Medication Therapy Management (MTM)

Better therapeutic outcomes for members with multiple conditions.

medication thearpy

Focused on Improvement

Here's what you
should know

Our Medication Therapy Management (MTM) program is focused on helping our Medicare members with complex health needs make the most of their medications by:

  • Preventing or reducing medication errors and side effects
  • Providing helpful tips on taking your medicine to make sure you get the most benefit
  • Providing information on the safe disposal of unneeded medications

The MTM program is not a benefit, but a service available to those members who qualify at no cost to you!

You will automatically be enrolled in the MTM program, if you meet all of the following criteria:

  • Have filled eight (8) or more maintenance Part D medications; and
  • Have at least three (3) of the following chronic conditions
    • High Blood Pressure
    • High Cholesterol
    • Congestive Heart Failure (CHF)
    • Diabetes
    • Depression
    • Osteoporosis
    • Rheumatoid Arthritis
    • Asthma
    • COPD
    • HIV
  • Are likely to spend more than $4,696 a year on Part D covered medications.

OR

  • Are in a Drug Management Program to help better manage and safely use medications such as opioids and benzodiazepines.

Our Medication Therapy Management (MTM) program is focused on helping our Medicare members with complex health needs make the most of their medications by:

  • Preventing or reducing medication errors and side effects
  • Providing helpful tips on taking your medicine to make sure you get the most benefit
  • Providing information on the safe disposal of unneeded medications

The MTM program is not a benefit, but a service available to those members who qualify at no cost to you!

You will automatically be enrolled in the MTM program, if you meet all of the following criteria:

  • Have filled eight (8) or more maintenance Part D medications; and
  • Have at least three (3) of the following chronic conditions:
    • High Blood Pressure
    • High Cholesterol
    • Congestive Heart Failure (CHF)
    • Diabetes
    • Depression
    • Osteoporosis
    • Rheumatoid
    • Arthritis
    • Asthma
    • COPD
    • HIV
  • Are likely to spend more than $4,935 a year on Part D covered medications.

OR

  • Are in a Drug Management Program to help better manage and safely use medications such as opioids and benzodiazepines.

What You Can Expect

MTM services include a Comprehensive Medication Review (CMR) and Targeted Medication Reviews (TMR). If you are eligible, you will receive a letter from our partner, OptumRx. You may also receive a phone call. The letter will provide information on how to schedule your CMR.

Comprehensive Medication Review (CMR)

At least once per year, a CMR is completed with one of our health professionals.This review is a discussion to review your medications, including herbal remedies and over the counter (OTC) and your health conditions. This review usually takes 20 minutes. The health professional may offer ways to help get the most from your medications for your health conditions. You will also be able to ask any questions you may have about your medications.

Following the review, you will get a written copy of the CMR Recommendation Letter. This recommendation letter summary includes:

  • Medication Action Plan (MAP): The action plan has steps you should take to help you get the best results from your medications.
  • Personal Medication List (PML): The medication list will help you keep track of your medications and how to use them the right way.

Download a blank copy of the Personal Medication List (PML) that can help you and your healthcare providers keep track of the medications you are taking.

Targeted Medicare Review (TMR)

At least quarterly, a TMR is completed to review all your prescription medications. If our health professionals identify any potential problems or have suggestions about your medications, we will contact your prescribing provider. Your prescriber will assess our suggestions and decide if any changes are necessary.

Participation in the MTM program is voluntary to those who qualify.

For more information about our MTM program, or if you do not wish to participate, please contact the OptumRx MTM Department toll free at 1-866-352-5306 (TTY: 711), Monday through Friday, 8:00 a.m. to 8:00 p.m. CST.

Safe Drug Disposal

Do you have unused expired medications and are looking for a safe way to dispose of them?

eternalHealth wants to ensure you have the information you need to safely dispose of medications. Unused or expired medications should be disposed of as soon as possible.

Here are a few tips for safe disposal:

  • Find a nearby pharmacy or other local resource with a medication take back service.
    • Call your pharmacy or local police department
    • The US Drug Enforcement Administration (DEA) allows unused prescription medications to be returned to pharmacies or other authorized sites. You can locate participating locations at: usdoj.gov/pubdispsearch/ 
    • Community take back sites are the preferred method of disposing of unused controlled substances.
    • Additional drug disposal information can be found on the DEA website at www.deatakeback.com.
  • At-home Medication Disposal: If you cannot get to a drug take back location promptly, or there is none near you, there are ways to dispose of your medication at home:
    • Mix the unused supply with an undesirable substance such as dirt, used coffee grounds or kitty litter.
    • Put the mixture into a disposable container with a lid, such as an empty margarine tub, or into a sealable bag, then place the sealed container in your trash.
    • Make sure to conceal or remove any personal information, including Rx number, on the empty containers by covering it with black permanent marker or duct tape, or by scratching it off to protect your privacy.
    • Place both the sealed container with the mixture and the empty drug containers in the trash.
    • Only flush approved unused or expired medications down the toilet only if indicated on the label or no other disposal options are available.

More information on the safe disposal of medications can be found on the United States Department of Health and Human Services website: hhs.gov/opioids/prevention/safely-dispose-drugs/ 

These programs are provided at no additional cost as part of your coverage and are not considered a benefit.

Page Last Updated On: October 17, 2022
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Tom Cunniffe

Director of Operations 

Tom Cunniffe comes to eternalHealth with over 20 years of healthcare operations’ experience, having held leadership positions in Call Center, Enrollment, Credentialing, UAT and Reimbursement teams. Tom has worked with Medicaid, Commercial and Medicare lines of business and has consistently built teams who are metrics driven with proven successful outcomes. Making sure our business strives for an efficient, best-in-class customer experience is at the center of Tom’s philosophy.

Tom has a bachelor’s degree from Fordham University and a master’s in business administration from University of Massachusetts at Amherst.

Tom Lawless

Chief Financial Officer

Tom Lawless has spent the past 20+ years building, sustaining, and growing new healthcare-related programs that balance fiscal responsibility & prudence with creativity & innovation, focusing on models of care that are novel, person-centered, and improve the social welfare of those who are served. He is very excited to continue doing so in his role as the Chief Financial Officer of eternalHealth.

Tom comes to eternalHealth from a not-for-profit, member-centric, health insurance cooperative. He helped the company continuously strive toward its dual goals of thriving financially, while keeping members at the very epicenter of its mission and service model. While there, Tom also spearheaded the creation of a brand new private, charitable foundation, which will be meaningfully giving back to those in need in the surrounding communities for years to come. Previously, Tom worked in the finance department of a successful hospice that provided high-quality care to persons experiencing their unique and poignant end-of-life journeys, assuring that the appropriate financing was always available. Tom’s career began as a civil servant in the Wisconsin Medicaid program, where he helped to create a program that expanded the institutional entitlement to care into home and community-based settings. Starting with only a blueprint in hand, the program now serves more than 57,000 frail elders and disabled adults and is considered a national model. Growing into a senior leadership role, Tom was a key architect of an innovative financing model, through which the public and private sectors successfully collaborated to better the lives of persons in great need.

Tom holds undergraduate and graduate degrees from the University of Chicago, with additional graduate work in economics completed at the University Wisconsin-Madison.

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