The Central Health Medicare Plan MTM program helps you get the greatest health benefit from your medications by:
We will automatically enroll you in the Central Health Medicare Plan MTM program at no cost to you if you meet the conditions of at least one of the following two groups (1) or (2):
Group 1.
2. You are eligible for the Drug Management Program based on the Centers for Medicare and Medicaid Services (CMS) guidelines. Your participation is voluntary and does not affect your coverage. This program is no cost to you and is open only to those who are invited to participate. The program is not a benefit for all members.
The program provides you with a:
Comprehensive Medication Review
The MTM Pharmacist will offer ways to manage your conditions with the medications you take. If more information is needed, the MTM Pharmacist may contact your prescribing provider. The review takes about 15-20 minutes and is usually offered once each year — if you qualify. At the end of your discussion, the MTM Pharmacist will provide you a Personal Medication List with the medications you discussed during your review.
You will also receive a Medication Action Plan. Your plan may include suggestions from the MTM Pharmacist for you and your provider to discuss during your next visit.
Here is an example of the Personal Medication List that you’ll walk through as a part of the program.
Upon qualifying for enrollment in the program, Central Health Medicare Plan may identify opportunities for a "Targeted Review" of your medications. As a result, Central Health Medicare Plan may contact your prescriber directly with suggestions about medications that may be safer or a better alternative to the current therapy. As always, medications won’t change unless your prescriber reviews and decides to change them.
If you qualify, we will mail you a letter. You may also receive a call, inviting you to participate in this one-on-one medication review.
You may be contacted by a MTM Pharmacist to provide your review and ensure that you have access to the service if you want to participate. These reviews are most often conducted by phone. Your local pharmacist may also partner with your health plan to offer the service in-person.
Different prescribers may write prescriptions for you without knowing all the prescription, and/or OTC medications you take. For that reason, a MTM Pharmacist will:
If you would like additional information about our program, or if you do not want to participate after being enrolled, please call The Member Services Department at 1-866-993-6058, TTY 711, Monday - Friday 8 am - 8 pm.
CHP MTM Personal Medication List
Our business hours are 7 days a week
from 8:00am to 8:00pm (PT).
Our business hours are 7 days a week from 8:00am to 8:00pm (PT).
TTY/TDD: 711
PO Box 14244, Orange, CA 92863