Help Your Patients on Their Tobacco
Recovery Journey
Your support can make a difference. Encourage patients who use tobacco to take the first step toward recovery by discussing cessation options and connecting them with available resources and support services.
To become credentialed as a Tobacco Cessation Counselor (TCC), follow these steps:
- Enroll in Medical Assistance with a National Provider Identification (NPI) number
- Click here to complete the “Every Smoker, Every Time” online training and submit the “Pre-Approved Tobacco Cessation Registry Application”, along with the “Every Smoker, Every Time” notification email to the Pennsylvania Department of Health (DOH)
- Tobacco cessation counseling certification as an Individual TCC provider type is required.
- Check the box to be referred to DHS Medical Assistance (MA) to have your “Pre-Approved Tobacco Cessation Registry Application” and notification email forwarded to DHS MA. You must check yes to the following: “If your program is approved, would you like to be referred to the Department of Human Services (DHS) for review and approval by Medical Assistance for reimbursement of tobacco cessation services?”
- A Medicaid PROMISe number is required for billing purposes.
- 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 then apply for an individual PROMISe number as a TCC.
- Click here to access the DHS MA PROMISe number application.
- The MA Program enrolls DOH-approved pharmacists as Tobacco Cessation Providers (PT 37) with a provider specialty of 370.
Medicaid Providers: Billing for Reimbursement as a TCC
To bill for reimbursement as a TCC (after completing above credentialing), submit a roster template (update monthly if there are changes) and completed and signed W9 form emailed to providerdata@jeffersonhealthplans.com.
To enroll for our Electronic Fund Transfer (EFT) directly, without a fee, click here.
Pharmacy Coverage
Our formulary covers a wide range of smoking cessation products. Click here to learn more. Please note that we do not cover brand name drugs that have generic equivalents, except with prior authorization.
Counseling Services
We can assist in connecting any member to tobacco counseling services. To refer a patient for assistance, please contact Clinical Care Management at 866-500-4571.
Continuing Medical Education (CME) Credits
Smoking Cessation Leadership Center Recorded Webinar Series 2024-2027
Additional Training
Behavioral Health Resources
Providers are encouraged to refer members to their Behavioral Health (BH) MCO for counseling, treatment, and other behavioral health support that can aid tobacco recovery.
Medicaid: list of Pennsylvania BH-MCOs on the PA DHS Behavioral Health MCO webpage
Medicare, CHIP, and Individual and Family Plans: see the Quick Reference Guide for more details.