How can pharmacists providing cognitive or consultation services or MTM services get reimbursed (while not dispensing drugs) by Medicare Part B or their state Medicaid Programs?
MTM is not a covered (reimbursable) Medicare Part B benefit may be a reimbursable Medicare Part D benefit. Pharmacists will need to check with their individual state Medicaid program to find out if MTM services are a covered benefit. It is NOT a requirement that pharmacists dispense prescription drugs in order to bill for MTM services. For additional information on billing for MTM services, you may consult PSTAC member organization websites.
Related Questions
- How can pharmacists providing cognitive or consultation services or MTM services get reimbursed (while not dispensing drugs) by Medicare Part B or their state Medicaid Programs?
- Is MTM reimbursement different than Medicare Part B reimbursement. Are pharmacists directly paid for services or does payment go to physicians?
- Can dispensing nurses providing services in rehabilitation clinics that do not bill Medi-Cal register their NPI?
