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Tobacco Cessation Training

Steps to Provide Tobacco Cessation Services in Pennsylvania Medicaid

Step 1- Complete Every Smoker, Every Time Webinar.

Complete Every Smoker, Every Time webinar.  Every Smoker, Every Time is a free online training providing entry level tobacco use-related education for behavioral and primary health care staff, pharmacists, counselors, social workers, and others. Every Smoker, Every Time includes information on effective brief intervention, nicotine replacement therapy (NRT), and referral options. You can complete the Every Smoker, Every Time training (45 minutes) at your convienence and receive a Notification email after passing a post-test with a score of at least 80%. The training is based on effective, validated tobacco dependence treatments and practices found in the AHRQ guidelines, Treating Tobacco Use and Dependence: 2008 Update – Clinical Practice Guide.Successful completion of the Every Smoker, Every Time webinar generates the Notification Email required for Pre-Approved Tobacco Cessation Registry application and the Department of Human Services Medical Assistance (DHS MA) provider application. The Notification Email will be sent automatically upon successful completion of the webinar.

https://www.livehealthypa.com/data-resources/data/tobacco/every-smoker-every-time

Step 2 - Complete the Pre-Approved Tobacco Registry application.  

Complete the Pre-Approved Tobacco Cessation Registry application.  Print, sign and email, with the Notification Email, to Department of Health (DOH) RA-Registry@pa.gov.  If you checked the box to be referred to DHS MA, your Pre-Approved Tobacco Cessation Registry application and Notification Email will be forwarded to DHS MA. 

https://www.health.pa.gov/topics/programs/tobacco/Pages/Registry.aspx

https://www.health.pa.gov/topics/Documents/Programs/Tobacco/Registry%Application%Instructions%Aug%2018.pdf


DOH will send a fax to confirm your application has been approved and a link to the DHS MA application for the PROMISe number.  Pharmacists must apply for an individual PROMISe number as a Tobacco Cessation Counselor.


Step 3 - Enrollment with DHS and Obtaining a PROMISe Number

Pharmacists are required to have an NPI number prior to applying to DHS MA for the PROMISe number.

 

There are several ways to access the DHS MA PROMISe number application.  The following link provides the Online Application, the Enrollment Application/Provider Agreement (this is the paper application-not required when applying online) and the Tobacco Cessation Provider Requirements.  We will walk through the Online Application process then explain the Tobacco Cessation Provider Requirements.

 

http://www.dhs.pa.gov/provider/promise/enrollmentinformation/providerenrollmentdocuments/index.htm

 

Scroll down to 37 – Tobacco Cessation Provider: Select Online Application

Select New Application on left side menu

 

Initial Enrollment Information

               Program Type: Select Pennsylvania Medical Assistance (PA MA)

               Provider Type: Select 37 – Tobacco Cessation

               Enrollment Type: Select Individual with SSN

Tax Identifier

               Use your Social Security as the Tax Identifier

Name of Enrollee

               Use Individual’s Name

Medicare Enrollment Information

               Are you a Medicare participating Provider? Select NO

Contact Information

               Enter all required fields

Complete the application. 

 

Requirements for Provider Type 37 – Tobacco Cessation: please see the attached document for requirement explanation and instruction. This document includes DHS Provider Enrollment contact information. 

 

Click here for the document.

 

The Medical Assistance Bulletin Enrollment of Tobacco Cessation Providers 99-18-10 provides additional pertinent information.

 

Click here for the Bulletin

 

The DHS MA system automatically sends a PROMISe welcome letter which provides the 13-digit PROMISe number.  The normal time-frame is approximately three weeks from application to welcome letter.

DHS will inform DOH that the PROMISe number has been issued at which time DOH will place the applicant on the Pre-Approved Tobacco Cessation Registry.  This may take several weeks to complete.

 

Payment - please note under this process, payment will be made to the pharmacist providing the counseling.  This is only in the fee-for-service program.  We are working on managed care.

 

Step 4 (Optional) - Refresh Your Tobacco Cessation Knowledge

PPA has a two-hour CE training program (free to members) available to enhance your knowledge and skills around delivery tobacco cessation counseling programs.  It is presented online, on demand, in two modules, and can be done in increments.  You will receive the CE credit when both modules and related assessment questions are completed.  They are not required by fee-for-service Medicaid but will provide a nice reference and framework to help you get started!

 

Click here to access the training program.

 

Other Payment Opportunities

PPA is beginning outreach efforts to encourage Medicaid Managed Care companies to participate with our pharmacists who are registered as Tobacco Cessation Counselors to also accept billing once you are registered as a provider with the Department.

 

 

 

  

 


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