Federal Policy
CMS Adds Four Condition Tracks to ACCESS Model in Spring 2027
CMS announced September 15 that it will expand the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model to include four new condition tracks: heart failure, chronic obstructive pulmonary disease, substance use disorders, and tobacco cessation. The expansion takes effect in spring 2027. The addition broadens the model's scope beyond its current conditions, creating new opportunities for providers to participate in value-based care arrangements for these chronic conditions under Medicaid and Medicare.
Why it mattersThe expansion creates new value-based payment opportunities for Medicaid managed care organizations and providers serving populations with these high-prevalence chronic conditions, particularly for behavioral health and LTSS-intensive enrollees.
Also covered by:jdsupra.com