California Medicaid Provider Manual: Pharmacist Medication Therapy Management Services

The document was released on October 28, 2021, by the California Department of Health Care Services (DHCS) to present beneficiary eligibility and billing instructions for a new pharmacist services benefit for medication therapy management (MTM) services. MTM services are not included in the managed care plan capitation rates. Claims for reimbursement will be submitted to DHCS and paid on a fee-for-service basis . . .