Smoking members and dependents who wish to enroll in the 80/20 Plan will be required to join a tobacco cessation program. Once enrolled, those members may later be required to submit a one-page, physician-signed certification form. Patients are expected to begin bringing these forms into doctors’ offices later in 2010. The form may be completed by a physician, physician assistant, or nurse practitioner.
A copy of the form is available on the SHP website, at http://www.shpnc.org/hbr-enrollment-matls/physician-cert-form.pdf.