Medicare (CMS) Now Covers Smoking and Tobacco-Use Cessation Counseling 2005 National Primary Oral Health Care Conference August 8, 2005 Atlanta, GA Medicare.

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Presentation transcript:

Medicare (CMS) Now Covers Smoking and Tobacco-Use Cessation Counseling 2005 National Primary Oral Health Care Conference August 8, 2005 Atlanta, GA Medicare (CMS) Now Covers Smoking and Tobacco-Use Cessation Counseling 2005 National Primary Oral Health Care Conference August 8, 2005 Atlanta, GA

Reality Check Tobacco use is the leading cause of preventable death in the U.S. Tobacco use is the leading cause of preventable death in the U.S. 9.3 percent of those aged 65 and older smoke cigarettes 9.3 percent of those aged 65 and older smoke cigarettes Substantial cost to the healthcare system Substantial cost to the healthcare system Reduction in smoking prevalence is a national objective Reduction in smoking prevalence is a national objective

Brief History Partnership for Prevention made request to CMS for a National Coverage Determination (NCD) Partnership for Prevention made request to CMS for a National Coverage Determination (NCD) NCD made effective 3/22/05 NCD made effective 3/22/05

The Benefit Intermediate and intensive smoking cessation counseling services Intermediate and intensive smoking cessation counseling services Two cessation attempts/year Two cessation attempts/year Four face-to-face sessions per attempt Four face-to-face sessions per attempt Choose intermediate or intensive Choose intermediate or intensive

Intermediate vs. Intensive Intermediate vs. Intensive G0375- Intermediate cessation visit: greater than 3 minutes up to 10 minutes G0375- Intermediate cessation visit: greater than 3 minutes up to 10 minutes G0376-Intensive cessation visit: greater than 10 minutes G0376-Intensive cessation visit: greater than 10 minutes

See also The Public Health Service 2000 Clinical Practice Guideline. Treating Tobacco Use and Dependence The Public Health Service 2000 Clinical Practice Guideline. Treating Tobacco Use and Dependence

The Patient Is alert and competent Is alert and competent Suffers from disease/condition linked to tobacco use OR Suffers from disease/condition linked to tobacco use OR Is using a therapeutic agent whose metabolism or dosing is affected by tobacco use as based on FDA-approved information Is using a therapeutic agent whose metabolism or dosing is affected by tobacco use as based on FDA-approved information

The Provider Is a qualified physician or other Medicare recognized practitioner including a dentist... Is a qualified physician or other Medicare recognized practitioner including a dentist... As long as he is practicing within his scope according to the State As long as he is practicing within his scope according to the State

Toolkit for Healthcare Professionals: Medicare Prescription Drug Coverage Go to: Go to: to access the toolkit and other educational resources

National Provider Identifier (NPI) Apply now for your NPI Apply now for your NPI The NPI replaces the current health care provider identifiers The NPI replaces the current health care provider identifiers For additional information and the application go to For additional information and the application go to

Contacts United Government Services United Government Services Toll Free Toll Free CMS Regional Offices or Part B Carriers CMS Regional Offices or Part B Carriers Lana Dennis Lana Dennis Atlanta Regional CMS Office Atlanta Regional CMS Office 404/ /

Thank You Any Questions?