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Smoking cessation products are covered by Alabama Medicaid. Products will be covered for Plan First recipients without prior authorization. All other recipients require prior authorization for smoking cessation products. by the recipient MUST be submitted to the Quitline. Smoking Cessation Services Guidance - Alabama Medicaid alabama.gov 4.3.9SmokingCessation alabama.gov 4.3.9SmokingCessation
Those who enroll in the counseling program can receive, if medically eligible, up to eight weeks of nicotine patches to assist in quitting. Call 1-800 Quit Now (1-800-784-8669) or visit .quitnowalabama.com to enroll in the program. All services are free for Alabama residents. Healthcare Providers | Alabama Department of Public Health (ADPH) alabamapublichealth.gov tobacco health alabamapublichealth.gov tobacco health
Alabama Medicaid does not cover or pay for the following: ● Drugs used for anorexia, weight loss or weight gain, with the exception of those specified by the Alabama Medicaid Agency ● Drugs used to promote fertility with the exception of those specified by the Alabama Medicaid Agency ● Drugs used for cosmetic purposes
Federal regulations permit the Alabama Medicaid Agency to require prior authorization (PA) for any service where it is anticipated or known that the service could either be abused by providers or recipients, or easily result in excessive, uncontrollable Medicaid costs.
Effective January 1, 2014, Alabama Medicaid began covering smoking cessation products for all recipients.
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Some states offer free or low cost nicotine patches to eligible adults through 1-800-QUIT-NOW (1-800-784-8669). No prescription needed. Quit Smoking Medications - Smokefree 60+ smokefree.gov quit-smoking-medications smokefree.gov quit-smoking-medications
For questions related to prior authorization or overrides, contact KEPRO at 1-800-748-0130.
Medicaid will NOT pay for: Cosmetic surgery or procedures. partials, dentures or bridgework, gold caps or crowns, or periodontal or gum surgery. Hearing services for adults (age 21 and older). Hospital meal trays or cots for guests. Medicaid Non-Covered Services alabama.gov 4.1CoveredServices alabama.gov 4.1CoveredServices

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