KRS 205.618: Coverage for tobacco cessation medications and services.

(1) Notwithstanding any provision of law to the contrary, the Department for Medicaid

Services or a managed care organization contracted to provide Medicaid services

shall, at a minimum, provide coverage for all United States Food and Drug

Administration-approved tobacco cessation medications, all forms of tobacco

cessation services recommended by the United States Preventive Services Task

Force, including but not limited to individual, group, and telephone counseling, and

any combination thereof.

(2) The follo wing conditions shall not be imposed on any tobacco cessation services

provided pursuant to this section:

(a) Counseling requirements for medication;

(b) Limits on the duration of services, including but not limited to annual or

lifetime limits on the number of covered attempts to quit; or

(c) Copayments or other out-of-pocket cost sharing, including deductibles, unless

otherwise required under federal law.

(3) Utilization management requirements, including prior authorization and step

therapy, shall not be imposed on any tobacco cessation services provided pursuant

to this section, except in the following circumstances where prior authorization may

be required:

(a) For a treatment that exceeds the duration recommended by the most recently

published United S tates Public Health Service clinical practice guidelines on

treating tobacco use and dependence; or

(b) For services associated with more than two (2) attempts to quit within a

twelve (12) month period.

(4) Nothing in this section shall be construed to pro hibit the Department for Medicaid

Services or a managed care organization contracted to provide Medicaid services

from providing coverage for tobacco cessation services in addition to those

recommended or to deny coverage for services that are not recommen ded by the

United States Preventive Services Task Force.