Advocacy at the State Level: Improving Tobacco Treatment Coverage under Medicaid

1. Advocacy at the State Level: Improving Tobacco Treatment Coverage under Medicaid

2. Partnering to Bring You Tools and Strategies • Center for Tobacco Cessation Mission: • Serves as the source of the best available science on tobacco cessation and works with national partners (business, health care and community leaders) to expand the use of effective tobacco dependence treatments • The National Partnership to Help Pregnant Smokers Quit Vision: • To provide all pregnant smokers (and new mothers) with the help they want and the support they need to quit smoking and stay tobacco-free by translating science-based interventions into effective programs and policies. Membership: • Over 50 Organizations, including Smoke-Free Families, Campaign for Tobacco-Free Kids, CTC, CDC, AMCH, ASTHO, March of Dimes, Porter Novelli, ACS,and others

3. How We Can Help You • Raise the awareness of this issue • Provide educational materials • Offer referrals to data and other information • Link you with other states and organizations working on this issue

4. Raising the Awareness: Scientific Consensus

5. Raising the Awareness:Compelling Messages • Tobacco Treatment Saves Lives and Money • Tobacco Treatment is Evidence-Based and It Works • Tobacco Treatment is More Effective than other Preventive Services

6. Raising the Awareness: Media

7. Providing Educational Materials Fact Sheets: • Benefit coverage options under Medicaid • Status of Medicaid coverage for tobacco treatment • State Medicaid expenditures and costs attributed to smoking • Health benefits of smoking cessation • Treatment approaches, including availability of quit lines • Lessons learned from other states Help People Quit Smoking: Providing Tobacco Treatment under Medicaid

8. Offering referrals to data • Information available at the following web sites: • www. ctcinfo.org • www. cdc.gov.org/nccdphp • www. gwhealthpolicy.org/newsps/tobacco • www. partnershiptohelppregnantsmokersquit.org • www. marchofdimes.com/Peristats • www. smokefreefamilies.org

9. Obtaining referrals to data: Calculating Net State Savings • Calculate smoking attributable expenditures per person (birth) receiving Medicaid, using SAMMEC or MCH SAMMEC • http://apps.need.cdc.gov/sammec • Apply specific assumptions to generate net cost savings for a specific state • Estimate program reach • Calculate program costs • Estimate quit rate • Calculate program savings • Subtract program costs from program savings

10. Step 1: Apply MCH SAMMEC Step 2: Estimate program reach: 25% of the 3,932 pregnant smokers on Medicaid Step 3: Calculate program costs: $30 per participant for one counseling session Step 4: Estimate quit rate: 18% Step 5: Calculate program savings Step 6: Estimate net savings by subtracting program costs from program savings $615 SAE per Medicaid birth 983 pregnant smokers on Medicaid participate in treatment 983 participants x $30 = $29,490 program costs 983 participants x 0.18 = 177 quit smoking $615 SAE x 177 quitters = $108,855 program savings $108,855 - $29,490 = $79,365 in net savings Hypothetical Net State Savings for a Tobacco Treatment Program for Pregnant Smokers

11. Linking you with other states and organizations • Provide case studies of successful partnerships between Medicaid, MCH, and Tobacco Programs • Offer bimonthly telephone calls with states working on this issue • Discuss strategy and tactics with CTC, SFF, CTFK, and others

12. Recommended Next Steps for Advocates • Join our conference calls • Educate yourself about how Medicaid benefits are regulated in your state • Organize and coordinate with others in your state interested in this issue • Gather state-specific facts on existing treatment programs, quit lines, smoking prevalence and costs, Medicaid data • Talk with other states about how they have succeeded!

13. 7 States with comprehensive tobacco treatment coverage under Medicaid, 2002

14. Our Collective Vision for the Future: All States, All Smokers