CareOregon provides tobacco cessation interventions and treatment. These interventions are based on the Best Practice guidelines from the U.S. Public Health Service and the recommendations of the Centers for Disease Control, Oregon Medical Assistance Program Project Prevention and the Agency for Health Care Policy Research. The techniques employed are evidence-based and utilize the "Five As" (Ask, Advise, Assess, Assist and Arrange) to provide a systematic approach to tobacco cessation.

The CareOregon benefit:

Fully covered, including NRT (nicotine replacement therapy) and/or Zyban (bubropion SR). On this web site, go to 'Provider', then click on 'Formulary', then type in 'smoking cessation' in the 'drug class' box for additional information.

Approved therapies may also be found in the hard copy Formulary.
Providers can access the experts at the Oregon Tobacco Quit Line regarding dosages and contraindications for these pharmaceuticals.

Their toll-free number is 1-877-270-7867.

It is well documented that NRT is most effective when used in conjunction with some structured behavioral counseling.

Counseling:

• CareOregon providers are encouraged to use the Oregon Tobacco Quit Line as the initial referral for cessation counseling, unless the provider has an in-house program. The Quit Line is available for all Oregon residents and is a valuable resource for health care providers to determine recommended dosing levels for NRT as well as any possible contraindications. Either the provider or the member can make the call. Expert Quit Line staff interview individuals interested in quitting and provide recommendations based upon the individual's readiness to quit. If the individual is ready to set a firm quit date they will be referred to the Free and Clear Program by a Quit Line staff member. Free and Clear is an intensive, telephonic counseling and support program designed to guide individuals in their efforts to quit tobacco.
  
• Free and Clear is a CareOregon benefit limited to once in a 12-month period.
  
• Brief counseling/referral to the tobacco cessation program - plan limit is two referrals per 12 month period. (CPT S9075, ICD-9 305.1)
  
• In-house counseling is covered for ten sessions per 12-month period. (CPT G9016, ICD-9 305.1).
  
• CareOregon personnel are available to arrange on-site training for providers and staff. We are also available to provide referrals to tobacco cessation services. For further information call Denise Johnson at 503.416.3689.
  
• Department of Human Services "Help is Here" flyers are available at no charge in English and Spanish and can be ordered by calling 503.416.1741. These flyers are 4x9 inches and give the member the basics of tobacco cessation and the telephone number for the Oregon Quit Line.
  
  

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