The purpose of this project is to integrate medication therapy management services -MTMS- provided by community pharmacists into the clinical and health information technology -HIT- infrastructure for 36,000 Medicaid recipients of a 12-county community-based accountable care organization -ACO-. Southern Prairie Community Care -SPCC- of Southwest Minnesota has invited the University of Minnesota College of Pharmacy and the Minnesota Pharmacists Association-MPhA to collaborate in building MTM into this redesigned care delivery and financing system. The ability to execute this project is facilitated by the Minnesota Medicaid MTM Law compensating pharmacists for MTMS. The objectives of this grant are to: 1-ensure service level expectations of MTM provided by community pharmacists, 2-equip pharmacists to function effectively in the SPCC healthcare teams, and, 3-integrate the electronic documentation of community pharmacists providing MTMS into the SPCC HIT infrastructure consistent with HL7 consolidated Clinical Document Architecture -CDA- standards for exchanging electronic structured documents. Clinical and economic measures of success to be used in this project include impact on CMS ACO core measures, and total cost of care. The significance of this project relates to the development of a shared savings framework for community pharmacists providing MTMS within the SPCC ACO subsequent to the completion of this project. This project represents Phase 1 of a SPCC strategic initiative to integrate MTMS provided by pharmacists in order to achieve national 3-part aims of better care and better health at reduced expenditures. In addition, it is noted that this project will utilize the all-teach, all-learn collaboration method developed by the CMS Innovation Center to incorporate lessons learned from other CPF grant recipients studying new practice models and pharmacist engagement in medical home networks.