The Center for Medicare and Medicaid Innovation (CMMI) is now accepting applications to participate in a new, voluntary 10-year chronic care model called Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model.

The model, announced in December 2025, aims to help beneficiaries improve or better control one or more covered chronic conditions from four clinical tracks by employing technology-enabled care and chronic care management. Providers are paid what the Centers for Medicare and Medicaid Services (CMS) refers to as, “outcome-aligned payments,” which are a combination of a monthly payment per covered Medicare Fee-For-Services (FFS) beneficiary and an annual performance-based payment tied to clinical outcomes.

Payments vary by clinical track: early cardio-kidney-metabolic, cardio-kidney-metabolic, musculoskeletal and behavioral health. CMS is now accepting applications to participate from Medicare Part B providers and some suppliers.

The first cohort of the model is scheduled to begin on July 5, 2026, and applications for this cohort must be submitted no later than April 1, 2026. Providers should be willing to participate for at least a 3-year term. Providers who miss this initial deadline need not worry, CMS also indicated applications will be accepted on a rolling basis for future cohorts. A second cohort will begin January 1, 2027, and subsequent cohorts will follow on a quarterly basis.

For more information on the ACCESS model, check out the application and the FAQs.