Mass. General Laws c.118E § 10M

Coverage for tobacco use cessation

This is an unofficial version of a Massachusetts General Law. For more information on this topic, please see:

• Law about Medicaid (MassHealth)
• Law about smoking

Updates

Added by St.2019, c.133, § 19, effective for contracts and subscription certificates that are delivered, issued or renewed in the commonwealth on or after January 1, 2020.

(a)

The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide coverage for: (i) tobacco use cessation counseling; and (ii) all generic United States Food and Drug Administration-approved tobacco cessation products without cost sharing when prescribed by a health care provider.

(b)

The division shall be permitted to employ reasonable managed care techniques consistent with state and federal law to determine the frequency, method, treatment or setting for the recommended item or service; provided, however, that covered persons shall have access to at least 1 tobacco cessation product without preauthorization.

Last updated:	December 9, 2019