CareAdvantage Medication Therapy Management

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a.m. to 8:00 p.m.</span><br>Office hours: Monday–Friday 8:00 a.m. to 4:00 p.m.<br>Email: <a href="mailto:CareAdvantageSupport@hpsm.org">CareAdvantageSupport@hpsm.org</a></p></div> </div> </div> <div class="name-and-phone-list"> <h5> </h5> </div> <div class="name-and-phone-list"> <h5> </h5> </div> </div> </div> </div> <div class="col-xs-12 col-sm-8 col-sm-pull-4"> <div class="content-area container-fluid-margin"> <div class="sf_cols" data-sf-element="Row"> <div class="sf_colsOut sf_1col_1_100"> <div id="Contentplaceholder_TACCE306D001_Col00" class="sf_colsIn sf_1col_1in_100" data-sf-element="Column 1"> <div > <div class="sfContentBlock sf-Long-text" ><p class="plan-name">CareAdvantage Dual Eligible Special Needs Plan (D-SNP) 2024<br></p><h1>Medication Therapy Management<br></h1><p>The Medication Therapy Management (MTM) Program is an additional service that is available at no cost to eligible CareAdvantage members with certain medical conditions. This service is provided through Health Plan of San Mateo’s vendor, MedWatchers. This program helps you and your doctor make sure that your medicines are working. It also helps us identify and reduce possible medicine problems. Enrollment is voluntary and does not affect Medicare coverage for medicines covered under Medicare. The program's benefits include:</p><h2 class="mt-4">Targeted Medication Review (TMR)</h2><p>At least quarterly, we will review all your prescription medicines and contact you and/or your doctor by phone or mail if we detect a potential problem.</p><h2 class="mt-4">Comprehensive Medication Review (CMR) </h2><p>At least once a year, you get a free review and 30-minute discussion of all your medicines (including over-the-counter products) by a pharmacist or other health professional. The CMR:</p><ul><li>Is a confidential discussion by telephone.</li><li>Identifies if you are taking duplicate medicines and any potential problems with taking medicines together.</li><li>Can help you organize your medicines, making it easier to know what to take when.</li></ul><p>Following the CMR, you get a written summary of the discussion that includes:</p><ul><li>A Recommended To-Do List with steps you can take to get the best results from your medicines.</li><li>A <a title="Personal Medication List" href="/docs/default-source/member-forms/personal-medication-list.pdf?sfvrsn=b55e8e56_8">Personal Medication List</a> to help you keep track of your medicines and how to use them correctly.</li></ul><p>If a representative has reached out to you about MTM and you are interested in receiving a CMR, please call MedWatchers at the number below..</p><h2 class="mt-4">Eligibility</h2><p>The MTM program is not considered a benefit and is required by the Centers for Medicare and Medicaid Services (CMS) which (in part) sets the criteria for participation. MedWatchers identifies eligible program participants on a weekly basis. If you are eligible, MedWatchers will be sending you a letter and/or will be calling you to invite you to join the program. They then send letters to eligible individuals inviting them to join the program. If you take multiple medicines for more than one chronic health condition, you may be eligible for the MTM program. Please contact the CareAdvantage Unit to learn more.</p><p>To take part in the MTM program, you must meet all of the following three criteria:</p><ol class="my-2 ml-3"><li>Take at least eight medicines covered by Medicare Part D.</li><li>Have expected Medicare Part D medicine costs greater than $5,330 per year.</li><li>Have a diagnosis of three of the following medical conditions:</li></ol><div class="row"><div class="col-md-6"><ul><li>Osteoporosis</li><li>Rheumatoid Arthritis</li><li>Chronic Heart Failure (CHF)</li><li>Diabetes</li><li>End-Stage Renal Disease (ESRD)</li></ul></div><div class="col-md-6"><ul><li>Asthma</li><li>Cardiovascular Disorders</li><li>Chronic Obstructive Pulmonary Disease (COPD)</li><li>Chronic Noncancer Pain</li></ul></div></div></div> </div><div id="Contentplaceholder_C005_Col00" class="sf_colsIn container" data-sf-element="Container"> <div > <div class="sfContentBlock sf-Long-text" ><h2>MedWatchers Contact Information </h2><p>If you have been contacted by MedWatchers regarding the MTM program and have questions about the program, you can call the number below. You can also call this number if you would like to schedule your CMR (available to eligible members only). </p><h3>Phone</h3><p>Toll free: <span class="phone">1-866-374-6238</span> (TTY/TDD <span class="phone">7-1-1</span>) <br>Local: <span class="phone">650-409-6692</span></p><p>Hours of Operation: <span class="nowrap">Monday - Friday, 5:00 am – 6:00 pm <span class="nowrap">Saturday, 7:00 am – 12:00pm</span></span> </p></div> </div> </div> <div > <div class="sfContentBlock sf-Long-text" ></div> </div> <div > <div class="sfContentBlock sf-Long-text" ></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><div class="space-1"><hr><p>CareAdvantage Dual Eligible Special Needs Plan (D-SNP) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Limitations and restrictions may apply. For more information, call the CareAdvantage Unit or read the <a href="/docs/default-source/member-manuals/careadvantage-2024-member-handbook.pdf?sfvrsn=7248966f_20" title="CareAdvantage D-SNP 2024 Member Handbook">CareAdvantage D-SNP 2024 Member Handbook</a>.