MTM

MTM Updates:

  1. CMS has released updated versions of the MTM Standardized Format Instructions, and Frequently-Asked-Questions http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/MTM.html
  2. Medicare Part D Fact Sheet
  3. OPA MTM Resources
  4. Institute for Safe Medication Practices

Medication Therapy Management (MTM) services can effectively promote appropriate medication therapy, improve patient therapeutic outcomes, and control overall health care costs. Pharmacists and other health professionals collaborate to provide Disease State Management (DSM)/MTM, which targets the prevention of complications and treatment of chronic conditions.

Implementation

Medication Therapy Management Services (MTMS) are billable services for improving patient care that targets the prevention of complications and treatment of chronic conditions. Pharmacists and other health professionals collaborate to provide Disease Management Services/MTMS to improve patient health through safe and effective use of medication.

DSM : A Tool Kit Sample

How to implement MTMS in your pharmacy

  1. Community Pharmacists Care Model Pharmacists and physicians practice independently but collaborate to deliver Medication Therapy Management Services to improve patient health and quality of life.
  2. Identifying Barriers/Requirements Before implementation, pharmacists must consider the following.
    1. Collaboration with other health care professionals
    2. Planning and development time
    3. Financial Analysis of capital required, future capital outlook, estimated labor and equipment costs, expected revenues
    4. Time requirements of Pharmacist availability, separate functions of dispensing and managing medications, patient scheduling of initial and follow-up visits/phone or email contact
    5. Cross Training through R.Ph to R.Ph; R.Ph. to M.D. or D.O.; M.D. or D.O. to R.Ph.
    6. Equipment needs like Computers, Fax, Copy machines, MTMS phone line, Disease specific equipment, eg. lancets, glucose monitors, test strips, etc.
    7. Space Allotment options of separate counseling rooms within the pharmacy, exam rooms, semi-private rooms

  3. Reimbursement/Billing
    1. Software considerations
    2. CMS-1500 form for Medicare Part D

  4. Marketing Analysis
    1. Customer characteristics/Buying patterns
    2. Consider Disease states of current customers

  5. Contract/ Liability
    1. Check with the liability insurance company to determine the extent of coverage for new areas of practice
    2. Invest in your own personal liability insurance
    3. Check if collaborative practices are covered under malpractice insurance
    4. Sample contract

  6. CE /HIPAA
    1. Certificate program in a particular disease
    2. Residency or fellowship in a particular field
    3. APhA offers a MTM Certificate Training program
    4. HIPAA requirements of disease management activities

How to implement MTMS in a Senior Market

  1. Care Models - Pharmacist & long term Care facility/skilled nursing facility, pharmacist & assisted living center, Pharmacist & extended care facility, Pharmacist & psychiatric group home, Community Pharmacist or Pharmacist consultant & senior living at home or senior center. Pharmacists work with the facility or patient to improve health, reduce symptoms and identify duplicate therapies.

  2. Identifying Barriers/Requirements Before implementation, pharmacists must consider the following.
    1. Collaboration with other health care professionals
    2. Planning and development time
    3. Financial Analysis of capital required, future capital outlook, estimated labor and equipment costs, expected revenues
    4. Time requirements of Pharmacist availability, separate functions of dispensing and managing medications, patient scheduling of initial and follow-up visits/phone or email contact
    5. Cross Training through R.Ph to R.Ph, R.Ph. to M.D. or D.O., M.D. or D.O. to R.Ph.
    6. Equipment needs like Computers, Fax, Copy machines, MTMS phone line, Disease specific equipment, eg. lancets, glucose monitors, test strips, etc.
    7. Space Allotment options of separate counseling rooms within the pharmacy, exam rooms, semi-private rooms

  3. Reimbursement/Billing
    1. Software considerations
    2. CMS-1500 form for Medicare Part D

  4. Marketing
    1. Promoting the service to the facilities and/or the individual

  5. Contract/Liability
    1. Check with the liability insurance company to determine the extent of coverage for new areas of practice
    2. Invest in your own personal liability insurance
    3. Check if collaborative practices are covered under malpractice insurance
    4. Sample contract

  6. CE/HIPAA
    1. Certificate program in a particular disease
    2. Residency or fellowship in a particular field
    3. APhA offers a MTM Certificate Training program
    4. HIPAA requirements of disease management activities

Ohio's MTM Story

Ohio S Mtm StoryOPA’s Medication Therapy Management (MTM) Committee asked pharmacists who provide MTM services to submit examples of the impact of these services in their professional practice. We were pleased to receive responses from more than 100 different sites across the state.  Each MTM “story” tells of an individual encounter that improved the health of a patient. These stories have been published in a booklet that showcases, by Ohio Senate District, the effect of several of these interactions with pharmacists. 

The Ohio’s MTM Story booklet will be shared with legislators, third party administrators, media and others to educate them about the positive impact pharmacists have on patient lives and the healthcare system.

The electronic version of the booklet is now available at the following link: Click to Download Ohio's MTM Story

APhA's Delivering Medication Therapy Management Services Certificate Training Program

Hosted by the Ohio Pharmacists Association

Program details may be found in the Education tab under Certificate Training Programs

Click Here for Training Dates and Registration Information

Registration Fee:
OPA Member: $395
Non-member: $495   Join Now & Save: OPA New Member Application
PGY1 or PGY2 Resident: $325

Please note:  If you are unable to attend the upcoming MTM certificate training program and are interested in receiving a notification about future programming, please complete the following form:  
MTM Services Training Program Interest Form

You must attend the live session to receive CPE credit for this program.