Purpose

The Medication Therapy Management Program (MTM) is intended to help eligible members with multiple conditions manage their drug therapy, and optimize medication use in order to improve therapeutic outcomes. This program enhances communication among physicians, healthcare professionals and members to ensure adequate and safe use of medications.  Eligible members are automatically enrolled into the program but the member may choose not to participate. This program is not considered a benefit of the drug coverage, however it is offered at no additional cost to the member.

Eligibility criteria

Members will automatically enter the program if they meet the following three criteria:​

  • Having incurred in expenses of Part D drug coverage, up to $1,011 in the last three months or $4,044.00 during the last 12 months.
  • Having at least three chronic conditions as listed below:
    1. Chronic Heart Failure (CHF)
    2. Diabetes
    3. Mental Health – Depression
    4. Cardiovascular Disorders
    5. Chronic Obstructive Pulmonary Disease (COPD)
    7. Bone disease/Arthritis: Osteoporosis
    9. Asthma
  • Being using at least eight chronic/maintenance drugs covered under Medicare Part D.

Services and Materials

Members enrolled in the MTM program receive:

  • Welcome letter (through mail).
  • Phone calls to beneficiary or caregiver for comprehensive medication review (CMR) offer.
  • Annual interactive, person to person, comprehensive medication review (CMR) to identify potential drug therapy problems.
  • Follow-up interventions by a qualified health professional, including quarterly targeted medications reviews.
  • Consultations and interventions with prescribing physician to optimize drug therapy and resolve any medication related issues.
  • Member will receive, within 14 days after the interview, a summary of the interview that will include the updated patient medication list and the action plan to be taken regarding the member’s drug therapy.
Personal Medication ListDownload

For more information contact us at 1-844-212-9858 (Toll free), 1-833-523-2620 TTY, Monday through Friday from 8:00 a.m. to 8:00 p.m.

 

 

 

 

MMM of Florida, Inc. is an HMO plan with a Medicare contract. Enrollment in MMM of Florida depends on contract renewal. This information is not a complete description of benefits. Call 1-844-212-9858 (TTY: 1-833-523-2620) for more information. Every year, Medicare evaluates plans based on a 5-star rating system.  MMM of Florida, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MMM of Florida, Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-212-9858 (TTY:1-833-523-2620). MMM of Florida, Inc. konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-212-9858 (TTY:1-833-523-2620).

 

Latest website update: October 2018

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