Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-531 - Physician-related services
Section 182-531-1720 - Tobacco/nicotine cessation counseling
Universal Citation: WA Admin Code 182-531-1720
Current through Register Vol. 24-06, March 15, 2024
(1) The medicaid agency covers tobacco/nicotine cessation counseling when:
(a) Delivered by qualified providers through
an agency-approved tobacco/nicotine cessation telephone counseling
service;
(b) The client is pregnant
or in the postpartum period as defined in
42
C.F.R. 435.170. The agency pays for
face-to-face office visits for tobacco/nicotine cessation counseling for these
clients with the following limits:
(i)
Counseling must be provided by qualified physicians, advanced registered nurse
practitioners (ARNPs), physician assistants-certified (PA-Cs), naturopathic
physicians, pharmacists, certified nurse-midwives (CNM), licensed midwives
(LM), psychologists, or dentists;
(ii) Two tobacco/nicotine cessation
counseling attempts are allowed every twelve months. An attempt is defined as
up to four tobacco/nicotine cessation counseling sessions; and
(iii) The agency does not cover more than one
face-to-face tobacco/nicotine cessation counseling session per client, per day.
The provider must keep written documentation in the client's record for each
session.
(c) Provided
through screening, brief intervention, and referral to treatment (SBIRT). To
receive payment for tobacco/ nicotine cessation counseling through SBIRT,
providers must bill the agency using the agency's published billing
instructions.
(2) A provider may prescribe pharmacotherapy for tobacco/nicotine cessation when the provider considers the treatment appropriate for the client. The agency covers certain pharmacotherapy for tobacco/nicotine cessation, including prescription drugs and over-the-counter (OTC) nicotine replacement therapy (NRT), as described in chapter 182-530 WAC.
Disclaimer: These regulations may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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