Quitline Iowa Tobacco Cessation Helpline Information
Quitline Iowa offers toll-free tobacco cessation support tailored to the needs of adult Iowans. Services include proactive telephone counseling, text messaging, and follow-up calls. The program has a high success rate, with an average quit rate of 20-25% one year post-counseling. Additional services and Medicaid coverage for nicotine replacement therapy are available. Call 1-800-QUIT-NOW for assistance.
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Quitline Iowa Toll-free tobacco cessation helpline: 1-800-QUIT NOW Offers follow-up counseling calls tailored to clients needs Available free of charge to all adult Iowans Open 24 hours/day, seven days/week Services in English & Spanish; interpreter service available for most other languages Callers can receive up to four follow-up calls New text messaging service Web site: www.quitlineiowa.org
Quitline Iowa Works!! Several meta-analytic reviews have established that proactive telephone counseling is an effective intervention for smoking cessation Current USPHS Guidelines recommend proactive telephone counseling as a method to help smokers quit Average quit rate one year post-counseling for Quitline Iowa: 20-25% Average quit rate for untreated smokers: 3%-5%
Quitline Iowa Fax Referral Form Important facts: Patient must sign form Provider should completely fill out Provider Information section Provider does not need to sign this form Form should only be use for Non-Medicaid members seeking counseling
Medicaid Conditions of coverage Diagnosis of nicotine dependence from a health care provider Prior Authorization (PA) fax referral to Quitline Iowa for enrollment in ongoing counseling PA forms can be downloaded at www.iowamedicaidpdl.com or www.quitlineiowa.org Must be signed by provider with prescription authority Confirmation of enrollment in a Quitline Iowa program If the client declines counseling, the medication benefit ends Must be 18 years of age or older to receive benefit
Medicaid Coverage for Patches, Gum, and Lozenges Initial prescription: 14 nicotine patches 110 pieces of nicotine gum AND/OR 144 lozenges Subsequent prescriptions - four-week supplies: One unit/day for nicotine patches 330 pieces of nicotine gum AND/OR 288 lozenges Maximum allowed duration of therapy 12 weeks within a 12 month period
Medicaid Coverage for Nicotine Nasal Spray & Inhaler Both are covered, but classified as a non-preferred medication by Medicaid To be approved, patient must have documentation of previous trials and intolerance with: preferred oral nicotine replacement product (i.e. gum or lozenge) AND preferred topical nicotine replacement product (i.e. patch) Maximum quantity of 168 nicotine inhalers or 40ml nicotine nasal spray may be dispensed with the initial prescription. Subsequent prescription refills will be allowed to be dispensed as a 4 week supply at 336 nicotine inhalers or 80ml of nicotine nasal spray.
Medicaid coverage for Chantix and Buproprion Prescription can be filled every 30 days Duration of therapy is initially limited to twelve weeks within a twelve-month period. For patients who have successfully stopped smoking at the end of 12 weeks, an additional course of 12 weeks treatment will be considered with a prior authorization request. The maximum duration of approvable therapy is 24 weeks within a twelve-month period.
Medicaid Prior Authorization Forms www.iowamedicaidpdl.com Nicotine Patch, Gum, Lozenge, Nasal Spray, & Inhaler Nicotine Replacement Therapy 470-4421 Chantix & Buproprion Smoking Cessation Therapy - Oral PA Form 470-4517
Patient declines counseling/is unreachable: no meds & process ends Quitline IA receives Prior Authorization (PA) fax Quitline IA notifies Medicaid of pt. enrollment Medicaid determines if pt. meets eligibility criteria Patient enrolls in ongoing counseling Pt. meets criteria; pt. is notified by pharm. and/or provider If pt. declines counseling/becomes unreachable: meds end Medicaid faxes notice of decision to provider & pharmacy Pt. picks up meds at their local pharmacy If pt. stays enrolled in ongoing counseling, they are eligible to receive full course of medication benefit Pt. does not meet criteria; notice of denial mailed to pt.
Thank You! Aaron Swanson, MPH Iowa Department of Public Health Division of Tobacco Use Prevention and Control Lucas State Office Building Des Moines, IA 50319 515.281.5491 aaron.swanson@idph.iowa.gov
