CMS ACCESS Model API
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CMS ACCESS Model API - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

CodeSystem: ACCESS Unalignment Reason Codes

Official URL: https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS Version: 0.9.0
Draft as of 2026-03-06 Computable Name: ACCESSUnalignmentReasonCS

Copyright/Legal: Copyright (c) 2026 Centers for Medicare and Medicaid Services (CMS).

This codesystem defines the codes indicating the reason for the requested unalignment.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://globalalliantinc.com/access/CodeSystem/ACCESSUnalignmentReasonCS defines the following codes:

CodeDisplayDefinition
geographic-relocated Geographic relocated Patient has relocated outside of the geographic area in which the aligned participant is licensed to provide services.
loss-of-contact Loss of contact Despite good faith efforts, defined as making three or more outreach attempts over 30 or more days, contact with the patient has been lost and therefore no longer able to engage with them.
no-longer-clinically-eligible No longer clinically eligible Patient's conditions have changed such that they are no longer eligible for the ACCESS Model.
patient-initiated Patient initiated Patient no longer wants to participate in the ACCESS Model after the initial 90-day lock-in period.