Medication Therapy Management Program
The Medication Therapy Management Program (MTMP) works to identify Medicare members at risk for potential drug-related problems and helps CHP members better understand the drugs they take. Some CHP members have several complex medical conditions or they need to take many drugs at the same time, or they may have very high drug costs. This program helps our members manage their drugs and helps reduce potential problems. The Medication Therapy Management Program can help you and your doctors get the most benefit from your covered drugs.
Who Qualifies for MTMP?
If you qualify, this program is offered at no cost to you.
You will be automatically enrolled in this program if you:
- Take eight or more Medicare Part D-covered maintenance drugs, and
- Have three or more long-term health conditions, such as diabetes, high blood pressure, chronic heart failure, or high blood cholesterol levels
- Spend more than $5,330 a year on your drugs
How Will I Know If I Qualify?
It’s easy to get started. If you meet the criteria above, you are automatically enrolled and will receive a Participation Form in the mail. To receive interactive services from the MTMP, complete and return the Participation Form. Or, you may call the phone number on the offer letter and ask to speak to someone about the MTMP.
There is no added cost for this program and you may leave the MTMP at any time. Your choice whether to take part — or not — has no effect on your insurance benefit.
If you meet the criteria above, but haven’t received a Participation Form in the mail about the MTMP and suspect that you are not enrolled, you may call the CHP Medicare Member Services Team at (850) 523-7441, Monday – Friday, 8:00 a.m. and 5:00 p.m.
How Does it Work?
The Medication Therapy Management Program, offered by your Prescription Drug Plan, allows you to talk to a pharmacist or trained Medication Therapy Management nurse about your medicines. The MTMP can help you get the most from your medicines.
MTMP pharmacists and trained nurses can answer your questions about prescription medicines and over-the-counter products. MTMP services include:
- Review of your medicines
- Personalized Medicine List
- Help in understanding how your medicines work and their side effects
- Educational materials
Download a copy of our MTMP Personal Medication List. This form can be used to help keep track of your medications.
If you would like additional information about this program, please contact our Medicare Member Services team at (850) 523-7441: October 1 – March 31, 8:00 a.m. – 8:00 p.m., seven days a week; and April 1 – September 30, 8:00 a.m. – 8:00 p.m., Monday – Friday. You can also contact Prime’s MTM program directly at 1 (866) 686-2223. State of Florida Members can call 1 (877) 392-1532, Monday – Friday from 7:00 a.m. – 7:00 p.m.
Capital Health Plan Silver Advantage (HMO), Advantage Plus (HMO), Preferred Advantage (HMO), and Retiree Advantage (HMO) are HMO plans with a Medicare contract. Enrollment in Capital Health Plan Silver Advantage, Advantage Plus, Preferred Advantage, and Retiree Advantage depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
If you have questions, please call Member Services at (850) 523-7441 or 1 (877) 247-6512 8:00 a.m. – 8:00 p.m., seven days a week, October 1 – March 31; 8:00 a.m. – 8:00 p.m., Monday – Friday, April 1 – September 30. State of Florida members call 1 (877) 392-1532, 7:00 a.m. – 7:00 p.m. TTY/TTD (850) 383-3534 or 1 (877) 870-8943.