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This variable is contained in the following files:
SAS Name
OPT_OUT_REASON
This variable indicates the reason the participant opted-out of the Medication Therapy Management (MTM) program, if applicable.
| Code | Code value |
|---|---|
| 01 | Death |
| 02 | Disenrollment from plan |
| 03 | Request from beneficiary |
| 99 | Other |
| Null/missing | beneficiary did not opt-out |
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)