MTM Program Purpose
The Medication Therapy Management Program (MTM) is designed to help members in all aspects related to the use of medications and optimize therapeutic outcomes. This program improves communication with physicians, healthcare professionals and members in order to achieve integrated care, better use of medications and simultaneously avoid adverse effects or events. It is a free service for eligible members.
Selection criteria to participate in the MTM Program
Members will automatically enter the program if they meet the following three criteria:
If the member does not want to participate in the program, they can choose not to participate.
Members will qualify if they have at least three of the following chronic conditions:
The other requirement considered is using at least eight medications covered under Medicare Part D included in the following therapeutic classes:
MTM Services and Materials
The services provided to the members enrolled in the MTM program include:
Download a copy of the Personal Medication List.
Once members are included in the MTM Program they will receive a welcome letter and will be contacted via telephone to schedule an appointment for a comprehensive medication review. In case the member is not interested in the program, they may opt out of the program during the call or trough mail. Please note that since not all plan members will qualify for the MTM Program, the program is not considered a benefit.
To know more about how to obtain documents related to the program or for more information, please contact our Member Services.
Retrospective Drug Utilization Review
This program allows us to intervene on higher risk-related problems. We have pharmacists dedicated to monitoring safety issues, new medication and the pharmaceutical market in general. This program is designed to reduce adverse drug reactions caused by drug therapies. Physicians receive information from patient profiles along with all new findings.
Medicare y Mucho Más (MMM) (HMO), PMC Medicare Choice (PMC) (HMO) and FIRST+PLUS (PPO), products offered by MMM Healthcare, LLC, are plans with a Medicare contract. Enrollment in the plans depends on contract renewal. To enroll, you must have Medicare Parts A and B, have not been diagnosed with End Stage Renal Disease (ESRD) and reside within the 78 municipalities of the Island. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. MMM Healthcare, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MMM Healthcare, LLC cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a MMM al 1-866-333-5470, (TTY: 1-866-333-5469); PMC al 1-866-516-7700 (TTY: 1-866-516-7701); y First+Plus al 1-888-767-7717 (TTY: 1-877-672-4242). MMM Healthcare, LLC遵守 用的 邦民 法律 定，不因 族 適聯權規種色、民族血 、年 、 障 或性 而歧 任何人。注意：如果您使用繁 中文，您可以免 得 言援助服 。 致 膚統齡殘別視體費獲語務請電MMM 1-866-333-5470, (TTY: 1-866-333-5469); PMC 1-866-516-7700 (TTY: 1-866-516-7701); First+Plus 1-888-767-7717 (TTY: 1-877-672-4242).
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