of partnering with Medicaid to cover tobacco cessation services for their clients.
Abstract: Objective: The objective of this program is to decrease smoking rates among the Medicaid population in Utah by increasing cessation services for Medicaid clients.
METHODS: A partnership between Medicaid and the Tobacco Prevention and Control Program (TPCP) was formed to increase cessation services for Medicaid clients by using state tobacco funds to draw down Federal matching dollars. Although Medicaid and the TPCP agree their partnership has positive health and cost benefit outcomes, it is an on-going challenge for the two systems to collaborate. Frequent communication, support from Health Department Executives as well as dedicated individuals in Medicaid and Tobacco Control keep the cessation services functioning and improving.
RESULTS: Currently there are four Medicaid/TPCP partnerships: (1) Pregnant Medicaid clients who use tobacco are identified and contacted regarding cessation services, (2) the Utah Adult Quit Line provides various levels of cessation services, the most comprehensive are available to uninsured and Medicaid callers, (3) Zyban is now available to all Medicaid adults who use tobacco and are ready to quit, (4) Medicaid provides matching funds for the TPCP media campaign that involves and targets the Medicaid population who use tobacco.
Discussion: - This partnership has the potential to decrease smoking rates in a population that is typically under-served. - It takes time, support from directors and patience to work with Medicaid. Due to Medicaid's size and complexities it is critical to have an ally in the Medicaid system to answer questions in a timely matter and direct you in understanding the Medicaid
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