title: Meeting the challenge of tobacco use within the Medicaid population.
abstract: The Wisconsin Medicaid Program, which purchases health care for Wisconsin's low income residents, has entered into a number of partnerships designed to systematically address tobacco use by Medicaid recipients. With the help of Wisconsin HMOs, a chart audit established an overall tobacco use prevalence of 45.7%, about double that of the general population. A direct survey of Medicaid recipients confirmed a rate of 45.0%. The chart audit also revealed a dramatic under-utilization of currently available Medicaid smoking cessation benefits. Plans are now being made to increase this utilization on a statewide basis. In addition, a partnership with the Wisconsin Women's Health Foundation and the Bureau of Family and Community Health Program within the Division of Public Health has resulted in a pilot project to address tobacco use by low income, pregnant women. Finally, a partnership with a specialized HMO serving those with disabilities and the Mental Health Association in Milwaukee County plans to address tobacco use by those with chronic and persistent mental illness.
authors.affiliation: Wisconsin Medicaid Program, Division of Health Care Financing, Department of Health and Family Services, USA.
authors.forename: R M
authors.initials: RM
authors.lastname: Carr
authors.forename: B
authors.initials: B
authors.lastname: Christiansen
authors.forename: L
authors.initials: L
authors.lastname: Jehn
authors.forename: D
authors.initials: D
authors.lastname: Matitz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006279:Health Maintenance Organizations; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D008875:Middle Aged; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology*; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D014600:Utilization Review; D014922:Wisconsin