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This variable is contained in the following files:
SAS Name
TARG_CRITERIA_MET_REASON
This variable indicates the reason why the beneficiary met the targeting criteria for Medication Therapy Management (MTM) per CMS's Part D requirements.
| Code | Code value |
|---|---|
| 01 | Multiple chronic diseases/multiple Part D drugs/cost threshold |
| 02 | Drug management program at-risk beneficiary |
| 03 | Both |
| 04 | None |
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 2022+ data files. Prior to 2022, the TARG_CRITERIA_MET field contains a dichotomous variable indicating whether the beneficiary met the targeting criteria.
Source: CMS (HPMS files)