Role of Care Coordinator with Smoking Cessation

1. Role of Care Coordinator with Smoking Cessation

2. Initial Encounter Ask if the recipient is a smoker. Encourage smoking cessation. Discuss the effects of smoking on the infant to include: increased risk of prematurity, low birth weight, infant mortality, and a sicker infant.

3. Initial Encounter Use the most effective evidence-based method suitable to your area to assist moms to stop smoking. Encourage the use of the Alabama Department of Public Health Quitline for counseling and ask her to discuss with her doctor the possibility of obtaining a prescription to help her stop smoking.

4. QUIT SMOKING

5. Subsequent Encounter Review smoking cessation with women who smoke. Utilize the most appropriate evidence based methods. Encourage to cut down and quit. Explain harmful effects to the fetus. If she states that she has quit or cut down on the number of cigarettes that she smokes, praise her efforts.

6. Products for Smoking Cessation Covered for Maternity Recipients Coverage of Smoking Cessation Products Effective February 1, 2010, smoking cessation products for pregnant females will be covered as a component of the Maternity Care Program. • 1. Prior authorization through the Pharmacy Administrative Services contractor, Health Information Designs, will be required. • 2. The recipient must be enrolled and receiving counseling services through the Alabama Department of Public Health Quitline (1-800-784-8669). • 3. Approval will be granted for up to three months at a time. Subsequent approvals are contingent upon the recipient’s continued participation in counseling services through the ADPH Quitline which must be certified by the prescribing provider or Maternity Care Coordinator as a component of the prior authorization request. • 4. Only one course of therapy will be approved per pregnancy. Providers with questions regarding prior authorization for smoking cessation products may contact Health Information Designs at 1-800-748-0130.

7. Prior Authorization Pharmacy Prior Authorization Form 470 must be completed and submitted to HID The Physician providing the prenatal care must attest to the fact that the recipient is meeting the requirements which includes participation with counseling through the Quitline.