</p><p>Benefits and co-pays may change on January 1 of each year.</p><p>If you speak other languages other than English, language assistance services, free of charge, are available to you. Call <span class="phone">1-866-880-0606</span> (TTY: <span class="phone">1-800-735-2929</span> or dial <span class="phone">7-1-1</span>). ( <a target="_blank" title="Download this statement in multiple languages" href="/docs/default-source/member-notices/careadvantage-cmc-non-discrimination-notice.pdf?sfvrsn=b5887102_70">Download this statement in multiple languages</a>.)</p></div></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><div class="mt-3 text-center"><div class="centered mx-auto"><p>H6019_Web2024_M </p><p>Page updated November 1, 2023</p></div></div></div> </div> </div> </div> </div> </div> <div class="container-fluid-margin"> <div > <div class="sfContentBlock sf-Long-text" ></div> </div> </div> </div> </div> </div>  <div id="SpecialWidgetContent_T52A760D8037_Col00" class="sf_colsIn container container-fluid-margin" data-sf-element="Container"> </div> <div class="pre-footer reveal-fade-in"> <div class="container-fluid"> <div class="row"> <div class="col-sm-12"> </div> </div> </div> </div> </main> <footer> <div class="row pb-3"> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <img style="width:150px;" role="presentation" src="/assets/_img/hpsm-logo.png" /> <p class="notranslate"><span class="block">801 Gateway Blvd., Suite 100</span><span class="block">South San Francisco, CA 94080</span></p> <p> Phone: <span style="color:#2e9947;">650-616-0050</span> <br />Fax: <span style="color:#2e9947;">650-616-0060</span> <br />TTY:  <span style="color:#2e9947;">1-800-735-2929</span> <br />or dial <span style="color:#2e9947;">7-1-1</span> </p> <p class="mt-3"> <a style="margin-left:0.5rem;margin-right:1.0rem;" rel="noreferrer" target="_blank" href="https://www.facebook.com/healthplanofsanmateo"> <img style="display: inline;" width="24" height="24" src="https://www.hpsm.org/images/default-source/logos/facebook.svg?Status=Temp&sfvrsn=ac66c4ba_2" role="presentation" alt="facebook" /> </a> <a style="margin-left:1.0rem;" target="_blank" rel="noreferrer" href="https://www.instagram.com/healthplanofsanmateo/"> <img style="display: inline;" width="24" height="24" src="https://www.hpsm.org/images/default-source/logos/instagram.svg?Status=Temp&sfvrsn=d4ddac80_2" role="presentation" alt="instagram" /> </a> </p> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <a id="MemberFooterLink" class="text-lg text-capitalize" title="Members" href="/member">Members</a> <a id="ProviderFooterLink" class="text-lg notranslate" title="Providers" href="/provider">Providers</a> <a id="HealthTipsFooterLink" class="text-lg" title="Health Tips" href="/health-tips">Health Tips</a> <a id="CareerFooterLink" class="text-lg" title="Careers" href="/job-seeker">Careers</a> <a id="AboutUsFooterLink" class="text-lg" title="About HPSM" href="/about-us">About HPSM</a> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <ul style="line-height:1.5rem;"> <li class="nav-item"><a id="ContactFooterLink" href="/contact-us">Contact Us</a></li> <li class="nav-item"><a id="LanguageFooterLink" href="https://www.hpsm.org/docs/default-source/member-notices/language-assistance-tagline.pdf">Language Assistance</a></li> <li class="nav-item"><a id="PrivacyFooterLink" href="/privacy-policy">Privacy Policy</a></li> <li class="nav-item"><a id="NDNFooterLink" href="/non-discrimination-notice">Non-Discrimination Notice</a></li> <li class="nav-item"><a id="AccessibilityFooterLink" href="/help/accessibility">Accessibility Statement</a></li> <li class="nav-item"><a id="ComplianceFooterLink" href="/about-us/governance/compliance">Compliance</a></li> </ul> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <div id="tagline"> <p>Helping San Mateo County’s vulnerable and underinsured residents live the healthiest lives possible.</p> </div> <br /><br /> <small class="notranslate">Ⓒ 2024 Health Plan of San Mateo</small> </div> </div> </div> </footer>  <script src="/assets/_js/vendor/jquery.easing.1.3.js" type="text/javascript"></script> <script src="/assets/_js/vendor/bootstrap.min.js" type="text/javascript"></script> <script src="/assets/_js/vendor/jasny-bootstrap.js" type="text/javascript"></script> <script src="/assets/_js/vendor/enquire.min.js" type="text/javascript"></script> <script src="/assets/_js/vendor/jQuery.headroom.js" type="text/javascript"></script> <script src="/assets/_js/vendor/hoverIntent.js"></script> <script src="/assets/_js/vendor/jquery.matchHeight.js" type="text/javascript"></script> <script src="https://unpkg.com/scrollreveal/dist/scrollreveal.min.js"></script> <script src="/assets/_js/vendor/bootstrap-responsive-tabs.min.js" type="text/javascript"></script> <script src="/assets/vendor/cubeportfolio/js/jquery.cubeportfolio.min.js"></script>  <script src="/assets/_js/hs.core.js"></script> <script src="/assets/_js/hs.cubeportfolio.js"></script> <script src="/assets/_js/main.js" type="text/javascript"></script> <script src="/Frontend-Assembly/Telerik.Sitefinity.Frontend.Search/Mvc/Scripts/SearchBox/Search-box.min.js?v=MTMuMy43NjQwLjA%3d" type="text/javascript"></script> </body> </html>

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