State Tobacco Cessation Coverage

Medicaid Coverage

The Nevada Medicaid program covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling

Members are limited to 2 quit attempts per year, and each quit attempt may involve treatment for up to 90 days. Prior authorization and co-payments are also required. Counseling is only provided with a mental health disorder diagnosis.

For more information, please visit the Nevada Medicaid website at http://www.dhcfp.state.nv.us/

View Medicaid Coverage Details

State Employee Health Plan Coverage

The Public Employee Benefits Program, through its Wellness Benefit, covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

The Wellness Benefit covers preventive services (including cessation treatments) up to $2,500 per member per year. Co-payments and deductible are waived for these services.

For more information, please call the Public Health Employee Benefits Program at 775-684-7000 or 800-326-5496, or visit their website at http://www.pebp.state.nv.us/

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 Nevada Tobacco Users Helpline is open10AM-9PM (M-F), 10AM-2PM (SAT) (Pacific Time). You can reach the Nevada Tobacco Users Helpline by calling 1-800-QUIT-NOW.

American Lung Association Resources

The American Lung Association's Freedom From Smoking® program is available in select community locations throughout Nevada. Not On Tobacco is widely available throughout the state. Additional options 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 775-829-LUNG, 702-431-6333, or visit us online at http://www.lungnevada.org

Medicaid Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Yes	Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Services Manual
NRT Patch	Yes	Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Services Manual
NRT Nasal Spray	Yes	Correspondence with the Division of Health Care Financing and Policy
NRT Lozenge	Yes	Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Services Manual
NRT Inhaler	Yes	Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Services Manual
Varenicline (Chantix)	Yes	Correspondence with the Division of Health Care Financing and Policy
Bupropion (Zyban)	Yes	Correspondence with the Division of Health Care Financing and Policy
Group Counseling	Varies	Correspondence with the Division of Health Care Financing and Policy
Individual Counseling	Varies	Correspondence with the Division of Health Care Financing and Policy

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Yes	Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Services Manual
Lifetime limit on quit attempts	No
Annual limit on quit attempts	Yes	Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Services Manual
Prior authorization required	Yes	Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Services Manual
Co-payments required	Yes
Stepped-care therapy	No
Counseling Required for Medications	No
Dollar Limit	No
Other

Additional Data Sources
Nevada Department of Health and Human Services, Division of Health Care Financing and Policy, Medicaid Guide
Preferred Drug List

State Employee Health Plan Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Yes	Nevada Public Employees Benefit Program, Master Plan Document, 2009
NRT Patch	Yes	Nevada Public Employees Benefit Program, Master Plan Document, 2009
NRT Nasal Spray	Yes	Nevada Public Employees Benefit Program, Master Plan Document, 2009
NRT Lozenge	Yes	Nevada Public Employees Benefit Program, Master Plan Document, 2009
NRT Inhaler	Yes	Nevada Public Employees Benefit Program, Master Plan Document, 2009
Varenicline (Chantix)	Yes	Nevada Public Employees Benefit Program, Master Plan Document, 2009
Bupropion (Zyban)	Yes	Nevada Public Employees Benefit Program, Master Plan Document, 2009
Group Counseling	Yes	Nevada Public Employees Benefit Program, "Are you Puzzled by the Plan Year 2009 Self-Funded PPO Plan Wellness Benefit?"
Individual Counseling	Yes	Nevada Public Employees Benefit Program, "Are you Puzzled by the Plan Year 2009 Self-Funded PPO Plan Wellness Benefit?"
Phone Counseling	Yes	Nevada Public Employees Benefit Program, "Are you Puzzled by the Plan Year 2009 Self-Funded PPO Plan Wellness Benefit?"
Online Counseling	Yes	Nevada Public Employees Benefit Program, "Are you Puzzled by the Plan Year 2009 Self-Funded PPO Plan Wellness Benefit?"
Quit Kit	No

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Yes
Lifetime limit on quit attempts	No
Annual limit on quit attempts	No
Prior authorization required	No
Co-payments required	No	Nevada Public Employees Benefit Program, "Are you Puzzled by the Plan Year 2009 Self-Funded PPO Plan Wellness Benefit?"
Stepped-care therapy	No
Counseling Required for Medications	No
Dollar Limit	Yes	Nevada Public Employees Benefit Program, "Are you Puzzled by the Plan Year 2009 Self-Funded PPO Plan Wellness Benefit?"

Private Insurance Coverage Details

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

Type	Value	Data Source
NRT Gum	n/a
NRT Patch	n/a
NRT Nasal Spray	n/a
NRT Lozenge	n/a
NRT Inhaler	n/a
Varenicline (Chantix)	n/a
Bupropion (Zyban)	n/a
Group Counseling	n/a
Individual Counseling	n/a

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