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This variable is contained in the following files: Part D Medication Therapy Management Data File
SAS Name
OPT_OUT_REASON

This variable indicates the reason the participant opted-out of the Medication Therapy Management (MTM) program, if applicable.

Comments

CMS created the MTM File from information submitted by Part D plan sponsors to CMS’s Health Plan Management System (HPMS).   

This field is required if there is an opt-out date (field called OPT_OUT_DT).

Source: CMS (HPMS Files)

CodeCode value
01
Death
02
Disenrollment from plan
03
Request from beneficiary
99
Other
Null/missing
beneficiary did not opt-out