Medication Therapy Management (MTM) Program

Medication Therapy Management (MTM) Program

Information About The Program

Independent Care Health Plan contracts with OutcomesMTMâ„¢ to offer Medication Therapy Management (MTM) services to all Independent Care Health Plan members in one of our Medicare plans. Through OutcomesMTM, specially trained Personal Pharmacists in communities throughout Wisconsin are identified to deliver these services.

These pharmacists are qualified to do much more than dispense drugs. They are there to help you get the best results from your medication while keeping out-of-pocket costs down. By using an OutcomesMTM Pharmacist, you get the extra attention you need to keep your medications on the right track.

All Independent Care Health Plan members in one of our Medicare plans are eligible for MTM services at no additional cost. Members who qualify for the MTM program are eligible for services at no additional cost. Members may be contacted by their current pharmacy to receive MTM services.

Members who meet the following criteria will be eligible for MTM services and a Comprehensive Medication Review:

  1. You must have a total drug cost of more than $3,967 a year on medications
  2. You must take 5 or more medications for chronic illness
  3. You must have 2 or more of specific chronic diseases: (Chronic heart failure (CHF), Diabetes, high cholesterol, high blood pressure, or chronic Obstructive Pulmonary Disease (COPD)

Some Of The MTM Services That May Be Available To You Include

Comprehensive Medication Review (CMR):
Your OutcomesMTM Pharmacist will meet with you face-to-face or by phone to review all of your medications. This will help identify any duplications or conflicts, as well as help organize your medication schedule. The CMR service may take between 30 minutes to one hour. Following the CMR, you will receive a Medication Action Plan and Personal Medication List. You may want to bring those when you talk with your doctors or other health care providers.

Prescriber Consultation:
Your OutcomesMTM Pharmacist will talk with you and your doctor(s), face-to-face or by phone, to resolve any problems found with your medications or offer suggestions to help you save money.

Medication Adherence Consultation:
Your OutcomesMTM pharmacist will talk to you about the importance of taking your chronic medications as prescribed, give suggestions on how to remember to take your medications as prescribed, and check in with you often to make sure you are continuing your medication adherence success.

Drug Information:
When starting a new medication, your OutcomesMTM Pharmacist will:

  • Talk to you about its purpose and correct use
  • Follow-up to make sure the drug is working right and you are not having any problems

Check if you are eligible. Simply call the Customer Service line at 1-800-777-4376 or TTY/TDD line at 1-800-947-3529. Eligible members can opt out of the MTM program, as participation is voluntary.

Although the MTM program is a special service offered at no cost to our Medicare members, it is not considered a benefit.

Modified: 1/3/2018
 

 
  • Independent Care Health Plan
  • 1555 RiverCenter Drive, Suite 206
  • Milwaukee, WI 53212
  • Customer Service: 1-800-777-4376
    • 24 hours-a-day, 7 days-a-week
    • (Office Hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.)
  • TTY: 1-800-947-3529
  • Fax: 414-231-1092
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