Section 10M: Coverage for tobacco use cessation counseling and products
144 words·~1 min read·
/ma/part-i/title-xvii/chapter-118e/10m·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
[Text of section applicable to policies, contracts and subscription certificates delivered, issued or renewed in the commonwealth on or after January 1, 2020. See 2019, 133, Sec. 26.]
Section 10M.
(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.