State Tobacco Cessation Coverage

Medicaid Coverage

The Michigan Medicaid program covers:

NRT Gum
NRT Patch
NRT Nasal Spray
NRT Inhaler
NRT Lozenge
Varenicline (Chantix)

Bupropion (Zyban)
Group Counseling
Individual Counseling

Prior authorization may be required, depending on health plan. All health plans are required to cover some medications. Medications may be limited to 3 months of treatment.

For more information, please call the Michigan Department of Community Health at 517-373-3740, or visit their website at http://www.michigan.gov/mdch/0,1607,7-132-2943_4860---,00.html

View Medicaid Coverage Details

State Employee Health Plan Coverage

For state employees, Michigan covers:

NRT Gum
NRT Patch
NRT Nasal Spray
NRT Inhaler
NRT Lozenge
Varenicline (Chantix)

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

Coverage varies completely by health plan. Please visit http://www.michigan.gov/documents/mdcs/2008_SOM_Employee_Smoking_Cessation_Grid_03-17-08_228479_7.pdf for more information.

For more information, please call the Michigan Civil Service Commission at 1-800-788-1766, or visit their website at http://www.michigan.gov/mdcs/

View State Employee Health Plan Coverage Details

Private Insurance Coverage

This state does not require private health insurance plans to cover cessation treatments. Cessation coverage in private health insurance plans varies by employer and/or plan. Smokers with this type of health insurance should contact their insurance plan for information on cessation benefits.

This state does not mandate cessation coverage for private insurance plans.

Quitline

The Michigan Tobacco Quitline is open 6AM to 11PM (M-TH), 6AM to 8PM (F), 8AM to 6PM (SAT-SUN) (Eastern Time). You can reach the Michigan Tobacco Quitline by calling 1-800-480-7848. Unfortunately, the quitline has reached its capacity for this fiscal year and is not counseling new callers. Please contact your insurance plan to see if they offer counseling, or call 1-800-LUNG-USA.

American Lung Association Resources

The American Lung Association's Freedom From Smoking® program is available in several counties throughout the state of Michigan. Not On Tobacco is offered in select high schools in the Detroit and Lansing area. Additional resources include Freedom From Smoking® Online, a program available 24/7 at http://www.ffsonline.org and the American Lung Association's Lung HelpLine (800-LUNG-USA). For more information about program locations and schedules, call 810-953-3951, or visit our website at http://www.midlandlung.org

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Varies	Michigan Department of Management and Budget, Purchasing Options. Contract 071B02000 - Sample Health Plan Contract.
NRT Patch	Yes	Michigan Department of Management and Budget, Purchasing Options. Contract 071B02000 - Sample Health Plan Contract.
NRT Nasal Spray	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
NRT Lozenge	Varies	Michigan Department of Management and Budget, Purchasing Options. Contract 071B02000 - Sample Health Plan Contract.
NRT Inhaler	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Varenicline (Chantix)	Varies	Michigan Department of Management and Budget, Purchasing Options. Contract 071B02000 - Sample Health Plan Contract.
Bupropion (Zyban)	Yes	Michigan Department of Management and Budget, Purchasing Options. Contract 071B02000 - Sample Health Plan Contract.
Group Counseling	No	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Individual Counseling	No	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Lifetime limit on quit attempts	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Annual limit on quit attempts	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Prior authorization required	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Co-payments required	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Stepped-care therapy	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Counseling Required for Medications	Varies	Michigan Department of Community Health, "Michigan Medicaid Tobacco Cessation Benefits", May 2009.
Dollar Limit	No
Other

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
NRT Patch	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
NRT Nasal Spray	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
NRT Lozenge	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
NRT Inhaler	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Varenicline (Chantix)	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Bupropion (Zyban)	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Group Counseling	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Individual Counseling	Varies
Phone Counseling	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Online Counseling	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Quit Kit	No	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Lifetime limit on quit attempts	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Annual limit on quit attempts	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Prior authorization required	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Co-payments required	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Stepped-care therapy	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Counseling Required for Medications	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.
Dollar Limit	Varies	Michigan Department of Community Health, "State of Micigan: Employee Tobacco Cessation Benefits", August 8, 2009.

Type	Value	Data Source
Cessation mandate on the books	No
Mandate applies to all insurance carriers	n/a
Mandate applies to all populations	n/a
State mandates wellness program including smoking cessation	No
Other stipulations	n/a

Stop Smoking

Lung HelpLine

E-Newsletter

Michigan

Medicaid Coverage

State Employee Health Plan Coverage

Private Insurance Coverage

Quitline

American Lung Association Resources

Medicaid Data Sources

State Employee Health Plan Data Sources

Private Insurance Coverage Details