The MMA says plans have the option to pay pharmacists for medication therapy management (MTM) programs. What are the reimbursement rates?
Individual prescription drug plans will determine fees associated with medication therapy management programs, which “may (emphasis added) include pharmacists or other providers”. Plans will have the flexibility to establish their own fees, although these fees must take into account the time and resources associated with implementing the medication therapy management program. CMS will require potential PDP sponsors to explain, as part of their applications, how their fees account for the time and resources associated with their medication therapy management program. MAPD plans are exempt from this provision.
Individual prescription drug plans will determine fees associated with medication therapy management programs, which “may (emphasis added) include pharmacists or other providers”. Plans will have the flexibility to establish their own fees, although these fees must take into account the time and resources associated with implementing the medication therapy management program. CMS will require potential PDP sponsors to explain, as part of their applications, how their fees account for the time and resources associated with their medication therapy management program.
Related Questions
- The MMA says plans have the option to pay pharmacists for medication therapy management programs (MTMP). What are the reimbursement rates?
- The MMA says plans have the option to pay pharmacists for medication therapy management (MTM) programs. What are the reimbursement rates?
- Is Medication Therapy Management (MTM) still offered by Medicare Advantage plans?
