Tobacco use disorder added as a primary diagnosis for SUD treatment services

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Behavioral Health e-Memo

#23-58

04/25/24

Tobacco use disorder added as a primary diagnosis for SUD treatment services


The Minnesota Department of Human Services Behavioral Health Division (BHD) is including tobacco as a primary substance of use thereby allowing tobacco use disorder to be indicated as the primary diagnosis for substance use disorder (SUD) treatment when providing tobacco and nicotine cessation education or counseling.

When vendors are providing services for tobacco as a primary SUD diagnosis, the same billing codes, unit of services and reimbursement amounts will be applied as other primary SUDs. Please see the MHCP Substance Use Disorder Services provider manual page for more information under Covered Services. BHD is continuing to work on implementation for providers outside of SUD programs who are identified in the law and will provide more information when it is available (256B.0625, subdivision 68 (b)).

  • According to the Centers for Disease Control, smoking-related diseases are the number one cause of death among those with mental health or substance use disorders.
  • Eighty-nine percent of people seeking services who smoke said they want staff to ask them about quitting.
  • A Lung Mind Alliance survey found most clients want to quit and receive the resources they need to be successful in treating their tobacco use disorder.

Available handouts for staff or clients

Current training opportunities

  • Minnesota Tobacco Prevention QuitLogix Training, hosted by the Minnesota Department of Health, provides free access to tools, resources and education modules to help care for those with tobacco dependence. Continuing Education Units (CEUs) are available.
  • Smoking Cessation for Mental Health Professionals: Addressing Smoking Stigma, Encouraging Change, offered by NAMI Minnesota, is a self-guided and interactive online training that will provide education on nicotine use disorder, special considerations for individuals living with a mental illness and motivational interviewing techniques, along with other skills to help professionals address smoking cessation as part of a wellness plan. The training provides three CEUs upon completion for select professionals.
  • Tobacco Treatment Specialist Training Program, offered by the American Lung Association and UMass Chan Medical School, for people who deliver moderate to intensive tobacco treatment services within a health care or community setting. Successful completion qualifies as a training requirement to apply for the NAADAC National Certificate in Tobacco Treatment Practice. Registrants must be able to commit to all training hours, which consists of two parts:
    • A 10-hour online component that must be completed prior to the virtual training.
      • Three full days of live/virtual training via Zoom with camera/mic on for engaged participation. A session will be held May 7 through 9, 2024, 8:30 a.m. to 4:30 p.m.

Additional resources

Visit lungmindalliance.org to access resources and join the Lung Mind Alliance newsletter to be informed of current and upcoming Minnesota resources on this topic.

Additional information can also be found on the following national websites:


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For more information about this e-memo please feel free to contact us at  YourOpinionMatters.dhs@state.mn.us.