Medication Therapy Management

 

Medication Therapy Management Program (MTMP)

Alignment Health Plan HMO has a free voluntary program for members who have multiple medical conditions, take many prescription drugs, and have high drug costs. We utilize this program to help members manage medications and make sure our members are receiving medications according to their medical conditions, identify any possible medication interactions, duplication of therapy, and review drug dosages according to the appropriate prescribing standards.

Please note that the Medication Therapy Management Program (MTMP) is not considered a benefit. It is available to you at no cost if you qualify. You will be automatically enrolled in this program if you meet all of the following three criteria:

  • Have three or more chronic medical conditions, such as
    1. Arthritis
    2. Osteoporosis
    3. Chronic Heart Failure (CHF)
    4. Diabetes
    5. High blood pressure
    6. High cholesterol
  • Take eight or more Medicare Part D covered drugs
  • Expect to spend more than $3,967 in 2018 on covered Medicare Part D prescriptions.

The MTMP offers a comprehensive review of all your medications and discusses with you over the phone on how to better manage your conditions with drug therapy. If you are eligible for this program, you will be notified by mail. We will then contact you by telephone to perform this service. Each session takes about 30-40 minutes. After the telephone session, we will send you a Personal Medication List (PML) and Medication Action Plan (MAP) which are summaries of what we’ve talked about. We will also perform Targeted Medication Review quarterly and may contact you or your doctor directly if there are questions about your medications.

Click on the link below for a sample of the Personal Medication List

Medication Therapy Management Program : Personal Medical List Form

If you would like additional information about the program, please call our Member Services at 866-634-2247, Calls to this number are free. 8:00 a.m. to 8:00 p.m., 7 days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30. Member Services also has free language interpreter services available for non-English speakers. TTY 711 This number requires special telephone equipment and is only for people who have difficulties with hearing or speaking.