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Medication Therapy Management (MTM) Program

What is the Medication Therapy Management (MTM) Program?

It is a program for Medicare Part D members to learn more about their medicines. This helps ensure safe use of medications.

Who is eligible?

You must meet ALL of the following criteria to be eligible for MTM services:
  • Have Medicare Part D coverage with FirstCare Health Plans
  • Have at least 3 of the chronic diseases listed below.
    • Alzheimer’s Disease
    • Osteoporosis
    • Rheumatoid Arthritis
    • Chronic Heart Failure (CHF)
    • Diabetes
    • Dyslipidemia (high cholesterol)
    • Hypertension (high blood pressure)
    • Bipolar Disorder
    • Depression
    • Schizophrenia
    • Asthma
    • Chronic Obstructive Pulmonary Disease (COPD)
  • Take at least 8 chronic / maintenance medications covered by your Medicare Part D plan.
  • Be likely to spend a certain amount on Part D covered drugs each year. For 2021, you must be likely to spend $4,376.

Is there a fee for MTM services?

There is no fee for MTM services if you meet the above criteria.

Who provides the MTM services?

A company called MedWiseRx provides the MTM services. MedWiseRx has specially trained MTM providers.

What types of MTM services are offered?

  1. A Comprehensive Medication Review (CMR) once a year
    • A CMR can help you learn more about your medications. This includes over the counter (OTC) products and supplements.
    • During a CMR, a qualified MTM provider talks with you and reviews your medications. The MTM provider works with you to create a plan to address any medication problems.
    • After a CMR, you will be provided a written summary. That summary will be delivered by mail and will include the following materials:
      • Cover Letter (CL)
      • Medication Action Plan (MAP)
      • Personal Medication List (PML)
    • Where are CMR visits conducted?
      • Over the phone.
    • How long is a CMR visit?
      • The time required to conduct a CMR depends on many factors.  Typically, a CMR takes less than 30 min.
  2. Targeted Medication Reviews (TMR) at least every 3 months
    • These reviews help to ensure safe use of medications. These reviews may focus on one drug or many drugs.
    • Your medications will be reviewed to see if you may be taking the targeted medication(s). If a medication problem is found during the review, you or your doctor will be notified by phone, mail, or fax.

How do patients enroll?

MTM services are not a benefit for all Part D members, but are offered for free to members who qualify for the plan’s MTM program.

Once you are eligible for the MTM program, you are automatically enrolled.

You will be sent a welcome letter inviting you to take part in a CMR. The letter will describe the MTM program and describe how to schedule a CMR. You may also get a phone call inviting you to schedule a CMR. You may disenroll from the MTM program at any time. You may also refuse certain services and still stay enrolled in the MTM program. For example, you can refuse to schedule a CMR but stay in the MTM program. In this case, your medications would still be screened during the TMRs.

For more information

To learn more about the MTM program or to see if you are eligible for the program, call FirstCare Advantage Dual SNP (HMO SNP) Customer Service at 1-866-229-4969 (TTY users 711).

If you do not have questions about the MTM program but have questions regarding your Medicare benefit, contact FirstCare Advantage Dual SNP (HMO SNP) Customer Service at 1-866-229-4969 (TTY users 711).

We are available:
  • October 1 – March 31, 8 a.m. to 8 p.m. Central Time (CT) daily;
  • April 1 – September 30, 8 a.m. to 8 p.m. Central Time (CT) Monday through Friday.

Personal Medication List

It is important to keep a list of your medications. Feel free to print and use the medication list templates below. If you take OTC medications or supplements, include these on your list too. Be sure to share your medication list with each of your healthcare providers.

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How to Learn More

Schedule a sit-down:
Feel free to contact us, and a FirstCare Advantage Dual SNP (HMO SNP) representative will gladly sit down with you and compare the plans in greater detail.
Call us at:
We are available;
October 1- March 31, 8 a.m. to 8 p.m. Central Time (CT) daily;
April 1- September 30, 8 a.m. to 8 p.m. Central Time (CT) Monday through Friday.
For TTY or for accommodation of persons with special needs, please call TTY 711.
Or, write:
FirstCare Advantage Dual SNP (HMO SNP)
Attn:  Customer Service
7005 Salem Park Drive
Suite 100 (1st Floor)
Lubbock, TX 79424

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