TABLE 3. Barriers to Medicaid coverage for tobacco cessation treatments, by state — United States, 2015 and 2017*,†.
State | Copayments required |
Prior authorization required |
Counseling required for medications |
Stepped-care therapy |
Limits on duration |
Annual limit on quit attempts |
Lifetime limit on quit attempts |
|||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2015 | 2017 | 2015 | 2017 | 2015 | 2017 | 2015 | 2017 | 2015 | 2017 | 2015 | 2017 | 2015 | 2017 | |
Alabama |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Alaska |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Arizona |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Arkansas |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
California |
No |
No |
V |
V |
No |
No |
V |
No |
V |
V |
V |
V |
No |
No |
Colorado |
V |
No |
Yes |
Yes |
V |
No |
No |
V |
Yes |
Yes |
Yes |
Yes |
No |
No |
Connecticut |
No |
No |
Yes |
Yes |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
No |
Delaware |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
No |
No |
District of Columbia |
NA |
No |
NA |
V |
NA |
No |
NA |
No |
NA |
V |
NA |
V |
NA |
No |
Florida |
V |
V |
V |
No |
No |
No |
V |
No |
V |
Yes |
V |
No |
V |
No |
Georgia |
No |
No |
Yes |
V |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Hawaii |
V |
No |
V |
V |
V |
V |
V |
V |
V |
V |
Yes |
Yes |
No |
No |
Idaho |
No |
No |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Illinois |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Indiana |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Iowa |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Kansas |
No |
No |
No |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Kentucky |
V |
No |
V |
V |
V |
No |
No |
No |
V |
Yes |
V |
Yes |
No |
No |
Louisiana |
Yes |
Yes |
V |
V |
V |
V |
No |
No |
V |
V |
No |
No |
No |
No |
Maine |
No |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
Maryland |
V |
No |
V |
Yes |
V |
No |
V |
Yes |
V |
Yes |
V |
Yes |
No |
No |
Massachusetts |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
Michigan |
No |
No |
V |
No |
No |
No |
V |
No |
V |
V |
Yes |
No |
No |
No |
Minnesota |
Yes |
No |
No |
V |
No |
No |
No |
No |
No |
V |
No |
No |
No |
No |
Mississippi |
V |
V |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
No |
No |
No |
No |
Missouri |
No |
No |
Yes |
No |
No |
No |
No |
No |
Yes |
No |
No |
No |
Yes |
No |
Montana |
No |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Nebraska |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Nevada |
Yes |
No |
Yes |
Yes |
No |
No |
No |
V |
Yes |
Yes |
Yes |
Yes |
No |
No |
New Hampshire |
Yes |
V |
Yes |
V |
No |
No |
No |
No |
No |
V |
Yes |
V |
No |
No |
New Jersey |
V |
No |
V |
V |
No |
No |
No |
V |
V |
V |
V |
V |
V |
V |
New Mexico |
No |
V |
V |
V |
V |
V |
No |
No |
V |
V |
V |
V |
No |
No |
New York |
V |
V |
V |
No |
No |
No |
No |
No |
Yes |
No |
Yes |
No |
No |
No |
North Carolina |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
No |
North Dakota |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Ohio |
Yes |
No |
V |
V |
No |
No |
V |
V |
No |
V |
No |
V |
No |
No |
Oklahoma |
Yes |
No |
No |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Oregon |
No |
No |
V |
V |
V |
V |
No |
V |
V |
V |
V |
V |
No |
No |
Pennsylvania |
Yes |
V |
V |
V |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
No |
Rhode Island |
No |
No |
Yes |
Yes |
Yes |
No |
Yes |
No |
Yes |
V |
Yes |
No |
No |
No |
South Carolina |
V |
V |
V |
V |
V |
V |
V |
V |
Yes |
Yes |
V |
V |
No |
No |
South Dakota |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Tennessee |
No |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
No |
No |
Yes |
Yes |
No |
No |
Texas |
Yes |
Yes |
No |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Utah |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Vermont |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
No |
No |
Virginia |
V |
V |
V |
V |
V |
V |
V |
V |
V |
V |
V |
V |
No |
No |
Washington |
No |
No |
V |
V |
V |
V |
No |
No |
V |
V |
V |
V |
V |
V |
West Virginia |
Yes |
No |
Yes |
Yes |
Yes |
No |
Yes |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Wisconsin |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
No |
Wyoming |
Yes |
Yes |
No |
No |
No |
No |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Total count
| ||||||||||||||
Yes |
24 |
16 |
23 |
22 |
10 |
9 |
11 |
11 |
26 |
27 |
26 |
24 |
1 |
0 |
No |
16 |
27 |
11 |
13 |
30 |
35 |
31 |
32 |
12 |
10 |
14 |
17 |
46 |
49 |
V |
10 |
8 |
16 |
16 |
10 |
7 |
8 |
8 |
12 |
14 |
10 |
10 |
3 |
2 |
NA | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 |
Abbreviations: NA = information not available; No = barrier does not apply to any Medicaid enrollee for any treatment; V = varies, barrier applies to some, but not all, Medicaid enrollees for one or more treatments; Yes = barrier applies to all Medicaid enrollees for one or more treatments.
* Data as of June 30, 2015, and June 30, 2017.
† Because of differences in the methods and timing of data collection, some findings differ from findings on this topic reported in MMWR before 2014 (https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5941a4.htm).