If you’re in a Medicare drug plan and you have complex health needs, you may be able to participate in a Medication Therapy Management (MTM) program. MTM is a service offered by Community Health Choice (“Community”) at no additional cost to you. The MTM program is required by the Centers for Medicare and Medicaid Services (CMS) and is not considered a benefit. This program helps you and your doctor make sure that your medications are working. It also helps us identify and reduce possible medication problems.
To take part in this program, you must meet certain criteria set forth in part by CMS. These criteria are used to identify people who have multiple chronic diseases and are at risk for medication-related problems. If you meet these criteria, we will send you a letter inviting you to participate in the program and information about the program, including how to access the program. Your enrollment in MTM is voluntary and does not affect Medicare coverage for drugs covered under Medicare.
To qualify for Community’s MTM program, you must meet ALL of the following criteria:
To help reduce the risk of possible medication problems, the MTM program offers two types of clinical review of your medications:
To obtain a blank copy of the Personal Medication List (PML) that can help you and your health care providers keep track of the medications you are taking, download the form here.
If you take many medications for more than one chronic health condition contact Community to see if you’re eligible for MTM. For more information, please call Community at 1-833-276-8306. TTY users should call 711. We are open October 1 through March 31, 8:00 am to 8:00 pm, 7 days a week and April 1 through September 30, Monday through Friday, 8:00 am to 8:00 pm. On certain holidays your call will be handled by our automated phone system.
H9826_IT_10045_092919_M Last updated October 6, 2021. ***Pending CMS Approval***