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Medicaid Medication Therapy Management Pilot
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Enrollment is CLOSED for TPA's Texas Medicaid MTM Pilot.  The materials and links below are no longer being maintained and may not contain the most current guidelines or information.  This information is for historical reference only and should not be used otherwise.  

Please contact the Director of Pharmacy Practice for further information, reprinting authorization, or other questions.

 MTM Pilot Project Resources

Click below to obtain some useful practice resources & program timelines
What is MTM?

English:       "What is MTM?" Patient Handout
As a Pharmacist
  • Opportunity to Improve patients' quality of care
  • Help address the burden of rising health care costs 
  • Improve collaboration among providers 
  • Economic benefits have been realized through MTM implementation projects


 Pharmacists are valuable partners.  With specific training and education, pharmacists can provide many complementary services to assist in compliance with disease management. 

-Paul Martin, MD, The Asheville Project: A Special Report






Why  MTM?


In Texas, preliminary results show

  •  In a five-month program with 116 enrolled patients, pharmacists avoided:
    • 14 additional physician visits
    • 7 additional prescription orders
    • 6 emergency room visits
    • 1 Hospitalizations
    • Avoided aggregate costs of $39, 446
Patient Enrollment Forms

**All PATIENTS must complete and sign these forms**
Below you will find the PATIENT enrollment forms required to participate in ANY Medication Therapy Management (MTM) Pilot. The following "packet" selection contains all of the required signature forms along with an information table. If the packet is downloaded as a Microsoft Word file, upon completion of the table the information will be auto-filled into all of the other appropriate areas of the form. This will save you time and help assure accuracy. The completed packet may then be printed and/or saved for future use. When saving, it is recommended that the patient's name be used as part (or all) of the file name so it can be easily retrieved for future use.
English:          Patient Enrollment Packet 
Spanish:         Patient Enrollment Packet

Pharmacist Enrollment Forms


 **All PHARMACISTS must complete and signs these forms**


Below you will find the PHARMACIST enrollment forms required to participate in ANY Medication Therapy Management (MTM) Pilot.  



Pharmacist Enrollment Packet 




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