Legend

Coverage Values:

• Y : Yes, covered for all Medicaid enrollees
• N : Not covered for Medicaid enrollees
• * : Coverage varies across state Medicaid plans

Barrier Values:

• Y : Yes; barrier exists in all the state Medicaid plans that cover the specified asthma service or treatment
• N : No; barrier does not exist in any state Medicaid plan that covers the specified asthma service or treatment
• * : The barrier exists in some of the state Medicaid plans that cover the specified asthma service or treatment
• NAv : Barrier information is not available for the state Medicaid plans that cover the specified asthma service or treatment
• N/A : The barrier is not applicable for the specified asthma service or treatment

Barriers:

• AL : Age Limit (coverage for individuals under a certain age)
• CO-PAY : Copayment (a fee a patient is responsible for to receive treatment or service)
• DME : Durable Medical Equipment (treatment or service covered as a DME benefit)
• EC : Eligibility Criteria (indicates a patient needs to meet certain criteria before receiving a treatment or service)
• PA : Prior Authorization (service must be approved before patient receives care)
• QL : Quantity Limit (restricting amount of service or treatment in a specified time)
• ST : Step Therapy (a treatment or service can be received only after other forms of therapy have been tried)

Other

• + = : either all plans have no quantity limit or at least two inhalers per month or at least 2 valved-holding chambers per year are covered by all plans>