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. 2018 Apr 6;67(13):390–395. doi: 10.15585/mmwr.mm6713a3

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).