Beneficiary Met Targeting Criteria

SAS Name
TARG_CRITERIA_MET

This variable indicates if the beneficiary met the specified targeting criteria for Medication Therapy Management (MTM) per CMS's Part D requirements.

Comments

CMS created the MTM File from information submitted by Part D plan sponsors to CMS’s Health Plan Management System (HPMS).

This field is available in the 2013–2021 data files. Starting with 2022, the TARG_CRITERIA_MET_REASON field contains expanded information, documenting the reason why beneficiary met the targeting criteria

Source: CMS (HPMS Files)

Code Code value
Y Yes
N No