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Medication Therapy Management Program

Great Plains Medicare Advantage (HMO I-SNP)
Great Plains Medicare Advantage Gold (HMO I-SNP)

What you should do if you wish to join the medication therapy management program

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 Great Plains Medicare Advantage 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 the MTM program, you must meet ALL of the following criteria:

1. Have at least 3 of the following conditions or diseases:

Alzheimer’s Disease

Chronic Heart Failure (CHF)

Diabetes

Dyslipidemia

Hypertension

Mental Health-Depression

Respiratory Disease-Asthma

Respiratory Disease-Chronic Obstructive Pulmonary disease (COPD), AND

2. Take at least 8 covered Part D medications, AND

3. Are likely to have medication costs of covered Part D medications greater than the annual cost threshold as defined by CMS.
This review, or CMR, is provided to you confidentially via telephone.

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