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Policy & oversight

Medicare's New Chronic Care Payment Model Opens Its Next Provider Enrollment Window October 1

The ACCESS model pays doctors and clinics based on patient health outcomes rather than required activities, focusing on high blood pressure, diabetes, musculoskeletal pain, and depression in Original Medicare.

By the Goodsurance editorial teamSeptember 16, 2026

The Centers for Medicare and Medicaid Services is accepting new provider enrollments in the ACCESS model through October 1, 2026, as part of a 10-year initiative that launched July 5, 2026, to reshape how chronic care is paid for in Original Medicare.

ACCESS, short for Advancing Chronic Care with Effective, Scalable Solutions, tests a payment method called Outcome-Aligned Payments that ties provider compensation to patient health results rather than to the volume of services rendered. The model covers four initial clinical tracks: early-stage cardio-kidney-metabolic care, full cardio-kidney-metabolic care, musculoskeletal care, and behavioral health.

CMS opens the ACCESS model's October 1 provider enrollment window for Original Medicare patients with common chronic conditions.

CMS reports that the covered conditions, including high blood pressure, diabetes, chronic musculoskeletal pain, and depression, affect more than two-thirds of people enrolled in Medicare. Private payers representing 165 million covered members across Medicare Advantage, Medicaid, and commercial insurance have also committed to aligning with the ACCESS payment approach.

The program operates through Original Medicare only, not Medicare Advantage. Participation is voluntary for both providers and patients. If a provider joins, their Medicare patients with qualifying conditions may gain access to technology-supported care options, typically without additional cost sharing.

CMS has said that additional conditions and tracks may be added in future model years.

In plain words

Medicare is testing a new way to pay doctors who care for patients with common long-term health problems. Instead of paying for each visit, doctors get paid based on whether their patients actually get healthier. The conditions covered include high blood pressure, diabetes, joint and back pain, and depression. More doctors can sign up starting October 1. This is only for regular Medicare, not Medicare Advantage. If your doctor joins, you may get new care options to help manage your condition, usually at no extra cost.

Source: CMS
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