Enhancing Tobacco Treatment for Medicaid Recipients

Audrey Darville, Lovoria Williams, Jean Edward, Karen Butler, Kathy Rademacher, Brittney Gray, Clair M. Tischner, Hannah Keeler, Ellen J. Hahn

Research output: Contribution to journalArticlepeer-review


Objective Medicaid recipients are vulnerable to increased morbidity and mortality secondary to high tobacco use prevalence and barriers to accessing tobacco treatment. The purpose of the pilot study was to explore managed care administrators' perceptions of the facilitators and barriers to tobacco treatment for Medicaid recipients. Methods Focus groups with key informants (n = 14) from managed care organizations were conducted in fall 2018. Participants included case, integrated care, quality and field care managers, and individuals working in provider and network relations. Results Facilitators to tobacco treatment were universal quality reporting requirements, access to medications, and the role of case management in identifying and engaging tobacco users in treatment. Barriers included bias regarding smokers' ability to quit, communication challenges, and competing priorities. Conclusions The analysis provided data to support the development of a policy brief and recommendations to the Department for Medicaid Services for enhancing tobacco dependence treatment.

Original languageEnglish
Pages (from-to)603-610
Number of pages8
JournalSouthern Medical Journal
Issue number8
StatePublished - Aug 1 2022

Bibliographical note

Funding Information:
Research reported in this publication was supported in part by the Cabinet for Health and Family Services, Department for Medicaid Services under an agreement entitled “Enhancing Tobacco Dependence Treatment.” The content is solely the responsibility of the authors and does not necessarily represent the official views of the Cabinet for Health and Family Services, Department for Medicaid Services.

Funding Information:
A.D. is course director of the University of KY BREATHE Tobacco Treatment Specialist Training Program, and along with E.H., receives partial salary support from the Medicaid contract. H.K. lists ongoing institutional funding from Kentucky State University. The authors have no additional financial disclosures to declare and no conflicts of interest to report.

Publisher Copyright:
© Lippincott Williams & Wilkins.


  • Medicaid
  • policy
  • smoking cessation
  • tobacco use

ASJC Scopus subject areas

  • Medicine (all)


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