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

Smoking Cessation and Tobacco Dependence Treatment. 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 counseling and all covered outpatient drugs indicated for Smoking Cessation and Tobacco Dependence Treatment. Providers may prescribe one or more modalities of treatment. Providers must include 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.

Smoking Cessation and Tobacco Dependence Treatment. 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 servic e program (refer to 3.4 Drug Coverage), including counseling and all covered outpatient drugs indicated for Smoking Cessation and Tobacco Dependence Treatment. Providers may prescribe one or more modalities of treatment. Providers must include 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.