Maryland's Department of Health and Mental Hygiene (DHMH), which includes the state public health and Medicaid programs, was one of the first states to obtain approval for a cost allocation plan to claim federal Medicaid administrative match for quitline activities. Medicaid's partnership with the public health agency in supporting the quitline has resulted in improved cessation services to Medicaid enrollees, improved sustainability for the quitline, and a demonstrated model of third-party reimbursement.
The Maryland Tobacco Quitline serves both Medicaid and non-Medicaid populations. The Maryland Medicaid agency and the state tobacco quitline collaborated to develop and submit a cost allocation plan to the CMS for reimbursement of quitline services for Medicaid members as an administrative match. Upon calling the quitline, individuals are asked their insurance status and the name of their insurance carrier. Monthly client utilization data is compiled from an intake survey conducted when callers initiate service. Allowable reimbursement includes a 50 percent match of counseling expenditures for Medicaid callers, who currently make up about 30 percent of quitline users.
From July 2011 through June 2012, Maryland served 2,108 Medicaid participants through the state quitline and has submitted administrative claims for $161,542.55. This support came at a critical time for the quitline, as the overall call volume grew from 14,132 inbound calls in state fiscal year 2011 to 18,590 inbound calls in state fiscal year 2012.
Maryland's leadership in the quitline-Medicaid partnership has garnered interest by national colleagues. Maryland Department of Health and Mental Hygiene staff has presented on this partnership nationally, including a webinar in January 2012 for North American Quitline Consortium members, entitled, "Securing Federal Financial Participation for Quitline Services".