Common use of Smoking Cessation and Tobacco Dependence Treatment Clause in Contracts

Smoking Cessation and Tobacco Dependence Treatment. For HIP State Plan benefits and any member eligible under any HIP category for HIP Maternity benefits (see Section 12.4), the Contractor must cover, at minimum, Smoking Cessation and Tobacco Dependence Treatment as set forth in 405 IAC 5-37. Drug coverage and criteria shall be consistent with the fee-for-service program (refer to 3.4 Drug Coverage), including individual and/or group counseling and all covered outpatient drugs indicated for Smoking Cessation and Tobacco Dependence Treatment. Licensed practitioners within their scope of license under Indiana law may prescribe one or more modalities of treatment. Practitioners must include individual and/or group counseling in any combination of treatment. The Contractor shall provide each member identified as using tobacco or tobacco related products, information regarding the availability of tobacco cessation services provided through the Indiana Quitline. The Contractor shall create and implement a physician incentive program specific to tobacco dependence counseling. Contractor shall utilize a promotional strategy for tobacco cessation medications approved by FSSA to increase appropriate use of member drug benefits. The Contractor shall comply with policies and procedures set forth the IHCP Provider Bulletin regarding Tobacco Dependence individual and/or group counseling sessions dated November 15, 2022 (BT2022100), and any updates thereto. For HIP Plus and HIP Basic benefits, the Contractor shall cover the tobacco dependenc e benefits described in the Alternative Benefit Plan. See Exhibit 3 of this Contract for more information.

Smoking Cessation and Tobacco Dependence Treatment. For HIP State Plan benefits and any member eligible under any HIP category for HIP Maternity benefits (see Section 12.4), the Contractor must cover, at minimum, Smoking Cessation and Tobacco Dependence Treatment as set forth in 405 IAC 5-37. Drug coverage and criteria shall be consistent with the fee-for-service program (refer to 3.4 Drug Coverage), including individual and/or group counseling and all covered outpatient drugs indicated for Smoking Cessation and Tobacco Dependence Treatment. Licensed practitioners within their scope of license under Indiana law may prescribe one or more modalities of treatment. Practitioners must include individual and/or group counseling in any combination of treatment. The Contractor shall provide each member identified as using tobacco or tobacco related products, information regarding the availability of tobacco cessation services provided through the Indiana Quitline. The Contractor shall create and implement a physician incentive program specific to tobacco dependence counseling. Contractor shall utilize a promotional strategy for tobacco cessation medications approved by FSSA to increase appropriate use of member drug benefits. The Contractor shall comply with policies and procedures set forth the IHCP Provider Bulletin regarding Tobacco Dependence individual and/or group counseling sessions dated November 15, 2022 (BT2022100), and any updates thereto. For HIP Plus and HIP Basic benefits, the Contractor shall cover the tobacco dependenc e dependence benefits described in the Alternative Benefit Plan. See Exhibit 3 of this Contract for more information.