Current verified status
CMS’s accepted-applicant page was updated August 17, 2026 and lists more than 150 accepted organizations. CMS says private payers representing 165 million members across Medicare Advantage, Medicaid, and commercial coverage have committed to align with the ACCESS payment approach, with many beginning in 2026. Inclusion on the accepted-applicant list is not CMS endorsement and does not guarantee final participation; participation remains contingent on Medicare enrollment, an executed agreement, final approval, and other requirements.
Model decision data
CMS describes a ten-year model, rolling start dates, outcome-aligned payments, public reporting of aggregated risk-adjusted results, physician clinical oversight, clinical and data safeguards, and lifestyle/behavioral, diagnostic, medication, care-coordination, and technology-supported services.
Authoritative primary sources
What the sources establish
- More than 150 organizations appear on the accepted-applicant list updated August 17, 2026.
- CMS says private payers representing 165 million members have committed to align with the ACCESS payment approach, with many beginning in 2026.
- CMS describes a ten-year, outcome-aligned model with rolling start dates, public aggregated risk-adjusted reporting, physician clinical oversight, safeguards, and multiple service categories.
What the sources do not establish
- CMS endorsement of an accepted organization.
- Guaranteed final participation, participant-specific effectiveness, coverage, outcomes, or performance.
Prevention for Longevity (P4L) interpretation
P4L treats ACCESS as one monitored payment-and-adoption pathway. Accepted-applicant status, final participation, delivery, outcomes, and learning remain distinct decision states.
Related P4L records
Record maintenance
- Source updated
- 2026-08-17
- Last verified
- 2026-09-03
- Next review due
- 2026-09-10
- Stable URL
- https://preventionforlongevity.org/signals/cms-access/
- Shared structured source
- knowledge-objects.json