ResDAC is currently experiencing a high volume of requests, which may delay response and processing times. We are working to address the backlog as quickly as possible and appreciate your patience.
This variable is contained in the following files:
SAS Name
TARG_CRITERIA_MET_REASON
This variable indicates the reason why the beneficiary met the targeting criteria for Medication Therapy Management (MTM) per CMS's Part D requirements.
| Code | Code value |
|---|---|
| 01 | Multiple chronic diseases/multiple Part D drugs/cost threshold |
| 02 | Drug management program at-risk beneficiary |
| 03 | Both |
| 04 | None |
CMS created the MTM file from information submitted by Part D plan sponsors to CMS’s Health Plan Management System (HPMS).
This field is available in the 2022+ data files. Prior to 2022, the TARG_CRITERIA_MET field contains a dichotomous variable indicating whether the beneficiary met the targeting criteria.
Source: CMS (HPMS files)