23 Miss. Code. R. 200-5.4

Current through December 10, 2024

Rule 23-200-5.4 - Tobacco Cessation

A. The Division of Medicaid covers up to twelve (12) in-person or telehealth tobacco cessation counseling sessions per State Fiscal Year, when provided by:

1. A physician, or

2. Other licensed practitioner that has prescriptive authority, operating within their scope of practice.

B. Tobacco Cessation Medications - The following types of tobacco cessation medications are covered in the Mississippi Medicaid program:

1. Over-the-counter nicotine products,

2. Legend or prescription nicotine replacement products,

3. Bupropion Hydrochloride, and

4. Varenicline Tartrate.

B. A physician's prescription will be required for all legend and over-the-counter tobacco cessation medications. Each prescription will count toward the monthly limit.

C. The Division of Medicaid will monitor the beneficiary's utilization of tobacco cessation products for over utilization or misuse; and in instances where there are patterns suggesting over utilization or misuse, the prescribing physician(s) will be contacted for justification of medical necessity.

23 Miss. Code. R. 200-5.4

Miss. Code Ann. § 43-13-121

Amended 1/1/2024