Why Standards are Beneficial
Standards allow for optimization and efficiency. In today’s Medicaid environment each state is afforded the ability to craft MTM program guidance individually. Inconsistent program designs have then resulted in organizations expending outsized efforts to meet these designs within each state where they may operate. Although the customizable nature of the current way of operating has allowed states free reign in their design of programs, an opportunity exists to promote general standardization. The goal of this standardization would be to improve efficiency along with tracking and impacting patient outcomes from MTM service provision. To maintain a program of high quality it is recommended that the State Medicaid Agency create or leverage existing committees of partners across the state that would engage with the MTM Program. This committee would be tasked with evaluation and enhancement of the program to ensure the program remains true to its core objective and continues to evolve and meet the needs of the state’s Medicaid enrollees. Examples of Committee members could include:
- Beneficiaries or Caregivers of Beneficiaries (Including Tribal Representatives)
- State Medicaid Agency representatives
- State Board of Pharmacy representatives
- State Medical Board representatives
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