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This file includes beneficiary-level information for participants in the Part D Medication Therapy Management (MTM) program, required of CMS Part D plans. Eligible beneficiaries include those enrolled in Part D plans with multiple chronic disease, those taking multiple Part D drugs and those likely to have expenditures exceeding a specified level as described by federal regulations.

What does this file include? (variable highlights)

  • Whether beneficiary met target criteria
  • Long term care residence
  • Number of drug-therapy recommendations made
  • Number of drug-therapy problems resolved
  • Linking variable

Why do researchers request this file?

  • Assess the effect of medication management on prescribing patterns and clinical outcome
  • Identify cost of illness impact of the Part D MTM program

Special considerations

  • All beneficiaries in the file were enrolled in MTM at some point during the year.  Not everyone in file received MTM services.
Program
Medicare
Category
Privacy Level
Research Identifiable Files