Medication Therapy Management (MTM)

Medication therapy management program (MTM)

 

Medication therapy management (MTM) is a federally designed program sponsored by CareOregon Advantage, which helps our members take their medication properly and safely. CareOregon Advantage’s MTM program is especially helpful for members who take several medications for chronic medical conditions.

When you take multiple medications, it can be a challenge to make sure they all work well together. With the MTM program, we can help you:

  • Reduce the risk of medication errors, especially if you have chronic conditions, take several medications or see more than one care provider.
  • Understand your conditions and medications so you can take an active role in managing your health.  
 

What does MTM do?

  • Comprehensive medication review (CMR): Each eligible member will be offered a telephone consultation with an MTM pharmacist, which takes about 30 minutes. The pharmacist will talk to you about all of the medications you are taking, including over-the-counter medications and natural supplements. They will make sure you understand what they are for and how to take them safely. After the consultation, you will receive a written summary including a medication action plan and a personal medication list.
  • Targeted medication reviews (TMRs): The program will also provide ongoing monitoring of your medications and follow-up with your providers as necessary to make sure you are taking the safest and most effective medications.
 

Am I eligible for MTM?

There are two ways you are automatically enrolled in the program.

  1. 1. If all of the following apply to you:
    • -You have two of the following chronic conditions: Alzheimer's disease, asthma, bipolar disorder, cardiovascular disorders, dyslipidemia, chronic obstructive pulmonary disease (COPD), chronic non-cancer pain, dementia, depression, HIV/AIDS, multiple sclerosis (MS), osteoarthritis, osteoporosis, Parkinson's disease, rheumatoid arthritis (RA), chronic alcohol & other drug dependence, or schizophrenia.
    • -You take five or more chronic Medicare Part D medications.
    • -You have a drug cost of at least $1,174 in the previous three months, or
  2. 2. You have been limited access to opioid and/or benzodiazepine prescriptions through our drug management program.
 

If you qualify for this program, you will receive a welcome letter in the mail and a follow-up call from a pharmacy representative. If you qualify for the MTM program, you are not required to participate if you do not wish to do so. If we contact you, we hope you will participate so we can help you manage your medications. Remember, there is no charge to participate in the MTM program.

If you have questions about the CareOregon Advantage MTM program or would like to obtain the service documents, please call Customer Service at 503-416-4279, toll-free at 888-712-3258 or TTY 711. Our hours are: October 1 through March 31, 8 a.m. to 8 p.m. daily; and April 1 through September 30, 8 a.m. to 8 p.m., Monday-Friday. You can also send us a secure message through the member portal. You can also print a blank copy of the personal medication list here.

 

Page last updated: October 1, 2022
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