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what is medication therap management program medicare

by Rossie Gislason I Published 2 years ago Updated 1 year ago

Plans with Medicare drug coverage must offer free Medication Therapy Management (MTM) services if you meet certain requirements or are in a program to help members use their opioids safely. This program helps you and your doctor make sure that your medications are working to improve your health.

What is a medication therapy management program?

Medication therapy management (MTM) is a distinct service or group of services provided by health care providers, including pharmacists, to ensure the best therapeutic outcomes for patients.

What is the purpose of medication therapy management?

While pharmacists in different settings may provide different types of medication therapy management services, the goal of all pharmacists providing medication therapy management is to make sure that the medication is right for the patient and his or her health conditions and that the best possible outcomes from ...

What qualifies medication management?

Medication management includes monitoring, reconciling medications, and ensuring patients get the desired outcomes. It requires a thorough review of prescribed drugs and their possible side effects to create treatment plans and monitor their safety and efficacy.

Which Medicare Part covers MTM?

Get help managing your medications Medication Therapy Management (MTM) services are offered at no additional charge to Medicare Advantage plan members with Part D coverage who meet Centers for Medicare and Medicaid Services (CMS) criteria.

What is a factor when determining a patient's eligibility for MTM?

The Patient Protection and Affordable Care Act (PPACA) laid out a set of MTM eligibility criteria for eligible entities to target patients for MTM services: “(1) take 4 or more prescribed medications …; (2) take any 'high risk' medications; (3) have 2 or more chronic diseases… or (4) have undergone a transition of care ...

What is the difference between CMM and MTM?

CMM ensures, in a comprehensive whole person approach, that the patient's medications are safe given the comorbidities and other medications being taken and that the patient can adhere to the prescribed regimen and take the medications as intended. In MTM, the pharmacist often works apart from the health care team.

What level of risk is Prescription drug management?

In the level of risk for MDM, level 4 includes “Prescription drug management”.

How do you practice medication management?

What is Medication Management? Best Practices for Your OrganizationPerform medication reconciliation at every step. ... Engage patients. ... Ensure comprehensive discharge planning. ... Schedule a prompt follow up visit to reconcile and discuss medications. ... Proactively follow up with high risk patients.More items...•

Does Medicare pay for medication administration?

Plans with Medicare drug coverage must offer free Medication Therapy Management (MTM) services if you meet certain requirements or are in a program to help members use their opioids safely. This program helps you and your doctor make sure that your medications are working to improve your health.

What is the goal of medication reconciliation?

Medication reconciliation is the process of creating the most accurate list possible of all medications a patient is taking — including drug name, dosage, frequency, and route — and comparing that list against the physician's admission, transfer, and/or discharge orders, with the goal of providing correct medications ...

In what ways can a pharmacy technician assist in the MTM process?

Pharmacy technicians assist in the MTM process by helping with research and counseling patients. When a patient and a pharmacist meet for a MTM review, they may discuss things such as less expensive alternatives, possible medication interactions, and complying with the medication regimen.

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