What is Fax to Assist?
The Fax to Assist Program allows healthcare and non-healthcare professionals to refer individuals to free Maryland Tobacco Quitline services to become tobacco-free.
1Conduct a brief intervention to determine the individual’s readiness to quit tobacco
2Fill out the Fax to Assist referral form to enroll the individual in the Quitline services upon their consent
3Fax the referral form to Maryland Tobacco Quitline for the coach to contact the individual within 48 hours
4Receive confirmation of contact and fax-back reports on patient progress (HIPAA-covered entities only).
Within 48 hours, a certified coach will call your patient to begin the tobacco cessation coaching process. It’s that simple!
Guides for Cessation Services covered under Medicaid
Clinical Criteria for Medications
Medicaid Mental Health Formulary