Medication Therapy Management
It is the policy of Florida Health Care Plans (FHCP) to operate and maintain
a Medication Therapy Management Program (MTMP) in compliance with Medicare
Part D guidelines. This program is a collaborative program between the
medical and pharmacy departments of FHCP using the present internal staff.
The MTMP is a free service for eligible beneficiaries.
It is the purpose of the Medication Therapy Management program to:
- Improve the quality of the health care provided to FHCP members in a cost
- Optimize therapeutic outcomes for targeted members through improved drug
utilization and medical management.
- Decrease the risk of adverse drug interactions.
- Decrease drug related adverse events and medication errors.
The Medication Therapy Management Program will:
- Assess patient's medication regimen in the context of the patient's
- Assess patient's understanding, utilization, and compliance with their
- Assess use of herbal and over-the-counter (OTC) products.
- Assess medication cost and assist in developing cost effective medication plans.
- Give suggestions to treating physicians and the patient based on adverse
events, interaction risks, and adherence to clinical practice guidelines,
utilizing formulary medications when possible.
- Alert physicians to possible patient non-compliance with prescribed medications.
- Alert patients to the risks of non-compliance with prescribed medications.
- Identify potential drug elimination problems which may result in adverse events.
- Give suggestions or summary of drugs or classes of drugs that should be
avoided or given consideration based on patient specifics.
- Have congruence between what is prescribed and what is administered, in
the patient file.
- Improve medical outcomes and patient safety.
It is the purpose of the Case Management Complex Patient Care system to:
- Assess those patients with complex medical needs including but not limited
to medication use.
- Identify areas for coordination of health care, including medical, psychiatric,
medication, social, support and planning needs consistent with Medicare's CCIP.
- Create a care management plan (POC or plan of care) for these patients
with input from the patient, physicians, pharmacists, nurses, social workers
and other care givers.
- Implement the POC in conjunction with all the above, utilizing appropriate
FHCP Health Promotion and Disease Management programs, and community resources.
- Monitor the patient progress.
- Adjust the plan as needed and communicate to all involved parties.
Eligibility For Case Management/Medication Therapy Management Program:
- Medicare members projected to have greater than $3919 in medication expenses
per year, and
- Medicare members with 3 or more significant chronic diseases such as, but
not limited to: diabetes mellitus, coronary heart disease, congestive
heart failure and chronic renal insufficiency, and
- Medicare members taking more than 8 specific Part D medications for chronic
Who do I contact for more information about the Medication Therapy Management Program?
- David Fox, PharmD 386-615-4016
How will I know if I am eligible?
- Patients eligible for MTM will be Contacted by Florida Health Care Plans
quarterly in January, April, July, and October through US Mail with an
Eligibility Notification. Unless you choose to opt-out of the MTM Program
a response is not required for participation in the program.
Page Last Updated: 9/30/16