Skip to Main Content

++

Chapter 2. Medicare Part D's Medication Therapy Management: Shifting from Neutral to Drive

++
++
++

Which of the following apply to Part D MTM services?

++
++
++

a. They are required for all transition-of-care patients.

++
++

b. Prescriber approval is required to provide services.

++
++

c. It is required that services be face-to-face.

++
++

d. The use of telehealth is required.

++
++

e. Set selection criteria must be used to identify MTM-eligible patients.

++
++
++

Which of the following is true about a Part D MTM comprehensive medication review?

++
++
++

a. It is done on all Medicare members enrolled in a PDP or MA-PD.

++
++

b. It is done for MA-PD plans only.

++
++

c. It addresses prescriptions, non-prescriptions, herbals, and dietary supplements.

++
++

d. It requires access to medical records.

++
++

e. Low-income subsidy recipients are excluded.

++
++
++

Medication therapy management eligibility criteria include which of the following?

++
++
++

a. The number of chronic brand drugs

++
++

b. Evidence of non-adherence

++
++

c. Part B usage

++
++

d. Selected chronic disease states

++
++

e. An out-of-pocket spending limit

++
++
++

Which of the following statements best characterizes Part D MTM?

++
++
++

a. Overall member participation has been below CMS expectations.

++
++

b. Part D MTM has been proven to improve member outcomes.

++
++

c. ACOs are required to provide Part D MTM to all members.

++
++

d. Plans have no flexibility in choosing Part D MTM eligibility criteria.

++
++

e. Prescribers are prohibited from conducting Part D MTM.

++
++
++

Unanswered questions for Part D MTM include which of the following?

++
++
++

a. What information and data are useful for enhancing beneficiary awareness of MTM programs and services?

++
++

b. What is the best method for evaluating the quality of an interactive, person-to-person comprehensive medication review (CMR) and other interventions?

++
++

c. Which Part D MTM program eligibility criteria are most useful to beneficiaries in selecting a health plan?

++
++

d. Which beneficiaries may derive ...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.