How to get paid through Medicare’s new ACCESS model

A new Medicare alternative payment model that will allow primary care physicians (PCPs) to receive payments for coordinating care launches July 5. Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) pilots an outcome-aligned payment model to expand patient access to technology-supported care. PCPs will not directly participate in the model, but they can still get paid to play an important role in supporting patients as they consider different care options. Here’s what you need to know.

• ACCESS focuses on four clinical tracks: early cardio-kidney-metabolic conditions (eCKM), cardio-kidney-metabolic conditions (CKM), musculoskeletal conditions (MSK), or behavioral health conditions.
• PCPs can use the ACCESS Directory (coming soon) to help patients on Medicare review the different options for their chronic condition. Patients enroll directly with ACCESS participants (generally digital health companies such as Headspace and Noom). No formal PCP referral is required.
• ACCESS participants will share key clinical updates with PCPs via secure electronic methods (e.g., direct messaging, eFax). They are required to share updates at the start of care, if care is transitioned, and upon completion of the care period. They are encouraged, but not required, to share updates more frequently.
• PCPs will be eligible to receive a co-management payment (CMP) for reviewing the ACCESS care updates and coordinating care. The CMP is not subject to cost-sharing and does not require beneficiary consent. Here are more details about the CMP:
  • The allowed amount for the CMP is $30. PCPs can report it up to three times every 12 months per patient. It’s reported with code G0676 for eCKM or CKM, G0677 for MSK, and G0678 for behavioral health. Visit the ACCESS Co-Management Payment Billing Guidance webpage for more details.
  • Clinical staff working under physician supervision may provide the CMP services.
  • Physicians can also report the CMP concurrently with other care management services (chronic care management, advanced primary care management, etc.)
  • Clinicians who provide onboarding support and device setup are also eligible to receive a one-time $10 payment, separate from the CMP. Report this by adding modifier AC to the G-code for the corresponding service.

Additional information about ACCESS can be found on the ACCESS for Primary Care Providers and Referring Clinicians webpage.

— Erin Solis, Manager, Practice & Payment at the American Academy of Family Physicians

Posted on June 23, 2026