answers
71.3%of programs targeted beneficiaries who have filled at least ____
covered part D drugs? Ans✓✓✓ eight
A plan sponsor as the discretion to determine whether to target
beneficiaries with at least two or three chronic diseases. T/F Ans✓✓✓
T
An MTM is performing a medication review to... Ans✓✓✓ identify,
resolve, and prevent medication related problems
Documenting the care given and communicating the information to the
patient's other primary care providers
Providing verbal education and training to enhance patient
understanding and appropriate use of medications
Providing information, support, and resources to enhance patient
adherence
Coordinating and integrating MTM services within the broader health
care services being provided
Can patients be referred by their health plan, another healthcare
professional, or request the service themselves without a referral?
Ans✓✓✓ Yes
For medicare part D the patient must be likely to incur how much?
Ans✓✓✓ $4,044 as an annual cost of all covered part D drugs
, In all cases except patient self-pay, the pharmacist and/or pharmacy and
the program sponsor must have a contract for provision of MTM
services before a bill can be submitted and paid. T/F Ans✓✓✓ T
MTM services may include: Ans✓✓✓ 1. Assessing the patient's health
status
2. Formulating a medication treatment plan
3. Selecting, initiating, modifying, or administering medication therapy
4. Monitoring and evaluating the patient's response to therapy
This includes safety and effectiveness
Plan sponsors must target at least 5 of the following nine core chronic
disease Ans✓✓✓ 1. alzheimer's disease
2. hypertension
3. chronic heart failure (CHF)
4. diabetes
5. dyslipidemia
6. end stage renal disease (ESRD)
7. respiratory disease (asthma, COPD, chronic lung disorders)
8. Bone disease- arthritis osteoporosis, osteoarthritis, or rheumatoid
arthritis)
9. Mental health diseases (depression, schizophrenia, bipolar disorder, or
chronic or disabling disorders)