Medication Therapy Management (MTM) is a program designed to help our members with specific medical needs take their medications safely and effectively. MTM is not a benefit and is only available to members who fulfill the criteria outlined below.

Health Partners Plans works with OutcomesMTM™ to provide MTM services from specially trained pharmacists at no cost to you.

By using an MTM pharmacist, you can get the extra attention you need to keep your medications on the right track.

The Health Partners (Medicaid) MTM program uses an opt-out enrollment method. If you are eligible for MTM services, you will automatically be enrolled. You can opt out at any time.

Eligibility requirements

3 or more of the following disease states:

Diabetes                                                               ADHD

High Cholesterol                                                Chronic Alcohol/Drug Abuse

High Blood Pressure                                         Depression

Osteoporosis                                                       Schizophrenia

Rheumatoid Arthritis                                       Chronic Non-Cancer Pain

Asthma                                                           HIV/AIDs

Chronic Obstructive Pulmonary Disease (COPD)

AND

Taking 7 or more chronic/maintenance drugs

Targeted Medication Review (TMR)

The MTM pharmacist will review your drug claims quarterly to determine if follow-up interventions are needed. The pharmacist may consult with you and/or your prescribers if a medication-related problem, a necessary change in therapy, or other opportunity to optimize medication use is needed. The TMR service may take up to 15 minutes.

Prescriber Consultation

The MTM pharmacist will speak with you and your doctor either face-to-face or via phone to address any problems found with your medications. This service may take up to 15 minutes.

Drug Information

When starting a new medication, your MTM pharmacist will:

• Talk to you about its purpose and correct use.
• Follow up with you to make sure the drug is working correctly and that you are not having any problems.

Benefits of the MTM program

• Personal review of your current medications
• Review of all new medications that you start taking
• Follow-up call to make sure you are not having problems with any medications

More Information

Getting started is easy. For additional information and to ask about the location of pharmacies with MTM services in your area, call Member Relations at 1-800-553-0784 (TTY 1-877-454-8477) at anytime.