Medication Management Therapy Program

If you are a member who takes many prescription drugs, or who has high drug costs or chronic diseases, you could be eligible for the Samaritan Advantage Health Plan HMO Medication Therapy Management Program, also known as MTM. This is a free service for eligible members.

2024 Qualifications

To qualify for MTM, members must meet the following criteria:

• Must be taking a minimum of six drugs covered by Medicare Part D
• Must have a prescription drug spend that incurs one-fourth of the specified annual cost threshold ($5,330) in the previous three months.
• Must have a minimum of three chronic diseases that Samaritan Advantage has chosen to monitor, as permitted by the Centers for Medicare & Medicaid Services (CMS):
  • Bone disease/arthritis/osteoporosis.
  • Chronic heart failure, also known as CHF.
  • Diabetes.
  • Dyslipidemia.
  • Hypertension.
  • Mental health/depression.
  • Respiratory disease/chronic obstructive pulmonary disease, also known as COPD.
  • HIV/AIDS.