MTM - Cases Launched March 5th

Sign Up for MTM

Get an MTM Toolkit - Order online here!!

3/10/2010 Update:
CCRx MTM 2010 Cases launched on March 5th so pharmacies in New York now have opportunities to make a difference in the lives of patients. Please consider the importance of seizing these critical patient care opportunities. The Mirixa website has live training sessions to facilitate pharmacist's understanding of the programs and how to appropriately document the services. Additionally, there are Best Practice tips that pharmacies will find extremely helpful. Click here for the Adobe Acrobat of the program highlights and pharmacy checklist.

Studies show that pharmacists truly provide a great benefit for both the plan sponsor and the patient through cost savings, improved medication use and health outcomes.

Get the MTM Toolkit -MTM Toolkit Now Available!
More and more pharmacies are becoming involved in the provision of Medication Therapy Management Services (MTMS). To help improve your efficiency in providing MTMS, expand your pharmacy's service offerings, or to implement MTMS, PSSNY has a unique resource offering for you!

Developed by community pharmacists for community pharmacists, the MTM Toolkit is an electronic compilation of more than 30 modifiable documents and resources, including:

• MTMS intervention tools
• Comprehensive medication review (CMR) tools
• Patient medication lists
• Medication reconciliation tools for community pharmacists
• Pediatric resources
• Geriatric resources
• And much more!

Independent, chain and health-system pharmacies across the country have used the MTM Toolkit CD and have found that modifying the Toolkit documents with their own information and logos can save them time and money!

Order your MTM Toolkit CD today for only $100! Order online from the Pharmacy Society of Wisconsin.

Sign Up Today!
UPDATE - 6/30/2008: There have been 300 contracted NYS Pharmacies into the Outcomes MTM program, 88 trained pharmacists, 2,127 eligible patients, and 270 patients served. Sign up today!!! Directions below...

Overview
Two plans in New York have elected to utilize community pharmacists as the providers of Medication Therapy Management (MTM) services in their Medicare Prescription Drug Plans - HealthSpring and Senior Whole Health. Outcomes Pharmaceutical Health Care® (Outcomes®) is administering the MTM programs.

Eligible Members
All HealthSpring Medicare Prescription Drug Plan members and Senior Whole Health Medicare Advantage Prescription Drug Plan members are eligible for a full menu of face-to-face MTM services. Pharmacy-specific lists of eligible patients are available upon log-in to the Outcomes documentation platform. Over 20,000 patients are eligible for MTM services in New York in these two programs.

Covered Services

• Comprehensive Medication Reviews (CMR) $50.00
• Prescriber Consultations $20.00
• Patient Compliance Consultations $20.00
• Patient Education & Monitoring $10.00

Each member of these two plans is eligible for one Comprehensive Medication Review per calendar year and as many other covered services as is necessary and appropriate. Please see the Outcomes Personal Pharmacist training program and the Outcomes MTM Policy and Procedure Guide for further details.

Targeted Intervention Program (TIP)
In addition to pharmacist-identified services, Outcomes also works to assist pharmacists with the identification of potential MTM services. Known as TIPs, these interventions may target cost savings opportunities for the patient, inappropriate compliance, potentially-contraindicated drugs, and other drug therapy problems. On at least a quarterly basis, Outcomes uploads TIPs to the claims platform and distributes TIPs to the pharmacy network via mail and/or fax.

Pharmacy Contracting (http://www.getoutcomes.com/aspx/Pharmacists/pharmacycontracting.aspx)
To participate, each pharmacy must complete an Outcomes MTM Network Participation Agreement.

• Go to www.getoutcomes.com
• Click on the tab labeled "Pharmacists" at the bottom of the screen
• Select "Pharmacy Contracting"

Pharmacist Training (http://www.getoutcomes.com/aspx/Pharmacists/pharmacisttraining.aspx)
To be eligible to provide these MTM services and receive professional fees, pharmacists must complete the Outcomes Personal Pharmacist training program.

• Go to www.getoutcomes.com
• Click on the tab labeled "Pharmacists" at the bottom of the screen
• Select "Pharmacist Training"

For more information about this and other Outcomes-administered programs, please visit www.getoutcomes.com.

Pharmacists or pharmacies who are interested in participating in the HealthSpring MTM program or other Outcomes administered MTM programs should call 515-237-0001 or visit www.getoutcomes.com.