A solution for providers to
                        help patients quit smoking.

Effective July 1st, 2006, Medicaid recipients in Massachusetts have access to smoking cessation medications and counseling support.

The Massachusetts Tobacco Control Program and MassHealth have developed tools to help providers and their patients to understand and use the new benefit.

Because the new benefit includes reimbursement for a 45-minute provider intake and assessment session with tobacco users, the University of Massachusetts Medical School, Center for Tobacco Prevention and Control has also developed an Intake and Assessment Questionnaire and a guide for clinicians in its use.

Tools for Providers

Tools for providers include a one-page overview of the new benefit; a four-page Frequently Asked Questions document, a pocket dosing guide for pharmacotherapy, and a one-page handout for patients on MassHealth.

	Overview for Providers A brief description of the MassHealth counseling and pharmacotherapy benefit for providers. Download the Overview for Providers (PDF, 104 kb)
	Frequently Asked Questions for Providers Detailed information about the MassHealth benefit and counseling reimbursement rates are contained in the attached Frequently Asked Questions (FAQ). Download the Frequently Asked Questions for Providers (PDF, 494 kb)
	Pocket Guide This is a quick guide to pharmacotherapy in tobacco treatment. It also lists the 5As to tobacco intervention. Download the Pocket Guide (PDF, 115 kb)
	Consumer Overview A one-page handout (FAQ) of the new MassHealth Tobacco Cessation Benefit for patients. Download the Consumer Overview, in English (PDF, 465 kb) Download the Consumer Overview, in Spanish (PDF, 507 kb) Download the Consumer Overview, in Portuguese (PDF, 518 kb) Download the Consumer Overview, in Albanian (PDF, 172 kb) Download the Consumer Overview, in Arabic (PDF, 215 kb) Download the Consumer Overview, in Chinese (PDF, 4.94 mb) Download the Consumer Overview, in Haitian Creole (PDF, 149 kb) Download the Consumer Overview, in Khmer (PDF, 1.06 mb) Download the Consumer Overview, in Russian (PDF, 161 kb) Download the Consumer Overview, in Somali (PDF, 170 kb) Download the Consumer Overview, in Vietnamese (PDF, 2.32 mb)

For additional information:

• Visit www.mass.gov/masshealthpubs to obtain provider transmittal letters, June and August, 2006. (Click on the provider library link and then the transmittal letters link).
• Call MassHealth customer service at 1-800-841-2900 or e-mail providersupport@mahealth.net.
• Visit www.mass.gov/druglist for further details regarding the pharmacotherapy benefit for tobacco cessation.
• To order Cessation Consumer Materials, including posters, and brochures, for your practice and your patients, go to http://www.maclearinghouse.com/CatalogTobacco.htm.

UMass Medical School Tobacco Use Intake and Assessment Form

The Center for Tobacco Prevention and Control at UMass Medical School has developed an Intake, Assessment and Treatment Planning template to assist clinicians in conducting a thorough patient assessment and developing a treatment plan.

The accompanying Intake and Assessment Clinician's Guide will walk the clinician through how to use this new tool most effectively. The guide includes a case study and a sample completed intake and assessment form.

	Intake and Assessment Guide A guide for clinicians on how to complete an intake and assessment interview with tobacco users. Download: Word (85 kb) | PDF (93 kb) Download: Word (80 kb) | PDF (75 kb) ***This same resource is available through a free one credit CME/CEU online course on Intake, Assessment and Treatment Planning for Tobacco Cessation. Find out more.
	Intake and Assessment Form An intake and assessment protocol developed by UMass Medical School with Massachusetts General Hospital Tobacco Research and Treatment Center. Download: Word (68 kb) | PDF (45 kb)
	Intake and Assessment Form - Completed Sample A completed intake form, based on a case study included in the Guide.
	Quick Guide to Rx A dosing guide to the latest tobacco cessation medications. Download the Quick Guide to Rx (PDF, 22 kb)

For information about training programs on tobacco use intake/assessment and other tobacco treatment specialist training options, contact the UMass Medical School:

• Visit www.umassmed.edu/behavmed/tobacco/ or email Elena List at Elena.list@umassmed.edu.