Reason participant opted-out of MTM program

SAS Name

This variable indicates the reason the participant opted-out of the Medication Therapy Management (MTM) program, if applicable.


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

This field is required if there is an opt-out date (field called OPT_OUT_DT).

Source: CMS (HPMS Files)

Code Code value
01 Death
02 Disenrollment from plan
03 Request from beneficiary
99 Other
Null/missing beneficiary did not opt-out