At HealthPartners, we help our members achieve optimal medication use in part by offering our MTM program. The core of our program is grounded in evidence that pharmacists integrated into patient care help achieve our triple aim of the best care at the lowest total cost with excellent patient experience. We support existing pharmacist-patient relationships whenever possible to achieve optimal medication-related health outcomes.

HealthPartners offers compensation to pharmacists for MTM services provided to more than 800,000 members across our Minnesota Medical Assistance (Medicaid), commercial and Medicare populations. We’re currently looking to expand our provider network:

1. If you’re interested in becoming a provider in our network, please fill out the online form to contract with HealthPartners.
2. Then, complete the MTM credentialing application.

If you would like more information about our program or about becoming a provider, please contact:

Kasey Gower, Pharmacy Network Liaison
Kasey.K.Gower@HealthPartners.com
952-883-6838 (TTY 711)

Below, you can open a web-based tool designed for MTM providers who don’t have a documentation system. This tool enables you to create CMS-standard format materials and/or the HealthPartners continuity of care document (CCD) to meet documentation requirements.

All HealthPartners Medicare members must be given the CMS standard format materials within 14 days of a comprehensive medication review (CMR). Also, for all HealthPartners members, you must deliver a CCD to HealthPartners within 45 days of a completed MTM visit.

Find information about HealthPartners MTM, including specific information about our expectations, documentation requirements, claims submission, audit examples and more specific information about our various MTM programs:

• HealthPartners MTM provider expectations (PDF)
• HealthPartners MTM documentation requirements (PDF)
• Claims submission requirements (PDF)
• Audit examples
  • Audit checklist example (PDF)
  • Audit note example (PDF)

Our plans have program protocols and outcome elements for specific MTM programs. Some programs also require a signed participation form by the patient.

• Download specific MTM program details

Medications covered by incentives:

• MTM drug list (PDF)
  

• HealthPartners continuity of care document specification (PDF)
• CMS standard format specification (PDF)