The ACCESS Model Resource Hub
News, guides, official documents, and community insights about CMS's 10-year chronic care transformation program—all in one place.
A new way to deliver and get paid for chronic care
The ACCESS Model (Advancing Chronic Care with Effective, Scalable Solutions) replaces traditional visit-based billing with Outcome-Aligned Payments. Instead of being paid per visit, you're rewarded for improving patient health.
Paid per visit, regardless of outcomes
Rewarded for improving patient health
Watch & Learn
Video resources to help you understand the ACCESS Model
Introduction to the ACCESS Model
Learn about CMS's new chronic care transformation program
ACCESS Model Overview
A detailed look at the ACCESS Model and its benefits
How you get paid under ACCESS
CMS replaces fee-for-service with annual outcome-aligned payments.
50% is paid monthly; 50% is withheld until clinical targets are met.
Early Cardio-Kidney-Metabolic
Cardio-Kidney-Metabolic
Musculoskeletal
Behavioral Health
50 / 50 Withhold
Half is paid monthly. The other half is released when your organization hits the Outcome Attainment Threshold — 50% of patients meeting clinical targets in Year 1.
Co-Management Pay
PCPs and referring clinicians earn ~$30 per documented care coordination review, plus a ~$10 onboarding add-on — up to ~$100 per beneficiary per year. No patient cost-sharing.
Coinsurance Waiver
Organizations may uniformly waive the 20% beneficiary co-insurance on outcome-aligned payments as an engagement incentive under a CMS safe harbor.
Browse by topic
Dive into the information you need—from understanding the basics to preparing your application.
Learn
Understand the model, eligibility requirements, and how Outcome-Aligned Payments work.
- What is ACCESS?
- OAP Explained
- Eligibility Criteria
- Glossary of Terms
Prepare
Checklists, documentation requirements, and infrastructure guides to get ready.
- Eligibility Requirements
- Required Documentation
- Infrastructure Checklist
- RFA Application Guide
Resources
Forms, guides, software recommendations, and official CMS documentation.
- CMS Forms Library
- Software Directory
- Compliance Templates
- Video Tutorials
What people are saying about ACCESS
Stay informed with the latest news, analysis, and discussions from official sources, industry experts, and the healthcare community.
Official CMS • Latest Updates
Direct from the source
CMS Publishes ACCESS Payment Rates & Technical FAQs
CMS has released detailed payment rates for all four clinical tracks — from $180/yr for MSK and BH to $420/yr for CKM. The technical FAQs cover the 50/50 withhold structure, Outcome Attainment Thresholds, co-management payments for PCPs (~$30 per service), and the coinsurance waiver safe harbor.
Read the FAQsMajor Health Plans Join ACCESS Payer Pledge
Improving ACCESS to Technology-Supported Care with Outcome-Aligned Payments
CMS Announces Establishment of the Office of Rural Health Transformation
CMS Launches Voluntary Model to Expand Access to Life-Changing Medicines
Industry Coverage
Analysis from leading healthcare publications
Community Discussion
See what people are saying about the ACCESS Model
Ready to apply?
The ACCESS application portal is now open. Submit your application online — first cohort deadline is April 1, 2026.