TABLE 1.
Part D Plan Compliance with CMS-Required, CMS-Suggested, and NIA-Recommended Elements for MTM Program Websites
MTM Program Website Elements | Compliance Rate, % (n) | |||
---|---|---|---|---|
All Part D Plans (N = 106) | MAPD Plans (n = 81) | PDP Plans (n = 16) | MMP Plans (n = 9) | |
CMS-required elements | ||||
Separate section or dedicated web page about MTM program | 96 (102) | 98 (79) | 88 (14) | 100 (9) |
Part D sponsor’s MTM eligibility requirements | 95 (101) | 96 (78) | 88 (14) | 100 (9) |
Statement informing beneficiaries who to contact at Part D sponsor for more information | 97 (103) | 98 (79) | 94 (15) | 100 (9) |
High-level summary of services offered by MTM program | 94 (100) | 95 (77) | 88 (14) | 100 (9) |
Explanation of the purpose/benefits of MTM | 94 (100) | 95 (77) | 88 (14) | 100 (9) |
Statement explaining that MTM is a free service for eligible beneficiaries | 94 (100) | 95 (77) | 88 (14) | 100 (9) |
Statement of how the notification will be sent to the beneficiary | 94 (100) | 95 (77) | 88 (14) | 100 (9) |
Statement of how sponsors will contact the beneficiary about CMR | 90 (95) | 91 (74) | 81 (13) | 89 (8) |
Statement of how sponsors will contact the beneficiary about TMR | 73 (77) | 73 (59) | 75 (12) | 67 (6) |
Statement of how sponsors offering services of CMR and TMR | 73 (77) | 73 (59) | 75 (12) | 67 (6) |
Statement describing time commitments of medication reviews | 67 (71) | 68 (55) | 69 (11) | 56 (5) |
Statement of how the sponsor will provide MTM service documents other than personal medication list | 85 (90) | 89 (72) | 75 (12) | 67 (6) |
Blank copy of personal medication list posted on website | 88 (93) | 89 (72) | 81 (13) | 89 (8) |
Statement clarifying that these programs are not considered a benefit | 88 (93) | 91 (74) | 63 (10) | 100 (9) |
CMS-suggested element | ||||
Accessibility by clicking through a maximum of 2 links | 79 (84) | 78 (63) | 75 (12) | 100 (9) |
NIA-recommended elements | ||||
Website address goes directly to MTM pagea | 87 (92) | 85 (69) | 94 (15) | 89 (8) |
Search bar on homepage | 71 (75) | 74 (60) | 38 (6) | 100 (9) |
Search bar on MTM page | 64 (68) | 68 (55) | 31 (5) | 89 (8) |
Search phrase “medication therapy management” | 58 (62) | 60 (49) | 25 (4) | 100 (9) |
aWebsite address for MTM program as listed in the CMS file of 2016 approved Part D contracts.
CMR = comprehensive medication review; CMS = Centers for Medicare & Medicaid Services; MAPD = Medicare Advantage prescription drug plan; MMP = Medicare-Medicaid plan; MTM = medication therapy management; NIA = National Institute on Aging; PDP = prescription drug plan; TMR = targeted medication review.