Official Documents
This page provides access to all official CMS documents and resources for the ACCESS Model. Download the materials you need to understand the program and prepare your application.
ACCESS Is Live — Applications Remain Open
The ACCESS Model launched on July 5, 2026 with more than 160 participating organizations. CMS accepts applications on a rolling basis at the ACCESS Participant Portal. Apply by October 1, 2026 for the January 1, 2027 cohort.
New Tracks Start April 1, 2027
On September 15, 2026, CMS announced new tracks for heart failure, COPD, substance use disorder, and tobacco cessation, plus a new follow-on period for chronic musculoskeletal pain. Current participants and applicants do not need to reapply. Read the CMS announcement.
Primary Documents
Request for Applications (RFA)
The official Request for Applications contains complete details about the ACCESS Model, including eligibility requirements, payment methodology, clinical tracks, and application instructions.
ACCESS Model Request for Applications
Complete RFA document with all model details and application requirements (PDF)
Payment and Billing
Model Payment Amounts and Performance Targets
OAP annual allowed amounts, performance thresholds, and outcome measures for July 5, 2026 – December 31, 2027 (PDF)
ACCESS OAP Billing Guidelines
How participants bill the OAP G-codes (G0669–G0675) each month (PDF)
Co-Management Payment Billing Guidance
How PCPs and referring clinicians bill G0676, G0677, G0678, and modifier AC
Care Delivery Templates
ACCESS Care Update Template
Template for the care updates that participants send to PCPs and referring clinicians (PDF)
ACCESS Beneficiary Notices Reference
Required beneficiary notices and reference language (PDF)
Model Overview and Announcements
ACCESS Model Overview
Official CMS Innovation Center page with model summary and key information
CMS Press Release: New Tracks Start April 1, 2027 (September 15, 2026)
CMS adds heart failure, COPD, substance use disorder, tobacco cessation, and a chronic MSK pain follow-on period
ACCESS Technical FAQ
Official CMS answers to technical, payment, and participation questions
ACCESS Model Participants
CMS list of the 160+ participating organizations by clinical track
ACCESS for Primary Care Providers and Referring Clinicians
How PCPs refer patients, receive care updates, and bill the Co-Management Payment
Medicare.gov: Support for Chronic Health Conditions (ACCESS)
Beneficiary-facing page with covered conditions, costs, and the care organization directory
Application Resources
Application Portal
The ACCESS Model application portal accepts applications on a rolling basis through April 1, 2033. Apply by October 1, 2026 for the January 1, 2027 cohort.
ACCESS Participant Portal — Apply Now
Submit your application through the online portal
Listserv & Updates
Subscribe to the ACCESS Model listserv to receive updates on application deadlines and model developments.
Subscribe to ACCESS Model Listserv
Receive updates on deadlines and model developments
Medicare Enrollment
Organizations must be enrolled in Medicare Part B to participate. Use these resources if you need to enroll or verify your enrollment status.
Medicare Provider Enrollment Guide
CMS guide to enrolling as a Medicare provider or supplier
PECOS - Provider Enrollment System
CMS Provider Enrollment, Chain, and Ownership System
Technical & Compliance Resources
CMS API and Data Submission
ACCESS API Implementation Guide
FHIR-based implementation guide for eligibility, alignment, and outcome reporting
ACCESS API Operations Manual
Operational guidance for connecting to the ACCESS APIs (PDF on GitHub)
FDA Digital Health
FDA Digital Health Center of Excellence
FDA resources for digital health technologies, SaMD, and regulatory pathways
FDA AI/ML in Medical Devices
FDA guidance on AI and machine learning in Software as a Medical Device
HIPAA Resources
HIPAA for Professionals
HHS HIPAA guidance for covered entities and business associates
Informational Resources
CMS Innovation Center
CMS Innovation Center
Overview of all CMS Innovation Center models and initiatives
Value-Based Care Resources
Value-Based Care Overview
CMS resources on value-based payment and care delivery
Voluntary vs Mandatory Participation
Understanding participation requirements in CMS models
Video Resources
CMS Events and Webinars
Introducing ACCESS: HHS-CMS Event
Official launch event introducing the ACCESS Model
ACCESS Model: Technology-Supported Care
CMS presentation on technology-supported care under ACCESS
ACCESS Primary Care Physician and Referring Clinician Webinar (June 4, 2026)
CMS webinar for PCPs and referring clinicians on referrals, care updates, and co-management payments
Webinar Slides
Financial Structure and Clinical Performance Webinar (March 4, 2026)
Slides covering OAP structure, withholds, and outcome thresholds (PDF)
PCP and Referring Clinician Webinar Slides (June 4, 2026)
Slides from the CMS webinar for primary care and referring clinicians (PDF)
Health IT and Interoperability Requirements Webinar Slides (July 23, 2026)
Slides on interoperability, API, and data submission requirements (PDF)
Document Quick Reference
| Document | Type | Description |
|---|---|---|
| Request for Applications | Complete model details and application requirements (version 1.1, February 12, 2026) | |
| Payment Amounts and Performance Targets | OAP rates, thresholds, and measures for July 2026 – December 2027 | |
| OAP Billing Guidelines | Monthly OAP G-code billing for participants | |
| Co-Management Payment Billing Guidance | Web | G-codes and modifier for PCPs and referring clinicians |
| Care Update Template | Template for care updates sent to referring clinicians | |
| Beneficiary Notices Reference | Required beneficiary notices | |
| API Implementation Guide | Web | FHIR implementation guide and operations manual |
| New Tracks Press Release | Web | September 15, 2026 announcement of five tracks starting April 1, 2027 |
| Application Portal | Form | Submit your ACCESS Model application online |
| Model Overview | Web | Summary of ACCESS Model on CMS website |
| Technical FAQ | Web | Answers to common technical questions |
| Participants List | Web | 160+ participating organizations by track |
| Listserv Sign-up | Form | Subscribe to updates and announcements |
Frequently Asked Questions
Where can I find the most current version of documents?▼
Always refer to the official CMS Innovation Center website for the most current versions of all ACCESS Model documents. Links on this page connect directly to CMS sources.
Will there be additional guidance documents?▼
CMS may release additional guidance, FAQs, and supporting materials as the model develops. Subscribe to the ACCESS Model listserv to receive notifications of new resources.
Are documents available in other languages?▼
Currently, official ACCESS Model documents are available in English. Contact ACCESSModelTeam@cms.hhs.gov for information about accessibility accommodations.
How do I get notified of document updates?▼
Subscribe to the ACCESS Model listserv to join the mailing list. CMS will send notifications about new documents, updates, and important announcements.
Contact
For questions about ACCESS Model documents or to request additional information:
Email: ACCESSModelTeam@cms.hhs.gov
Next Steps
Frequently Asked Questions
Comprehensive FAQ covering common ACCESS Model questions
Check Eligibility Requirements
Review requirements before starting your application
Learn About ACCESS
Understand how the ACCESS Model works