2008-2018. American Lung Association. Cessation Coverage – Medicaid Barriers to Treatments. Medicaid data compiled by the Centers for Disease Control and Prevention’s Office on Smoking and Health were obtained from the State Tobacco Cessation Coverage Database, developed and administered by the American Lung Association. Data from 2008-2012 are reported on an annual basis; beginning in 2013 data are reported on a quarterly basis. Data include state-level information on Medicaid policies that make it hard for tobacco users to access cessation treatment and discourage them from quitting. Medicaid barriers include: co-payments, prior authorization, counseling required for medications, stepped care therapy, limits on duration, annual limits, lifetime limits and other barriers such as dollar limits, limits on the number of monthly prescriptions, no provision for refills or limits on which type of provider can perform treatment.